Inspection on 24/04/07 for Estoril

This inspection was carried out on 24th April 2007.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Estoril 07/04/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Willow House Wonston Road Southminster Essex CM0 7FE Lead Inspector A Thompson Key Unannounced Inspection 24th April – 31st May 2007 09:45 Willow House DS0000062412.V330535.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 Willow House DS0000062412.V330535.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. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Willow House Address Wonston Road Southminster Essex CM0 7FE 07905 945502 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) Zero Three Care Homes LLP Manager post vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 5 persons) 16th August 2005 Date of last inspection Brief Description of the Service: Willow House is a fully detached, domestic style, two-storey house, situated in a quiet residential area of Southminster. The property is fully in keeping with other properties around it. The home is registered for five residents, all accommodated in single rooms on the ground and first floors. On the ground floor there is one communal lounge/dining room with adjoining conservatory at the rear on the home. There is also a smaller lounge at the front. The enclosed rear garden was accessible to residents and was well maintained. Visitor car parking is provided at the front of the property and the home is approximately a quarter mile from the village centre, which has local bus services and a railway station. Regular community access is mainly provided to residents by the use of a vehicle based at the home. Fees were reported as ranging from £1829.10 to £1906.73 . CSCI inspection reports can be obtained from the home, or via the CSCI internet website. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection commenced on Tuesday 24th April 2007, with a second announced visit occurring on 23rd May 2007 to continue the process of checking care plans, records, polices and procedures. The content of this report reflects the inspector’s findings on the days of the inspection along with information provided by the service and feedback by service users, relatives, staff and other parties. Practice and procedures occurring after this inspection will be reported on in future inspection reports. Discussions were entered into with all five service users, and took place with the registered provider, the manager and two members of staff. Random samples of records, policies and procedures were inspected and a tour of parts of the premises and grounds took place. Residents spoken to were not able, because of their disabilities, to fully express any views of the service they received. There were no visitors available to speak with during this inspection, however CSCI questionnaires were left at the home so that relatives had the opportunity to make their views on the service known directly to the Commission. Completed forms later received stated that they were satisfied with the care & support offered by staff to service users, and with management & staff attitudes. Staff confirmed they were well supported by the management team. They also confirmed that they had been offered training opportunities appropriate to their roles. Twenty-five standards were inspected with only one resulting regulatory shortfall. Outcomes for residents relating to needs and choices were excellent, and good for all other outcome groups. What the service does well: The staff team displayed excellent understanding and experience of the support needs of the residents, including those who present behaviours that challenge. The home provides a domestic type environment fully in keeping with the local community. Staff support residents in access their local and wider communities on a daily basis. Willow House DS0000062412.V330535.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. The summary of this inspection report can be made available in other formats on request. Willow House DS0000062412.V330535.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 Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment format used for new residents was adequate for ensuring that initial perceived needs and aspirations were identified upon admission. Opportunities had been offered to new residents to flavour the home and routines before deciding to move in. EVIDENCE: All of the residents had been placed and funded by local authorities, who provided a full assessment of needs to the home before admission. In addition to this senior staff undertake a comprehensive assessment of needs for all prospective residents (self funded or public funded) prior to admission. Two completed assessments seen included taking account of an individual’s previous lifestyle, likes and dislikes around routines, choices and preferences, risks, background information, emotional need, physical health and wellbeing. Prospective new residents are encouraged to visit the home prior to making any decision on admission. Stays vary from half days with meals to overnight stays and weekend stays depending on the individuals needs and situation. During these visits prospective new residents meet with existing residents, staff and view accommodation on offer. New placements are on a trial basis. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported in progressing towards making decisions and improving independence, whilst taking account of perceived and identified risks. Care plans in place set out the resident’s daily and longer-term needs and goals, with the actions required towards meeting these. EVIDENCE: Three individual support plans were inspected. These documents contained comprehensive detailed information for staff on how to support individual service users. They included a personal profile with background and NOK information. A pen portrait and daily action plans broken down to AM & PM needs with headings of problems, goals, interventions and evaluation. Headings covered personal care, challenging behaviours communication, health, relationships, activities and self harm considerations. Staff follow care plans exactly as detailed to ensure consistency of approach towards behaviours. Evidence of this practice and consistency was seen during the inspection. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 10 Support care plans had been regularly reviewed internally, on a monthly basis. These involve the company Psychologist and the manager. Reviews cover risks, support and behaviours. Evidence was also seen that care plans had been updated after these reviews. The placing authority is also responsible for calling a full annual review meeting including the residents’ relatives, social worker/care manager, named nurse, appropriate specialist professional support and staff. Staff spoken with displayed full understanding of the care planning process, and confirmed they were included in reviews and evaluations. Separate individual risk management plans were also seen, these covered identified risks in the home, outside the home and when using transport. Residents spoken with were not able or willing to express an opinion as to whether they regarded that they are fully included in day to day decision making within the home. However from observation and from reading assessments and support plans the inspector is of the opinion that they would not take part in any activity if they did not wish. Throughout the inspection staff were seen to offer choices to residents on outings and activities. Residents past interests and preferences were clearly recorded in individual support plan files, and key workers are expected to spend 1-1 time with the residents to try to gauge responses to suggestions and ideas relating to all aspects of day to day living. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were supported in being an active part of the community. They are encouraged to exercise choice and independence within an assessed risk framework. Residents had regular opportunities to engage in activities and basic education. Menus offered variety according to preferences. Regular opportunities were provided for residents to maintain contact with their families. EVIDENCE: The manager confirmed that none of the residents living in Willow House are able to consider any form of paid or voluntary employment. Daily activities are individualised and recorded. Staffing ratios enable some 1-1 work with residents and activities were seen underway on both inspection visits. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 12 Recorded activities taken part in included: drives out in the home’s own vehicle, trips to cafes, outings, swimming, gym session, cinema, snooker, college, walks and beach trips. The manager advised that all residents will have an option this year to go on holiday (with 1-1 staff support). Indoor interests included, puzzles, music, videos and using the garden. Residents spoken with were unable/unwilling to express any verbal opinion regarding the activities and interests available to them, and full staff support was needed for all residents in accessing the community and its facilities. Some residents have regular contact with their relatives, which occurs mainly at weekends. Contact includes visits home, including overnight stays for one resident. The manager confirmed that staff do respect residents views and rights regarding who they see and when they receive visitors. Full support is needed for residents from management and staff with benefits/finance issues or problems. Staff enter residents bedrooms only with the individual’s permission, unless the welfare or well being of the resident is in question. Keys to private bedrooms are offered according to assessed risks. Currently no resident is able or chooses to hold the key to their room. Throughout this inspection staff were observed to interact appropriately with residents and appeared to always use the individual’s preferred form of address, the atmosphere in the home was supportive and positive. Nutrition records were inspected and evidenced a varied and balanced diet. Menus are flexible according to residents choices. Provisions are ordered weekly and agreed with residents. Some go to supermarkets with staff for small items. The manager confirmed that residents’ food preferences and likes/dislikes form the basis of menu planning. Relatives are also consulted with for background information on the residents preferences before moving into the home. Currently all the main meals in the home are prepared and cooked by staff due to assessed risks regarding resident involvement. The evening meal is the main cooked meal of the day and residents can choose to eat where they want and when they want, providing their nutritional needs are met and also taking account of perceived risks. Residents spoken with by the inspector did not confirm their views on the food provided. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Practices & procedures were in place to ensure that residents physical health needs were met. Residents required full support and guidance regarding medication. Residents were included in planning the daily support provided them. EVIDENCE: Care records and discussion with staff confirm that residents are fully supported in making their own choices around clothing styles, hairstyles and general appearance. Assessment records included preferences around rising and retiring times and full details of the levels of personal; care support required was also seen to be fully documented. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 14 Residents spoken with were unable or unwilling when asked to fully express a view as to the support provided them by staff. Residents’ care plans contain assessment of healthcare needs. The current resident group continue to require full staff support and guidance in recognition of their individual healthcare needs, and to access advice from the facilities and services in this area. Consultation with GPs and visiting nurses is always undertaken in private. Residents regularly visit community based healthcare services including consultant psychiatrists and dentists. A dentist will also visit the home to provide treatment. Residents’ healthcare needs were recorded within individual care plans and updated in the daily care notes. All residents currently accommodated require full staff support with their medication needs. The current resident group, in the opinion of the inspector, did not appear to have a full understanding or awareness of the medical reasons for medication regimes prescribed to them. The manager confirmed that if residents refused medication then advice and encouragement is offered to them to understand the reason for the prescribed dosage. Written protocols were in place to ensure that staff all follow the same prompting procedure for each resident. The home’s written medication procedure/policy was seen. This document states internal policies on the storage of medicines and of administering prescribed dosages and staff training. Full records are maintained of reordering and returns of unused medication, these were available for inspection. Only trained staff deal with medication. In-house training had been provided to staff regarding medication specific to the residents accommodated, this included a written competency assessment, copies of these were seen. The new manager has changed the pharmacist which has resulted in a new type of procedure for storing and administering medication in the home. Training had been provided to staff on the system before it was introduced. A random sample of medication administration records and stocks of current medication were inspected no errors were found. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s complaints procedure allowed for residents and relatives to raise any concerns or areas of dissatisfaction with the service. The home’s adult protection policies, procedures and practices were aimed at ensuring residents welfare. EVIDENCE: The home’s written complaints procedure included the details of who may complain with the expected response from the manager/proprietors and details of timescales for response. The contact address of the Commission for Social Care Inspection local office was also included and full records are maintained of any complaints received and of the outcomes of investigations. Records indicated that there had been one complainant since the last inspection. Evidence was seen of appropriate verbal and written responses by the home and included a summary of the complaint, actions and outcomes. The policy on the protection of residents had details on types and indicators of abuse and guidance to staff on how to respond if abuse suspected. There was also a written “whistle blowing” policy which detailed staff’s responsibilities to take action if they had any concerns that residents had been mistreated. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 16 Staff had been given POVA (abuse) training and the Essex Vulnerable Adults Protection Committee guidance booklets were in place. The manager advised that further training was planned for 2007. Staff have also received training in the recognition of, and appropriate response to, aggressive behaviour. Staff spoken with said they had been trained on POVA issues and knew what to do if any abuse was suspected. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Furnishings in the home looked comfortable and all areas of the premises seen were very well maintained. Private accommodation was comfortable and suited to needs and preferences. EVIDENCE: Furnishings fittings and adaptations were of domestic design and fully appropriate to the behaviours and needs of the residents accommodated. All areas of the home inspected were considered to provide a spacious and practical environment to meet residents needs/behaviours. The building is fully in keeping with neighbouring properties and has a medium sized garden, which is accessible to residents. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 18 Private bedrooms seen were considered tastefully furnished and decorated. Residents involved in choosing styles and colour schemes when their rooms are re-decorated. Residents are provided full opportunities, where appropriate, to personalise their rooms to their own tastes and requirements. Rooms seen included various items of personal possessions according to individual tastes and identified needs. Access to the use of a private telephone is provided by the use of a cordless telephone to receive incoming calls. Bathroom facilities and toilet facilities are provided on both floors of the home. There were two bathrooms (one with separate shower) and one shower room available for residents’, all have wcs. The laundry was fitted with domestic type washing machine and tumble dryer. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were provided good training opportunities to equip them with the skills for their role. Staffing numbers and experience provided appropriate support to residents. Recruitment practices and procedures in the home were aimed at ensuring the protection of residents EVIDENCE: Staff training records were seen, recent training offered to staff had included: first aid, epilepsy, food hygiene, induction standards, challenging behaviour, manual handling, abuse, LDAF, autism, sensory integration, health & safety, medication and physical restraint. Full records were not available to confirm that Skills for Care approved induction training had provided to all new staff employed since the last inspection. There is a statutory requirement in this report relating to this shortfall. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 20 The support care staff team numbered eight, three have achieved NVQ level 2 awards, with the manager advising that the remaining staff due to commence this training week commencing 2/7/07. Evidence of progress on this will be checked at the next inspection. Staffing rotas seen recorded that minimum staffing provided was three support workers on duty daytime shifts up to 2000 hours, however very often there was a fourth member of staff on during the day. Night shifts showed a minimum one awake worker and one asleep on call in the home. The manager is supernumery Monday to Friday. Recruitment records were inspected on two staff employed in 2006. Application forms were in evidence, along with two references, CRB checks had been actioned, copies of proof of identity held and photograph obtained. Staff spoken with confirmed that contracts and conditions of service are issued to them and they had police checks when they started working at Willow House. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,41,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had been run competent and effectively. Procedures for gaining the views of stakeholders were in place and had been implemented. Records required by regulation were in place and up to date. The home was safe and very well maintained. Willow House DS0000062412.V330535.R01.S.doc Version 5.2 Page 22 EVIDENCE: The acting manager had only been in post for a few weeks prior to this inspection. She advised she expects to apply for registration with the Commission in the near future. Her experience in care amounts to over 14 years, she has a management qualification and NVQ 3 in care, and has enrolled on the registered manager award. Quality assurance is included within the proprietors regular visits to the home, with a report compiled once a month. Areas assessed included conduct & management, care of residents, complaints, concerns and allegations, staffing, environment and accidents. Random samples of records required to be kept were inspected. These included: complaints, regulation 26 reports, cash held for safekeeping, staff recruitment, nutrition records, staffing rotas, care plans and assessments, medication, visitors and, fire drills. Staff had received training in first aid, food hygiene, infection control, fire safety & health & safety. Hot water supply in the home is regulated at a temperature of or near to 43 degrees celsius. Records had been kept of manual checks on the hot water temperature supply, these were seen. A monthly health and safety assessment is also carried out in the home, records of this process were also seen. Records confirmed that gas equipment, portable electrical appliances, electrical installation, fire alarms and equipment had been tested, and there was a premises risk assessment in place. The gas test was due for renewal in June 2007. Willow House DS0000062412.V330535.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 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 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 3 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 3 3 X Willow House DS0000062412.V330535.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. 1 Standard YA35 Regulation 18 Requirement Records must be available for inspection to confirm that all new staff receive induction training based on the Skills for Care syllabus. Timescale for action 30/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Willow House DS0000062412.V330535.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: 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 Willow House DS0000062412.V330535.R01.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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