Inspection on 30/04/07 for Baytrees

This inspection was carried out on 30th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Baytrees 11/11/05

Baytrees 29/06/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Baytrees The Street East Preston Littlehampton West Sussex BN16 1JD Lead Inspector Val Sevier Unannounced Inspection 30th April 2007 11:00 Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Baytrees Address The Street East Preston Littlehampton West Sussex BN16 1JD 01903 770116 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Harry Parsad Purmessur Mrs Heywantee Purmessur Mr Harry Parsad Purmessur Care Home 9 Category(ies) of Learning disability (9), Learning disability over registration, with number 65 years of age (3) of places Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Up to 9 male and/or female service users in the category of learning disability (LD) may be admitted/accommodated. Up to 3 male and/or female service users in the category learning disability over the age of 65 years may be accommodated LD (E). The total of service users accommodated may not exceed 9. No service users over the age of 65 years may be admitted. Date of last inspection 11th November 2005 Brief Description of the Service: Baytrees is a fine old building in the village of East Preston, close to the local shops, and about a mile from the sea. Once a family home, it is now the home to nine residents, in the category of (YA) Young Adults, with a learning disability. Three of the residents however are over the age of 65 years. The accommodation consists of nine single bedrooms, all with en-suite facilities. There is a lounge and dining room, with a day centre, solely for the use of the people who live at Baytrees, in the garden of the home. The fees for the home range between £706 and £863 and are dependent on need and support. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The findings of this report are based on several different sources of evidence. These included: an unannounced visit to the home, which was carried out on the 30th April 2007, during which the inspector was able to have discussions with staff and have interaction with the residents at the home. In addition 6 relatives had completed questionnaires prior to the visit. During the visit to the home a tour of the premises was carried out which included bedrooms. Staff and care records were sampled and in addition to speaking with staff and residents, their day-to-day interaction was observed. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Commission for Social Care Inspection. What the service does well: Every potential resident for the home is visited and assessed to ensure that the home is able to offer a service to meet the needs of the individual. The assessment contains a lot of information about the needs and how staff can support them. Although there was not a lot of written evidence about how staff support needs, promote choice and diversity, the inspector was able to observe this in the interaction and relationship between the residents and staff at the home. Residents appeared to be engaged in activities that they like and this is varied and can be changed on the day. There is access to health care such as dentists, opticians and chiropody as well as ‘feel good’ therapies such as hairdressing. There is a choice of meals and individuals were observed to have foods that they liked and that also met dietary needs and requirements. Staff seem to be aware of the protection of the people they care for and have undertaken appropriate training. There is a complaints procedure and relatives and representatives have commented that the staff and manager are approachable should they have any concerns or worries. Baytrees is a pleasant environment that is well maintained and homely; there is a lounge and dining room, all rooms are single and ensuite and the residents have full use of the garden. Residents are able to plant fruit, vegetables and flowers in the garden for all to enjoy and the home opens its grounds as part of the community when the local yearly fete occurs. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 6 Staff received regular supervision from the manager and training is up to date. The manager seeks the opinions of others in the management of the home and how it provides the service to the people that live at Baytrees. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can feel assured that their needs will be assessed and that the home has an understanding of their needs using the assessment process. EVIDENCE: The inspector sampled three care plans, which also contained the pre admission assessment. One person has come to live at the home since the last inspection visit. The assessments contain information about the needs of the individuals. It was observed that the information gained through the assessment had been used to complete the care plans. The information gathered at the assessment included areas such as personal care, putting shoes on, getting up / going to bed, making light meals and doing light housework. In addition to tick boxes for these activities, there was additional personal information for example communication needs ‘ uses sign language as well as verbal, use only two key words per sentence ad ask if understands’, there was also a communication book. This information was seen to be used to help with planning the support given by staff and staff spoken with had seen the assessment and could explain how they were to support individual needs identified in the assessment. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 9 Relatives who have commented, explained what had happened in the decisionmaking process regarding the home and how they had been involved. Residents who were able also commented that they had been to the home and had been asked if they would like to live there. The relatives commented that the admission process had worked, that they had been given adequate information to assist with the decision, making process. The relatives felt that the needs could be met at the home; in some cases the relatives appreciated being part of the process as they had cared for the individual and could continue to do so. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Practices within the home demonstrate that people who use the service are encouraged to make decisions about their lives and to take risks as part of an independent lifestyle. EVIDENCE: The inspector read three care plans, which included: risk assessments on areas such as diabetes and other medical needs. The inspector followed up the issue of risk assessments for other areas of people’s daily lives such as activities with the manager. Evidence was sent to the commission following the inspection to confirm that there are risk assessments related to residents outdoor activities such as horse riding or attending college. The care plans seen also contained a timetable of the week’s activities for the individual, and they seemed to be based on individual’s wishes and abilities. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 11 The assessment of need was seen to compliment the care plan with information regarding the needs of the individual and how staff could support those needs were on the admission assessment. This included personal care, (as mentioned in the previous section), communication, mobility, likes and dislikes, interests, and nutritional needs. One Waterlow assessment tool was seen on one care plan, and it was further noted that weight is monitored, particularly with individuals who have diabetes. In the three care plans seen there were three or four care needs identified which were reviewed three monthly or if there were changes. There were minutes from meetings that included the individual and their representatives, in addition to home staff and other professionals; these seem to happen yearly, or if there are concerns. Relatives have commented that they are involved with the reviews of the care plans and are informed of any concerns about the well being of the people who live at the home. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service participate in activities appropriate to their age, peer group and cultural beliefs as part of the local community. Dietary needs are well catered for with a balance and varied selection of food available that meets individual dietary requirements and choices. EVIDENCE: Staff explained that residents are encouraged, to participate in social activities, both within the home and in the community. Records of activities are recorded in the individuals care plan and daily records, these include daily activities such as art, games, clubs, college, bowling, horse riding and gardening as well as visits to the cinema and shopping. Staff confirmed they often support service users in going to the pub, or to local areas of interest. The inspector was able to speak at length with two residents whilst waiting for others to return from a trip out. She spoke with the residents about the Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 13 photographs in the home and was told that they were about holidays and barbeques; the discussion took place whilst enjoying puzzles, drawing and mid morning coffee. Since the current manager has been at the home the residents have had yearly holidays. Last year six of the nine residents were supported to go to Euro Disney for a week to help one resident celebrate their 70th birthday. This was in addition to a week long holiday for all to Butlins in Somerset. This year the residents are going to Hayling Island for a week. The manager explained that they choose holiday sites that have evening entertainment such as dancing and music s well as swimming and games. There was no evidence that care plans reflect the individual’s cultural beliefs and individuals sexual preferences. The inspector witnessed the visitors book that detailed family and friends visits to the home. Staff reported there are no restrictions on visiting, unless stated in an individuals care plan. The inspector saw the menus, which had a variety of nutritious meals, which included an alternative. Food storage areas and fridges were well stocked with fresh and tinned produce. The inspector was asked to join the residents for lunch, which is seen as a social occasion that staff also join in. the inspector observed that staff supported residents appropriately and with dignity, where needed. Residents were also seen to have different sandwiches dependent on choice and dietary requirements and they were offered a choice of pudding such as fruit or yoghurt. The residents have their main meal in the evening, which is prepared by a newly appointed cook. This is because residents attend clubs and activities throughout the day and again the evening meal is a social occasion where the residents can catch up on what they have been doing, with others. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service receive personal support in the way they prefer and require and have their emotional health needs met. EVIDENCE: In the three care plans seen it was noted that the care plans had information on how the individual wishes to receive their personal support and these are reviewed three monthly or as needs change with the residents and or their representatives agreement. The written evidence was supported by the interaction observed and the staff comments confirmed that they are aware of individual needs and how to offer support for the individual’s needs. On one care plan seen there were specific instructions for the management and action to be taken in the event of high and low blood sugar levels. Whilst this was seen to be good practice and effective for some individuals it was not available for all. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 15 The staff make comments daily on individuals daily activities, physical and emotional health and behaviour, records of visits to outside agencies, such as doctor, dentist, optician are kept on the individuals file, this enables the home to monitor and track the information recorded. The inspector saw medication being correctly administered, staff followed the homes medication policy and procedure. The home uses a Medicine Administration Record Sheets (MARS) system, for recording the administration of medication. The records kept in conjunction with medication received and returned to the pharmacist were sampled and were found to be correct. Records of all staff trained to administer medication were found to be in order. It was noted that one service user was administered the incorrect dose of insulin on 3rd April 2007, by the district nurse, action was taken by the home and nurse. However the CSCI had not received notification of this error. It was further noted that one individual had become ill in January 2007 with their diabetes and an ambulance had been called, no notification was sent to CSCI. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are protected through the open complaints process and the staff’s knowledge and understanding of Adult protection issues. EVIDENCE: The inspector spoke with the manager and staff, who confirmed the way they ensure service users views are listened to is to communicate in the style and pace appropriate to the individual, spend one to one time with residents, arrange regular review meetings, form positive relationships with families, friends and outside agencies. The manager confirmed staff use a variety of ways to enable residents to make choices, for example, when choosing which clothes to wear, the staff member will arranging the options in front of the individual and prompt them to look and point to their choice. The same system is used when choosing to redecorate/ refurbish of areas within the home and where to go on holiday. The home has a clear complaints procedure. The inspector observed staff listening to the residents, and respond appropriately to meet the individuals needs. The inspector received six comment cards, all were completed on behalf of residents by their relatives, and all stated they were aware of who to speak to if they were unhappy about anything. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 17 The inspector saw the homes adult protection procedure, which includes the Department of Health “No Secrets” guidelines. The home has a copy of the Sussex guidelines for the Protection Of Vulnerable Adults. Staff confirmed they have attended abuse awareness training, and that abuse was covered during their induction, the inspector sampled staff files which included records of training and certificates. Staff said they discuss issues surrounding abuse policy and procedures at their monthly staff meetings with their line manager supervisions, and confirmed their awareness of the procedure and where to find it should it be required. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have a pleasant and homely environment to live in which also has had adaptations to meet individual needs. EVIDENCE: The manager explained that the staff supported service users to decide on the colours of the lounges/dinning areas, all were very different in colour and activity and furniture, suggesting that thought has been given to individuals needs and wishes. All of the bedrooms were brightly decorated and had evidence of individual personalities with posters and the service users photographs on the walls, and other personal effects. The manager explained service users are encouraged to furnish the room with personal belongings, furniture and pictures to make it feel like home. One individual’s room was arranged in way that supported their decreasing sight and sensory equipment was in the room. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 19 The home appeared clean, warm and with no offensive odours. The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. The garden is well maintained and is accessible to residents. The rooms were all single occupancy, all en-suite, and each with its own television and video. There is a ‘day centre’ in the garden, which residents can use for arts and crafts with the facility of a shower, toilet and hairdressing if needed. The manager explained that residents help in the garden with one individual particularly enjoying planting and caring for vegetables and flowers. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the services have their needs met by staff who are trained, supportive and sufficient in numbers. People who use the services are protected by the current recruitment procedures. EVIDENCE: Staff spoken with on the day of inspection indicated that they were aware of the needs of the residents who live at Baytrees, they also seemed enthusiastic about working at the home. There was evidence that staff have received training in all mandatory areas such as food hygiene, first aid and manual handling. There are four staff who have achieved NVQ 2, with three moving on to level 3, however the home has not yet achieved 50 of staff trained in NVQ. The inspector was able to sample two staff files of individuals who had begun work at the home since the last inspection visit. Records and found that they were detailed with the necessary checks taken to ensure staff are fit to work at Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 21 the home with the exception of one reference on one file. A copy of which was sent to the inspector after the visit. On the day of inspection there appeared to be sufficient staff members on duty. The manager was out with three residents bowling and another member of staff was at the home with three residents the remaining three residents were out at clubs. The care staff are supported by a cook in the evenings and a domestic. There is also a handyman who carries out maintenance and decorating. Records are kept in a locked cabinet, and showed that all staff members had received the appropriate training, and that supervision was being carried, out and notes kept. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service may always benefit from the management of the home due to the lack of readily available information about the care plans, risk assessments and recruitment; this area of management must improve. EVIDENCE: The manager, who is also the owner, has been at the home for two years. It was seen from his interaction with staff and residents that there is a positive relationship at the home, with open communication. Several pieces of information have been sent to the commission following the inspection visit on risk assessments, support and recruitment. Whilst it is noted that there was information available on the day, it had not been enough to substantiate the level of support that the staff were seen giving to the people Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 23 at the home, it is felt that this information should have been readily available at the time of the visit. The inspector noted that there had been some incidents that had not been reported to CSCI such as a fall from a horse of one resident and the incidents regarding diabetes and medication (as referred to earlier in the report), these were discussed with the manager at the visit, as action had been taken however there was no risk assessment or review of the circumstances. Since the inspection visit the manager has sent information regarding the incidents to the commission. Staff receive adequate training on health and safety issues, as evident from the staff training plan, the inspector saw certificates for staff attending moving and handling training, first aid, food hygiene and Control Of Substances Harmful to Health. The home has risk assessments in place for the building and safe working practices for staff. Certificates showed the maintenance of services within the home were up to date and Fire training, records and tests were seen to have taken place regularly. The staff members at Baytrees said that they enjoyed working at the home, and that they felt well supported by the Manager and Deputy Manager. Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Baytrees DS0000063705.V331729.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!