Inspection on 01/07/06 for Briarlea

This inspection was carried out on 1st 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

Briarlea 11/02/10

Briarlea 17/12/09

Briarlea 26/11/09

Briarlea 09/07/09

Briarlea 06/06/07

Briarlea 15/09/05

Briarlea 28/04/05

Briarlea 27/09/04

Briarlea 15/04/04

Briarlea 06/02/04

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Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Briarlea Badsey Road Evesham Worcestershire WR11 5PA Lead Inspector Y South Unannounced Inspection 09:30 1st July 2006 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 Briarlea DS0000045857.V303484.R02.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. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Briarlea Address Badsey Road Evesham Worcestershire WR11 5PA 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) 01386 830214 Briarlea Care and Supported Living Limited Mrs Catherine Hillier Care Home 18 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (18), of places Physical disability over 65 years of age (18) Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th September 2005 Brief Description of the Service: Briarlea provides residential accommodation and care for older people who may have a physical disability and/or mental health needs associated with old age. It is owned by Briarlea Care and Supported Living Limited, which is a family owned company, both directors of which are actively involved in the running of the home. The home is situated just outside Evesham in a rural area with pleasant views over the local countryside. It occupies a level site and apart from its road frontage, is surrounded by a level garden and orchards. The premises consist of a two-storey house. There are fourteen single bedrooms and two double. Seven of the single bedrooms have en suite toilets. A passenger lift links the two floors of the home. There are two communal lounges and a conservatory, a dining room, two communal bathrooms and communal toilets. A copy of the Statement of Purpose and inspection reports were available in the entrance to the home. People could be provided with copies if they wished and were also referred to the internet as a source of inspection reports. On 13.07.06 the registered provider stated in the pre inspection questionnaire that the current charges were between £1340 and £1596 per month. Additional charges were made for hairdressing and chiropody services. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection incorporates information received by the Commission for Social care Inspection since 15.09.05 and the information obtained during fieldwork on 14.07.06. The visit extended over seven hours during which the inspector spoke to five residents, three staff and the manager. A partial tour of the premises was undertaken. The inspector has also had phone conversations with three relatives. The Commission for Social care Inspection sent copies of questionnaires to the home and asked that they be distributed to residents, relatives and health care professionals. To date fourteen responses had been received. The focus of this inspection was on the key National Minimum Standards and the requirements and recommendation that arose out of the previous inspection. What the service does well: The home provides a pleasant friendly atmosphere. Residents move freely around the home with confidence. Staff relate to them in a kind and respectful manner. The building is clean and well maintained and furnished. Residents are encouraged to personalise their bedrooms with their photographs and ornaments. Residents say that the staff are good and helpful, the food is good and the activities provided are enjoyable. There is a strong commitment to staff training. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 6 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. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 7 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 Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 8 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have access to the information they need about the home to enable them to make a decision regarding their future accommodation and care. Everyone is assessed before admission to ensure the home is able to provide the care they need. EVIDENCE: Copies of the Statement of Purpose and inspection reports were available in the entrance of the home. An assessment was made of the records of two people. One person had been resident since 2004 and the other moved in this year. There was a marked improvement in the most recent assessment that had been undertaken prior to admission. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 9 Both assessments were supported by a Community Care Assessment and information from the hospital where the person was at the time. It was suggested that the assessment could be further developed and be of greater value if more details were recorded. The residents told the inspector that their families had visited the home and had been given full information to enable them to make a decision. They remembered seeing someone from the home before they came and had ‘papers’ in their room about the home. Relatives who spoke to the inspector endorsed this. The manager confirmed that on admission every bedroom had a full copy of the Service Users’ Guide. The registered provider confirmed that he held copies of all contracts drawn up with Social Services for particular residents and private residents had a private contract that had been drawn up with the home. Terms and conditions of residency were described. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 10 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): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ care plans provide information and guidance on care needs for the staff. Health care is monitored and concerns are responded to. Residents receive the medication they are prescribed safely in accordance with the doctor’s instructions. Improvements to the storage for Controlled Drugs is required to improve security. Residents are cared for with sensitivity and kindness. EVIDENCE: The records contained acceptable care plans for both people that were case tracked. They provided information and guidance to enable staff to undertake their duties. Risk assessments had been carried out. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 11 It was suggested that a catheter care plan, pressure care plan and nutritional care plan would be of use for some people. This was agreed and has been put into place. More care needed to be taken to ensure all documents were fully dated. The records indicated that doctors and nurses visited the home when necessary. This was confirmed by the residents and the daily records indicated that their instructions and advice was complied with. Six people considered that they were kept well informed of matters affecting their relative however one person had not been informed of a fall, a doctor’s visit or a blood test and another relative said that the staff did not always consult the resident about changes. The daily records were well maintained and very informative. They demonstrated all care was being provided to meet the individual’s needs. Medication was well managed. The storage was clean and tidy. A medication trolley and cupboard were in use that met the Misuse of Drugs (Safe Custody) Regulations 1973. However controlled drugs were stored in a metal cash box secured inside the drugs cupboard. This did not meet the requirements of the above Regulations. Since the inspector’s visit appropriate storage has been ordered. The inspector was shown an acceptable level of stock. Tubes of creams and ointments, drops and inhalers were not dated when opened. This is necessary to aid stock control and monitor medication with a short ‘shelf life’. Medication records were well maintained. It was observed that staff treated residents with respect. There were privacy curtains in all double rooms. Residents said that the staff protected their privacy when attending to them. They received their mail unopened and were able to make and receive phone calls in private. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 12 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): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A variety of activities are provided for resident to participate in. Links are maintained with families, friends and outside agencies. A varied and nutritional diet is provided and residents are able to exercise personal choice in their daily routines. EVIDENCE: It was observed that the daily menu and activities for the day were displayed on a notice board for the residents. The residents spoke of the proposed activity for that day with enthusiasm. The home did not employ an activities organiser. The manager said that all afternoon staff were involved. This was confirmed by a member of staff who was to undertake a quiz and crosswords with the residents that afternoon. It was apparent that she enjoyed this aspect of care, as did the residents who spoke to the inspector. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 13 The pre inspection questionnaire stated that the activities programme included bingo, singsongs, visits from outside entertainers, movement to music and arts and crafts. A fete was held the previous week and the residents and staff said that it was a great success. A potting shed had recently been provided for residents who were interested in gardening. It was observed that during the morning residents were happy to watch the comings and goings to the home, the wild life in the garden (Squirrels and Rabbits), and reading books and newspapers. One relative said that the provision of activities and stimulation had definitely improved this year. Visitors were always welcome and the visitors’ book indicated that a steady stream had arrived during the day. Residents confirmed that they were able to receive their visitors in the lounges or in their room. There was also ample space and seating in the garden. The manager confirmed that several residents went out with relatives and a few were able to go out independently. The homes had links with the Salvation Army, and a vicar called monthly and gave Holy Communion to those who wished to receive it. The manager said that currently there were no residents of other religions but their requirements would be met should the occasion arise. There were no residents of other nationalities. The residents said that the food was good and this was endorsed by most of the comments received in the questionnaire responses. However one resident and one relative considered that ‘the food could be better’ and ‘would like more fresh vegetables and fruit. Vegetables are often overcooked. Not always peas and carrots’. A four-week rotating menu was supplied to the CSCI that demonstrated a varied diet was provided. The pre inspection questionnaire stated that some residents chose other options or had a special diet. Residents confirmed that they had a choice. The minutes of the residents’ meeting indicated that they had opportunities to discuss the menu and make suggestions. None of the current residents had an advocate. Information was available should one be needed but the care staff were unsure of an advocate’s role. It was suggested that the manager contact the service and ask if they would come and talk to the staff about their work. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 14 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): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Relatives and residents have access to the complaint procedure and feel they would use it effectively if necessary. Staff have received training and are able to identify concerns and act on them appropriately. EVIDENCE: No complaints had been received by the Commission for Social Care Inspection. The manager said that the home had only received minor concerns since the last inspection and these had been addressed immediately. It was acknowledged that many issues that were raised were dealt with in this way and so were never identified as complaints. However the manager was advised to have a system ready in which to record any complaints that might be received in the future. This record should demonstrate that they had been investigated and responded to appropriately. Since the inspector’s visit a format for recording has been produced and made available. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 15 A complaints procedure was available in the Statement of Purpose and Service Users’ Guide. The questionnaire responses from relatives and residents confirmed that they knew how to raise their concerns and this was confirmed by the residents who spoke to the inspector. One relative said that they had made a complaint. Staff confirmed that they had received training regarding the Protection of Vulnerable Adults and their records confirmed this. They knew what action they should take if they had concerns. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 16 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): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a home that provides them with safety and comfort and meets their needs. Action is taken to reduce the risks of cross infection. Health and safety matters are addressed to ensure the well being of everyone in the home. EVIDENCE: A tour of the home was conducted. It was observed to be clean and tidy and free from offensive odours. It was generally well decorated, furnished and maintained. Appropriate aids and adaptations were fitted. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 17 Residents’ bedrooms were well furnished and decorated. They had been personalised and the residents confirmed that they were comfortable and had all they needed. On the top floor there was one bathroom out of use. It was unsuitable for the residents to use. However on each floor there were other facilities that had been modernised to a high standard. The manager said that it was planned to convert the room to a ‘wet room’ in the near future. This would increase the choice of facilities for residents. Two bedrooms were fitted with door locks that did not meet the criteria agreed with the Fire Authority, and en-suite facilities were not fitted with locks that had an emergency override. The registered provider said that there were plans to build a large extension and further improvements in the home would be undertaken at the same time. Since the change of ownership a programme of modernisation, redecoration and refurbishment had been implemented. Good progress had been made and residents and staff appreciated this. Six carpets had been replaced. However one person was disappointed that her relative’s carpet had been cleaned not replaced. A maintenance book was seen to be in use and tasks were signed off as completed. The laundry was very small but fitted with appropriate equipment. A new laundry and sluice was planned for the future. Liquid soap, disposable towels and personal protective equipment were seen to be provided in relevant rooms. The records indicated that staff had received training in infection control and the staff, and reports generated in accordance with regulation 26 confirmed this. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 18 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): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is staffed by sufficient appropriately recruited and trained people to meet the needs of the residents. EVIDENCE: Two staff were interviewed and their records were assessed. Both people had worked at the home for a long time and prior to the current ownership. Their records contained basic information, evidence that the Criminal Records Bureau (CRB) had undertaken checks and the Protection of Vulnerable Adults (POVA) list had also been checked. The training records were detailed and there was written and verbal evidence that they received supervision. This was all confirmed during the interviews. Both people demonstrated knowledge of the residents and their needs, what action they should take if they received a complaint and if they had any concerns regarding the safety and welfare of residents. They considered that they were kept well informed through the handover process and the residents’ records. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 19 Both members of staff considered that the home was staffed appropriately to meet the current needs of residents and levels were increased when necessary. Of the seven relatives who returned completed questionnaires one person considered that there was not always sufficient staff on duty. Another person commented,’ Two members of staff to 18 residents is not enough, there should be at least 3 staff. For every 6 patients here should be one staff. Several residents have frames, need help with toileting etc. some spend a lot of time in their rooms. The staff are particularly busy at meal times’. One relative commented that ‘There are times when it is difficult to find a member of staff. The residents all spoke positively to the inspector. One person said that sometimes there was a little wait before a call bell was answered but that was to be expected when there were so many others in the home. In accordance with the duty rota during the day of the inspector’s visit there were two care staff and the manager on duty all day and a housekeeper and a cook on duty in the morning. The dependency levels and care needs of residents will need to be continuously and closely monitored to ensure there are always sufficient staff on duty to provide the service needed. Residents said that the staff were kind and treated them well. A relative said that the manager and staff were friendly and always made them feel welcome. The records of a person recently appointed indicated that they had been recruited using an acceptable process. The files contained basic information, references, and CRB and POVA checks. A copy of the training analysis and plan for the home was sent to the Commission of Social Care Inspection (CSCI) that demonstrated a commitment to training. The pre inspection questionnaire stated that training was provided in house and from external trainers. The reports received by the Commission for Social Care Inspection and the staff interviewed confirmed that training was on going. The staff said that since the change of ownership there had been considerable improvements to the home, care and staffing. After the first intensive rush to bring everyone up to standard there was now a steady provision and updating programme of training. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 20 The manager confirmed that two staff had completed NVQ 2 in care training and two others were on the course. One person had completed the NVQ 3 course and a third person was about to start the course. Two people were qualified to NVQ level 4 and a third was about to start training. The cook was currently working to achieve an NVQ level 2 in catering. This is an excellent achievement in a team numbering 21 persons in a comparatively short space of time. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 21 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): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and provides good care for the people who live and work there. A formal system of quality assurance will enable identification of areas where further improvement can be addressed. Health and safety matters are addressed to ensure the well being of all in the home. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 22 EVIDENCE: An experienced and appropriately trained person managed the home. Staff and residents confirmed that she was approachable and responsive. This was observed during the inspector’s visit. The registered provider has purchased a professional quality assurance system and the manager and senior staff are familiarising themselves with the manuals prior to implementing the process of quality auditing. The manager said that the proprietor sent out questionnaires to relatives every six months and copies were available in the entrance for anyone who wished to complete them. Further questionnaires would be developed and distributed to residents and health care professionals as part of the quality assurance system Residents’ meetings were held approximately every three months. Minutes were maintained and demonstrated a response to residents’ discussions and requests. The home held no money for residents. Private purchases such as hairdressing and chiropody were invoiced by the provider to the person responsible for the resident’s finances. A programme for improvement of the building was available and in use. One of the staff interviewed was the health and safety representative for the home. She said that she undertook weekly monitoring of health and safety matters. The manager said that each month the responsible individual undertook an audit of accidents that had occurred. The pre inspection questionnaire indicated that equipment and systems were being regularly serviced. The Environmental Health Officer visited on 15 May 2006 and on 14.July 2006. The manager said that no issues had arisen. The records indicated that checks of the fire safety system and equipment were being undertaken appropriately and staff were receiving training. Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 23 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 24 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. Standard OP9 Regulation 13 (2) Requirement Suitable storage must be provided for controlled drugs that meets the Misuse of Drugs (Safe Custody) Regulations 1973 (Regulation 13 (2) A maintenance certificate must be in place for the electrical bath hoist. The timescale of 31/10/05 was not met. An appointment for a service was being made. Therefore the timescale has been extended. Timescale for action 30/09/06 2 OP38 13 31/08/06 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 Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Briarlea DS0000045857.V303484.R02.S.doc Version 5.2 Page 26 - 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. 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