Inspection on 21/06/07 for Carisbrooke House Residential Home

This inspection was carried out on 21st June 2007.

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

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

Other inspections for this house

Carisbrooke House Residential... 06/10/08

Carisbrooke House Residential... 13/07/06

Carisbrooke House Residential... 24/10/05

Similar services:

Claremont House

Chesham House

Oak Ridge

Argyll House

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

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

CARE HOMES FOR OLDER PEOPLE Carisbrooke House Residential Home 10-11 Sandown Road Great Yarmouth Norfolk NR30 1EY Lead Inspector Hilary Shephard Unannounced Inspection 21st June 2007 09:50 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 House Residential Home DS0000064315.V343920.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 House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carisbrooke House Residential Home Address 10-11 Sandown Road Great Yarmouth Norfolk NR30 1EY 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) 01493 855915 Selvaratnam Balaratnam Mrs Bibi Ausma Kitchen Care Home 22 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (22) Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A minimum of three care staff to be on duty during daylight hours. Date of last inspection 13th July 2006 Brief Description of the Service: Carisbrooke House is a care home providing personal care and accommodation for up to 22 older people. The registration of the home has just been altered to allow the home to accommodate up to 6 older people who have dementia. The home is located on a street close to the seafront of Great Yarmouth and consists of two adjoining large three storey terraced houses, with small patio areas at the front and back of the building. The accommodation includes 12 single and 5 shared bedrooms, some with en-suite facilities. Three lounges (two on ground floor, one on top floor) and a ground floor dining room make up the communal rooms. Access to the upper floors is by a shaft lift. There is on street parking at the front of the building. The home charges from £268 to £325 for shared rooms and from £281 to £338 for single rooms. Additional charges are payable by residents for hairdressing, chiropody, toiletries and newspapers/magazines. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups, which assess how well a provider delivers care outcomes for people using the service. The key inspection of this service has been carried out using information from previous inspections, information from the manager, residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home and this report gives a brief overview of the service and the current judgments for each outcome group. What the service does well: The manager carries out a pre-admission process that involves residents and their families. Prospective residents are provided with information about the home to enable them to make an informed decision about moving in. Staff and the manager work well as a team and residents are satisfied with the care they receive. There are good numbers of staff on duty enabling them to meet the residents’ needs. Residents enjoy good food that is well prepared and nicely presented. Residents are confident that any concerns they have will be dealt with properly. The manager makes every effort to protect residents from harm by making sure all staff are properly vetted before they start work. Residents’ healthcare needs are attended to well and their medication is managed and administered safely. The home is clean and pleasant smelling throughout. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Care planning will need to be more detailed and specific for residents who have specialised care needs such as dementia. More care staff need to achieve NVQ level 2 or 3 to ensure residents needs are being met by qualified care staff. The layout and design of the premises does not provide easy access for people with physical or psychological disabilities. However, the provider does have plans to alter the premises as much as the layout of the home allows. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 7 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 House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 8 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 House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 9 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): 3 People who use the service experience good quality outcomes in this area. Residents needs are assessed before admission by a competent staff member and the information gathered is used as part of the care planning process. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An inspection carried out in July 06 found that the format for assessing residents care needs before admission remained unchanged and omitted any reference to residents social needs. Residents were seen by a member of staff before admission but were only provided with verbal information about the home. A further inspection was made in November 06 which found that the manager was providing all prospective residents with a copy of the newly updated service user guide. Care records for new residents contained undated pre-admission assessments that included their social needs. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 10 The inspection carried out June 07 found care records for newly admitted residents contained pre-admission assessments. This information is gathered from residents and their representatives during a pre-admission visit. Information from social workers is also obtained and is used as part of the residents’ initial assessment of care needs. The information collected is brief and the format remains the same as seen at previous inspections. The manager advised a full assessment of residents care needs is carried out after admission and care records showed this to be the case. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10 People who use the service experience good quality outcomes in this area. Residents benefit because their healthcare needs are addressed by competent staff, medication is managed safely and their privacy and dignity is respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The July 06 visit found care records showing some improvement with some containing more information than others. They also omitted falls risk assessments and the risk assessments for use of bed rails were not adequately identifying or addressing the risks. Medication practices had improved significantly since an inspection carried out by the Commissions specialist Pharmacist Inspector in April 06. The inspection carried out in November 06 showed that care records were in the process of being updated, and those completed showed some improvement, but for two new residents they were poor. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 12 These care records contained assessments but no planning or guidelines about how staff should be addressing residents care needs. Both new residents had significant care needs, but care records failed to contain any detail about how these needs were to be met. Risk assessments for use of bed rails had improved and the manager stated that bed rails are only used if they are required. Medication was inspected and the recording on the Medication Administration Records (MAR) had improved significantly with the exception of lotions and creams. The inspection carried out in June 07 found care records had been updated and improved further since the previous visit. The home continues to use a standard format, which only allows for the recording of small amounts of information and is suitable for people who do not require any specialised care. However, staff have recorded sufficient information about residents care needs and how they are to be cared for in as much detail as the format allows. Improvements will need to be made to the amount of information recorded once the home starts looking after more people with specialised care needs such as dementia. Daily progress notes showed that care is being given according to the instructions in the residents care records. Residents spoke of how staff looked after them as they wanted them to and were happy with the care they received. One record showed that a resident’s mobility had significantly improved since admission to the home. Care records also showed that residents receive care from visiting professionals such as district nurses and physiotherapists. Comments received from residents representatives in the recent CSCI survey include: “day and night care very good and staff very friendly, my mother is very happy there” and “meeting needs of residents has also improved of late, my father appears happy & well cared for”. They indicated that the home was good at providing personal care in pleasant surroundings and staff speak respectfully to residents. Care records showed that although risk assessments for use of bedrails were brief and basic, staff had recorded sufficient detail identifying the potential risks and how they should be managed. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 13 MAR charts showed that medication was being given as prescribed, booked in correctly and stock checked by staff on a regular basis. An audit carried out showed no deficits or surplus medicines indicating medicines are being given as prescribed. Staff were observed caring for residents kindly and gently and in a way that respected their privacy and dignity. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 14 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): 12,13,14,15 People who use the service experience good quality outcomes in this area. Residents enjoy a lifestyle of their choice and good home-cooked food. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The previous inspection carried out July 06 found that the way activities were provided had changed little since April 2006. The food continued to be good and enjoyed by residents. The inspection carried out in June 07 showed residents spending most of their time in two of the homes lounges watching TV, listening to music or joining in with an activity organised by the activity coordinator. One resident also spent a significant amount of time enjoying the new garden area. Residents are also provided with daily papers of their choosing and staff often sit with them to read the news. Staff spoke of how they interact with residents on a one to one basis, often chatting, giving hand massages or listening and singing along to music. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 15 Residents seemed to enjoy their lifestyle and many said they were happy to be in the home. Comments received from residents representatives in the recent CSCI survey indicate that they feel more music sometimes rather than the TV always being on could improve residents wellbeing and they thought a few more outings would be a good idea and “it would be nice if pots of flowers etc were visible through the windows of back lounge and dining room”. Observations showed staff interacted well with residents who clearly enjoyed this. Lunch was taken with the residents, which was nicely cooked and presented. Food is prepared from fresh ingredients and residents are always given a choice of meal. Plenty of fresh fruit is available for residents to help themselves to during the day. Residents are also provided with plenty of drinks throughout the day and do not have to wait for routine tea and coffee rounds. Residents said they enjoy the food but would appreciate being able to help themselves more often to drinks at the dinner table and sauces such as gravy. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 16 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): 16,18 People who use the service experience good quality outcomes in this area. The manager and staff encourage residents to share concerns and deal with them appropriately. They also make every effort to protect residents from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Previous inspections have shown that improvements were needed to the complaints procedure. The inspection carried out in November 06 found the procedure had been updated to include the new managers name. Information received from the home in June 07 indicates they have not received any complaints and they ask residents daily if they have any concerns, which are then discussed and dealt with. Staff and residents have been made more aware of complaints procedure. The June 07 inspection found the manager had introduced a complaints book. This is kept by the front entrance and is available for anyone to complete. The manager also meets with residents when she is on duty and discusses any concerns they may have. The manager has also started to hold residents and relatives meetings where people are encouraged to share their views about the home and any areas of concern. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 17 Comments received from residents representatives in the recent CSCI survey indicate since the new manager has been in post she has responded appropriately to concerns raised. Staff spoke of how they would report any issues to the manager and were confident these would be dealt with. Staff also spoke of how they would be able to recognise signs of abuse and stated they would immediately report anything suspicious to the manager. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 18 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): 19,20,26 People who use the service experience adequate quality outcomes in this area. Although many improvements have been made, the current layout and design present difficulties for residents to be able to utilise their retained cognitive and functional abilities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Previous visits carried out in 2005 and 2006 have identified the layout and design of the home can be confusing to residents and their bedrooms can be difficult to access. Bedrooms are located over three floors and accessible (except ground floor) only via stairs or a lift. There are also 4 small shared bedrooms, two communal lounges on the ground floor and one on the first floor which is rarely used. There is a small dining room on the ground floor and the garden areas are in need of significant improvement. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 19 There have been problems in the past with unpleasant odours in bedrooms and toilets but this had improved significantly by the last full inspection carried out in July 2006. The inspection carried out in November 2006 found some improvements made to hand washing facilities, but there were strong urine odours in one of the ground floor toilets. Work was underway improving the garden area outside the kitchen and further improvements were planned. The homes annual fire inspection was underway and the fire officer made 4 recommendations, some of which were being addressed immediately by the homes maintenance person. The June 07 inspection found significant improvements made to the garden areas, particular those at the back of the home. This area has been re-paved and now offers residents a pleasant area to sit. The front garden area has also been tidied up so residents can also sit there if they wish. Another part of the garden has been made into a vegetable plot and residents are encouraged to become involved. Currently residents access the garden areas with assistance from staff and the manager needs to consider how residents can be enabled to use these areas unaccompanied. These areas also lack handrails, which could compromise residents’ safety. The back gates are secured by bolts, which are safe and suitable for the needs of the current residents. However, the garden area may not be sufficiently secure for residents with significant cognitive impairment. The layout of the home has not changed and remains confusing although the provider has plans to alter and update the premises. The manager has made some effort to improve the signage so residents can find their rooms more easily, however more improvement is required. Bathrooms remain clean but bare and at the moment do not offer a pleasant bathing environment. The bath hoist in the first floor bathroom noted to be old and worn at the July 06 inspection remains unchanged. The manager advised further work is planned to the premises to help residents with visual and cognitive impairment to find their way around more easily. Many new armchairs have been bought which residents said were nice and comfortable and the home continues to offer residents comfort and sufficient communal space with the exception of the dining area. The dining area is small and is not able to comfortably seat all of the residents at one sitting. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 20 Bedrooms are all personalised and the home provides each resident with their own personalised bed linen. The home was very clean and generally pleasant smelling throughout. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 21 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): 27,28,29,30 People who use the service experience good outcomes in this area. Residents are supported by sufficient numbers of competent care staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Previous inspections carried out in April and July 2006 identified adequate staffing levels but a lack of induction and NVQ training. The inspection carried out in November 2006 found newly appointed staff were having induction training with the manager. Three care staff had just commenced NVQ2 and three were just finishing NVQ3. The numbers of care staff employed remained at 14, so the home almost met the target of having 50 of care staff trained to NVQ2. The June 07 inspection found sufficient numbers of care staff provided to meet the needs of the current residents. Out of 14 care staff employed, one has achieved NVQ level 2 and four have NVQ level 3. Three staff are currently working towards NVQ level 2. Files of new staff included induction training in basic care practice and dementia care and staff are formally assessed by the manager. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 22 Observations carried out during the inspection showed care staff caring for residents competently and with care and kindness. Care staff spoke about their training and said they felt they learned a great deal about how they should be caring for the residents. Care staff demonstrated a good understanding of the residents care needs and residents spoke of how they thought the staff cared for them well. Files for new staff confirmed that recruitment checks are being carried out before staff commence. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 23 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): 31,33,35,38 People who use the service experience good outcomes in this area. Residents benefit from living in a home that is safe and managed by a competent and qualified manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Inspections carried out in April 2006 showed home was not managed well, however, changes in management from May 2006 ensured this improved. The July 06 inspection showed significant improvements in progress towards developing a home that was run in the best interests of the residents. The inspection carried out in November 06 found informal quality monitoring being done by the manager on a daily basis. This involved meeting with residents daily to see if they were satisfied with the service they received. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 24 Staff were also being involved in quality monitoring and the manager was meeting with them formally and informally. A formal survey had been sent to residents’ representatives, but formal quality monitoring with residents had not properly commenced. The manager and senior care staff had started to work with care staff to observe and assess their care practice. The manager was formally registered by The Commission in December 2006 and has obtained the City and Guilds, Advanced Management in care qualification. The June 07 inspection showed significant improvements to the way the home is managed and conducted since the appointment of the new manager in May 2006. Staff said they found the manager approachable and would be happy to discuss any issues with her and felt confident their concerns would be addressed. Improvements such as induction training, formal staff supervisions, basic care training for staff, care planning and general care has improved significantly in the past year. Monies held in the home for residents was checked and found to be managed safely. Residents who are able to manage their own money are encouraged and enabled to do so. The manager has started to implement formal quality monitoring using a format looking at all aspects of managing the home. Areas such as care planning reviews and staff supervision records were included. The manager completes audits of residents’ accidents but the records seen did not offer enough information about how these could be reduced or minimised. Staff continue to be formally observed by the manager or deputy when carrying out care tasks to monitor their skill and competence. The manager has made a very good start on monitoring the quality of the service provided to residents. One relative commented in a recent CSCI survey that there was a residents/family meeting recently where everyone had the opportunity to state points of view. The manager advised that points raised at that meeting were being acted on. The manager advised that she had completed a fire risk assessment and the document indicated that any issues noted had been addressed. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 25 No issues were noted regarding health and safety practices with the exception of the risk assessments for use of bedrails. (See the Health & Personal care section for further information). The deputy manager advised that care staff are undertaking health and safety training as a distance learning course where each unit is assessed by a college. Staff have had training about infection control from the District Nurses and most staff have completed first aid training. Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 26 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 X 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 2 2 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 Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? None STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Carisbrooke House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 House Residential Home DS0000064315.V343920.R01.S.doc Version 5.2 Page 29 - 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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