Inspection on 04/06/08 for Edensor Nursing and Residential Home

This inspection was carried out on 4th June 2008.

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

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

Edensor Nursing and Residential... 03/05/07

Edensor Nursing and Residential... 23/06/06

Edensor Nursing and Residential... 22/11/05

Edensor Nursing and Residential... 11/05/05

Edensor Nursing and Residential... 17/11/04

Edensor Nursing and Residential... 11/05/04

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Claremont House

Chesham House

Argyll House

Sun Court Nursing Home

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15 Bramble Close

Firstlings

Dolphin Court

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOMES FOR OLDER PEOPLE Edensor Nursing and Residential Home 3 - 9 Orwell Road Clacton on Sea Essex CO15 1PR Lead Inspector Neal Cranmer Unannounced Inspection 4th June 2008 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 DS0000015322.V366149.R02.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. DS0000015322.V366149.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Edensor Nursing and Residential Home Address 3 - 9 Orwell Road Clacton on Sea Essex CO15 1PR 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) 01255 423317 01255 423347 ptedensor@elderhomes.co.uk Elder (UK) Limited Mrs Pauline Thornton Care Home 66 Category(ies) of Dementia (26), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (46), Physical disability over 65 years of age (26) DS0000015322.V366149.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex aged 40 years and over, who require nursing care by reason of dementia (not to exceed 26 persons) Persons of either sex, aged 65 years and over, who require care by reason of a mental disorder, excluding learning disability or dementia (not to exceed 46 persons) Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 26 persons) 3rd May 2007 Date of last inspection Brief Description of the Service: Edensor provides nursing and personal care with accommodation for younger people with dementia and older people with mental illness and/or physical disabilities. Edensor is owned by a private organisation named Elder (UK) Ltd. The home is located in a residential area within walking distance from the centre of Clacton upon Sea. The home was opened in 2002 and consists of a three-storey building. There are 34 single bedrooms and 16 double bedrooms. There is a passenger lift. The home has gardens to the front of the property and a secure courtyard garden that is accessible to wheelchair users. Edensor is accessible by road and rail and the nearest station is in Clacton on Sea. Parking is available in the small car park and adjacent road. The fees range is from £383.04 to £450.00 per week for residential residents, for those with nursing needs it is £484.04 to 650.00 per week. Additional charges apply for chiropody, toiletries, hairdressing and newspapers. This information was provided by the home’s registered manager over the telephone during a conversation on the 25th of June 2008. DS0000015322.V366149.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. This report follows a key unannounced inspection of the home, which took place on the 4th June 2008. And has been written using accumulated evidence gathered prior to and during the site visit, including the homes (AQAA) Annual Quality Self Assessment. This inspection included discussions with residents, the registered manager and members of the care team. Five resident’s surveys were returned, and feedback and comments from these are included within the main body of this report. A tour of the premises was undertaken during the course of the inspection, which included viewing of residents’ rooms, bathing and toilet facilities, communal areas and gardens. A range of records were sampled, and were found to be in order. What the service does well: The manager undertakes a good pre-admission assessment, which helps to ensure that resident’s needs are met by the team at the home. Residents and relatives are generally happy with the standard of care and services provided by the team at the home and feel that it has continued to improve significantly since the appointment of new manager. The healthcare needs of residents are met and the meal provision at the home is good. Residents responses regarding meals included: ‘nice, get enough, and get a choice of at least two meal’ and ‘ good, ample, nice and get plenty’. Complaints are dealt with by the manager objectively, and the manager has an open approach. Staff training in the home is generally good and continues to improve. The staff team is stable and turnover is low. Recruitment practices for new staff are sound. DS0000015322.V366149.R02.S.doc Version 5.2 Page 6 Discussion with residents of the home indicated a positive view about the home, and the standard of cleanliness. The home continues to provide care and support in an environment that is homely, and maintained to a high standard; residents spoken with were complimentary about the rooms provided, as well as the general condition of 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. The summary of this inspection report can be made available in other formats on request. DS0000015322.V366149.R02.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 DS0000015322.V366149.R02.