Inspection on 04/10/07 for Carisbrooke Care Home

This inspection was carried out on 4th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Carisbrooke Care Home 22/04/08

Carisbrooke Care Home 04/01/07

Carisbrooke Care Home 23/02/06

Carisbrooke Care Home 25/11/05

Carisbrooke Care Home 25/02/05

Carisbrooke Care Home 17/08/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Carisbrooke Care Home 22 Carisbrooke Drive Mapperley Park Nottingham NG3 5DS Lead Inspector Karmon Hawley Unannounced Inspection 10:00 4 October 2007 th 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 Carisbrooke Care Home DS0000026423.V343620.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. Carisbrooke Care Home DS0000026423.V343620.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carisbrooke Care Home Address 22 Carisbrooke Drive Mapperley Park Nottingham NG3 5DS 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) 0115 9605724 0115 9106613 Mr Abdool Raouf Sohawon Mrs Bibi Sohawon Mr Abdool Raouf Sohawon Care Home 20 Category(ies) of Dementia (20), Dementia - over 65 years of age registration, with number (20), Old age, not falling within any other of places category (20), Physical disability (20), Physical disability over 65 years of age (20) Carisbrooke Care Home DS0000026423.V343620.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users shall not exceed 20 at any one time. Service users admitted under the category PD will be 60 years old and over. Service users admitted under the category DE will be 60 years old and over. 4th January 2007 Date of last inspection Brief Description of the Service: Carisbrooke Care Home is an older converted house set in the residential area of Mapperley Park about two miles from the city centre. The care home provides care for older people with nursing needs and is registered for up to 20 service users. The care home has a pleasant outlook, with safe attractive wellmaintained gardens to the front of the property, where car parking facilities are available. There are 12 single rooms and 4 double rooms, none of which have en-suite facilities. There are two lounge areas, dining room, opening into a dining area and a conservatory, where smoking is permitted. Two bathrooms and one shower room are provided and toilets are in close proximity to all individual service users rooms and communal areas. This environment is accessible and safe for the services’ needs. The range of fees are: £272.58 to £309.00 Carisbrooke Care Home DS0000026423.V343620.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the acting manager about Carisbrooke and by undertaking a visit to the service with the inspector using a method called “case tracking.” “Case tracking” involves identifying individual service users who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspector also checked that information provided by the acting manager matched individual experiences of the service user living at the home by talking with them and observing the care received. General records maintained by the home were looked at to ensure these were maintained and provided positive outcomes for service users. What the service does well: What has improved since the last inspection? The service ensures that the Commission for Social Care Inspection is now notified of outbreaks of MRSA, or Scabies to ensure that the service is monitored appropriately and service users are protected. Appropriate equipment for the prevention and treatment of pressure sores is in place for those service users who require it, good relations are maintained with the district nurse who supplies this for residential service users and the service provides equipment for nursing service users. Medication policies and procedures have improved to ensure that medication is recorded and administrated safely. Plans of care for the administration of medication have developed ensuring that medication is administered appropriately. Carisbrooke Care Home DS0000026423.V343620.R01.S.doc Version 5.2 Page 6 A new system has been implemented where auditing of medication received and disposed of is easily maintained. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Carisbrooke Care Home DS0000026423.V343620.R01.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 Carisbrooke Care Home DS0000026423.V343620.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are assured that the staff will assess their needs before admission to ensure that these can be met. The service does not offer intermediate care. EVIDENCE: The acting manager or registered nurses visit prospective service users in the community prior to admission to ensure that the service is able to meet their needs. Visits may also be made to the home so that prospective service users and relatives can spend time there to see how the home runs before they make a decision to move in. Within care plans seen there was evidence of the preadmission and social worker assessment forms. The acting manager said that it is ensured that all necessary equipment is obtained before the service user moves in. The service does not offer intermediate care. Carisbrooke Care Home DS0000026423.V343620.