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Inspection on 22/10/07 for Castle Hill House

Also see our care home review for Castle Hill House for more information

This inspection was carried out on 22nd October 2007.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Castle Hill House is a well established home where elderly people are encouraged to remain as independent as their frailties allow.The home promotes service users choice regarding their daily lives and routines. Comments received during the inspection included "I am very well looked after...they know us all separately; there is a member of staff to each person and that`s very good". A Have Your Say questionnaire completed by a resident`s relative in advance of the inspection stated that Castle Hill House provides a "warm and friendly atmosphere...good quality food...social activities in the home and in the community...the staff from management to housekeeping staff give a friendly welcome". The social care provision is central to residents` lives and reflects their individual choices. Service users said they are treated with respect at all times and their privacy is respected. The standard of food supplied to service users is very good, offering alternative options at each meal. The home is well maintained, attractively decorated and comfortably furnished, with a mature private garden where residents can sit and relax.

What has improved since the last inspection?

In the Annual Quality Assurance Assessment completed in advance of the inspection registered manager Mrs Ballard advised that the following improvements have been introduced: There are more regular meetings with social workers. The home has employed an extra member of care staff to help in the morning. More outings have been arranged and some residents are able to go to church on Sundays. The home has listened to families and involved them as far as possible. The corridors have new curtains and additional household linen has been provided. More staff training in National Vocational Qualifications (NVQ 2 & 3 courses) has been offered and taken up; the Training Co-ordinator is also a Deputy Manager.

What the care home could do better:

This report contains no requirements for improvement; the home is routinely meeting the key aspects of the National Minimum Standards. To further enhance the good standards of this home the information included in the service user guide should be offered in a range of alternative formats, to ensure it meets the varying abilities of prospective residents and their representatives. The home has two shared bedrooms, each for use by 2 persons. Neither of these rooms has en suite hygiene facilities; residents must therefore use either a nearby communal toilet, or a commode. Provision of en suite toilets and/or the use of only single bed rooms would more actively promote affected residents privacy and dignity.

