Inspection on 15/08/06 for Drummonds

This inspection was carried out on 15th August 2006.

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

Drummonds 11/07/07

Drummonds 25/11/05

Drummonds 20/05/05

Drummonds 16/11/04

Drummonds 21/04/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Drummonds The Street Feering Colchester Essex CO5 9QJ Lead Inspector Ray Finney Draft Unannounced Inspection 15th August 2006 09:45 Drummonds DS0000017806.V308449.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 Drummonds DS0000017806.V308449.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. Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Drummonds Address The Street Feering Colchester Essex CO5 9QJ 01376 570711 01376 570580 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) SCOPE Mrs Sheila Oldham Care Home 46 Category(ies) of Learning disability (46), Learning disability over registration, with number 65 years of age (6), Physical disability (46), of places Physical disability over 65 years of age (6) Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, under the age of 65 years, who require care by reason of a physical disability who may also have a learning disability (not to exceed 46 persons) Six persons of either sex, aged 65 years and over, who require care by reason of a physical disability who may also have a learning disability, whose names have been made known to the Commission The total number of service users accommodated in the home must not exceed 46 persons 25th November 2005 Date of last inspection Brief Description of the Service: Drummonds is a large purpose built home, which is divided up into smaller units within the main building each providing kitchen, dining and sitting areas. There is a bungalow in the grounds that can accommodate three people and there is also a self-contained flat. Drummonds provides a residential service for younger adults and older people with physical disabilities and other needs associated with cerebral palsy. The service offers a wide range of facilities to meet the needs of service users in the home and to support them in the local community. The manager and staff work with the service users to encourage and enable them to lead individual and fulfilling lifestyles. Information about the service may be obtained by contacting the manager. The home charges between £560.00 and £1,435.48 a week for the service they provide. This information was given to the Commission in April 2006. Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to compile this report. The manager provided information in a Pre-inspection Questionnaire. Documentary evidence was examined, such as staff rotas, menus, service users’ care plans and staff files. Completed surveys were received from relatives of service users and health care professionals. Overall comments received from relatives are complimentary: “extremely well looked after and is very happy”, “the home is clean, happy and welcoming”, “we really appreciate all the efforts of the staff”, “care is exemplary” and “service users are well cared for”. One relative said that “on the whole” they were satisfied but would like to see their relative’s key worker in the same group. A visit to the home took place on 27th June 2006; this included a tour of the premises, discussions with service users, members of staff and the manager and observations of interactions between service users and members of staff. On the day of the inspector’s visit the atmosphere in the home was lively and welcoming and the inspector was given every assistance from the registered manager, Sheila Oldham. What the service does well: Drummonds provides a comfortable environment for service users, service users’ bedrooms reflect individual tastes and show evidence of a variety of personal items. The home welcomes visitors and encourages service users to maintain contact with families and friends. Service users care plans are of a high standard and contain ample detail to ensure staff provide care in a way that meets service users needs and wishes. The care plans also make good use of pictures and symbols. The home meets the personal and healthcare needs of service users and ensures relevant healthcare professionals are consulted where appropriate. There is an excellent programme of activities, both educational and recreational, tailored to meet the individual needs of service users in the home. Drummonds ensures service users are supported by well-qualified and welltrained staff. Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 6 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. Drummonds DS0000017806.V308449.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 Drummonds DS0000017806.V308449.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures service users are admitted on the basis of a full assessment. EVIDENCE: On the day of the inspection visit the manager discussed the assessment process with the inspector. The information provided shows that the manager has a good awareness of assessment and the documentation around the process is appropriate. Three service users’ records examined show comprehensive assessments of needs are in place. There is evidence of input from health professionals such as Speech and Language therapists around communication, Occupational Therapists around equipment required to assist with tasks of daily living and physiotherapy assessments. There is good evidence that individual needs being assessed are linked to care plans. Drummonds DS0000017806.V308449.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs and goals are reflected in their Individual Plans. Service users are supported to make decisions about their lives. Service users are supported to take risks within the limitations of their capacity to understand. EVIDENCE: These standards were all met when last looked at and further evidence examined at this inspection visit shows that the home continues to provide a good standard of care, taking individual needs and choices into account. A sample of three service users’ records was examined and all contain detailed information about the individual needs of service users. Photographs are widely used throughout the care plans, which are particularly useful for showing the correct use of specialist equipment. All records examined have Health Action Plans. One plan has well documented and clear information Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 10 about the service user’s specialised needs around nutrition. Although there is a standard format for the care plans, this has been developed and ‘tailored to fit’ individual service users. This ensures care plans are individual and person centred. There is evidence in the records examined that reviews are carried out on a regular basis and care plans are also reviewed. The manager and other staff spoken with demonstrate a high level of awareness of service users’ needs. The home has a set of “Quality of Life Standards” that has been produced with service users. These standards ensure that service users rights, needs and wishes are identified including choice, control, personal care, taking risks, confidentiality, dignity & respect, individual choice and the right to be informed in a way that the service user understands. Service users spoken with said that they are able to make choices about things like holidays, activities and food. Service user meetings take place and service users feel that they are involved in making decisions about their lives. Discussions with the manager show that the home supports service users to access advocacy services. Service users’ records examined contain comprehensive risk assessments; one risk assessment made use of pictures and graphics to make it more accessible for someone with learning disabilities. The manager and staff spoken with demonstrate a good awareness of the process of assessing and minimising risk. Drummonds DS0000017806.V308449.