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Due to the omissions in care planning and risk assessments service users needs are not fully met and they are not fully protected from potential risks. Service users are not fully protected by the service’s medication policies and procedures due to further improvements required. EVIDENCE: Service users undergo various assessments such as the activities of daily living, manual handling, and nutritional needs. Plans of care were based upon needs highlighted in these assessments and those plans of care in place contained significant information to enable service users needs to be met. However, there was evidence that in four instances where needs had been highlighted in the assessments these had not been identified in a plan of care or risk assessment to ensure that service users needs were met and they are protected as required. Daily records were maintained and contained information in regard to significant events, however there was one instance where a change in need that had been documented had not been utilised within the plan of care, which may result in inappropriate care being delivered. Risk assessments were in place for highlighted needs however did not cover all Carisbrooke Care Home DS0000026423.V343620.R01.S.doc Version 5.2 Page 10 the necessary actions to be taken in an emergency for complex needs such as diabetes mellitus to ensure service users are fully protected. Also a risk assessment for entrapment and the use of bedrails did not cover all the information needed to manage the risk. This was discussed with staff; one member of staff was able to discuss the checks that take place when using bedrails, whereas the other was unable. There was evidence available within service users case files to show that they gain access to the doctor, district nurse and other specialist services as required. During the brief tour of the home relevant equipment such as specialist mattresses and cushions were in place. One service user spoken with discussed how they may see the doctor at any time and also how the nursing staff looked after their dressings. A service user was seen to have bare feet, one part covered with a dressing on the stained and dirty carpet. On visiting them again half and hour later a member of staff was seen to put their feet on a cushion. This was discussed with the acting manager and the concerns of infection outline due to this procedure. Medication procedures were checked on the day of the visit. All the requirements set at the previous inspection with the exception of oxygen storage were met. Oxygen cylinders are stored in the medicine room; there were no warning signs displayed to ensure that safety measures are maintained. Staff who administer medication have received an update on the staff handing of medication and the medication system has been changed to enable easy and auditable medication. The acting manager said that staff are instructed on maintaining service users privacy and dignity during the induction and this is reinforced during supervision sessions. Staff were observed to treat service users in a respectful manner throughout the visit. Service users spoken with said, “staff are very good, they are thoughtful and considerate” and “staff are very nice, they are respectful.” Carisbrooke Care Home DS0000026423.V343620.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled to live a life of their choosing and engage in meaningful activities if they wish. Service users are enabled to maintain contacts with their family and friends as they wish. EVIDENCE: A part time activities coordinator is employed who carries out various activities such as arts and crafts, quizzes, reminiscence, music and dancing on both a group and individual basis. The activities coordinator was spoken with who outlined the importance of ensuring that each service user received quality time to ensure they felt supported in their chosen activity. Three service users spoken with stated that they really enjoyed the activities on offer especially the singing sessions. One service user said that they enjoyed activities but wished that more was available such as trips out. Should a service user wish to maintain their religious needs the acting manager said that this would be accommodated, one service user at present regularly attends church. Both staff and service users stated that the routine of the home was flexible and service users may spend their time as they wish, service users were observed to move around the home and occupy themselves without restriction. Carisbrooke Care Home DS0000026423.V343620.R01.S.doc Version 5.2 Page 12 The acting manager said that there was no restrictions on visiting, unless a service user specifically requested it, however there was no policy in place with regard to visitors to ensure that service users maintain links with relevant others. Service users spoken with said, “my son visits me regularly, I can see him in private if I want and he also takes me out, my family is very important to me so it is good that I can maintain good relations” and “I often have visitors, staff make them feel welcome. To ensure service users of an ethnic origin needs are met, the manager said that additional support is gained from family. Staff are instructed on specific care during supervision sessions and staff meetings. An appealing and wholesome menu was on offer; specialist diets such as soft diets and diabetic diets were facilitated and choices were available at each meal. During the visit evidence of this was seen during the lunchtime meal. Service users spoken with expressed, “food is very good, I get plenty to eat” and “I enjoy my food, it is very nice.” Carisbrooke Care Home DS0000026423.V343620.