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): 3. Standard 6 was not applicable to the service and was therefore not inspected. Quality in this outcome area is good. People who may use the service can expect their needs to be assessed prior to a service being provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All pre-admission assessments are undertaken by the home’s registered manager or a qualified member of the nursing team designated to do so. Those assessments reviewed were fully completed and provided information on the physical, mental and social care needs of prospective residents. Assessments where appropriate were supported by nursing needs assessments, and assessment information from social services. DS0000015322.V366149.R02.S.doc Version 5.2 Page 9 An admission of a new resident being admitted into the home was observed on the day of the inspection, which showed that staff were very friendly and welcoming, and that the admission took place in a relaxed way. The resident and members of their family were seen to be provided with refreshments, and were escorted to a quiet place to discuss any matters. The home does not provide intermediate care therefore standard six was not inspected as part of this inspection. DS0000015322.V366149.R02.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): 7, 8, 9 and 10. Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five care plans were case tracked, all of which were detailed and provided information regarding residents personal wishes for example how they liked to be referred to. The care plans provided staff with clear guidance about how to support residents, and there were care plans in place regarding personal care, dietary needs, communication, mobility and dexterity. Discussion with staff indicated that they were actively involved in developing care plans, and that they had a good knowledge regarding residents needs. DS0000015322.V366149.R02.S.doc Version 5.2 Page 11 All of the care plans reviewed contained daily records relating to the care plans, and all of those seen were reviewed on a monthly basis. All five of the residents surveys returned confirmed that residents always receive the care and support that they required, one stated ‘I can always speak to the staff when I get anxious’. There was evidence of good and detailed risk assessments being undertaken, which covered a wide range of subject matter, including manual handling, nutritional screening and pressure areas. Staff at the home use an assessment tool with regard to the risk of pressure sore development, and the home’s AQAA states that the home has access to a wide range of pressure relieving equipment. All of the resident’s are registered with a General practitioner, and all five of the care plan files sampled contained record sheets of visits made by General practitioners, which included the date of the visit, the reason for the visit, the outcome of the visit, and the signature of the member of staff completing the record. Other healthcare records seen indicated input and access to hospital out patients appointments, visits from chiropodists, dentists and opticians. Letters seen evidence that residents were accompanied by a member of staff or their relative when attending out patient appointments. The home’s medication administration system is a combination of Measured Dosage System (MDS) and bottle to mouth. Medication is only dispensed by qualified nurses to those residents who have nursing needs. Care staff are permitted to administer to residential residents, although only upon completion of training. There is a qualified nurse on duty in the home 24 hours of the day The home does maintain medication that is of a controlled nature and this was seen to be appropriately stored and recording records kept were all in order. All of the routine administration records sampled were in order, and there was no evidence seen of any gaps or omissions. There was a small fridge available in the medication room for the storage of medicines that needed to be kept refrigerated. A medication disposal system was in place and dates of opening are noted on individual medications. Interactions between residents and staff were seen and heard to be respectful and friendly. All five of the resident’s surveys that were returned confirmed that staff always listened to and acted upon what they said, and that staff were always available when they needed them. DS0000015322.V366149.R02.S.doc Version 5.2 Page 12 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): 12, 13, 14 and 15. Quality in this outcome area is good. People who use the service are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs a full-time activities co-ordinator who works five days a week. Discussion with the co-ordinator indicated that a variety of in-house activities are provided including: bingo, playing skittles, hoopla games, playing card games, playing board games, and coffee mornings are also arranged and one was taking place on the day of the site visit. During clement weather the co-ordinator supports residents to go out for walks along the sea front or to go shopping into town Other external activities included trips to the theatre and occasional meals out. I addition a lady attend the home every two weeks to provide residents with an opportunity to take part in an exercise class. DS0000015322.V366149.R02.S.doc Version 5.2 Page 13 The co-ordinator kept records of activities that residents took part in, which included reference to what the resident felt they had got out of the activity. The co-ordinator spoke of also providing one to one sessions for people who were unwell or temporarily bedridden. Evidence was seen of activities being provided displayed on the home’s notice board. The activities co-ordinator felt that they were provided with all of the necessary equipment that they needed to carry out their