CARE HOMES FOR OLDER PEOPLE Castle Hill House Bimport Shaftesbury Dorset SP7 8AX Lead Inspector Gloria Ashwell Key Unannounced Inspection 22nd October 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Castle Hill House DS0000026778.V353951.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. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Castle Hill House Address Bimport Shaftesbury Dorset SP7 8AX 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) 01747 854699 01747 858760 admin@shaftesburyhealthcare.com Community Health Association of Shaftesbury Limited Mrs Nora Bernadette Ballard Care Home 30 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (13) of places Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 2 bedrooms, measuring 15.5m sq metres or more, may be used for double occupancy at any one time. 9th January 2007 Date of last inspection Brief Description of the Service: Castle Hill House is owned by the Community Health Association of Shaftesbury (CHAS), a charitable company limited by guarantee. The home is managed by Mrs Ballard; she is also a director of the provider organisation (CHAS). The home is registered to accommodate up to thirty older people including a maximum of seventeen who are mentally frail and suffering from dementia. The home also offers respite care to up to three older persons. Resident accommodation is on three floors; there are two double and twentysix single bedrooms. The home has two passenger lifts; all resident areas are accessible by the lifts and there are no steps or ramps in corridors or bedrooms. The home has a range of baths including one of variable height with a fixed hoist, another with a fixed hoist only and two newly installed ‘walk in’ baths. An ‘activities co-ordinator’ leads regular activities in the home. In addition to personal care and support the services provided include all meals, laundering and housekeeping. The home is situated close to the town centre and has mature private gardens where residents can sit and relax in the warmer weather. There is a parking area to the side of the house and a public car park is situated a short walk from the home. Arrangements can be made for a hairdresser, chiropodists, opticians and other health and social care professionals to visit individual residents. Fees are charged weekly and at present range between £475 and £570 per person. An additional charge of £12.50 per person per week is made for participation in the entertainment/activity programme. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 5 Information regarding the subjects Value for Money and Fair Terms in Contracts can be obtained from the web link: www.oft.gov.uk A report entitled Care Homes in the UK - A Market Study is available on web link http:/www.oft.gov.uk/NR/rdonlyres/5362CA9D-764D-4636-A4B1A65A7AFD347B/0/oft780.pdf Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a statutory inspection required in accordance with the Care Standards Act 2000. The inspection was unannounced; the inspector arrived during the morning of 22 October 2007, toured the premises and spoke to residents and staff. By arrangement with the registered manager Mrs Ballard she arranged the next visit which took place at 12.30 on 31 October 2007 when documentation relating to care provision and the premises was discussed and examined. The duration of the inspection (both days combined) was 3 hours. The inspector spoke to Mrs Ballard and the deputy manager, administration, care and household staff and most of the residents accommodated at the time. The inspector observed staff interaction with residents and the carrying out of routine tasks. During the inspection, particular residents were ‘case tracked’; for example, for evidence regarding Standards 3, 7 and 8, records relating to the same resident were examined and the resident spoken with. The care records of four people who live at the home were examined in detail. The inspector was able to meet and speak with most of the residents both individually and in small groups in the communal areas. Additional information used to inform the inspection process included the Annual Quality Assurance Assessment completed in advance of the inspection by Mrs Ballard and ‘’Have Your Say’ questionnaires completed and sent to the Commission by 6 residents, 3 representatives (e.g. relatives, friends) of residents and 3 social care professionals. During this inspection compliance with key standards of the National Minimum Standards was assessed; many of the records and processes are the same as for The Cedars (a nearby nursing home also managed by Mrs Ballard and registered to the same provider organisation); the inspection of The Cedars also took place during October 2007 so a number of records were examined only once i.e. at The Cedars. What the service does well: Castle Hill House is a well established home where elderly people are encouraged to remain as independent as their frailties allow. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 7 The home promotes service users choice regarding their daily lives and routines. Comments received during the inspection included “I am very well looked after…they know us all separately; there is a member of staff to each person and that’s very good”. A Have Your Say questionnaire completed by a resident’s relative in advance of the inspection stated that Castle Hill House provides a “warm and friendly atmosphere…good quality food…social activities in the home and in the community…the staff from management to housekeeping staff give a friendly welcome”. The social care provision is central to residents’ lives and reflects their individual choices. Service users said they are treated with respect at all times and their privacy is respected. The standard of food supplied to service users is very good, offering alternative options at each meal. The home is well maintained, attractively decorated and comfortably furnished, with a mature private garden where residents can sit and relax. What has improved since the last inspection? In the Annual Quality Assurance Assessment completed in advance of the inspection registered manager Mrs Ballard advised that the following improvements have been introduced: There are more regular meetings with social workers. The home has employed an extra member of care staff to help in the morning. More outings have been arranged and some residents are able to go to church on Sundays. The home has listened to families and involved them as far as possible. The corridors have new curtains and additional household linen has been provided. More staff training in National Vocational Qualifications (NVQ 2 & 3 courses) has been offered and taken up; the Training Co-ordinator is also a Deputy Manager. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 8 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. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 9 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 Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 10 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): 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home does not provide Intermediate Care so Standard 6 does not apply. The service user guide contains relevant information about the home providing prospective residents and their representatives with an accurate understanding of the people for whom the service is intended although the format of the information may not be suitable for service users who have specific needs, for example those with impaired sight. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 11 EVIDENCE: The service user guide is made available to all residents and prospective residents. The Statement of Purpose and service user guide are available in a standard format; it is recommended that this information be made available in alternative formats, appropriate to the needs and capacity of individual prospective residents or their representatives who might find the standard format difficult to read and fully understand. The registered manager intends to update the service user guide to provide further detail on the use of electronic key pads (a means of securing internal doors) within the home. The records of two recently admitted residents included details of preadmission assessments which had been carried out by the deputy manager when she visited the prospective residents at the previous addresses. In advance of making the decision to enter the home one of the prospective residents and the closest relatives of the other prospective resident visited Castle Hill House to view the premises and meet residents and staff. Following pre-admission assessment of the persons needs and circumstances the home writes to them confirming agreement and ability to accommodate and care for them. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and social care needs of residents are fully met by suitably trained staff; doctors and other professionals visit as necessary and the home employs care workers who properly respect and promote the privacy and dignity of the residents. EVIDENCE: Residents believe they are properly cared for; comments received from residents during the inspection included “I’m happy and content …it’s like home…they’re very good and don’t mind what they do…”, and in the Have Your Say questionnaire completed in advance of the inspection the relative of a resident stated “X particularly appreciates the skilled care”. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 13 Care records of 4 residents were examined and contained risk assessments forming the basis for care plans and daily records describing the care of each resident. To ensure correct identification of residents, records contain a recent photograph of each resident. Records are kept of all accidents and include clear and comprehensive details of investigation and consequent actions to minimise risks of recurrence e.g. the home identified that a particular resident had been restless and thereby experienced falls at a particular time of day – changing the time of medication administration has reduced the persons anxiety and no further falls have taken place. Medication administration records were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts. Those wishing to do so can manage their own medicines in accord with a risk assessment process; one of the currently accommodated residents manages her own medicines. For all other residents the handling of medicines is carried out by staff trained in this work. Periodic audits are carried out by a visiting pharmacist; this has been particularly helpful in identifying potentially harmful drug interactions. In the presence of staff residents appeared relaxed, confident and at ease; staff interactions with residents were of a friendly and considerate manner. Castle Hill House DS0000026778.V353951.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and assisted to maintain as much independence as possible. Social and leisure activities are varied and suited to the preference and ability of each resident. Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. Meals are appetising and of good quantity and quality. EVIDENCE: The inspector spoke to a number of residents; all indicated satisfaction with the home, including the range of activities, meal provision, staff and premises. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 15 For 3 one-hour sessions per week the home employs an Activities Organiser who arranges local excursions, visiting entertainers, one-to-one and small group social and recreational activities. An additional charge of £12.50 per person per week is made for participation in the entertainment/activity programme. The home arranges many seasonal activities and has recently made available staff to accompany those residents who wish to attend church on Sunday. Visitors are welcome at any time. During the serving of lunch in the dining room there was animated conversation between residents and evident enjoyment of their meal. Residents said they were very satisfied with the quality, choice and quantity of food provided; one resident stated “the food is very good”. Castle Hill House DS0000026778.V353951.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure provides information on the procedure to follow to persons wishing to make a complaint; all complaints are recorded and investigated and the home has implemented an adult protection procedure. EVIDENCE: Residents feel confident that if they had concerns or complaints they will be listened to and taken seriously. To ensure residents and their representatives have access to the complaints procedure it is included in the service user guide to the home and a copy is provided to each resident’s relative/representative. Residents know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. Those spoken with during the inspection said they would not hesitate to raise any concerns with a member of staff. The home keeps records of all complaints received and investigated. Since the last inspection no complaints against the home have been received or investigated. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 17 The home has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and provides all staff with training in the understanding of abuse and their role in protecting residents from abuse in its many forms, including neglect. Castle Hill House DS0000026778.V353951.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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises are comfortable, clean, suitably equipped and subject to a continuous programme of updating and refurbishment to ensure the standard is routinely maintained. EVIDENCE: Castle Hill House is a partly traditionally built house, and partly purpose built extension. It offers good sized bedrooms, bathrooms equipped for the use of persons requiring assistance and comfortable communal rooms. On the day of inspection the home was clean, tidy and comfortable throughout; there were no unpleasant odours. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 19 From discussion with service users there was evidence that this is the usual high standard; a visiting relative stated that the home is always clean and fresh. The home has two shared bedrooms, each for use by 2 persons. Neither of these rooms has en suite hygiene facilities; residents must therefore use either a nearby communal toilet, or a commode. The provision of en suite toilets and/or the use of only single bedrooms is recommended because this would more actively promote affected residents privacy and dignity. A conservatory suited to year round use, to provide an additional lounge facility is at present under construction. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and maintenance of the good condition of the premises. Recruitment practices ensure the protection of residents from potentially unsuitable staff. The home promotes the achievement of nationally recognised care qualifications and supports staff to access the training they need to be able to properly care for residents. EVIDENCE: Staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. Staff are enthusiastic about their work and feel they provide a good standard of care to residents and are properly supported by the management and training provision. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 21 The records of 2 staff recently employed by the provider organisation were examined during the inspection of The Cedars and found to contain all essential information including two written references, an interview assessment, health details, evidence of identity and of induction training. At present 60 of the care staff currently employed by the home hold a National Vocational Qualification in care; the home thereby meets the standard for at least 50 of the care staff to hold an NVQ in care. The registered manager and the training coordinator share an enthusiastic approach to staff training; recent topics have included Protection of Vulnerable Adults, the Mental Capacity Act and fire safety training. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 22 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 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed, suitably staffed and much liked by residents. The quality assurance system ensures maintenance of standards and involvement of service users. Policies and practices promote the health, welfare and safety of residents and staff of Castle Hill House. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 23 EVIDENCE: Registered manager Mrs Ballard is supported by a deputy manager and together they maintain a regular presence in the home; both are well respected and liked by staff and service users. The home has ongoing systems for quality assurance; satisfaction surveys are periodically issued and occasional meetings for residents and their relatives takes place. There is a selection of clear and appropriate policy and procedure documents, including those for care provision, management and the premises. Records of fire alarm tests, staff training and drills were in order. With the exception of small amounts of money for day to day personal expenditure, for which records are kept, the home does not manage the finances of any resident; there are facilities for the temporary storage of monies and valuables which residents may no longer wish to personally hold. Staff trained in First Aid and health care are on duty in the home at all times. All staff are supervised and each has a personal profile containing records of appraisal. Records are kept of all accidents and there is subsequent review of the care plan and periodic audit to identify any trends e.g. time, place, person, activity. To further promote safety by ensuring that exposure to known risks is minimised there is investigation of each accident. Details of equipment servicing and maintenance were provided to the Commission in a questionnaire. The inspector examined some records to verify this information including the records of regular checks/tests of fire safety equipment. The home has recorded a fire safety assessment including a detailed escape plan with specific reference to the currently accommodated residents. There is a written assessment of the ‘Health & Safety’ of the premises and working practices designed to ensure the continued safety of all who live in, work and visit the home. Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 24 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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 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 4 X X X X X X 2 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 4 Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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. 1. Refer to Standard OP1 Good Practice Recommendations The service user guide should be made available in alternatives to the standard format and should fully describe the conditions of registration with particular regard to the categories of persons who may be accommodated. En suite toilets and/or the use of only single bedrooms should be provided to more actively promote affected residents privacy and dignity. 2. OP26 Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stanford Road Poole BH17 0NF 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 Castle Hill House DS0000026778.V353951.R01.S.doc Version 5.2 Page 27 - 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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