Inspection on 18/05/05 for Camphill Devon Community

This inspection was carried out on 18th May 2005.

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

Camphill Devon Community 11/11/08

Camphill Devon Community 06/12/06

Camphill Devon Community 14/11/05

Camphill Devon Community 03/11/04

Camphill Devon Community 25/05/04

Camphill Devon Community 27/01/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Camphill Devon Community Hapstead Village Buckfastleigh Buckfastleigh TQ11 0JN Lead Inspector Graham Thomas Announced 18/05/05 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 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 Stationary 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. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Camphill Devon Community Address Hapstead Village, Buckfastleigh, Devon, TQ11 0JN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01364 642631 01364 644188 Camphill Devon Community Limited William John Southcombe Care Home 45 Category(ies) of Learning disability (45) registration, with number of places Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate two persons with Learning Disabilities over the age of 65 Date of last inspection 3rd November 2004 Brief Description of the Service: The Camphill Community, Hapstead Village is situated in a remote rural setting close to the village of Buckfastleigh. The site comprises residential accommodation in five houses, workshops, offices, agricultural land and farm outbuildings. An outdoor swimming pool is also available for service users (‘villagers’) use. The Community grew out of the national Camphill movement with which it maintains a loose affiliation. Founded on the anthroposophical principles of Dr Rudolf Steiner, the service aims to provide home, work, religious, social and cultural life as well as therapeutic activities within a village-style community for up to 45 adults with learning disabilities. The Community also provides supported living and has a further home nearby. These resources are not part of this inspection. Service users have expressed a preference for the term “villager” which will be used in this report. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspector looked at information given by the Manager before his visit. Comment cards sent by villagers and relatives were also seen. While visiting Hapstead, the Inspector toured the site and all the houses. Fifteen villagers and ten staff were spoken with in groups and on their own. Villagers’ care plans and other documents were examined in each house. During the visit, the Inspector joined a “Circle group” for villagers which was facilitated by an independent advocate. The inspector spent time with the Manager and looked at documents kept in the Community’s main office. What the service does well: What has improved since the last inspection? What they could do better: The records staff keep about medicines need to be improved. Staff need to be clear about why visitors come to Hapstead and make sure it is safe. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 4 A thorough system of assessment, visits and trial placement helps prospective villagers to make choices about living at Hapstead. EVIDENCE: The care plan of a recently admitted villager was examined. This included, preadmission assessment information obtained from suitably qualified professionals. The Community has also produced its own person-centred assessments. Detailed plans have been developed for each villager. Restrictions on choices and freedoms are identified through individual risk assessments and care planning. Care plans showed evidence of assessment by relevant specialists according to individual needs. Visits to the Community and a trial stay were detailed in the plan of the most recently admitted villager. Unplanned admissions are avoided wherever possible. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9 Individual villagers are increasingly well-supported to make choices and decisions about their lives. EVIDENCE: A sample of villagers’ plans were examined in each house. These had been produced in a user-friendly format and showed evidence of regular review involving the individual villager. Each plan contained details of the villager’s own views about their care. The information in the plans also included health and medication, home life, activities, relationships, and independent living skills. Restrictions on choices and freedoms are shown in the plans together with procedures for responding to challenging behaviour. Some risk assessments required updating. The Manager said that a standard format was being developed for risk assessments across the Community. Villagers are increasingly encouraged to make choices about their lives. Choices are being extended outside the Community in areas such as work and education. All villagers have access to independent advocacy services. During the inspection, the Inspector was invited to attend a “circles group” facilitated by an independent Advocate, in which villagers were encouraged to voice their views. The Advocate also supported one villager to speak with the Inspector individually. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 10 Villagers are represented at all levels of the Community’s management through a system of groups with specific areas of interest. The results of a recent villager survey were seen during the inspection. Around the Community there was evidence of the use of total communication methods including symbolled timetables and care plans, photographs and other supported forms of communication. All but five of the current villagers are supported to hold their own bank accounts. The Community’s administrator acts as Appointee for 28 villagers and detailed accounts were available for scrutiny. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11 - 17 The community provides an active and diverse lifestyle for villagers in which their dignity and choices are respected. Links with the wider community are not as developed as they might be EVIDENCE: Villagers are helped to develop their communication skills with support from a Speech and Language Therapist. Other life skills are promoted through the daily routines of the Community. For example, villagers routinely help in washing, cleaning and food preparation. One villager expressed considerable pride in helping to prepare a meal for fellow villagers, staff and the Inspector. Others talked about shopping, their use of local amenities in the nearby village and the use of public transport. There are additional trips to Newton Abbot, a larger town, and the cities of Exeter and Plymouth. Villagers confirmed that support for church attendance and other forms of spiritual expression were given. Within the Community, a wide range of activities is available to villagers including arts and crafts, agriculture, horticulture and domestic activities. Villagers showed the inspector artefacts which they were involved in producing, some of which are sold at local craft fairs and through other outlets. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 12 Adult education classes in literacy, computer literacy and cookery are attended by some villagers. There are presently few links to open employment though one villager has been employed at a local supermarket. Further development in this area is needed and is anticipated by the Registered Manager. Leisure interests are included in individual plans. Service users own rooms contained photographs and items which reflected their preferred activities and interests. Conversation with villagers and staff confirmed the many leisure activities which are available in the Community. These include, for example, dance, drama and singing. The Community has its own outdoor swimming pool. Outside the community, leisure pursuits include walking, shopping, attending films and theatres, visits to the local pub. Staffing arrangements in the Community allow for the support of evening activities. Some villagers spoke enthusiastically about recent and impending holidays to Scotland and another group left for a holiday in Spain during the inspection. The cost of these holidays is supported by the Community. Feedback received from villagers’ families indicated that family relationships are supported and encouraged by the Community. There is accommodation available for overnight stays if required and villagers spoke of visits to and from their families and friends which had been assisted by the use of the Community’s own transport when necessary. Specialist advice and guidance has been used by the Community to support villagers in an intimate relationship. During the inspection, staff showed a high degree of respect for villagers’ individual space and privacy. Individual rooms are lockable and villagers are offered a key. Care plans identify where a key is not made available and why. A policy concerning mail has been seen and forms for service users granting staff permission to open mail. Care plans identified where assistance was required and how this was to be given. Preferred forms of address were being used during the inspection. Active and supportive interactions between staff and villagers were observed. Household tasks in which villagers would routinely participate were shown in individual plans Two meals were taken with villagers during the inspection in two different houses. In both cases, these were relaxed, unhurried and congenial occasions in which staff and villagers interacted well. One service user was able to choose to eat alone. The menus reviewed reflected a varied and wholesome diet. There is a plentiful supply of fresh ingredients of good quality, some of which are grown organically on-site. Villagers spoke enthusiastically about the food provided and are able to express their preferences in the menu planning process. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Villagers’ health and personal care needs are generally well identified, recorded and met. However, failures in the recording system for medication places villagers at potential risk. EVIDENCE: Individual records showed that villagers needs with regard to personal care were clearly identified together with information as to any support and assistance necessary. Observing, and discussing personal care arrangements with both villagers and staff confirmed that these were being managed skilfully, sensitively and discreetly. Since the last inspection, funding for an individual supporter has been secured for one service user with complex needs. This has very effectively augmented the skilled support previously given resulting in a commendably positive outcome for the villager. Promoting independence and at the same time ensuring privacy and dignity were notable features of the personal support observed. Flexibility was evident in the routines for individuals. Villagers were dressed in their own clothing in styles of their choice. Care plans showed evidence of a variety of professional supports. There are well established links with the local Learning Disabilities Team. As and where necessary or preferred, staff of the same sex are available to assist with intimate aspects of personal care. Villagers healthcare needs are identified in detail in their individual plans and records. The records showed evidence of both routine and specialist Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 14 healthcare. The “OK Health Check” present on some files showed detailed medical needs assessment where the needs were more complex. Accident records showed that accident rates in the Community are low. Medication arrangements in all houses were inspected. All medication was found to be securely stored. Records in two houses were found to be incomplete making it difficult to verify quantities of medicines held and any potential administration errors. Approved lists of homely remedies were not available in all houses. Consent to medication was seen in individual plans. Some plans contained a note of parents’ consent on behalf of villagers. The validity of such consent was discussed with the Registered Manager and these forms are to be withdrawn from the files. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Villagers are provided with well-organised channels to air their concerns and complaints. The current practices regarding visitors are not safe and place service users at potential risk. EVIDENCE: Villagers have a clear complaints procedure which has been produced in a user-friendly format. This contains details of how to contact the Commission. Records of one serious complaint showed that this had been acted upon swiftly and effectively by the Community’s management team and prompt measures had been put in place to protect villagers. The commendable development of advocacy services for villagers as well as a variety of discussion forums, provide a means for any concerns to be aired at an early stage. Private access to the Inspector, supported by an advocate, was provided for one villager during the inspection. Discussion with staff and the Registered Manager, training records and individual staff files confirmed that there is a rolling programme of training in the protection of vulnerable adults from abuse. Villagers are protected by the policies and procedures concerning abuse and whistle-blowing which have been seen. At the time of inspection, one house had a visitor whose relationship to villagers was not direct and the purpose of the visit was apparently unrelated to the life of the home. As this person was neither staff nor relative and had not undergone routine checks, service users were placed at potential risk by this visit. The Registered Manager demonstrated a detailed understanding of the requirement to register potentially unsuitable staff. Physical and verbal aggression are well understood by staff who receive training in challenging behaviour and “gentle teaching”. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 16 Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 27, 28 and 30 Villagers benefit from a clean, homely, attractive and safe environment. EVIDENCE: Though remote, the Community lies within walking distance of the nearby village of Buckfastleigh. Transport links are available to Newton Abbot and beyond. The Community is able to provide support with transport when necessary. A tour of the premises demonstrated that all individual and communal areas of the Community were clean, bright, airy, homely and comfortable. Furnishings are of good quality and reflect a comfortable domestic style. Many rooms are attractively decorated with villagers own art and craftwork which is presented in a valued way (e.g. properly framed pictures). Records were available for inspection of ongoing and planned maintenance. Evidence of maintenance and refurbishment was seen during the tour (e.g. dining room re-floored in Feirfis house, new carpet in Pellinore house). Some shortfalls were identified during the inspection such as a cracked wash hand basin. These were dealt with immediately by the Community’s own maintenance personnel. Environmental risk assessments were examined which showed dates for review. Hazardous substances were securely stored in all Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 18 houses. No recommendations or requirements arose from last visit by a Fire Officer on 22nd September 2004. Discussion with villagers confirmed that they were generally satisfied with their individual accommodation. The rooms visited were individually decorated and furnished and reflected the personal tastes and interests of their occupants. The bedrooms are lockable and service users are offered a key. Care plans show where villagers do not hold a key. Each house has sufficient toilets and bathrooms to meet villagers needs. These are fitted with privacy locks. All houses have substantial communal space which allows for choice and a range of leisure activities together with areas for quiet or private retreat. These areas are all comfortably furnished and include equipment for shared recreational use and entertainment. All kitchen and laundry facilities are domestic in scale and service users participate in these activities in line with their care plans and preferences. Staff confirmed that their accommodation was lockable. The premises were found to be clean, and free from offensive odours. Pellinore house has a laundry which is sited in an outbuilding. The floor in this laundry requires attention to render it impermeable. Policies and procedures for infection control have been seen by the Inspector. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff are appropriately trained to meet villagers’ needs. EVIDENCE: Records of staff training and a training plan have been produced by the Registered Manager. The allocated budget for staff training was clearly identified in the home’s accounts. There is a rolling programme of NVQ training for permanent staff and apart from the Registered Manager, three house managers have completed an NVQ 4 / Registered Managers Award. Volunteer co-workers confirmed that they were undergoing a comprehensive induction programme which, due to the short duration of their service, does not meet national induction and foundation training standards. The training plan for 2005 shows a variety of training which includes topics relevant to meeting villagers’ individual needs (e.g. Bereavement and loss, autism awareness, care planning and risk assessment). Additionally, there is ongoing training to enable staff to meet their health and safety responsibilities. Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39 and 42 Villagers live in an environment in which there are effective systems to air their views and voice concerns. The development of the Community’s ethos is being effectively managed for the benefit of villagers EVIDENCE: The ethos of the Community is in the process of change with an appropriately increasing focus on villagers’ choices, rights and inclusion in the wider community. Discussion with staff revealed areas of tension though it was apparent that the process of change was being managed very effectively to the benefit of villagers. For example, the robust pursuit of an appropriate level of funding had resulted in a substantially increased level of support for one individual with complex needs. This commendable addition to the highly skilled support he has received to date has brought very evident improvements to his quality of life. The Community has a number of forums in which service users are able to air their views. This includes service user representation on management groups at all levels. In addition there are arrangements for independent advocacy for Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 21 both individuals and groups including a “circles group” which was attended by the inspector during the inspection. The results of a service user survey anticipated at the last inspection have now been published and were available for scrutiny. All service users were aware of the inspection. The Registered Manager is commended for progressing the development of the service to meet requirements and recommendations within agreed timescales wherever possible. Systems are in place to ensure the health, safety and welfare of villagers and staff. Fire logs were examined in all the houses and showed regular fire drills, equipment checks and training at the required intervals. A recent inspection by a Fire Officer resulted in no requirements or recommendations. Staff records and the training plan showed that regular training takes place in health and safety topics such as first aid, infection control and moving and transferring. Hazardous substances are stored securely and COSHH data sheets were available for inspection. Records concerning the recent maintenance of electrical system were available for examination. Risk assessments had been conducted for environmental hazards including legionella. An up to date record of accidents was seen. Policies and procedures concerning health and safety have been inspected. The laundry floor for Pellinore house is bare concrete and needs to be made impermeable 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met Camphill Devon Community (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) Version 1.20 Page 22 D54-D07 S3669 Camphill V214509 180505 Stage 4.doc “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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score 4 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 x 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x 4 3 x x 2 x Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 23 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. 1. Standard 20 Regulation 13 Requirement Records of the administration of medicines must be completed and must facilitate checks of remainig medicines held The Communitys policy and practices regarding visitors must be reviewed and risk assessments concerning visitors conducted where necessary The floor in the laundry for Pellinore house must be rendered impermeable Timescale for action 18.6.05 2. 23 13 18.7.05 3. 4. 30, 42 13 18.9.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Camphill Devon Community D54-D07 S3669 Camphill V214509 180505 Stage 4.doc Version 1.20 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. 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