role. Service users surveys confirmed that the home does provide a range of activities that residents can take part in, and discussion with residents indicated that they enjoyed the input they received from the co-ordinator, all spoken with felt that it made a real difference to their day. The routines of the home are resident led as far as possible. Personal preferences regarding rising times, care preferences and individual abilities were seen in care plans. The home has an open door policy on receiving visitors and those spoken with said that they were always made to feel welcome in the home. The home operates a five weekly rotational menu, which was seen to provide residents with two choices at each mealtime, the menus seen were varied and nutritious, and residents’ spoken with said that the ‘food was nice and that they received ample portions’ ‘excellent, can’t complain at all, get sufficient’. The home employs two cooks, who between them cover seven day’s a week, and they are supported on each shift by kitchen assistants. Discussion with one of the cooks indicated that the kitchen is well stocked and equipped, and that they had everything they needed to carry out their role. The lunchtime meal was discreetly observed, and the meals provided were seen to be pleasantly presented and looked appetising. A number of resident’s were seen to require their meal in a pureed form. These meals were observed to be individually presented. Residents’ requiring assistance with their meal were seen to be supported on a one to one basis. There were ample staff in proximity of the dining room to support residents during the meal, and the meal was seen to be taken in a relaxed and pleasant atmosphere. DS0000015322.V366149.R02.S.doc Version 5.2 Page 14 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): 16 and 18. Quality in this outcome area is good. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, which ensures that their concerns are acted on. And are furthermore protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure in place, which included all of the necessary information, however it was noted to be in need of updating as it still included the contact details of the previous regulator. There had been four complaints received by the home since the previous inspection, all of which had been recorded by the registered manager. The record relating to the complaints received included the following details: the date of which the complaint was received, the name of the person making the complaint, who the complaint was made to, whether the complaint was written or verbal, the nature of the complaint, the investigation undertaken and the actions resulting from the complaint. The indications were that complaints received were appropriately received and dealt with by the registered manager. DS0000015322.V366149.R02.S.doc Version 5.2 Page 15 All of the resident’s surveys that were returned indicated that residents were aware of whom to speak to if they wished to make a complaint. Comments received from residents said that if they felt the need to complain they would direct their concern directly to the registered manager. The home’s AQAA states that all residents are informed about the complaints procedure, and would be fully supported by staff in making a complaint. It goes on to state that all staff are trained in adult protection. The home had in place a comprehensive policy on adult protection, which included a policy on whistle blowing. The policy included details of how and to whom allegations of abuse should be reported. Indications from discussion with staff as well as sampling of the home’s training matrix indicated that all staff with the exception of two new employee’s had received training in adult protection. DS0000015322.V366149.R02.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): 19 and 26. Quality in this outcome area is good. The physical design and layout of the home enables people to live in a safe, well-maintained and comfortable environment, which encourages them to maintain their independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A partial tour of the premises was undertaken, reviewing all communal areas and a number of bedrooms, at random. The home was found to be clean and tidy with no evidence of any unpleasant smells or odours. Communal areas and bedrooms were seen to be in a good state of repair, and evidence was seen in those bedrooms visited of resident’s having their own personal possessions about them. DS0000015322.V366149.R02.S.doc Version 5.2 Page 17 Residents and relatives spoken with were generally happy with the facilities provided by the home, and felt that the home was kept clean and tidy. Responses from resident’s surveys indicated that the home is always kept clean and fresh. The home’s laundry was seen to be fit for purpose, and was equipped with industrial style washing machines and dryers, and there was provision for staff to wash their hands. Resident’s washing is placed in individual laundry baskets, to minimise the risk of laundry becoming lost or mixed up. Discussion with the laundry assistant indicated that some residents’ collect their own laundry from the laundry room, for those who are not so able this activity is undertaken by staff. Residents were seen to be well dressed, which suggested that their clothing was well looked after. The laundry room when not occupied by staff is kept locked, to minimise any risk to residents’, and cleaning materials when not in use are stored in a locked shed outside of the laundry room or in a cupboard in the laundry room. DS0000015322.V366149.R02.