Inspection on 28/07/06 for Blue Grove House

This inspection was carried out on 28th July 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Blue Grove House 25/03/09

Blue Grove House 24/04/08

Blue Grove House 13/01/06

Blue Grove House 30/08/05

Blue Grove House 04/12/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Blue Grove House 325 Southwark Park Road London SE16 2JN Lead Inspector Ann Wiseman Unannounced Inspection 28th July 2006 10:00 X10015.doc Version 1.40 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 Blue Grove House DS0000052129.V303672.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 Older People. 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. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blue Grove House Address 325 Southwark Park Road London SE16 2JN 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) 020 7394 2300 020 7231 4284 jeanadams@anchor.co.uk sharon.blackwell@anchor.org Anchor Trust Ms Jean Adams Care Home 48 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th January 2006 Brief Description of the Service: Bluegrove is a newly built residential care home registered for 48 older people. It is owned and run by Anchor Trust. The home is purpose built and was opened in October 2003 to replace an ex-local authority home. Many of the service users from this home transferred to Bluegrove when it opened. Many of the staff who worked at this home and are familiar to the service users also moved to work here. The accommodation is on three floors, each with a group living unit comprising 16 bedrooms all with en-suite facilities, a kitchen, a dining area and lounge. There is a secure, rear garden for use by service users. Bluegrove is situated on bus routes and is close to a local shopping area and a range of leisure facilities. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection was carried out over two days and the Lead Inspector was assisted by a second Inspector on the first visit. The Inspectors were able to talk with several of the staff on duty, many of the Service Users and some of their visitors both in their own bedroom and in the communal areas. The Inspector looked closely at care plans, the Medication records and procedures, the recruitment process and Staff records. Other records, polices and procedures were examined as well. All who facilitated the Inspection were open and friendly and the Inspector would like to thank everyone involved especially the Service Users. What the service does well: 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. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of the above standards were inspected on this occasion. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. The house has comprehensive information to help prospective Service Users form an opinion of the home and to decide whether it will be able to meet their needs and new Service Users are given contracts and a statement of terms and conditions. Visits to the home prior to moving in are encouraged by the home, when the opportunity is taken to make an assessment of the Service User which will be one of the components used to draw up a care plan. EVIDENCE: The Homes Statement of purpose is detailed , setting out the Anchor Trust’s Aims and Objective and also covers most areas of interest to a new resident including a description of the services offered and how the home will meet their needs. Anchor has a web site where this information can also be accessed. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 8 The Residents Information Pack is also detailed and informative, although it was updated in May 2005 it needs updating again as it still mentions the old deputy manager by name. The Anchor Residents’ Licence Conditions for living in Bluegrove sets out conditions clearly and has been given it’s seal of approval by the Plain English Campaign. All Service User files that were examined contained an assessment made prior to the person moving in either by the home itself or a Care Manager, often both. People thinking of moving into the home are invited to visit the home for a day so they can see if they feel comfortable and like the home. During this visit an assessment will be made of the Service User to see if the home will be able to meet their needs and information gathered will be used when developing the care plan. The top floor of the home has been made over to offering intermediate care to people who have been discharged from hospital but still need support. The Manager assured the Inspector that people staying for intermediate care will be encouraged to maintain their daily living skills and independence in preparation of returning home again. The Inspector was able to talk to three Service Users staying in this unit and one family member of a gentleman just discharged from hospital. All said that they were receiving a good service, one man who had been staying in the home for some months confirmed that he was given support where he needed it but was able make decisions for himself and to act independently if he wanted to. He said he enjoyed the food and was able to help himself to drinks and snacks from the kitchen if he wanted to. Another Service User staying in the intermediate care unit has been enabled to maintain independence by keeping his medication in his room and taking it as needed. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Care plans are in place but need reviewing, they are fragmented and are difficult to follow. All the Service Users are registered with the Doctor of their choice and receive health care as necessary. Medication is stored and dispensed in a way that complies with requirement. Service Users and their family members consulted felt that they are treated with respect and that there right to privacy is upheld. EVIDENCE: As highlighted in the previous Inspection Report, Care plans are in place but are still fragmented and difficult to follow. Once all the pieces, that are stored in various locations within the home, are put together it becomes apparent that most of the necessary information is available but they need reviewing, one of the care plans were dated as being last reviewed in May 2003. In another the last weight check was recorded as November 2005. Some of the care plans did not contain photographs of the Service User. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 10 The way the information is stored presently does not enable staff to gather information easily and it can be confusing, the Manager has assured the Inspector that a new Care Planning system is being developed by the trust and will be rolled out after they have been piloted it in another of their homes. It has previously been a Recommendation that the registered person should review the storage arrangements currently in use for care planning information. It is now a Requirement that the Care Plans are reviewed and stored in a way that puts all the information regarding Service Users together and that it is organized in such a way that makes it easily accessible. Please see Requirements 1and 2 All the Service Users are registered with the Doctor of their choice and the records show that they receive medical care as needed, there is also evidence that other health care professionals visit the home including dentists, opticians, chiropodists and District nurses. Each floor has it’s own medication cupboard. The Boots Nomad system is in place and has been used since December 2005.The medication systems were examined on the Slater Unit. The medication was found to be stored correctly, each record had a photograph of the Service User and there was a copy of the Medication Administration Procedure in the cupboard. There were eye drops stored appropriately in the fridge and they were in date. All of the MARR sheets were printed with no hand written alterations. Only senior staff administer medication and have received a one day’s training from Boots and it is planned for all staff to receive medication training later this year. There was a list of Staff that dispense the medication complete with their signatures and initials. Where home remedies are used , proof is needed to show that advice has been sought on whether the remedy will interfere with any prescribed medication. The home does not have policies and procedures around using home remedies. Please see Requirement 3 Staff were observed talking to the Service Users respectfully and knocked on doors before entering. Service Users and families who talked with the Inspector said that staff always talked to them in a pleasant way and where helpful and courteous. Each personal Service User’s file examined contained a section that recorded what the Service User’s wishes were concerning any terminal illness they may develop, what they wanted to happen at the time of their death and any burial plans they have. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All standards in this area were inspected on this occasion. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Service Users have voiced satisfaction with their lifestyle and family and friends are encouraged to maintain contact by visiting the home. They hold regular coffee mornings and other activities that include the family. Service Users are consulted on many aspects of their daily life and maintain choice and control. The food was said to be good and varied although the menu still does not include curries and other spicy food suggested at the last Inspection. EVIDENCE: Records show that Service Users are encouraged to take part in activities that are arranged within the house and out in the community. There have been outings arranged to the seaside, hop fields and some shopping trips. There is an activity offered every day and they are advertised in a communal area. The activities offered include hair and beauty, reminiscence sessions, arts and crafts sessions, exercise class, dominos, gardening and music and video afternoons. Until recently the home had an activities organiser who arranged the activities but she has left and the home is hoping to appoint another soon. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 12 Service Users asked said they liked living in this home, the activities were interesting but they were able to choose whether they participated or not. Church services are held in the home regularly. One of the Service Users had recently celebrated their 100th Birthday and her family was very pleased with the party arranged and the decorations. Service Users are encouraged to make choices and to maintain independence on a day to day basis. Those that can manage their own medication do and menus give two alternatives so the Service User can make a choice. The dinning areas are light and welcoming, the tables were set in an attractive way and the food was well presented. Service Users said that the food tasted good and that there were given enough to eat. However a previous requirement that a food survey be carried out to ascertain Service User’s food preferences will be restated as the survey still has not been done. The suggestion made in the last Inspection by a Service User that curries and other spicy food should be offered on the main menu appears not to have been considered as the menu continues be varied but made up of very traditional meals. Please see Requirement 4 Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of the above standards have been looked at on this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. The home has a complaints policy and procedure and Service Users complaints are taken seriously and acted on. Service Users are registered to vote and are encouraged to use this right at election time. The recruitment process is designed to protect Service Users from abuse and staff receive Protection of Vulnerable Adult training. EVIDENCE: The home has the required policies and procedures regarding receiving and dealing with complaints. There is leaflet which is available for the Service Users to make a complaint, voice a concern or make a compliment. It asks for information about the issue and what action the complainant would like the home to take. The Commissions address is included on the leaflet. One of the Service Users file outlines a complaint the resident had made and details of the actions taken. There is also a note that the Service User is happy with the outcome and it had been signed by them. Service Users who are unable to act for themselves and who have no family have appointees to safeguard their interests. The home does not deal with any of the Service Users finances and keeps only small amounts of money for each person to pay every day expenses. Receipts are kept for all purchases. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 14 The homes recruitment procedure is designed to protect Service Users from abuse and it ensures that all staff have enhanced police checks and are checked against the POVA list. References are taken up and checked verbally. Seven staff files were checked and evidence was seen that indicated the procedures are being followed. Staff are offered Protection of Vulnerable Adult training and those interviewed showed a good understanding of adult protection. Staff proved to have been responsible for causing abuse will be referred for addition to the POVA list. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All aspects of the environment were inspected during this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. The home is a safe, comfortable and well maintained environment inside and out, it is clean and hygienic. Bedrooms suit the Service Users needs, are personalized with the addition of personal effects and have specialist equipment where needed. EVIDENCE: The home was purpose built and is well maintained and decorated, each floor is painted a different range of colours to help the Service Users identify which floor they are staying on. The garden area is inviting with garden beds and seating and is securely fenced in. Regular fire checks are made and a visit from the fire officer in June 2006 raised no areas of concern, the last environmental health visit was in 2005. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 16 The corridors and floors are free from obstruction and the flooring is in good repair. Health and safety checks have been carried as evidenced by a random check on the paperwork. Furniture provided in the communal areas are of a high standard, in good repair and are comfortable. There are pictures and photographs on the walls and ornaments and flowers around the rooms which help to give a homely atmosphere. There are sufficient bathrooms and toilets that are fitted with grab rails, hoists, bath seats and raiser seats where needed. Those examined were clean and free from offensive odours. The Service Users have personal effects and small items of their own furniture in their rooms and have specialist equipment such as a talking clock and phones with large numbers for those with poor eyesight. There were also hoists and grab rails in the bedrooms if needed, all the hoists have been serviced this year. The home was well ventilated, clean and tidy. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Every standard in this area was assessed during this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Rotas examined indicated there were sufficient staff on duty each shift to care for the Service Users, the home is working towards gaining the required 50 of care staff who hold a minimum of NVQ2 or an equivalent qualification. Service Users are protected by the homes recruitment policies and staff are trained and appear to be competent to do their jobs. EVIDENCE: Examination of the rotas indicate that there are sufficient staff on duty at all times to care for and protect the Service Users, there are at least five care staff each on each shift and there is also two senior staff, including the manager, on duty. Both the seniors and the Manager work over the weekends working the same shift patterns as the care staff. This will mean they will have a good understanding of how the home runs at any time of the day. There are three waking night staff on duty at night, one based on each floor. The care staff are supported by admin, domestic and kitchen staff. Any shortfall in staff are filled by care bank staff, the home has not used agency staff since June 2006. The Manager has reported that the percentage of staff that have attained their NVQ2 or above is at 26 . This falls below the expected 50 and needs to be increased. It will be a Requirement that steps are taken to work towards Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 18 increasing the percentage to 50 , including care bank and agency staff used. Please see Requirement 5 The staff files that were examined indicated that the home follows it’s recruitment policy that has been developed to safeguard the Service Users. Checks are made on any prospective staff’s identity, on their references, past employment history and the home looks for evidence of any history of abuse or criminal history. There were a few staff files that did not have photographs, the manager is aware of these omissions and has undertaken to obtain photos for all staff members. New staff receive induction which is recorded in the staff file, also on file is evidence that core training is offered to staff including Fire training, first aid, moving and handling, understanding dementia, food hygiene, care of medication, back care, COSSH, nail care in the elderly and POVA training. Staff who spoke with the Inspector appeared to understand the needs of the Service Users and spoke competently. The Service Users commented that the staff are good to them, are kind and patient. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): On this occasion all the above standards were examined. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. The Manager has been in post for some years and appears to have a good understanding of the needs of running large establishment. Staff and Service Users and their families speak well of her. Financial procedures are in place that are aimed at protecting the Service Users monies. Their rights and best interests are protected and safeguarded by the home’s record keeping, policies and procedures. Health and Safety is promoted and records of checks were available for inspection. EVIDENCE: The Manager has complete her NVQ4 and Registered Managers Award and has been managing this home since the home was built in October 2003 and previously she managed the home it replaced. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 20 Staff spoken with say that the manager operates in an open and transparent was, they find her supportive and a good listener. Service Users find her kind and helpful. In January 2006 Anchor commissioned an independent company to do a customer satisfaction survey across all the homes it runs. Bluegrove came out well in the survey being above average of all the homes taking part. Overall the survey found that the home is a very nice home for older people and that the staff are very friendly. The survey was published and made available to Service Users and their relatives. The home is covered by the required insurance and the certificate is on display in the entrance hall. The home does not manage Service Users monies but does hold a small amount for each Service User to enable them to make purchases or pay for daily expenses such as the hairdresser. In response to a previous Recommendation that interest bearing accounts are provided for those service users who have large amounts of money looked after in a pooled account at the home, the home will now only keep a small amount of money in this fund and if the money begins to build it is returned to the next of kin. Supervision notes are on staff files that shows staff members are receiving regular supervision and that it covers all required area. Staff confirmed that they are given supervision. This was a requirement from the last Inspection. Records are stored in a locked filing cabinet in the office. A random sample of Health and safety checks were examined and were to be found in order, fire safety checks are carried out and equipment have been serviced according to need, for example: A gas safety check has been undertaken in July 2006, kitchen equipment was examined in June 2006 and the lift was checked and serviced in August 2006. Hoists were checked in May 2006. Anchor’s Annual Statement can be accesses on their web site. Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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. 1. 2. Standard OP7 OP7 Regulation 15 (2.b) 15 Timescale for action The Care Plans must be reviewed 01/12/06 and kept under constant review. All the information regarding each Service User must be stored in one place and must be organized in such a way that makes it easily accessible. (2) 01/12/06 Requirement 3. OP9 13 Guidance on the use of home 01/12/06 remedies must be added to the medication policy and procedures. This guidance should include the need to check with a doctor that the home remedy will not adversely effect prescribed medication. The registered person must ensure that a survey is undertaken to ascertain service user’s food preferences. The Registered Manager must take steps to ensure that at least 50 of staff working in the home are suitably qualifies. 01/12/06 4. OP15 16 (2i) 5. OP28 18 (1a) 01/03/07 Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 23 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 Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH National Enquiry Line: 0845 015 0120 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 Blue Grove House DS0000052129.V303672.R01.S.doc Version 5.2 Page 25 - 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!