Inspection on 22/01/07 for Davlyn House

This inspection was carried out on 22nd January 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Davlyn House 02/11/05

Davlyn House 07/12/04

Davlyn House 19/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Davlyn House 41 Bull Lane Brindley Ford Stoke-on-trent Staffordshire ST8 7QL Lead Inspector Peter Dawson Key Unannounced Inspection 22 January 2007 09:00 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 Davlyn House DS0000008221.V324598.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. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Davlyn House Address 41 Bull Lane Brindley Ford Stoke-on-trent Staffordshire ST8 7QL 01782 512269 01782 517645 lesleyflatley@aol.com 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) Mr David Heath Mrs Heath Mrs Lesley Ann Flatley Care Home 20 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (20), of places Physical disability over 65 years of age (2) Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2 November 2005 Brief Description of the Service: Davlyn House is a detached modern building situated in the village of Brindley Ford, surrounded by countryside. The garden has been extended and landscaped and covers one acre of land. The home accommodates up to 20 elderly people - four of whom may require dementia care and two may have a physical disability. There is one shared bedroom the remainder are for single use. There are three lounge areas, conservatory and separate dining area. There are two assisted bathrooms and a shower facility on the ground floor and there is a first floor bathroom. There are no en-suite facilities but adequate number of toilet areas. Furnishings, fittings and equipment are to a high standard and there has been a very commendable improvement and replacement programme over recent years, providing a comfortable, homely environment. Davlyn House provides a very personalised and individualistic service to residents. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector on one day from 9 a.m. – 2.30 pm. There were 19 people in residence all were seen and many spoken with. There were discussions with owners, manager and staff. The physical environment was inspected, although the first floor accommodation was not seen on this visit. Records relating to the inspection process were seen including care plans, risk assessment, medication records, staff files and other documents relevant to the inspection. There was written feedback from 3 relatives, a District Nurse, a Chiropodist, two social workers and two residents. All comments were very positive there were no negative comments. A relative wrote “Myself and my brother could not wish for a nicer place for our dad to live and be cared for. All the staff are wonderful and always make us feel very welcome”. A Senior Social worker who has been involved in placements at Davlyn House for 10 years stated – “I can honestly say that the staff have always presented as warm and friendly yet have maintained a high level of professionalism. Staff have worked well with other professionals from many disciplines, provided a high level of support over and above what I would expect from a residential home and did everything within their power to meet the needs of one service user in particular who had dementia”. Owners and Manager work exceptionally well together in this home. There has been considerable re-investment into the home over the years providing a high standard environment, matched with equally high levels of care for residents. Weekly fees at Davlyn House are £334 - £381 What the service does well: Providing a model of care which is person centred and tailored to individual needs and chosen lifestyles. This is a small home providing an exceptionally high standard of care with excellent engagement with residents and relatives. There is good knowledge and understanding of health care needs. Early referrals to health care professionals are made and staff work closely with them. Residents, relatives and other visitors have given a consistently positive view of care in this home over a long period of time. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 6 Residents feel safe and valued in a setting which promotes independence and re-enforces individuality. There is a well trained and committed staff group. What has improved since the last inspection? 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. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 - 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission procedures are good, there is adequate information and opportunity to make an informed choice about the home. There are thorough pre-admission assessments. EVIDENCE: The statement of purpose/service users guide has been continually updated, a copy of the recent update sent to the Commission. There is adequate information available to prospective residents and their families to make an informed choice about the home. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 9 All residents have contracts either from the sponsoring Local Authority or, if self –funding a copy of the contract with the home. Pre-admission procedures have previously been satisfactory. On this visit procedures relating to 2 recently admitted residents were reviewed. Both had been assessed in their previous environment by the homes staff and information used as a basis for care planning information. The home has an assessment tool which includes all aspects as defined in Standard 3.3. Both residents had visited the home prior to admission, which is the homes preferred option. Prospective residents are encouraged to visit the home on as many occasions as possible providing the opportunity for them to make an informed decision about admission. People come for a meal, for the day and if they wish have an overnight stay prior to admission. In both instances Care Management assessments had been obtained. In one instance this had been received following admission but the matter discussed in detail with the admitting social worker prior to the actual admission. New residents were spoken to an confirmed the above. The home does not have category to admit people with mental health needs MD(E) and application is recommended to extend the categories of registration to cover this area, There are also 2 residents who now fall into this category. The home have already accessed training for staff in mental health awareness. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 10 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): Standards 7 – 11 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Health & social care needs are identified and fully met. Medication standards are good, attention to minor aspects required. An excellent service is provided to residents and relatives in relation to dying and death. EVIDENCE: The care planning system in this home is good. This is the homes own format which can be added/amended at any time. There has been constant updating of the care plan format to meet changing circumstances/requirements. The care plans of two recently admitted residents were seen and both contained comprehensive information concerning their health and social care needs. Information was adequate and sufficiently detailed to identify actions Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 11 required to meet the assessed needs. Risk assessments are part of the care planning information and contained assessments of risk covering all aspects of resident activity. Care plans are reviewed monthly by key worker and resident. The overall dependency levels were high at the time of the last inspection 1 year ago. Since that time there have been several deaths and new residents admitted. The dependency levels have reduced overall and the personal, social and emotional care has therefore also changed. The home is keen to ensure flexibility in responding to the changed needs of the group. This is acknowledged and discussed with staff who respond to the need for a change of emphasis in the focus of care. A new introduction is to provide a Life Book (extensive social history) for each resident. There has been some training in this area and all staff are now commencing completion of the documents which are extensive and detailed. There have always been social history’s as part of care plans but this will add increased detail and a new dimension to the information available, enabling an even greater individual approach to care with a strong foundation of knowledge and information. Health care needs are very closely monitored in this home. These were discussed in particular and in general on this visit. Whilst dependency levels have decreased in areas of mobility, stoke care and general medical conditions, the home continues to be vigilant about any changes in health care. On the day of the inspection a visiting GP from the Biddulph Health Centre was seen and spoken with. He had been asked to see 3 residents. One had ongoing weight-loss, was not eating well, recent tests had revealed no evidence to pinpoint the reasons but staff remained concerned about the persons health although unable to quantify their concerns. The GP was more than happy to review this patient and there was a good exchange of information in a relaxed and accepting atmosphere. Health records showed good recording of all interventions by health care professionals. There were regular weight records and testing of blood sugar levels etc. One resident is bedfast at this time requiring total care. He is visited twice weekly by the District Nursing Service (records seen) and has pressure area care requiring wound dressings Due to the fact that he is doubly incontinent daily changes of dressing are required and carried out by care staff on the days they do not visit, under the overall supervision of the nursing service. The service is available to be called at any time. The person has an alternating pressure relieving mattress provided by the nursing service. There are no other pressure area management issues in the home at this time. There have traditionally been good ongoing relationships between the homes staff and visiting district nursing service in the past. The inspector has spoken to the nurses during several past inspections, there are close working relationships. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 12 Written feedback from a visiting District Nurse stated - “The care provided at this home is top quality, they provide best practice to all their clients. The staff are professional at all times and communicate well with other professionals. The district Nurses are always pleased to visit this environment”. Written feedback received from a Podiatrist from local health centre also indicated good co-working and satisfaction with good professional working practices. The medication system is supplied from local pharmacy in MDS (blister packs). Examination of MAR sheets did show that an entry had been removed with correction fluid although the medication had actually been given then was no entry to support it. Records should not be changed in this way. Review of disposal of medication showed that all tablets refused/not given are put into a bottle prior to return to the pharmacy. All tablets so retained must be recorded on an ongoing basis and also form part of the record of returns to the pharmacy which are then countersigned by the pharmacy. This ensures an audit of the system. There have been 2 deaths in hospital and 6 in the home over the past year. Some were reviewed and it was clear that an excellent service had been provided both for residents and their carers in this situation. Relatives are encouraged to stay (overnight if they wish) and to be involved in the care being provided. There are facilities for visitors to have comfortable chairs for overnight stays and also to provide drinks, meals etc. Several compliment cards were seen from relatives of residents who had died in the home, thanking staff for their care and support to them and their relatives at those difficult times. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 13 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): Standards 12 – 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Outcomes in this area are particularly good. Residents and visitors confirm their choices are known and met and family contacts encouraged and supported. Activities are provided to suit the varying needs of residents. Food provision has been consistently good with high resident satisfaction. EVIDENCE: Flexibility of daily routines and attention to chosen lifestyles are good. Mealtimes, rising/retiring and provision of personal care is resident rather than routine centred. These matters were confirmed in discussions with residents during the inspection. Preferences are recorded in care plans and known to staff, there were many examples of this confirmed. The usual range of indoor activities are provided and small group or individual activities tailored to the needs and preferences of residents. The resident group has changed considerably over the past year and activities Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 14 simultaneously changed to meet the needs of residents. The home is very “alive” with ongoing interactions between residents and with staff. Some residents said they liked bingo, or sing-alongs and reminiscence that they say take place on a regular basis. The communal areas lend themselves to allow choice of quiet, social or TV access. Residents are able and seen to move between these areas as they choose. Entertainment is provided on a regular basis. There is a conservatory allowing access for visitors or to sit quietly and enjoy reading newspapers with excellent views of the garden. The garden area is large, landscaped and extremely well-equipped with seating, eating facilities, shade and summerhouse in the summer months. Residents are involved in seed planting and garden care in the raised flower borders if they wish, most enjoy the garden area from the warmth of the house in the winter or being able to easily access the shaded or other areas during the summer months. The home has dedicated transport with 2 vehicles available for any transport need. The Life Books presently being completed for all residents will provide a further profile of interests, skills and opportunities for residents and provide a wider scope for individual discussion and reminiscence. Visiting is encouraged at any time. One resident says her husband visits daily and has a meal with her if he wishes – he came for Christmas dinner. Two visitors were seen during this inspection both expressed high levels of satisfaction with care provision and engaged in friendly and humorous exchanges with staff and other residents. One visitor said that her mother who had been recently admitted and had cataract operation two days prior to the inspection, had been helped to settle quickly and well by staff and was receiving good care and support following her operation. The person confirmed this and said she was “quite happy” at Davlyn House. Food provision has been consistently good in this home and continues. The dining room is pleasant, bright with well laid-tables sitting 3-4 people. Residents clearly enjoy the social opportunities it presents also. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 15 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): Standards 16 – 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives can be confident that their complaints will be listened to and acted upon. Residents are protected from abuse with good procedures and training for staf. EVIDENCE: There is a complaints procedure in place available to residents and visitors. There have been no complaints to the home or the Commission since the last inspection (1 year ago). The home keeps a record of domestic-type concerns, although there have been none since the last inspection. There have been no complaints about this home over recent years. Staff are aware of the broad definitions of abuse and have had training in the Protection of Vulnerable Adults. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This is a high standard environment exceptionally well maintained by attentive proprietors. Any suggestions for improvement are acted upon immediately. It is a safe and well maintained environment. Most areas have been upgraded. EVIDENCE: The majority of accommodation is on the ground floor – only 4 bedrooms and bathroom are located on the first floor – access is via stairs or stair-lift. The bathroom on the first floor is unused and only the toilet presently in use, residents prefer to use the assisted bathing facilities on the ground floor where there are 2 assisted baths and shower facility. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 17 There are no en-suite bedrooms. All have wash-hand basins and commodes provides as required for most residents. There are 7 toilet areas throughout the home on the ground floor and located hear to communal areas and bedrooms. There is an Oxford mini-hoist not used at this time. Furniture fittings and equipment are to a high standard and exceptionally wellmaintained. Most areas have been refurbished and the owners make consistent improvements to the environment. Since the last inspection double glazed units have been fitted to remaining areas of the home in a renewal programme over the past two years. This is now complete. New kitchen units have been fitted and dishwasher provided. Seven bedrooms and the corridor areas have been redecorated and carpets renewed in 3 bedrooms. A new digital TV Ariel system has been installed providing access to digital TV in all areas including bedrooms. The owners have continually re-invested into the home providing a quality environment. They are most receptive to suggestions from any source to improve standards. Any requirements made in this area have always been acted upon immediately. There is good access to all parts of the home including wide corridors and appropriate aids and adaptations where needed. Access to the garden area is good including access for wheelchairs. There is only one shared bedroom located close to the office area and often occupied by very dependent residents who required constant close monitoring of health needs. Standards of cleanliness and hygiene are good throughout the home. Continence management is good with immediate attention to the environment if needed. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 18 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): Standards 27 – 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good mix of numbers and skill levels of staff. Residents are protected by robust recruitment procedures. There is a good record of staff training and no requirements in this area at this time. EVIDENCE: Staffing levels remain at required levels. 378 care staffing hours per week are provided. These are adequate to meet the needs of the current resident group. There is a good mixture of age, experience and length of service. A sample of records were inspected and all required documents under Schedule 2 had been obtained in relation to each file seen. There is good record of staff training. At this time 64 of staff are NVQ trained and others completing courses. The Deputy Manager and Senior Carer have completed NVQ4. Training provided by the home over the past year includes: dementia awareness, basic food hygiene, mental health awareness, first aid and moving & handling updates. Life book training and fire training. All statutory staff training has been completed. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31 – 34 & 36 – 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 exceptionally well run and managed. Staff are motivated to achieve high standards of care. They are supported by a good training programme and supervision. The Health, safety and welfare of residents are protected. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 20 EVIDENCE: The Registered Manager has the required experience and qualification to run the home. She takes a positive lead in the home and is supported by an enthusiastic and caring staff team. Staff training is excellent and staff are all keen to undertake training and to improve standards. The two owners play an active role in the home. They were present during this inspection and involved in financial management and supporting care staff in the daily running of the home where needed. There is an open and very positive relationship between owners, manager and staff. Boundaries are clear – the Registered Manager has the autonomy to run the home and ensure high standards of care are provided - the owners provide support financially, administratively and practically where needed. The result is a well run and managed home. The dialogue at all levels is exceptionally open – residents, manager and staff all having direct access to the owners. Staff supervision is in place (records seen). The Manager and Senior staff share the responsibility for supervision of staff which is at least 6 times per year. Fire records were not inspected. The Manager reported that all required checks and drills had been carried out. There is still one outstanding matter relating to the Fire Officers report which was discussed, this is to provide an additional fire door in the main corridor area. The inspector will further discuss this matter with the Fire Officer to ensure it is imperative. The Manager is an approved Moving & Handling trainer. All staff have the required training and updates. There is a fire risk assessment in place and risk assessments seen in relation to resident activity were relevant and accurate. They are regularly reviewed. Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 4 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 X 3 X 3 3 4 Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement Timescale for action 23/01/07 2 OP9 13(2) Medication must be signed for at point of administration. Records must not be changed with correction fluid. Tablets not given must be 23/01/07 identified, listed and entered on returned medication to pharmacy & countersigned by pharmacy. 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 Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Davlyn House DS0000008221.V324598.R01.S.doc Version 5.2 Page 24 - 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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