Inspection on 16/01/07 for Conan Doyle House

This inspection was carried out on 16th January 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Conan Doyle House 16/09/05

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

CARE HOME ADULTS 18-65 Conan Doyle House 12 Tennison Road South Norwood London SE25 5RT Lead Inspector James Pitts Key Unannounced Inspection 16th January 2007 10:58a Conan Doyle House DS0000065291.V326685.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 Conan Doyle House DS0000065291.V326685.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. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Conan Doyle House Address 12 Tennison Road South Norwood London SE25 5RT 020 8768 1630 020 8768 1539 deana@pathwayscare.net www.pathwayscare.net Care Support Service Ltd trading as `Pathways` 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) Mrs Deana Pauline Hodge Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th September 2005 Brief Description of the Service: Conan Doyle House is registered to provide care and accommodation for nine young adults who have learning disabilities and is operated by Kingscrest Residential Care Homes. The home is located in South Norwood and is well positioned to access a range of community amenities and transport links. The home provides a specialised service that currently caters for the needs of eight young adults who display behaviours that may challenge the care services that they require. The home supports people with autism. It is a large house on a three-floor storey with en suite single rooms provided for the service users. There are spacious communal areas that include a lounge, two dining rooms and a sensory room for relaxation. The rear garden is well maintained and has a patio, large lawn area and orchard/ vegetable patch at the end. Conan Doyle s mission statement says Our mission is to make a difference in peoples lives through learning, positive experiences and personal growth. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection since Caretech purchased the home from Pathways, the previous owners, in June 2006. The visit occurred on a Tuesday and lasted for a little over 5 hours. Most of the service users who live here are not able to hold lengthy vocal conversations but all can make at least some of their needs known in other ways. It is encouraging to note that staff demonstrate a significant knowledge of the individual communication techniques that each service user employs and the specific ways in which each makes their needs known. The manager and two of the staff team were also involved in providing assistance during this visit and a number of appropriate interactions were also observed between staff and service users. It is of note that the home still appears to be very much in a stage of transition in respect of establishing systems and processes that are in use organisationally by Caretech. It is accepted by staff that that the ways in which the home works with service users will obviously go through some change although there is an understandable anxiety that this should not result in the home ceasing to use the things that work. The significant amount of effort that has gone into establishing service user focused personal care planning is remarked upon very positively later in this report, as too are the current staff supervision and support structures. What the service does well: What has improved since the last inspection? Please note that this is the home’s first inspection since changing ownership to Caretech. Requirements that were made as a result of the inspection that occurred in September 2005, under the previous ownership, will not therefore be detailed as relevant in this report to the current owners although progress is commented upon. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 6 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. Conan Doyle House DS0000065291.V326685.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 Conan Doyle House DS0000065291.V326685.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standard 2 was assessed at this inspection visit. The service users can feel confident that the home will only care for people that the staff are trained and able to care for. The service users are told about how much it costs to live at the home and whenever this amount changes all of the people who need to know are told. EVIDENCE: There have been no new service users come to live at the home since the previous inspection in September 2005, although one of the service users who was living at the home at that time has now moved to another home. As this home is meant to be a very long-term placement for the people who come to live here it will be very rare that new service users are admitted. This area will be looked at in the future at such time that any new service users are admitted to the home. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Standards 6, 7, 8, 9 & 10 were assessed at this inspection visit. The service users can feel confident that the staff know what they need. Service users can also be assured that the staff will try their best to make sure that each person who lives at the home is allowed to live the sort of life that they choose. The only potential risk to this continuing effectively would be if the new managing company were to make too many changes to the very detailed personal care planning process that is in use at the home. EVIDENCE: Samples of service user care plans, which are known as “ Personal Care Plans“, were looked at in detail during this visit. These are written in a way that makes it look as though these are about what the service user thinks as the words that are used are in the first person. The plans are then also written in formats that are the most appropriate to the understanding of each individual service user. As an even greater example of how the plans have develop[ed in one Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 10 case a service user also has a train set in their room on which elements of their plan are included. The effort and thought that has gone into compiling the personal care plans is commendable. Consultation with service users is very much in evidence by means of notes by keyworkers about the views of service users. A recent quality assurance audit, which involved a visit by a representative of the managing company, also happened in November of last year. Although it is true to say that many of the service users would find it difficult to become meaningfully involved or to respond to questionnaires or specific complex questions, evidence of maximising these opportunities is clearly present. The service users case records include risk assessments that tell staff and other people about anything that may harm a service user and anything that the person might do that might hurt themselves. Copies of risk assessments are kept in the service users file and cover a variety of situations from accessing community activities to learning skills and activities within the home. Risk assessments are reviewed regularly. The home has very clear procedures for staff about making sure that service users personal information remains confidential. These procedures are designed to ensure that information is not shared with anyone who does not have a right to know. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Standards 12, 13, 15, 16 & 17 were assessed at this inspection visit. Service users can feel confident that the staff of the home will provide opportunities for everyone to develop their personal and social skills. This includes active support for each person to participate in the community both in terms of the activities of daily life and leisure interests. The opportunity for each service user to develop and maintain personal and family relations is also offered and is actively supported by the staff team. EVIDENCE: Service users are supported to make use of a wide range of community based facilities. These can be anything from regular shopping trips, whether for food for the home or personal shopping, to attendance at local clubs run by Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 12 particular organisations. Details of the social activities in which service users participate are written in their records as well as in their care plan to outline what each service users personally enjoys doing in their leisure time. Service users clearly have the opportunity to engage in a range of activities. The home’s staff group continue to encourage service users to maintain relationships with their family members and virtually all do have at least some family contact. There is an open visitors policy. The home has a key worker system and it is part of the key worker role to keep family members informed of progress made, where appropriate. Visitors can be seen in the communal areas, of which the home has a range, or service users bedrooms if it is thought to be appropriate and safe to do so. The daily routines of the home continue to be flexible within reason. Staff were seen to interact with service users in a totally appropriate and respectful way. Service users have the liberty to make their own choices about where they spend time in the home and whether they wished to be alone or in company. The home has all appropriate policies and practices on maintaining service users dignity and rights. Staff now have a master key that enables quick access to service user bedrooms in the event of an emergency, as was required at the previous inspection. Service users preferences for the food that they like to eat are given due consideration. The menus show that appropriately varied and nutritious meals are available. During this visit the service users who were at home all had lunch, which seems to have been enjoyed by all. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standards 18, 19 & 20 were assessed at this inspection. Service users usually feel confident that they will get the right support to take care of their personal and healthcare needs. Anyone who needs to take medicine regularly to help them stay well will get the proper support from staff to make sure that this happens. EVIDENCE: Each service user has a personal care plan that tells the staff in great detail the way that each service users wants to be cared for and supported and about what each person likes or does not like. All of the people who live at the home usually go to see a local GP if they are not feeling well. The service users can see any local GP but most see the same one. The staff are very good at writing down anything that happens if some one becomes unwell. The staff write about the healthcare needs of service users in something called a health action plan. If any of the service users have Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 14 an illness or something else is wrong with them then the staff do know what this is and how to help them to get the treatment that they need. If anyone needs to take medicine then the staff help him or her to do this. None of the service users can do this without help and the staff have written down why this is so on each of the care plans. The staff are very good at making sure that people take their medicines so that they can stay well. The staff are also good at making sure that no one can get hold of any medicine that they should not have and so they keep medicines locked away. At the previous inspection in September 2005 it was required that staff undergo refresher training about the administration and handling of medication. Caretech, the new owners, have planned accreditation training in March 2007 to acquaint staff with the protocols that are in use by this organisation. The home also has a homely remedies policy in place for medications that can be purchased from pharmacies rather than requiring a prescription. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 22 & 23 were assessed at this inspection. The service users can feel confident that the staff team at the home know what to do if there are complaints or concerns about abuse. The home has clear guidance for staff about the procedures to be followed in either of these circumstances. EVIDENCE: The service users complaints procedure is compiled in widget form to maximise ease of understanding for the people who live here. The complaints procedure is comprehensive and staff are clearly told how to record and complaints that are made. One complaint was made just prior to this inspection about the length of time taken to purchase a replacement piece of bedroom furniture. It was seen at this inspection that funding had recently been approved although this had taken some time to obtain. Please refer to the next section of this report, entitled “Environment” for further comment about addressing repairs, refurbishment and replacement of furniture. The policy of the geographical authority in which the home is located, namely Croydon Councils Protection of Vulnerable Adult Policy, is available for the staff to see at the home. One concern was raised last year as the result of an incident that occurred between two of the service users. This was identified as the result of a protection of vulnerable adults investigation as being an isolated Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 16 incident that was not typical of the usually good relationships that exist between the people who live here. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Standards 24 & 30 were assessed at this inspection. The service users cannot feel confident that they are living in a well maintained home, as there are significant delays in addressing repairs and refurbishment that have been identified. EVIDENCE: There are a significant number of areas for repair, redecorating and refurbishment at the home, these are listed in a report that was written by the manager of the home dated 9th January 2007. The list amounts to a total of 54 items that need attending to and is too long to list here. However, there has clearly been significant delay in addressing these issues as the list of repairs and refurbishments has built up over time and are not all new. The managing Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 18 organisation must not allow the state of the home to deteriorate to such an extent without taking the necessary action to remedy and structural or environmental defects. The home is kept clean, although with so many repairs needed no amount of cleaning will currently prevent the home looking very worn. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Standards 32, 34, 35 & 36 were assessed at this inspection. Service users can feel confident that there is a committed staff team to meet their needs and that these staff are safe people to support them. However, the quality of the support that is offered by the staff team could be compromised if staff are not provided with opportunities to complete the appropriate qualifications, training and to have their performance assessed. EVIDENCE: The law says that half of the staff must have a proper qualification to work with adults who need support in a care home. The name of this qualification is NVQ 2. Since ownership of the home changed there is no system in place to ensure that staff are provided with the opportunity to obtain this qualification, which must be remedied without undue delay. The managing company that owns the home carries out checks to make sure that those who work here are safe people to work with the service users. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 20 These checks include things like asking the police if a new member of staff has ever been found guilty of a crime, and asking people who used to employ them if their work was good and if they are the right sort of person to work with the service users and to support them. It has been agreed by the Commission that as Caretech are a large company with a central personnel department that these checks can be held at the company’s head office in Hertfordshire. The home keeps records that say what training courses staff have done, and when they did them. Since the change of ownership of the home there have been no appraisals or training and development plans implemented, which must be remedied. It is noted that the home, under the previous ownership, commenced a detailed piece of work in order to apply for accreditation with the National Autistic Society. The documentation that forms a part of this accreditation has been completed and the home have a visit to assess their application planned for September 2007. It is hoped by the staff team that the home’s new owners will support this application to continue. Staff supervision (this is a time that each member of staff spends talking about how they are getting along in their work) is done by the manager. Staff are supposed to meet with their manager at least 6 times a year by law. The home can show that this is happening at the required frequency. An interesting aspect of additional support is also provided to staff by way of an independent consultant who visits the home regularly. The aim of these visits is to provide another forum in which the team can explore together how they manage the demanding work with highly vulnerable people and how they co-operate as a team. The person who acts in this position visited on the day of this inspection. It is evident through discussion with both he and members of staff that this is a highly valued resource that has a significant and positive effect on the service that is provided at the home. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Standards 37, 39 & 42 were assessed at this inspection. The service users can feel confident that they are living in a home that has been well managed. However, the organisational response to serious concerns about repairs to fire doors and the recognition by the managing company of issues that need to be attended to could seriously undermine the good standard of direct care that is in place and compromise the safety of everyone who either lives or works here. EVIDENCE: The current manager is suitably qualified and experienced to run the home, although it was said during this inspection that she would be taking up employment elsewhere very shortly. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 22 Monthly visits under Regulation 26 are occurring and a copy of the reports of these visits are being sent to the Commission intermittently. It is of concern, however, that the managing organisation does not appear to have as diligent a system in place as is necessary to identify serious health and safety problems, as well as taking the necessary action to respond to repairs and refurbishments that are so clearly required and will have been evident for some time. The home does have a system in place for ensuring that quality assurance reviews occur although how effective this is at ensuring a properly effective response to remedy areas that need attention is also in question. The following health and safety checks have been carried out within the last year: Fire Alarm System: 03/01/07 Gas Safety Check: 27/04/06 Portable appliance check: 11/10/06 Electrical Installation: This check is overdue as it was last completed on 29/11/01 Legionellosis: Check has not been completed in the last year It is of serious concern that the home has yet to replace the damaged fire doors that have been in need of this for some time. It is unacceptable for serious safety matters as this to receive anything less than urgent attention. An immediate requirement was set as a result of this and an urgent response was required from the home. Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 23 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 X 2 3 3 X 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 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 1 X X 1 x Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 24 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 Timescale for action 23 (2) (b) There are a significant number of 16/04/07 & (d) areas for repair, redecorating and refurbishment at the home, these are listed in a report that was written by the manager of the home dated 9th January 2007. The list amounts to a total of 54 items that must be attended to without undue delay. 18 ( c ) There is no system in place to 16/04/07 (ii) ensure that staff are provided with the opportunity to obtain this qualification, which must be remedied without undue delay. 18 ( c ) (i) Since the change of ownership of 16/04/07 the home there have been no appraisals or training and development plans implemented, for staff, which must be remedied. 24 (1) (a) It is of concern, however, that 16/04/07 & (b) the managing organisation does not appear to have as diligent a system in place as is necessary to identify serious health and safety problems, as well as taking the necessary action to respond to repairs and refurbishments that are so clearly required and will have DS0000065291.V326685.R01.S.doc Version 5.2 Page 25 Regulation Requirement 2. YA32 3. YA35 4. YA39 Conan Doyle House been evident for some time. 5. YA42 23 (4) (a) & ( c ) (i) It is of serious concern that the home has yet to replace the damaged fire doors that have been in need of this for some time. It is unacceptable for serious safety matters as this to receive anything less than urgent attention. An immediate requirement was set as a result of this and an urgent response was required from the home. The Electrical installation check is overdue as it was last completed on 29/11/01. A renewed check must be completed and a copy of the report of the findings of that check must be sent to the Commission’s local office. A legionellosis check has not been completed in the last year. A renewed check must be completed and a copy of the report of the findings of that check must be sent to the Commission’s local office. 16/01/07 6. YA42 23 (2) ( c ) 16/02/07 7. YA42 23 (2) ( c ) 16/02/07 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 Conan Doyle House DS0000065291.V326685.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Conan Doyle House DS0000065291.V326685.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. 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