Inspection on 07/07/05 for Deja Vu.

This inspection was carried out on 7th July 2005.

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

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

Other inspections for this house

Deja Vu. 20/09/06

Deja Vu. 04/11/05

Deja Vu. 22/11/04

Deja Vu. 08/06/04

Deja Vu. 11/02/04

Deja Vu. 08/10/03

Deja Vu. 10/03/03

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

CARE HOME ADULTS 18-65 Déjà Vu 14 - 16 Liphook Road Linford Hampshire GU35 0PX Lead Inspector Marilyn Lewis Unannounced 07/07/05 10:00 a.m. 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 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 Stationary 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. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Deja Vu Address 14 - 16 Liphook Road Lindford Hampshire GU35 0PX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01420 477863 Robinia Care Ltd Mrs Clare Michelle Morris CRH 7 Category(ies) of LD Learning disability registration, with number of places Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users not to be admitted under the age of 18 years Date of last inspection 22/11/2004 Brief Description of the Service: Déjà vu is a care home for seven younger adults with learning disabilities. The home is situated in a residential area of Lindford, Hampshire, within easy reach of the local shops. All residents are accommodated in single bedrooms. One bedroom has en-suite facilities and the remainder are provided with hand basins. The home has a large, enclosed rear garden and patio area. The home is owned and operated by Robinia Care Limited, an organisation that has been a care provider since 1995. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 7th July 2005. The inspector had the opportunity to tour the home and met with four residents, two support workers and the deputy manager. Three care plans were sampled and records were seen for staff, medicines, fire drills and residents personal money. At the time of the inspection, the registered manager was unavailable and the deputy manager assisted with the inspection process. Service users at the home preferred to be known as residents and this has been respected within this report. What the service does well: At the time of the inspection, the home was clean and welcoming and had a relaxed atmosphere. All prospective residents have a full care needs assessment prior to being accepted for admission to ensure the home can meet their care needs. Individual care plans provide clear information on all aspects of the residents care needs and the actions required by staff to meet those needs. Residents are encouraged and supported to make decisions about their lives and maximise their independence. Residents have the opportunity to participate in a wide range of suitable educational and leisure activities, both in the home and the community. The home provides a choice of nutritious meals that are taken in a friendly and relaxed atmosphere. Residents receive personal support in the manner they prefer and are protected by staff following clear procedures for dealing with medicines. Residents feel able to make a complaint and are protected from abuse by the staffs’ knowledge of the homes’ abuse procedures and their willingness to report any concerns. The provision of a safe, clean home, with comfortable communal rooms, personalised bedrooms, sufficient bathroom and toilet facilities and specialised equipment as required, gives a pleasant environment for all who live and work at Déjà vu. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 6 Residents are supported by staff who are supervised, have clear roles and responsibilities and who work as a team. Residents are protected by the homes’ robust procedures for staff recruitment. Residents benefit from the open approach to management operated at the home and their views are sought regarding life at the home. 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. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 2 The homes’ statement of purpose and service user guide require details regarding staff qualifications, to provide prospective residents with the information required, for them to make a decision about life at the home. No one is admitted to the home without a full needs assessment, ensuring the care needs of the residents can be met. EVIDENCE: The home has a statement of purpose and service user guide in place that give clear information about the services provided at the home and includes the criteria for admission and arrangements for residents to engage in social activities. Details are given on the provider, Robinia care and the organisational structure of the home including the experience and qualifications of the registered manager. However the documents provide only the aims of the home with regard to staff training at NVQ level 2 or above and not the actual number of the staff employed who hold or are currently training for NVQs. No new resident has been admitted in the last year. However, full care needs assessments seen for two residents, indicated that all aspects of care needs were assessed prior to admission. Records seen included past medical history, personal care needs and social needs, with hobbies and interests documented. Details of the most appropriate communication methods were also documented. Information from care managers, health professionals, care workers and family members was included in the completed assessment reports. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 Residents’ assessed care needs and the actions required to meet those needs are clearly documented in their individual care plans, which are reviewed regularly in consultation with the resident or their relative/representative. Risk assessments are completed for all aspects of daily living and leisure activities and residents are supported to live as independently as possible. EVIDENCE: The full needs assessment forms the basis for the residents’ individual care plan. Care plans seen for three residents were very detailed and gave clear information regarding care needs and the actions required to meet those needs, including personal, social and emotional needs. The plans showed evidence of regular review and involvement of relatives or care managers. Care plans seen indicated that residents are able to make decisions about daily living activities, including when they would like to get up, bath and what they would like to wear. Daily records provided further indication of decision making by residents. The daily record for one resident said that the resident did not want to take a bath at the usual time but later in the day and chose to have hair washed. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 10 Staff were seen to support residents to make decisions by showing them photographs and pictures of activities and food products and giving time for them to chose their preferred option. Care plans contained risk assessments for all daily living and leisure activities to enable residents to be as independent as possible. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17 Residents participate in a wide range of educational and leisure activities both in the home and the community and are offered a choice of nutritious meals taken in a friendly, relaxed atmosphere. EVIDENCE: Residents receive support to develop independent living skills. Daily records showed that the residents were encouraged to participate in daily living activities such as helping to prepare their breakfast, laying the table and loading the dishwasher. Care plans indicated the most appropriate method of communication for the resident and flow of the day charts had been developed for each resident to assist in communication. Four of the residents attend education sessions at the organisations’ resource centre. Sessions attended are varied and include drama, cookery and art. The deputy manager said that one resident enjoys working at the resource centre for a few hours per week. The deputy manager said that the residents have public transport passes and are able to use local buses if they wish. The home also has its own transport. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 12 Residents walk to the local shops and the deputy manager said that the residents also enjoy visiting a nearby pub. Care plans seen indicated that the cultural and religious needs of the residents would be respected. The deputy manager said that at present there were no residents at the home from an ethnic minority. However some of the staff are from overseas and so the home celebrates different festivals such as the Chinese New Year. The deputy manager said that the residents had enjoyed making paper decorations for these occasions and trying new food items. Residents’ interests and hobbies are recorded in their care plans. Each resident has an activities programme for the day. The deputy manager showed the inspector a new format being used to provide details of daily activities in hourly slots, made in picture and symbol format suitable for the residents. Care plans seen documented the residents’ participation in leisure activities, that included listening to music, watching television, cookery and shopping. Residents also visit local places of interest and attend discos and parties at the organisations’ resource centre. The deputy manager said that visitors were welcome at the home at any time but that it was advisable to telephone the home prior to visiting to ensure the resident would be at home. Visits from family members were recorded in the residents’ daily records. Some residents visit other care homes in the locality to meet with friends. The residents’ preferred name is documented in their care plans and staff were observed to speak to the residents in a friendly, respectful manner. The residents’ right to privacy was respected during the visit, with staff knocking on doors before entering and supporting residents to open their mail. Good interaction was seen between staff and residents and between the residents themselves. It was evident during the inspection visit that residents were able to choose to spend time with others or on their own, with one resident in their bedroom listening to music, one in the kitchen drawing and others watching television or out in the garden. Staff use photographs, pictures and magazines to encourage residents to make choices about the food items to be bought during the weekly shop for the menus for the week. Records seen indicated that residents were provided with balanced, nutritious meals. The residents likes and dislikes for food items were documented in their care plans. It was evident that residents were able to choose their preferred meals, as there were a variety of meals on offer for lunch at the time of the visit and some were going out to the pub for a meal. An example of meals provided for residents was mainly cereals and toast for breakfast, chicken pasta or sandwiches and salad for lunch and roast dinner or spaghetti for dinner. Snacks and fresh fruit were readily available and during the inspection visit, residents were seen to go to fetch fruit and biscuits from the kitchen as they wished. During lunch staff were seen to assist residents in a friendly manner and the atmosphere in the dining areas was relaxed. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 20 and 21 Residents receive personal supported in their preferred manner and staff follow clear procedures when dealing with medicines minimising the risk of error. Records indicate that residents would be treated with respect throughout their stay at the home. EVIDENCE: Residents preference for participating in daily living activities were documented in their care plans and it was evident from daily records seen that the times for getting up and going to bed were flexible, with times varying from 8pm to 10pm for one resident. One resident wished to have a female carer for personal care and this was recorded in the care plan. The deputy manager said that the wishes were respected with female staff allocated for personal care support. The home has procedures in place for dealing with medicines. Only staff who have received training in the administration of medication are allowed to administer the medicines. Medication records seen had been completed appropriately. Information on medicines used in the home was readily available for staff. The deputy manager said that at present no residents were self administering their medication. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 14 The deputy manager said that it was difficult to assess the residents’ awareness to illness and dying. Procedures seen indicated that residents and their relatives would be treated with respect and sensitivity and care plans documented the wishes of the relatives. The records said that the care manager would be contacted for residents with no known relatives. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Residents feel able to complain and they are protected by the staff awareness of abuse issues and their willingness to report any concerns. EVIDENCE: The home has a complaints policy in place that indicates who will investigate the complaint and timescales for the process. Although communication with residents is difficult, one resident spoken to regarding making a complaint said that any concerns would be told to the manager and that they could be discussed during residents meetings. The deputy manager said that no complaints had been received in the last year. The deputy manager said that a picture/symbol format had been used to discuss abuse awareness with residents during a recent residents meeting. The home has procedures in place for staff to follow should abuse be suspected and two staff members spoken to during the inspection, knew about the procedures and indicated that they would not hesitate to report any concerns. Small amounts of residents’ money is kept in a secure place in the home. Receipts are kept for all transactions and records seen for two residents matched the balance of money held. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 and 30 The provision of a clean, safe home with specialist equipment, comfortable communal rooms, personalised bedrooms and sufficient bathroom and toilet facilities gives all who live and work there a homely, relaxed environment. EVIDENCE: Déjà vu is a detached house, situated in a road of similar properties, in a residential area of Lindford, Hampshire. At the time of the inspection the home looked clean and welcoming. Visitors to the home have to ring the bell to be admitted by staff and are required to complete the visitor record book. Since the last inspection fire safety locks have been provided for the patio doors and the kitchen door has been fitted with a lock to ensure residents do not enter the kitchen without a staff member for safety reasons. Residents are able to access the large enclosed rear garden. Robinia Care Limited employ a maintenance team for routine repair and redecoration of the home. All residents are accommodated in single rooms that are meet their needs. Rooms are bright and cheerful and contain many personal items including posters, photographs, soft toys and ornaments. Some residents have their own television or audio equipment in their rooms. The deputy manager said that Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 17 residents were able to choose the colours for the décor of their room and the furniture, bed linen and curtains. Since the last inspection one bedroom has been fitted with new carpet. One room lacked curtains. The deputy manager said that the resident constantly removed the curtains or blinds provided and alternative methods for covering the window were being sought. Some residents have epilepsy monitoring equipment in their room. One resident showed the inspector her bedroom and said that she ‘really liked it’. One bedroom has en-suite facilities and the remainder are provided with a wash hand basin. The home has three bathrooms, which were clean and in good order at the time of the inspection. The home has a large lounge with a variety of comfortable sofas and chairs and a television. Dining areas are provided in the lounge and the domestic style kitchen. Patio doors lead from the lounge into the large enclosed garden. The garden has a lawn and patio area and one corner has been formed into a sensory garden. The deputy manager said that garden furniture had been purchased to allow sufficient seating for all the residents, as at present there is only one picnic table and seating. A room on the first floor is used as an office and at the time of the inspection this was being refurbished. Ramps and grab rails are in place as required around the home. The deputy manager said that some residents required epilepsy monitoring equipment in their rooms and this had been boxed in to prevent injury to the residents. Following discussion with a fire safety officer the homes’ fire extinguishers had also been boxed in to prevent residents moving them. At the time of the inspection all areas of the home looked clean. The laundry room was locked unless a staff member was present. Care plans indicated that residents are encouraged to bring their laundry to the room and were able to put washing into the machines when supported by a staff member. Staff receive training in infection control and disposable gloves and aprons were readily available for staff. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 34 and 36 Residents’ benefit from staff with clear roles and responsibilities who work as an effective team. Residents are protected by the homes’ robust recruitment policies and procedures. EVIDENCE: Personal files seen for three staff members contained clear job descriptions and information was available on the responsibilities of the senior support worker and key workers. The home has policies and procedures in place for the recruitment of staff. Records seen for three staff members contained all the information required including proof of identity, two written references and Criminal Records Bureau checks. The home employs a registered manager, deputy manager, two senior support workers, five support workers and a domestic. Agency staff are employed to cover staff shortages, sickness and annual leave. The deputy manager said that every effort is made to employ agency staff who have worked at the home previously and who are known by the residents. An agency carer working at the home on the day of the inspection was familiar with the home and the needs of the residents. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 19 Two staff members spoken to during the inspection, commented on the team spirit at the home and both enjoyed working there. The two support workers spoken to during the inspection had received training in communication in autism and the Makaton method of communication used by residents at the home. Staff receive regular formal supervision from the registered manager. The supervision sessions are minuted and minutes were seen in the staff records sampled. Two support workers and the deputy manager said that they received support and encouragement from the registered manager. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39 and 42 Residents benefit from the open approach to management operated at the home and are able to voice their opinions regarding life at the home. The lack of clear records for fire drills could put residents’ safety at risk. EVIDENCE: The deputy manager said that the registered manager meets with other managers of Robinia homes and area managers at regular intervals and information from these meetings is cascaded down to the homes’ staff during staff meetings. The meetings are timed to encourage as many staff as possible to attend. The meetings are minuted and the minutes are made available to all staff. Records of the last meeting showed that a psychologist had attended to give advice relevant to the needs of the residents. Two staff members and the deputy manager said that they received support and encouragement from the registered manager, who operated an open door approach to management. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 21 Meetings are held for residents every four to six weeks. The deputy manager said that picture format was used to assist the residents to give their opinions and recent meetings had included discussions on decorating bedrooms and their wishes for evening activities. Comment cards received by the Commission from three residents, three relatives and a GP indicated that all were satisfied with the care provided at the home. During the inspection it was noted that hazardous substances such as cleaning fluids were stored securely. The kitchen was clean and in good order, with food stored appropriately and the temperatures of the fridge and freezer monitored and recorded. Records seen for fire drills did not clearly indicate the staff who had attended. The deputy manager said that staff had attended fire drills but the records had not been completed. It is a requirement of this inspection that records are maintained and kept available at the home at all times. Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Déjà Vu Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 23 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 YA 1.2 Regulation 4 (1)( c ) Requirement The registered person must ensure the statement of purpose and service user guide provide information regarding staff qualifications. The registered person must ensure records are maintained for all staff attendance at fire drills and the records must be kept available in the home. Timescale for action 31/09/05 2. YA 42.2ii 23(4)(e) 31/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 24 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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 Déjà Vu H54 S11567 Deja Vu v223854 070705.doc Version 1.30 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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