Inspection on 17/02/08 for Cloverdown

This inspection was carried out on 17th February 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cloverdown 01/11/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Cloverdown Kenmare Road Knowle Bristol BS4 1PG Lead Inspector Melanie Edwards Unannounced Inspection 17th February 2008 08:45 Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 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 Cloverdown DS0000067992.V359634.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 Adults 18-65. 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. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cloverdown Address Kenmare Road Knowle Bristol BS4 1PG 0117 9639 179 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) liz@mortimerhouse.eclipse.co.uk admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Miss Elizabeth Julia Spires Care Home 18 Category(ies) of Learning disability (18), Learning disability over registration, with number 65 years of age (18) of places Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 18 persons aged 40 years and over requiring nursing care Staffing Notice for Mortimer House dated 22/5/01 applies The manager must be a RN on Parts 5 or 14 of the NMC register Date of last inspection 1st November 2006 Brief Description of the Service: Cloverdown, formally Mortimer House care Home is registered to accommodate up to eighteen residents with learning disabilities. Aspects and Milestones Trust run the Home. The property is a modern building set in its own grounds with a garden and patio area. The Home has a minibus for the use of residents and public transport can also be accessed a short distance from the Home. Parking is available at the front of the premises. The fee charged for staying at the Home is £1014.68 a week. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection was carried out over one day and was unannounced. We (the Commission) met eleven of the seventeen residents living at the Home. We met a registered nurse, five care assistants and a chef .We spoke to them about roles, responsibilities, training needs, and how they assist residents. Staff were observed assisting residents with their needs. The breakfast and lunchtime meals were observed being served. A selection of records relating to the running and management of the Home were looked at. These included staff training files, staff recruitment files, staff duty rotas, the fire logbook record, maintenance records, menus, and medication records. Two Regulation 37 notices (Homes must inform us of significant events in residents lives, and any deaths) were reviewed as part of the inspection. Two resident’s care records and care plans were inspected. We saw most of the environment .The only areas that were not seen were a small number of bedrooms. What the service does well: What has improved since the last inspection? Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 6 Three new staff have been recruited with a good knowledge and understanding of the needs of the residents. 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. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed. Residents are satisfied with how their needs are met. Residents can get hold of the necessary information to help them to understand the service provided by the Home. EVIDENCE: To find out how the residents were helped to find out about the Home a copy of the service users guide was read. The service users guide includes up to date information about the Home. There is also information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. The complaints procedure is also in the guide. Each resident has their own copy of the service users guide. To find out how the effectively residents’ needs have been assessed, the assessment records of the two most recently admitted residents were looked at. There was an informative assessment for each person of their physical, mental health and social needs. There was information written about the Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 9 resident’s views of their care. Included in the assessments were the likes and dislikes of residents, and their choice of social activities. The assessments had been regularly evaluated and updated with the involvement of residents. This helps show residents needs are monitored and reviewed. To find out how well the Home is meeting residents needs the care plans of the two most recently admitted residents were read. There was helpful information written setting out how to help each resident with his or her needs, (see also next section of the report). Residents spoke very positively about how staff continue to support them. Examples of comments made by residents included, ` the staff deserve a medal ’, ` I’m very happy here,’ `I’m happier here then in Mortimer House,’ and, `we are all very happy ’. The staff were helping residents with their physical, and social needs in a sensitive and skilled way. The staff spoke to residents in a warm and kind manner. This helps to show how residents are well supported by staff. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed and care plans show how their needs are met. Residents are well supported to make decisions in their lives and to be able to take risks in their daily lives. EVIDENCE: To find out how well residents are helped to meet their needs two care plans were looked at in detail. There was a personal history for each resident. This had a good level of information and about the personal history of the resident, information about their physical and mental health. There was a record of each resident’s important people in their lives, including family and friends. There an informative plan of care clearly setting out how to address his or her physical, mental, and social needs. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 11 The care plans aimed to promote the independence of the residents in their daily lives. There was evidence that residents had been consulted in the care planning process. There was also evidence that the care plans had been evaluated and updated on a regular basis. Staff were observed to be assisting residents in a sensitive and calm manner, and were meeting residents needs in the manner stated in the care plans. This section has been re-quoted from the last inspection report as it is still applicable here, ‘There are fewer local facilities for residents to use in the area surrounding the new home. Residents said that they do still go out with staff in the minibus, on a regular basis. This must remain a long-term priority for residents to continue to attend a range of social and therapeutic activities. One resident said that they still attend a local fellowship group for people who are partially sighted, held at a church near the new home. This is evidence that demonstrates how residents are being supported and encouraged to take some risks as part of an independent life style ’. There was helpful information included in care plans about any risks the residents may face and how to help the person to maintain their safety. The plans of care set out what approaches staff should take, and how to help the residents to stay safe. There was information written in the two residents records that showed staff were aiming to support the individual to maintain their independence in their daily living. Residents are asked about their preferred meal options on a regular basis. This is an example of how residents are supported to take an active role in the dayto-day running of the Home. Residents got up at different times during the morning. This helps to demonstrate how choices and preferences are respected. There are regular residents meetings where residents can set their own agenda for these meetings. