Inspection on 17/05/06 for Farmhouse Residential Rest Home

This inspection was carried out on 17th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Farmhouse Residential Rest Home 13/05/08

Farmhouse Residential Rest Home 13/06/07

Farmhouse Residential Rest Home 12/10/05

Farmhouse Residential Rest Home 20/07/05

Farmhouse Residential Rest Home 09/02/05

Farmhouse Residential Rest Home 29/09/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Farmhouse Residential Rest Home Farmhouse Care Limited Talke Road Red Street Newcastle ST5 7AH Lead Inspector Norma Welsby Key Unannounced Inspection 17 May 2006 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 Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 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. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Farmhouse Residential Rest Home Address Farmhouse Care Limited Talke Road Red Street Newcastle ST5 7AH 01782 566430 01782 564424 farmhousecare@yahoo.co.uk 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) Farmhouse Care Limited Mr Sukhvinder Singh Kandola Care Home 21 Category(ies) of Dementia (3), Old age, not falling within any registration, with number other category (21), Physical disability (8) of places Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 2005 Brief Description of the Service: The Farmhouse is a private care home situated in Red Street in Newcastle. Mr Sukvinder Kandola and Mr Pargan Dhadda, who purchased the home in September 2004, own the home and operate under Farmhouse Care Limited. Mr Dhadda is the Responsible Individual. The home’s manager is Miss Rachel Straw who has recently been approved as the Registered Manager. The home is registered for 21 older people, 5 of whom may have a physical disability and 6 may be mentally frail. At the time of this unannounced key inspection the home was occupied by 20 residents including two older people on a short stay visit to the home. During this inspection, the Inspector made an assessment of the dependency of the residents and it was felt that current dependency levels are commensurate with the home’s Categories of Registration. There are 19 single bedrooms and 1 shared bedroom, occupied by a married couple. Communal facilities are located on the ground floor, consisting of a central lounge and diner, with adjacent kitchen and a smaller lounge at one end of the building. There is also a small designated smoking room. A shaft lift provides access to the bedrooms on the first floor and there is also a staircase. Since the change of ownership there has been a rolling programme of redecoration and refurbishment, which has improved standards and will continue to do so. There are plans to build a conservatory at the rear of the property that will improve the provision of communal space and the Inspector looks forward to receiving these details in the near future. Plans are also in hand to provide an enclosed safe garden, which will improve the home’s facilities and be of special benefit to residents during the summer months ahead. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Ms Norma Welsby, Lead Inspector, carried out this Unannounced Key Inspection between 9am and 6.30pm on the 17th of May 2006. The Inspector was very satisfied with the findings of this inspection and commended the management and staff for the improvements that have taken place during the past six months since the last inspection. Throughout the inspection, staff and residents provided helpful assistance and made a very positive contribution to the inspection process. What the service does well: What has improved since the last inspection? The most significant improvement since the last inspection has been the appointment and subsequent approval of a Registered Manager, Miss Rachel Straw. During the past 6 months Miss Straw has worked hard to promote better standards at The Farmhouse and along with her staff team have made very good progress in many areas. Care planning had improved since the last inspection, with a more thorough and cohesive approach taken to recording pertinent information and taking appropriate action. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 6 A Keyworker System had just been introduced and while it was too early to make a proper assessment of its success, the Inspector was impressed with the enthusiasm and commitment shown by staff and felt that this new approach could help consolidate and further improve good care practices in the home. The management and administration of medication had been reviewed following serious findings at the last inspection and during this inspection was found to be much improved. The staffing structure of the home, specifically the deployment of senior staff throughout the day, (8am –10pm), had improved and the Registered Manger intends to extend this provision to cover nighttime as soon as this is feasible. Staff morale and enthusiasm for doing a good job had noticeably improved and was observed throughout the day and apparent by the pleasant and relaxed ambience. 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. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 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 Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4. Standard 6 not applicable. Quality in this outcome area was assessed as adequate. This judgement was made using available evidence including a visit to the home, discussion with the manager, staff and residents along with a review of written material. EVIDENCE: The Statement of Purpose and Service User Guide have recently been amended and a copy provided to the CSCI. It was acknowledged that there was a need to ensure these documents were regularly reviewed and some improvements were also discussed. The Inspector advised that these should be on display in the home and copies provided to all new residents being admitted to the home. The Registered Manager takes the lead on all referrals and has established a thorough assessment and admission procedure. Senior staff are also involved in this process. As the recently introduced keyworker system is developed, their input will also become a essential part of the assessment and admission procedure. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 9 Once a decision has been made that the needs of the older person can be met at the home, the Registered Manager must confirm this in writing to them as detailed in Regulation 14 (1)d. While it was advised that all residents have a written contract/statement of terms and conditions with the home, these were not on the premises at the time of this inspection and could not be examined. The Inspector advised that all records pertaining to resident must remain on the premises and be available for inspection and a requirement was made about this finding. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9. Quality in this outcome area was assessed as good. This judgement was made using available evidence, including observations and discussions during the inspection day, by consulting a range of health care professionals prior to the inspection and by examining pertinent records kept by the home. EVIDENCE: Care plans have been improved since the previous inspection of the home last October. During this Key Inspection the Inspector examined a 15 sample of care plans. Each of these was found to be in a consistent and well organised format. Information was securely maintained and there was evidence of monthly reviews. Included in the information was details of likes and dislikes, a daily living plan, GP and district nurse involvement and a medication profile. The Inspector felt that more details were desirable in respect of social needs, which should be afforded its own section within the care plan document. The Inspector was satisfied that appropriate arrangements were in place to meet the personal and health care needs of residents. Observations on the day evidenced staff responding to the needs of residents in a caring and sensitive manner. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 11 Without exception residents were very well presented, with arrangements in place for hairdressing, eye, dental and foot care. Residents were registered with local GP practices and district nursing services and the Inspectors consultation with three of these services confirmed that they had no concerns and indeed felt that they worked well with the staff at The Farmhouse. The management and administration of medication had improved since the serious findings of the previous inspection. The Inspector examined the medication trolley, stock and MAR sheets as well as observing medication being administered at breakfast and lunchtime. Each of these areas were found to be satisfactory, with the exception of the storage of a controlled item which must be double locked at all times. There was just one resident who self-administered his insulin. There had recently been some changes in the arrangements for its storage, which was now being kept by the resident in his bedroom. While the Inspector supports the principle of this, the home has a responsibility to provide a lockable facility and this must be actioned as a matter of priority. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area was assessed as good. This judgement was made using available evidence gathered through observations and discussions during the inspection visit to the home and by consulting relatives prior to the inspection. EVIDENCE: The Inspector found that residents were able to develop personal daily routines suited to their needs and preferences. They were able to choose their rising and retiring times and could choose to spend their day privately in their own bedroom if they wished. The introduction of the keyworker system had led to further consultation with residents about particular preferences and it was envisaged that this was an area that would be further promoted as the keyworker system developed. Discussions with relatives, both prior to the inspection and during the visit to The Farmhouse, confirmed that they felt the home promoted choice and flexibility in its daily routines. However comments were also expressed that the provision of social care activities could be improved and several residents also echoed this on the day of the inspection. This information was fed back to the Registered Manger and suggestions were made as to how the home could embrace this aspect of care more effectively. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 13 All who were asked, including several residents, staff and visitors to the home, complimented the provision of meals. Menus have recently been revised and a range of alternatives had been introduced on a daily basis. During this inspection, the Inspector observed residents being consulted and alternatives provided. Observations were also made of residents being offered ‘seconds’ and encouragement being given to others to ensure they were taking an adequate diet. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area was assessed as adequate. This judgement was made using available evidence gathered during extensive consultations with residents and relatives. EVIDENCE: The Farmhouse has an established complaints procedure, which has recently been reviewed and improved. There is also a written whistle blowing procedure. Copies of both have been given to the Inspector. However when asked some residents and relatives were not sure of the procedure to follow in the event of having a complaint and the home must therefore make improvements in its communication of such important information. Both resident and relatives did say however that they felt staff were very approachable and would speak to the senior on duty if they had a concern or complaint. The policy and procedure in respect of protection from abuse has also been recently reviewed and the Registered Manager is aware of the procedures to follow in respect of Vulnerable Adults and the role of the Local Authority. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,23,25,26 Quality in this outcome area was assessed as adequate. This judgement was made using available evidence gathered during an inspection of the physical environment at this site visit. EVIDENCE: The Farmhouse presents as a comfortable and homely environment. Generally the home is maintained to a safe level, but improvements are needed to the décor and the external presentation. While there has been a gradual programme of improvements, there needs to be more robust approach taken to achieve good standards throughout. There remains a shortfall in the provision of communal space, which is to be addressed by the building of a conservatory attached to the dining area. An enclosed garden is also planned and which will be accessed from two separate areas in the home and which will provide an attractive and safe facility for residents to use. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 16 Throughout the period of this inspection many residents were observed using their bedrooms, rather than sitting in one of the two communal areas. Several residents told the Inspector that they preferred to spend most or part of their day privately in their bedrooms, and that they were able to make personal choices about this. Many bedrooms were visited during this inspection and while some were observed to be in need of redecoration, the Inspector found evidence of personalisation and comfort. The programme to cover radiators has continued and radiators in communal areas have been fitted with attractive wooden covers. A start has also been made in bathrooms/toilet areas, but this still needs completing along with all bedrooms, many of which have either unsatisfactory wire type guards or none at all. A requirement of the last inspection was that there must be risk assessments in place in respect of the shortfall in radiator covers, especially in bedrooms, and action prioritised and this must remain ongoing. The Inspector was told that work to complete this programme is planned as soon as the programme has been completed in the nearby sister home. During this inspection, the Inspector found the environment to be clean, hygienic and free from offensive odours. The Farmhouse employs a domestic assistant for 35 hours per week and good standards are maintained. When asked, both residents and relatives confirmed their satisfaction of the standards of cleanliness and hygiene in the home, feeling that this was consistently good. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29. Quality in this outcome area was assessed as good. This judgement was based on evidence gathered during an examination of records, consultation with the Registered Manager and observation of staff on duty. In addition three care staff were interviewed and two more consulted during the inspection visit. EVIDENCE: Total staffing hours provided at The Farmhouse are as follows: Care hours 434 (including 98 senior care hours, 196 care assistant hours and 140 waking night care assistant hours) Catering hours 35 Domestic hours 35 In addition the Registered Manager works full time hours. The above provides for three carers on duty from 8am – 10pm each day, including a senior carer leading both shifts and then two waking night care assistants from 10pm – 8am. There is just one night when a Senior Carer is on duty, but the Registered Manager intends to provide cover throughout the entire week as soon as this becomes feasible. The Registered Manager works mainly office hours Monday to Friday, but is very flexible in her approach and has worked a variety of hours. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 18 For example on the day of this unannounced inspection a senior carer meeting was planned for 6pm and both the Registered Manager and Responsible Individual were attending. Staff training in respect of NVQ has progressed well, with 6 more staff due to start NVQ level 3 and 3 staff starting NVQ 2. Once these staff have completed these courses, all care staff with just one exception will have at least NVQ level 2 with 50 holding NVQ 3. When asked staff told the Inspector that they were enthusiastic about pursuing further training and felt that this would equip them to further improve practice and standards in the home. The Registered Manager has also undertaken an audit of mandatory training and has commenced a programme to ensure all staff are up-to-date. Other training opportunities have also been provided or are planned, including First Aid, Medication, Communication and Dementia Care. During extensive discussions with staff the Inspector was very satisfied with their knowledge and commitment. Staff demonstrated a caring and professional approach to their responsibilities and role in the home and the Inspector was aware of a better sense of commitment and enthusiasm to achieving high standards. Recruitment procedures have been improved and this was evidenced during discussions with a newly appointed member of staff and with the Registered Manager and by an examination of a random sample of staff files. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,36,38. Quality in this outcome area was assessed as good. This judgement was based on evidence gathered since the appointment of Miss Rachel Straw, the newly approved Registered Manager and during the inspection visit, via extensive discussions and observations. EVIDENCE: Miss Straw has been in post for just over 6 months and in this time has made significant improvements at The Farmhouse. Many policies and procedures have been reviewed and improved, the staffing of the home and the deployment of a more cohesive staffing structure has been a positive development along with a more robust approach to staff training and support. Care planning has also been improved and staff have better embraced the principles of good care. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 20 Miss Straw has already completed 75 of NVQ4 and intends to pursue the e Registered Managers Award immediately after. Without exception all of the staff, residents and visitors consulted, (approximately 15 in total), confirmed to the Inspector that they shared a confidence in the management of the home and felt that there had been many improvements made in recent months. The Inspector’s own direct involvement with the home in recent months had also revealed a much improved management and this was confirmed during this Key Inspection. Staff confirmed to the Inspector that they felt now felt a better sense of direction and felt supported in their role in the home. Several comments were made reflecting an earnest commitment to continue to improve standards and to ensure the rights of residents were promoted and the opportunities for a quality lifestyle to be improved. Staff were being supervised informally, by way of senior carers leading the day time shifts, but the importance of formal supervision was also discussed with the Registered Manager, who is aware of the need to implement this to compliment the achievements already made. There are some basic risk assessments in place, but there is an urgent need for a more robust approach to risk assessment and again this was discussed with the Registered Manager. Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 2 X X 3 X 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X 2 X 2 Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP25 Regulation 13 & 23 Requirement Up-to –date risk assessments must be in place in respect of bedroom radiators that are not or only partially guarded. (Ongoing) The staffing structure of the home must provide a senior carer on duty each night. (Outstanding) The Statement of Purpose and Service User Guide must be on display in the home and accessible to all current and prospective service users. The Registered manager must confirm in writing to the prospective resident/relatives/social worker that the home is able to meet their needs. Residents’ contracts must be kept on the premises and made available for inspection. Controlled medication must be doubly locked. Appropriate provision must be made for the resident who self medicates to keep medication safely stored in his bedroom. DS0000060611.V289784.R01.S.doc Timescale for action 30/06/06 2 OP27 18 & 19 30/06/06 3 OP1 4&5 30/06/06 4 OP4 14 31/05/06 5 6 OP2 OP9 17 13 31/05/06 31/05/06 Farmhouse Residential Rest Home Version 5.1 Page 23 7 8 OP12 OP16 16 22 9 OP19 23 10 11 OP36 OP38 18 13,16,23 Social care provision must be further developed to meet individual needs. The home must ensure that all residents and visitors to the home are fully aware of the complaints procedure. The home must pursue a more robust approach to improving the internal décor and comfort of the home and the external appearance and forward a written action plan to the CSCI. Formal staff supervision must be implemented. Comprehensive risk assessments must be carried out and regularly reviewed and updated. 30/06/06 30/06/06 30/06/06 30/06/06 30/06/06 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 Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Farmhouse Residential Rest Home DS0000060611.V289784.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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