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to take part in a range of age, peer and culturally related activities and are part of the local community. Service users are supported to maintain appropriate relationships. The home ensures service users’ rights are protected. Service users are offered a varied and healthy diet that they enjoy. EVIDENCE: Currently there are no service users living in the home who are able to access paid employment because of their complex needs. However, the home supports service users to take part in a wide range of activities. Care plans examined contain photographic evidence of activities such as cooking, bowling and gardening. There is evidence of a good programme of leisure activities Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 12 taking place within the home, including arts & crafts, music, computer courses, sensory room, aromatherapy, bible studies and remote control cars. There is a computer room with a number of computers so that all service users who wish to can make use of this facility. Links with the local college provides courses on dance/sport, gardening, drama, communication, ’Speaking for Ourselves’ and Cultural Studies. On the day of the inspection visit activities were taking place with a tutor from the local adult education college. Information received in the Pre-inspection Questionnaire shows that the activities programme is facilitated by the activities co-ordinator in conjunction with a team of overseas volunteers. As at the last inspection, there is evidence that service users access the community through a variety of leisure and educational activities. Community activities taking place include ten-pin-bowling, football, swimming, snooker, Gateway Club, ice-skating and visits to pubs, restaurants, cinema, theatre and concerts. Holidays for service users are identified through the care planning process. Overall both the activities offered within the home and access to local community facilities is excellent and exceeds the national minimum standards. Records examined show that relatives of service users are consulted and involved in care planning. There is clear evidence that service users are supported to maintain family links and personal relationships. One relative responded “we have always had a good relationship with all staff at Drummonds” another that they are “kept up to date” with all treatments, holidays etc. One service user spoken with was supported to get married. Observations of staff interactions show that service users rights are respected; staff do not enter private rooms without knocking first and bedroom doors are lockable. Some service users have two rooms, one that they can use as a bedroom and the other as a living room so that they can have some personal space. Samples of menus were provided with Pre-inspection documentation and show that a variety of food is offered. The arrangement of different groups with their own kitchens enables cooks to tailor meals to the wishes of individuals. Meals prepared during the inspection visit were seen to be well planned and contained a variety of fresh vegetables and fruit. Service users with specific needs around eating receive individual one to one support. As previously reported, one service user care plan examined shows well documented and clear information about the service user’s specialised and individual needs around nutrition. Drummonds DS0000017806.V308449.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures service users receive personal support in the way they require and their physical and emotional needs are met. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Service users spoken with confirmed that they are able to make choices in their daily lives. The way service users prefer to receive personal support is well documented in their care plans (see evidence for standard 6). Choices around getting up and going to bed are respected. Staff rotas examined show that there is a mixture of male and female staff on duty so that personal care may be provided by a member of staff of the same gender as the service user. Records examined show that the home provides a good standard of care in relation to service users healthcare needs. As previously reported, all service users are registered with local General Practitioners and are supported to Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 14 access healthcare facilities. One relative commented that they were pleased with the aromatherapy treatment being provided. Care plans contain relevant information about prescribed medication. The home operates a monitored dose system. Medicine Administration Record (MAR) sheets were examined on the day of the inspection visit and are completed appropriately, although the system could be improved by ensuring that individual service user’s sheets are separated by dividers containing photographs of service users. This was discussed with the manager on the day of the inspection visit and the improvements are to be carried out. At the time of the inspection visit there were no controlled drugs in use. Staff receive training on the Safe Handling of Medicines and Care of Medicines (Advanced). Medicines are stored in lockable cabinets in the group areas. Drummonds DS0000017806.V308449.