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are being met and this is supported by the information in the care plans. Residents are supported to be able to make decisions in their daily lives. Residents are provided with a varied and very well cooked diet. EVIDENCE: Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 13 There are fewer local facilities for residents to use near the Home then at Mortimer House the previous Home residents lived in. Residents do go out with staff in the minibus on a regular basis. One resident told us they go to a local fellowship group for people who are partially sighted, held at a church near the new home. Residents told us they go to the local church on a regular basis. A massage therapist visits the Home on a regular basis to give massages to residents. There are adult education teachers who run groups for residents. There was information recorded in the two residents records that confirmed they regularly take part in a range of social and therapeutic activities. A local hairdresser comes to the Home to cut, and set residents hair. Several of the residents said that how much they enjoy having their hair done at the Home. Residents also benefit from outside musical entertainers who visit the Home on a regular basis. Residents said how much they liked these entertainers. A copy of the menu was read to check if residents eat a varied and well balanced diet. There are at least three dishes available for each day. There was good evidence to demonstrate peoples likes and dislikes are included in the menus. There was a very varied choice of meal options available. Meal choices include a variety of well-balanced and traditional meals. The residents who we met said that the food at the Home was very good. A sample of the lunchtime meal was tasted. This was roast beef, yorkshire pudding and three fresh cooked vegetables, roast potatoes, mashed potatoes and gravy. The meal was very tasty, and well cooked. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are being supported with their needs in the way preferred by them. Residents physical and emotional health needs are met. Residents ’ medication is stored administered and disposed of safely. EVIDENCE: Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 15 As quoted in the last inspection report and still applies, ‘since the move to the new Home in another part of Bristol in 2006 residents have been able to keep the same GP. The doctor concerned has known residents for many years, and continues to support them with their health needs. This is clearly very beneficial for residents in that they will have medical support from someone who they know and trust ’. Staff were observed talking and listening to residents in a sensitive and a patient way. The residents we met said that the staff are, ‘ very kind ’. The staff we spoke to explained to us that one important part of their role is to support residents with their emotional needs, and to spend time listening to them if they have any concerns or problems. Each resident has a record kept of his or her physical health needs, and appointments (see also standard 6). This is a record of the residents’ last optician, chiropody, dental and G.P appointments. This helps to demonstrate that residents’ health care needs continue to be well met. As also written about earlier in the report, there was written evidence in the two residents care records setting out the preferred day to day routine of the residents and their particular likes and dislikes. This helps to demonstrate how residents are being involved in the planning of their care. The plans of care also set out the preferred way that residents like to be supported to meet to meet their mental health and social needs. The procedures for the administration storage and disposal of medication were checked to see if the systems in place are safe and ‘robust’. Medication was stored in a secure room in a locked metal cabinet. The medication administration charts of five residents were read. There was a recent photograph of each resident kept next to the administration charts. The charts were legible and up to date, they had been signed by the dispensing registered nurse .The reasons for any omissions had been recorded. There was administration guidance to help the staff when giving out medication. There was evidence seen on the administration charts that demonstrated stock checks are regularly done. This shows residents medication stock is being stored administered and disposed of safely. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able make complaints about the service. Residents are protected from abuse. EVIDENCE: As applied at the last inspection and is still applicable here ‘the complaints record book was looked at to see how effectively residents’ complaints are dealt with. There had been no complaints made since before the last inspection, however there was written information that demonstrated when residents do make complaints these are taken seriously and responded to thoroughly by the Home ’. Residents told us they would talk to any of the staff if they did want to make a complaint. Two of the staff were asked how they would help residents to complain if they wished to. Both staff had a good understanding of ways to support residents to make complaints. There are procedures and guidance information on the topic of ‘ the protection of vulnerable adults from abuse’. This helps to protect residents adults if staff can get hold of the necessary information to ensure their protection. The staff have done recent training to help them better understand issues around the protection of vulnerable adults from abuse. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 17 Two staff we met demonstrated a good understanding of the principle of `protection of vulnerable adults ’, and how they must try and protect the residents in their care. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,28,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a Home that is suitable for their needs and lifestyles. Residents’ bedrooms suit their needs and promote their independence. The Home is clean however it is only partly safe. EVIDENCE: Cloverdown Care Home was designed as a purpose built Bristol City Council Care Home. The Home is set in its own grounds. The garden looked satisfactorily maintained. There are patio seats and an area where residents can sit and walk in. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 19 There is wheelchair access to the Home and the garden. There is a lift giving access to all floors. Residents are living on the ground floor and the lower ground floor, and they have access to both floors. There are adaptations in place to assist residents and visitors with disabilities throughout the Home. The Home looked clean and safe in most of the parts that were seen. However there are radiators along the corridors and in communal areas that do not have a protective cover on them. The radiators felt hand hot when we touched them. Action needs to be taken to identify what radiators are risks to residents and these must be made safe. There is a need for a programme of redecoration to be completed, as the decoration looks worn, and tired in a number of rooms. There was one bedroom that looks as if it has a significant area of damp on the wall. There is a dining room and four lounges. Residents were seen sitting in the lounges and dining room, looking very relaxed and comfortable in their surroundings. Bathrooms have special adapted baths to help residents who may have reduced mobility. Toilets are situated in readily accessible parts of the Home near to communal areas and bedrooms. The bathrooms and toilets were clean, and were well stocked with hand towels and soap to help minimize risk from cross infection in the Home. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by a sufficient number of competent, well-trained staff. The recruitment procedures could not be inspected. EVIDENCE: Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 21 The staff on duty were asked about what recent training they had done. Staff have done a range of training courses relevant to the needs of residents. There was information in staff training files that demonstrated staff said had attended a range of training courses and study days that related to the needs of the residents in their care. There was information seen that demonstrated staffs are also booked to attend forthcoming training in food hygiene, first aid and fire safety. The staff duty record for February 2008 was looked at to check how many staff are on duty each day . There are at least five staff on duty during day including at least one registered nurse, and five care staff. Two members of staff are on duty at night, with one member of staff doing `sleeping in’ shift . There has been a small amount of sickness recorded and agency staff and the Homes own staff team cover the shortfall in staff. There is also a full time chef, a part time laundry assistant, and domestic staff employed. The registered nurse and care staff observed during the inspection showed they communicate and support residents in a sensitive manner. There is an on call support system to support staff and residents out of hours and at weekends. Based on the evidence seen during the inspection, the number of staff on duty is meeting the residents needs. The recruitment procedures were not checked on this inspection. The Trust are in the process of moving all staff recruitment records back into the care Homes, however this has not yet taken place for staff at the Home. These records may be requested at the next inspection. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a Home that is well run, and can be confident that their views will be listened to. Residents and staff health and safety is protected. EVIDENCE: Ms Spires the registered manager is a qualified learning disabilities nurse. Over her career she has a number of years of experience working with residents who have leaning disabilities. This helps to demonstrate Ms Spires is suitable and qualified to fulfil the role of manager. Residents told us they speak to any of the staff if they had any concerns. Residents were also observed approaching staff, and looking very relaxed and comfortable in their company. Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 23 There are regular residents meetings held with residents and staff. Residents can set their own agenda for the meetings. This helps demonstrate that residents can express their views in the Home. Residents’ records are kept in a locked metal cabinet in the office. The residents’ care records, and the records that were seen relating to the running of the Home were satisfactorily written, legible, up to date, and well maintained. This helps to demonstrate residents confidentiality is being protected, and also that legal records required for the effective running of the Home are being kept in order. The monthly monitoring visits (called Regulation 26 visits) of the Home that must be carried out by a representative of The Trust are being done as required by law. There are records of these visits. However there was no record of a Regulation 26 visit having taken pace in January 2008.The record seen of a recent visits was not detailed, as it only referred to there being the ‘normal staffing problems for home this size’. This information is not clear and fails to explain what the problems are. As was applicable at the last inspection and still applies here, ‘the environment was partly satisfactorily maintained, however as previously mentioned there is a need for a programme of redecoration to be done as the decoration looks worn and tired in a number of rooms. A maintenance worker was carrying out repairs during the inspection ’. Staff do regular training in health and safety matters including first aid, and moving and handling practices. This should help protect residents health and safety. The staff do food hygiene training to ensure they maintain their knowledge of good food safety practises The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and the fire fighting equipment were being carried out and were up to date. Cloverdown DS0000067992.V359634.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 Adults 18-65 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 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 N/A 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 13.4(a) Requirement Timescale for action 17/04/08 2 3 YA24 YA39 13.4 26 Carry out risk assessments on each radiator in the Home that is hot, and take necessary action to make radiators that are identified as a risk safe. The bedroom identified at the 17/03/08 inspection must be free from damp. The registered provider must 18/03/08 ensure that a report is prepared following each Regulation 26 visit, about the conduct of the Home. 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 Cloverdown DS0000067992.V359634.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Regional Office Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Cloverdown DS0000067992.V359634.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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