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): 27 28, 29 and 30. Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the home’s registered manager indicated that a the time of the site visit the home had in residence forty-seven resident’s twenty-six of who had nursing needs, with the remainder requiring residential care support. Sampling of the home’s duty rota, as well as discussion with the registered manager and staff indicated that the home’s staffing levels are nine in the morning, made up of two qualified nurses and seven carers, with the afternoon shift covered by eight staff, made up of one qualified nurse and seven care staff. Night shifts are covered by five staff, made up of one qualified nurse and four care staff. In addition to the above direct care staff the home employs cooks, kitchen assistants, domestics and laundry assistants. DS0000015322.V366149.R02.S.doc Version 5.2 Page 19 Discussion with staff indicated that they felt that the staffing levels were currently adequate to meet the needs of the number of resident’s in residence. The home’s AQAA states that 80 of the staff employed in the home have a National Vocational Qualification (N.V.Q) at level 2 or above. This statement was supported by records sampled including the home’s staff training matrix, as well as through discussion with the registered manager and staff. The home’s staff recruitment practice was sampled through the viewing of staff recruitment files. All contained the necessary documentation to indicate that a robust recruitment practice was being operated including: Application forms, written references, criminal records bureau checks, and evidence of induction, supervision and training. Discussion with the registered manager, as well as records seen indicated that an external company has recently carried out a staff skills audit, to determine the skills and training that staff already have, and where shortfalls may exist. Individual copies of staff audits were seen on the staff files of those sampled. The home’s staff training matrix indicated that since the previous inspection the following staff training has been provided: Moving and handling, dementia awareness, fire safety, food hygiene and adult protection. Discussion with staff indicated that they felt that access to staff training provided by the home was good. DS0000015322.V366149.R02.S.doc Version 5.2 Page 20 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): 31, 33, 35 and 38. Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home is well qualified and experienced to run the home, and management at the home was at the time of the site visit stable. Resident’s, staff and relatives spoke positively about the manager, and their approachability. DS0000015322.V366149.R02.S.doc Version 5.2 Page 21 Discussion with staff indicated that staff turnover was currently low, and staff commented on how much more settled they now were as a team since the manager’s appointment. The home has a robust Quality Assurance system in place. The manager explained that they use a variety of techniques to get the views of stakeholders, including surveys, meetings with people in the home which take place every two to three monthly, records showed that the last meeting took place in October 2007. Sampling of the surveys sent out in September 2007 showed that the responses were generally excellent or good. Staff meetings are held regularly, the last one for qualified staff took place in June, and for care staff in April 08. Regulation 26 Visits were being carried out, but records showed that these were intermittent. The registered manage was reminded that these visits need to be undertaken by the registered provider or a representative of the organisation on a monthly basis, and reports from such visits must be provided to the home and made available during inspection. The home’s procedures for the handling of residents’ monies continue to be robust. Receipts are held for expenditure and records were confirmed by signature. The procedures were well adhered to and amounts held were confirmed as correct. Staff records examined confirm that staff have Health & Safety, infection control and manual handling training. Records indicate that the management team implement procedures well. The home’s AQAA indicates that appropriate maintenance checks are carried out throughout the home. Recording is good around relevant Health & Safety checks, including fire alarms, fire drills, safety equipment, water temperatures, fridge temperatures and maintenance of hoists. DS0000015322.V366149.R02.S.doc Version 5.2 Page 22 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 DS0000015322.V366149.R02.S.doc Version 5.2 Page 23 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. 1. Standard OP18 Regulation 13 Requirement The registered person must ensure that all staff receive training in adult protection, to ensure that resident’s are adequately protected. Timescale for action 31/08/08 2. OP33 26 Provision for monthly visits to be made to the home in line with Regulation 26 of the Care Homes Regulations must be made, and the home provided with reports of the outcomes of the above visits. This is to ensure that the home is managed appropriately and resident’s welfare is protected. 31/08/08 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 Good Practice Recommendations DS0000015322.V366149.R02.S.doc Version 5.2 Page 24 Standard DS0000015322.V366149.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 DS0000015322.V366149.R02.S.doc Version 5.2 Page 26 - 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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