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident their views are listened to and acted on. Arrangements are in place to help protect service users from abuse, neglect and self-harm. EVIDENCE: The home has a comprehensive Concerns and Complaints policy in place that was reviewed in October 2005. The policy contains timescales for responding to complaints and information about how to contact the Commission for Social Care Inspection. In the past 12 months there has been one recorded complaint, which was dealt with appropriately. There is a copy of the complaints procedure displayed in the home. Service users are made aware of how to raise complaints at service users’ meetings. The home has Adult Protection policies and procedures, which were last reviewed in September 2004. There is also a Whistle Blowing policy that was reviewed in November 2005. Discussions with the manager demonstrate a good awareness of responsibilities around protecting vulnerable adults. There has been one incident between service users that has been referred through the Protection of Vulnerable Adults procedure. The home responded appropriately and all relevant parties including Social Services, the Commission for Social Care Inspection and relatives were informed promptly. Documentation around the incident is clear and comprehensive and a service user review is in progress. Records examined show that staff have received Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 16 training around Adult Protection and further training is planned as part of the home’s ongoing staff training and development plan. Drummonds DS0000017806.V308449.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms promote their independence. The home is clean and hygienic. EVIDENCE: On the day of the inspection visit the inspector was accompanied on a tour of the premises by the manager and a service user. Furnishings throughout the home are domestic in nature and of good quality. There is plenty of space to accommodate wheelchair users and, although the home is large, the way it has been ‘sub-divided’ into group areas ensures it retains a homely feel. There is a programme of refurbishment being carried out. Some flooring has already been replaced and evidence was seen of dates that have been booked for replacement of other carpets throughout the home. This work was due to be completed in the month following the inspector’s visit. The manager also provided evidence of a programme to replace and update the bathrooms Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 18 throughout the home. The kitchen in group 2 has been replaced. Decorating was seen to be in progress during the inspection visit. Service users’ bedrooms examined all reflect individual tastes and contain ample evidence of personal possessions. As previously reported, some service users have two rooms and use one as a bedroom and the other as a private living room. During the tour of the premises, cleaning was being carried out throughout the home and there are no unpleasant odours. The laundry contains appropriate washing and drying facilities and since the last inspection visit the flooring in the laundry area has been replaced. There are appropriate hand washing facilities and the home has policies and procedures around infection control to ensure the protection of service users. Drummonds DS0000017806.V308449.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are supported by competent and qualified staff who receive appropriate training. Service users are supported by an effective staff team. Service users are protected by the home’s recruitment policy and procedures. EVIDENCE: During the inspection visit, a staff induction programme was taking place for six newly recruited members of staff. The manager and administrator provided evidence about the induction process, the new Skills for Care Induction standards and the Learning Disabilities Awards Framework (LDAF) programme that are being implemented. Currently there are three members of staff who are being trained as National Vocational Qualification (NVQ) assessors. This will enable the home to offer members of staff a seamless progression through the training process from induction through NVQ. Information provided in the Pre-inspection Questionnaire and records examined show that 50 of care staff hold NVQ awards at level 2 or above. Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 20 Information provided in the Pre-inspection Questionnaire and staff rotas examined show that staffing levels are calculated using the Residential Forum for care homes and staff-hours over and above those required are being provided. A comment received from a relative said that there do not always appear to be enough staff on duty. However, this was not seen to be the case on the day of the unannounced inspection visit, when there were appropriate staffing levels in evidence. The home has a robust recruitment procedure that ensures the protection of service users. Records examined contain appropriate documentation including references, Criminal Record Bureau (CRB) checks and required proofs of identity. The home has a training and development plan and, as at previous inspections, evidence was seen of individual staff training records. A wide range of training courses are provided by SCOPE including Basic Food Hygiene, Infection Control, Fire Safety, Disability Equality training, Adult Protection, Complaints, Effective Communication, the Principles of Care and Health & Safety in Care Homes. There are also a number of health related training courses provided, including Epilepsy, Administration of Suppositories and Pressure Ulcer Prevention. Drummonds DS0000017806.V308449.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well run and had policies and procedures in place to safeguard the rights of the service users. Service users views are taken into account through the Quality Assurance process. The home ensures the health, safety and welfare of service users are promoted and protected. EVIDENCE: The manager of Drummonds has a number of years experience and is qualified and competent to run the home. On the day of the inspection visit the manger demonstrated an excellent awareness of the needs of service users, the needs of staff and the running of the home. The manager was observed to carry out Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 22 her role with enthusiasm and confidence and her rapport with service users and members of staff is excellent. The home has a Quality Assurance system in place that is based on seeking the views of service users. As previously reported, the home holds service user meetings and each service user is given a booklet explaining what these meetings are about. The booklet is written in a ‘service user friendly’ format. Questionnaires have been devised for both relatives and service users. The home provided evidence that the health, safety and welfare of service users are promoted and protected. Records examined show that fire alarms are checked weekly, a full Fire Evacuation was carried out on 19th January 2006 and fire extinguishers and equipment was checked in March 2006 and certificates examined. Gas installation in both the main house and the bungalow were checked and records of this were examined. There was also evidence that specialist beds and baths are checked annually. The Health & Safety maintenance book was examined and regular checks are carried out on water temperatures. Drummonds DS0000017806.V308449.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 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Drummonds DS0000017806.V308449.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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