Inspection on 24/08/06 for Fengates Road (5)

This inspection was carried out on 24th August 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fengates Road (5) 13/12/05

Fengates Road (5) 25/07/05

Fengates Road (5) 20/12/04

Fengates Road (5) 07/07/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Fengates Road (5) 5 Fengates Road Redhill Surrey RH1 6AH Lead Inspector Lisa Johnson Unannounced Inspection 24th August 2006 9.:00 Fengates Road (5) DS0000013510.V309375.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 Fengates Road (5) DS0000013510.V309375.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. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fengates Road (5) Address 5 Fengates Road Redhill Surrey RH1 6AH 01737 778858 01737 769005 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) CMG Homes Ltd Mrs Florence Keresiya Rugonye-Mulunga Care Home 5 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (5) of places Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Of the 5 residents with a mental disorder (MD) accommodated, up to 3 (three) may have a learning disability (LD). The age range of service users will be 18 - 40 years Date of last inspection 25th July 2005 Brief Description of the Service: 5, Fengates is a care home which is owned by the Care Management Group. The home is a semi-detached property in Redhill, Surrey and is close to local amenities. The home provides accommodation to five adults who have learning disabilities and/or mental disorder. The home is a three-storey building and all the service users have their own bedrooms, which are situated, on the upper two floors. There is a communal lounge, dining room and a kitchen. There is a paved patio to the rear of the house. Parking is available at the front of the property. The weekly fees range from £1,200-£2,400. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of a key inspection. The site visit was unannounced and took place over eight hours commencing at nine o’clock and finishing at five o’clock. It was carried out by Mrs. L Johnson Regulation Inspector and Mrs.F.Rugonye- Mulunga registered manager represented the establishment. The inspector spoke to three service users to gain their views on the care provided. Four service user comment cards and two relative comment cards have been received since the site visit and these comments have been reflected in this report. A full tour of the premises took place. Staff training records, staff files and policies and procedures were sampled. The inspector spoke to two members of staff. The inspector would like to thank the staff and service users for their time, assistance and hospitality during this inspection. What the service does well: The service provides a homely and friendly atmosphere. Positive relationships were observed between service users and staff who had a good knowledge of individuals needs and were able to interpret and respond to non- verbal requests from service users when necessary. This was demonstrated by the home obtaining makaton sign language training for staff to meet the needs of one individual who has communication difficulties. One service user spoken to said, “This is a nice place to live and the staff are nice”. Another individual said, “ I like my key worker”. Service users are supported to make decisions and choices about their lives. The inspector spoke to one service user who said, “staff ask me what things I would like to do and I now go swimming”. Another individual said, “ I like cooking and baking cakes”. During the visit service users were observed to be supported and assisted with making choices about their meals Care plans were detailed and comprehensive providing a clear overview of the individuals needs. The home provides a varied range of recreational and social activities that meets the individual needs and preferences of service users. One service user spoken stated, “I go to college, visit the pub and go to the cinema”. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: While examining the incident and accident forms for two service users the inspector noted that there had been some incidents pertaining to service users displaying challenging behaviour, which resulted in physical aggression to other service users. These issues had not been reported to the local authority team or to the Commission for Social Care Inspection following the safeguarding adult protection procedures. A requirement was made that the registered manager and staff should report any incidents or allegations that fall under the remit of safeguarding adults immediately to the local authority and to the Commission for Social Care Inspection to ensure that the health, welfare and safety of service users is protected. A further requirement was made that a local protocol is implemented in the home, which should be brought to the attention of all staff. The home should provide disposable hand drying towels in the staff washroom to ensure that appropriate infection control and hygiene practices are in place. A further requirement was made that staff need to complete infection control training. This is to ensure that the health and welfare of service users is protected. Please contact the provider for advice of actions taken in response to this Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 8 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 Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of service users are assessed prior to admission to the home. EVIDENCE: Since the previous inspection one service user has been admitted. Evidence sampled concluded that pre admission assessments are completed prior to any individual moving into the home. The company has an assessment and referral team with the registered manager having the opportunity to visit prospective service users. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with an individual care plan, which records their individual needs and goals. Service users are supported to make decisions about their lives with assistance. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Each service user has a completed care plan, which has been based on a full needs assessment including personal care, communication, safety, health and social skills. Individual plans were person centred in their approach detailed and structured with clear objectives and goals. Each plan consists of a strengths and needs and likes and dislikes section. It was evident that plans were regularly reviewed in consultation with service users, which were agreed and signed by them. Two members of staff spoken two who act as key workers confirmed that they were aware of service users individual plans and are involved in completing monthly reviews. Service users are consulted and supported to make decisions about their lives with assistance where required. This was confirmed by one individual who said “staff ask me what things I would like to do and I asked to go swimming which Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 11 I like and I now go swimming every week”. Another individual uses some makaton sign language and the manager has made arrangements for staff to receive training. Staff were observed to be using makaton sign language with this individual assisting her to make decisions and choices for example about her preferred meal for lunch. Three comment cards received concluded that service users are involved in making decisions in the home. Service users are supported to take part in a range of activities. Comprehensive risk assessments were included in each individuals plan including for example behaviour, community access and personal hygiene. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 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. Service users are provided with a range of appropriate activities and engage in a range of leisure activities. Service uses are supported to take part in the local community. The rights and responsibilities of service users is respected. The home is able to demonstrate that service users are provided with a wellbalanced and nutritious diet. EVIDENCE: The home provides a wide range of activities for service users to attend. During the inspection service users were busy attending a number of activities including shopping, one person went to the Galway centre and one person attended the Croft day centre where she had been participating in cookery. Service users have the opportunity to go to college. One service told the inspector “I am going to be doing numeracy and literacy and gardening when I return in September. Service users participate in household activities with one individual confirming, “I do my washing and I like to bake cakes”. Two individuals said that they had Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 13 been on holiday to Butlins and the Isle of Wight and one individual said “I go to the pub and the cinema”. Service users maintain links with their family and friends with one individual seen accessing the telephone to contact her relative. Another individual showed the inspector a letter she was writing to her relative and another individual said, “I visit my boyfriend”. Comments received from relatives indicate that they are able to visit their relative in private and are made to feel welcome. Positive relationships were seen between service users and staff and it was clear that service users were relaxed and confident in the presence of staff. Staff had a good knowledge and understanding of individuals needs and were able to respond to non-verbal forms of communication and responded to requests. Some post had been received for one individual, which was given to her to open. The home provides a four weekly menu, which was varied and well balanced with service users being given the opportunity to make choices about their meals, which was confirmed by one individual who was observed to making a choice of cereal for breakfast. One person who has communication difficulties signed her preferred options, which were responded to. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that service users receive personal support in the way they prefer. Service users physical and health needs are met. Service users are protected by the homes medication administration procedures. EVIDENCE: Service users plans identify the likes and dislikes of individuals and their preferences. One individual told the inspector “I can have a lie in and I can spend time in my room if I want to”. During the inspection individual privacy was respected when receiving personal care with bedroom and bathroom doors kept shut. Staff were observed to assist and give guidance to service users with all aspects of self-care. The health care needs and objectives of service users were documented in their individual plans. Two service uses plans were sampled which concluded that service users are supported to access a range of health care professionals including a local general practitioner, dental examinations, access to optical services, psychiatric and psychology support. One individual is currently being supported with regard to her cigarette smoking and has been completing a health booklet. The homes medication administration systems were examined and records were maintained adequately. A list is maintained of staff authorised to Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 15 administer medication and photographs of individuals were available with their medication card. The local pharmacist has completed a medication audit, which was satisfactory. Protocols were in place for the administration of “As required medication”. Staff receive training and regular assessments in the administration of medication. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that the views of service users are listened to and acted upon. The staff team need to ensure that it responds to the protection of vulnerable adult policies to ensure that residents are protected from abuse. EVIDENCE: There is a complaints procedure in place which is accessible to service users in picture format. The Commission for Social Care Inspection received one complaint, which was appropriately followed up by the registered manager. The inspector spoke to three service users to gain their views on the care provided. One service user said, “I like my key worker” and another individual said the “staff are nice”. Four comment cards received from service users conclude that service users feel that they are treated well and they know who to speak to if they were unhappy or needed to make a complaint. Four service users confirmed that staff listen and act on what they say. Two comment cards received from relatives indicated that they were satisfied with the care provided in the home and were kept informed of important matters in respect of their relative. Staff training records indicate that staff have received training in safeguarding adults from abuse and the manager has attended the local authority safeguarding adult training. The home has a copy of the local authority multiagency safeguarding adult’s procedure and a company policy is in place. However while examining the incident and accident forms for two service users the inspector noted that there had been some incidents pertaining to service users displaying challenging behaviour, which has resulted in occasional Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 17 physical aggression to other service users. This issue had not been reported to the local authority team or to the Commission for Social Care Inspection following the safeguarding adult protection procedures. A requirement was made that the registered manager and staff should report any incidents or allegations that fall under the remit of safeguarding adults immediately to the local authority and to the Commission for Social Care Inspection to ensure that the health, welfare and safety of service users is protected. A further requirement was made that a local protocol is implemented in the home, which should be bought to the attention of all staff. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a well-maintained, comfortable, homely and safe environment. The home is able to demonstrate that service users bedrooms promote their independence. The home is clean and hygienic ensuring that service users have a pleasant home to live in. EVIDENCE: The service is close to Redhill town centre and local amenities and provides a homely atmosphere. During this inspection the home was found to well maintained and pleasantly furnished. There are plans to replace the front door and light fittings are being replaced in the dining room with the recently installed radiator covers being painted. Bedrooms were viewed as comfortable and reflected individuals preferences and interests with a wide range of personal possessions on display. The home was cleaned to a good standard and was hygienic. Separate laundry facilities were available. However Staff training schedules indicated that staff should receive training in infection control. A further requirement was made Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 19 that disposable towels for hand drying must be made available in the staff wash room. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent and qualified staff support service users. Service users are protected by the homes recruitment policy and practices and their needs are mainly met by appropriately trained staff EVIDENCE: Adequate staffing levels are maintained in the service. During the inspection the manager was working supernummary with three other members of staff on duty. Due to the high care needs of one individual funding is in place to provide extra one to one support within the home and two staff are provided when this individual is out in the community. Staff turnover has been minimal and the home has not used agency staff. There is an overall company-training plan with a varied range of training available, which is actively sought. Each staff member has their own training record in place and it was evident that staff have received mandatory training in safeguarding adults, fire awareness, food handling, health and safety, first aid and managing medication which is regularly updated. The home is able to demonstrate that staff receive training and development, which actively supports the needs of service users including for example communication skills, key workers roles, person centred and health action planning, epilepsy and dignified management of conflict training. The inspector spoke to two members of staff who were clear about their roles and responsibilities and informed the inspector about training and development Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 21 they had received. Staff spoken to confirmed that they receive regular, formal supervision from their manager with evidence of written records provided on individual files. However a requirement was made that staff should attend infection control training. This is to ensure that staff have the information to ensure that the health and wellbeing and safety of service users is protected. There was evidence that new staff receive induction training based on TOPPS standards, which was confirmed, by evidence viewed on staff files and by one staff member spoken to. Presently twenty percent of care staff hold National Qualifications with a number of other staff completing the programme, which will ensure that fifty percent of staff will have achieved National Vocational Qualifications. Two staff personal files were sampled which were maintained to a good standard and contained the required information. POVA first checks are carried out and enhanced police checks are completed with appropriate records maintained. Copies of the General Social Care of Conduct were present on individual files Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is able to demonstrate that service users benefit from a home, which is well run, and in the best interests of service users. The local safeguarding adults procedure will ensure that service users rights and best interests will be fully safeguarded. The health safety and welfare of service uses is mainly protected with one issue needing attention. EVIDENCE: The registered manager has experience in social care and is near to completing the Registered Managers Award. It was evident that the manager has received training and development and is a trainer for the company in Dignified Management of conflict. There was an open atmosphere in the home and two members staff spoken to state that they felt supported by the management structure. During the inspection clear lines of communication were observed between the staff team with regular meetings taking place. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 23 The home conducts quality assurance surveys, which have been recently updated. Questionnaires have been expanded to relatives are extended to relatives and other stakeholders. The responsible individual conducts monthly quality visits with the reports maintained in the home with copies provided to the Commission for Social Care Inspection. The company provides a monthly newsletter and the home holds regular service user meetings, which were sampled. The company provides .a range of policies and procedures, which have been updated with the home having a read and sign system in place to ensure that staff are aware of the procedures. Substances hazardous to health (COSHH) were stored securely and appropriately. Health and safety checks are completed and recorded and fire records were appropriately maintained. Examination of records and certificates identified systems are in place for routine service and maintenance arrangements for the environment. However during examination of incident and accident records there were some instances where the Commission for Social Care Inspection had not been informed. An immediate requirement was made that any incident that adversely affects the well-being or safety of any service user must be reported to the Commission for Social Care Inspection without delay. Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 24 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 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 3 X 2 X Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA23 Regulation 13(6) 37 Requirement a) Any incident that falls into the remit of safeguarding adults must be reported without delay to the Local Authority Social Care Team and to the Commission for Social Care Inspection. b) The registered person must implement a local safeguarding adult protocol The registered person must ensure that all staff receive training in infection control The staff bathroom must be provided with disposable hand towels. Timescale for action 24/08/06 2 3 YA35 YA42 18 (c) (1) 16(2)(j) 24/11/06 24/09/06 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 Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Fengates Road (5) DS0000013510.V309375.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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