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel that staff listen to them and deal with any concerns they raise. Service users are protected from abuse as staff have a well developed knowledge and understanding in safeguarding adults, although not all have been formally trained. EVIDENCE: The information presented to the Commission for Social Care Inspection prior to the visit stated that the home had received one complaint within the last year; the service had received a random inspection following this complaint in which specific standards were looked at. This complaint has since been resolved. There have been no further complaints received. Three service users spoken with said that they felt comfortable approaching staff with any concerns they may have and that these would be addressed. Staff spoken with were able to discuss how they would deal with a complaint should it be received. All staff have satisfactory Criminal Record Bureau checks (a police check to see if an individual has a police caution or conviction) in place with the exception of one oversees member of staff, (this will be discussed in standard 29) There was only evidence to demonstrate that one member of staff had undertaken training in the safeguarding adults, however the acting manager stated that more staff had undertaken this. Both members of staff spoken with said that they had not had this training, however they were able to discuss what they Carisbrooke Care Home DS0000026423.V343620.R01.S.doc Version 5.2 Page 14 thought constituted abuse and how they ensure that service users are protected. They were able to discuss the reporting process in place should they suspect that abuse was occurring. Carisbrooke Care Home DS0000026423.V343620.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a satisfactorily maintained environment, however they are placed at a degree of risk from cross infection due to the current practices. EVIDENCE: The environment was satisfactorily maintained with the exception of carpets in the communal areas. Domestic style furniture was in use and service users rooms were personalised. There is no specific person employed to attend to the cleaning in the home and this job is allocated to a member of the care staff, however if needed this person also assists in care tasks. This arrangement could affect the amount of dedicated caring hours and also detract from the standard of cleanliness maintained in the home. Although the home was tidy there were areas such as skirting boards, side tables and carpets that needed additional attention. One service user was seen to have bare feet, one part covered with a dressing on the stained and dirty carpet, this practice could lead to cross infection. There Carisbrooke Care Home DS0000026423.V343620.R01.S.doc Version 5.2 Page 16 was no hand washing soap available within the staff and visitor’s toilet, the person in the laundry also has to use this area for hand washing as this is the nearest facility, this could result in poor hand hygiene and cross infection. There was soap available in the toilet next to this however the soap was not an antibacterial soap and therefore ineffective for infection control. Carisbrooke Care Home DS0000026423.V343620.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. To ensure service users needs are fully met and they are supported and protected appropriately, further attention to the recruitment polices and procedures and staff training is needed. EVIDENCE: The staff duty rota showed that one trained nurse is on each shift and three or four care staff in the morning and two to three in the afternoon. One member of the care staff in the morning also does the cleaning as well as caring if needed. The duty rota showed that staff levels were reduced on occasions; the acting manager said this was due to annual leave. Speaking with service users all but one felt that there were enough staff available to meet their needs, two comments received were, “there are enough staff, however they are very busy” and “staff are always busy and do not have time for me.” Staff spoken with stated that there were sufficient staff on duty. Throughout the visit staff were seen to have time to spend with service users. There was no evidence of new staff working on a supernumerary basis on the duty rota despite the acting manager stating that all new staff work on a supernumerary basis for three months. There was evidence within one staff members personal file to show that an induction had been started, however this had not been completed to ensure that they are aware of their responsibilities and the needs of service users. There are currently no staff with the National Vocational Qualification (a nationally recognised work and Carisbrooke Care Home DS0000026423.V343620.R01.S.doc Version 5.2 Page 18 theory based qualification). One member of staff spoken with stated that they would be starting this training next month. Four staff personnel files were observed; all with the exception of one contained the required documentation such as references, Criminal Record Bureau checks (a police check to see if an individual has a police caution or criminal record) and an application form. One file was for a member of staff who had been recruited by an agency, in June of this year, therefore there was no application form on file and although a police check had been undertaken in their home country one had not taken place when entering Great Britain. Staff spoken with confirmed that they had undertaken a Criminal Record Bureau check. Staff training records demonstrated that staff were working towards completing compulsory training, however there were deficits in manual handling, health and safety, safeguarding adults, infection control and fire, the acting manager said that further training had been arranged. Staff spoken with said that they felt supported in their training and development and sufficient training was available, however on speaking with one member of staff they were unable to discuss the care required by service users with specialist needs, such as, epilepsy and entral feeding. The acting manager said that staff are now undertaking supervision sessions during which training issues were discussed, there was evidence of these taking place within staff personnel files. Carisbrooke Care Home DS0000026423.V343620.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although service users have the opportunity to express their views, there is insufficient evidence to show that these are fully valued and considered in the running of the home. Systems and checks in place ensure that service users personal finances are safeguarded. EVIDENCE: The acting manager has been in post since May 2007, she is in the process of applying to become the registered manager for the service. Previous to this position she was the manager of another home in the company for two years. She has completed the National Vocational Qualification level 4 in care and remains up to date with compulsory training. Carisbrooke Care Home DS0000026423.V343620.R01.S.doc Version 5.2 Page 20 Staff spoken with spoke highly of the acting manager and said that she was approachable. Service users spoken with also felt that the manager was nice and had time to listen to them. The provider now ensures that a monthly report is completed and forwarded to the Commission for Social Care Inspection to inform them of how the home is running and if there are any concerns. Staff meetings take place, these have not been regular in the past, there was evidence within these minutes to demonstrate that quality issues had been discussed. Two service users meetings have been held this year. Within minutes seen service users had discussed activities and care delivery. Nine service users questionnaires had been sent out, all gave good/excellent feedback stating that they were comfortable and well looked after. No relative questionnaires have been sent out since June last year. The acting manager said that ongoing maintenance continues and there are plans to replace the stained carpets in the main communal areas and curtains and bedding in service users rooms however there was no evidence available to support this. If required service users may have money kept in safe keeping at the home. Four service users accounts were checked; these corresponded with the accounting sheets. There were signatures and receipts for each transaction. Financial arrangements were discussed in service users care plans as needed. The information sent to the Commission for Social Care Inspection prior to the visit showed that all maintaince and servicing such as the gas and electrics had been carried out. The hoist certificate was not available to be checked on the day of the visit, the acting manager said this had been done; she contacted the contactors who had carried out the service to send a copy of the certificate. Seven members of staff have completed training in health and safety, ten more are to complete this training, the manager said that this training was due to be updated in November this year. Carisbrooke Care Home DS0000026423.V343620.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 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 2 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 2 3 X X X X X X 1 STAFFING Standard No Score 27 3 28 1 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Carisbrooke Care Home DS0000026423.V343620.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 Standard OP7 Regulation 15(1) Requirement Care plans and risk management plans must be completed following a full assessment of individual needs to ensure service users needs are met and they are fully protected. Systems must be in place to ensure the safe storage of oxygen to ensure staff and service users are fully protected. Staff must receive formal training in safeguarding adults to ensure that they are all knowledgeable and service users are protected accordingly. After consultation with the environmental health authority, make suitable arrangements for maintaining satisfactory standards of hygiene in the care home. The registered person shall not employ a person to work in the care home unless they have obtained the necessary documentation required to ensure that service users are fully protected. The registered person must DS0000026423.V343620.R01.S.doc Timescale for action 31/12/07 2 OP9 13(2) 31/12/07 3 OP18 13(6) 31/01/08 4 OP26 16 (2j) 31/12/07 5 OP29 19(1,b) schedule 2 31/12/07 6 OP30 18(1,a,i) 31/01/08 Page 23 Carisbrooke Care Home Version 5.2 7 OP33 24 (1,a,b,2) ensure that suitably qualified and competent persons are working in the care home thus training is delivered which is appropriate to the work they are to perform to ensure that service users needs are fully met. Systems to demonstrate the 31/01/08 proposed improvements and developments in the home must be in place to provide evidence that this is occurring and the home is being run in the best interests of service users. 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 OP13 Good Practice Recommendations A visitors policy is implemented to demonstrate that there are no restrictions on service users maintaining contact with relevant others. Carisbrooke Care Home DS0000026423.V343620.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Carisbrooke Care Home DS0000026423.V343620.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!