Inspection on 13/03/07 for 121a Foxley Lane

This inspection was carried out on 13th March 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

121a Foxley Lane 23/01/06

121a Foxley Lane 19/09/05

121a Foxley Lane 17/03/05

121a Foxley Lane 27/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Townley Road, 2-3

Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 Foxley Lane (121a) 121a Foxley Lane Purley Croydon Surrey CR8 3HR Lead Inspector James Pitts Key Unannounced Inspection 13th March 2007 11:15a Foxley Lane (121a) DS0000028136.V331376.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 Foxley Lane (121a) DS0000028136.V331376.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. Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Foxley Lane (121a) Address 121a Foxley Lane Purley Croydon Surrey CR8 3HR 020 8645 0277 020 8645 0605 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) www.sense.org.uk Sense, The National Deafblind and Rubella Association Mrs Sara Lei Baldesare Care Home 2 Category(ies) of Learning disability (2), Mental disorder, registration, with number excluding learning disability or dementia (1), of places Sensory impairment (2) Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2006 Brief Description of the Service: Foxley Lane is owned and managed by SENSE, which is a national charity that caters for people with a variety of sensory impairments and other disabilities. The home can accommodate a maximum of 2 service users with complex needs. The home is a bungalow type property that is set within it’s own grounds and yet is indistinguishable as a care home. Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a Monday morning, through to early afternoon. Both service users were at home and each spent a little time sitting in the office whilst a discussion was being held with the manager. Both of the people who live here find it very difficult to speak to staff or other people to let them know how they are and what they need. These people can let staff know in other ways that they might want something and the staff have to get to know the service users very well to recognise the ways in which each person does this. Two comment cards were received from relatives of the people who live here. Neither indicated that there are concerns about the home, although one did question whether there were enough staff who could drive the people carrier to take service users out for activities. This will be commented upon further in the “Lifestyle” section of this report. A care manager for one of the service users also returned a comment card and there were no concerns expressed about the home. What the service does well: The home is diligent with ensuring that service users are supported appropriately in all aspects of their day-to-day living. This includes providing the necessary support to service users that will enable them to be a part of the wider community and to have aspirations, expectations and goals. This is done within a clear risk assessment framework, which properly balances the right to freedom within acceptable risks without imposing unreasonable restrictions. The staff team are diligent in making sure that each of the service users is protected from abuse (this means that the staff at the home do everything that they can to stop any of the service users from being hurt by someone else). The managing organisation also have the necessary safeguards in place to ensure that proper and diligent staff selection and recruitment occurs. The home has excellent systems in place to support staff and to make sure that they have the necessary training and skills to undertake their work. Foxley Lane (121a) DS0000028136.V331376.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. Foxley Lane (121a) DS0000028136.V331376.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 Foxley Lane (121a) DS0000028136.V331376.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Standard 2 was assessed at this inspection. The service users can feel confident that the home will only care for people that the staff are trained and able to care for. EVIDENCE: The home has not admitted any service users since the previous annual inspection as this is a specialist service for the two people who have lived at the home for quite some time. This standard will not be assessed again until such time as a new service user is admitted. Foxley Lane (121a) DS0000028136.V331376.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Standards 6, 7 & 9 were assessed at this inspection. The service users can feel confident that the staff team continue to know what they need. Service users can also be assured that the staff will make sure that each person who lives at the home is allowed to live the sort of life that they choose. EVIDENCE: Care plans are signed and agreed as they are changed and updated. At a previous review for one of the service users it was noted that this person needed additional staffing support when they went out. This had been put to the placing authority at the time of the previous inspection. A decision was then being awaited about increasing the fee paid for this service user so that they would be enabled to participate in more external activities. Since then it is Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 10 noted that the placing authority have still not given a reply. To the very real credit of the home, this support has been provided in any case and it is more than evident that it has achieved a marked degree of success. This results in this service user having an ever increasing opportunities to participate in their daily life, not only in the home but also in the wider community. The capacity of service users to make decisions, and express their opinions, about how to manage the practical aspects of their daily lives continues to be severely limited by their disabilities. The detail of the service users plans continues to demonstrate that diligent efforts are made to include service users as much as possible in making choices. The home’s system for managing service user’s money continues to be sound, two staff sign for any transaction made on behalf of each of the service users. It is the policy of the home that the service user must be present when purchases are being made on their behalf. Each service user has a bank account and copies of statements are held in the home. The Registered Provider’s finance department also issues statements documenting how service user’s money is spent. The continued and effective diligence that the home exhibits is not only of the necessary standard but is commendable in the way that service users rights are safeguarded. Service users’ opportunities to make a contribution to the day-to-day running of the home and to the development of policies and procedures are again limited by the severity of their disabilities. Staff use observation of service user reaction to anything new in order to establish their likes and dislikes about the things that happen in the home and other aspects of their daily lives. During the monthly Regulation 26 visits the Responsible Individual makes sure that contact is made with the families of service users to include them in the running of the home. The home continues to employ diligent risk management strategies and risk assessment and minimisation is included into the guidelines that form a part of each of the service user’s care plans. Additionally the home continues to use extensive risk assessments drawn up in relation to each service user’s involvement in a range of tasks and activities. Foxley Lane (121a) DS0000028136.V331376.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Standards 12, 13, 14, 15, 16 & 17 were assessed at this inspection. Service users can remain confident that the staff of the home will provide opportunities for each to develop their personal and social skills. This includes active support for each person to participate in the community both in terms of the activities of daily life and leisure interests. The opportunity for each service user to develop and maintain personal and family relations is also offered and is actively supported by the staff team. EVIDENCE: The service users have access to a wide range of activities outside of the home such as swimming, weekly visits to a sensory room, weekly aromatherapy sessions (funded by SENSE), country walks and other such outings. Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 12 The Registered Manager ensures that service users access the local community as much as possible including meals out, trips to shops, pubs, the seaside etc. One to one staffing is always provided. It is sometimes necessary for a third member of staff to accompany the service users on outings, and this is usually available. The home has put in place further resources to expand on the opportunities for one service user to engage in more activities outside the home. This support has had a very marked beneficial effect for the person concerned, even though the placing authority have still yet to respond to a request to fund this support. Service users have wide access to a range of activities within the home including the use of music facilities, video and television. The garden continues to be very well maintained and provides a very pleasant space for outdoor activities. Service users have access to the home’s car to assist them to pursue leisure activities. A comment from one relative suggested that there might not be enough staff readily available to drive this vehicle. The manager said that she believes that there are and in fact both of the people who live here use public transport more than has ever previously been the case. Both service users attend church on a regular basis. SENSE provide a generous budget for the provision of activities and annual holidays. One service user who used to prefer to stay at home has gone on short trips away in the last year, which is a marked improvement and offers this person more opportunities to experience new places and activities. Service users are fully supported to have contact with their families, which is actively encouraged. The home organise family parties so support the service user to have contact with a wide range of their families and friends. The home has more than sufficient space where service users can receive their visitors in private. Service user’s involvement in daily living and domestic tasks is greatly limited by their disabilities. Staff support service users to engage in those tasks that are appropriate and that do not cause too much anxiety. Clear guidelines are available that inform the staff how best to maximise each service user’s opportunity to be involved. One service user has a system installed in her room where the lights dim to let her know when staff are about to enter her room and the staff are always expected to use this. The meals that the home provides are very much in keeping with the known preferences of each of the people who live here. A variety of methods are used to gauge the particular likes and dislikes that each person has and to ensure that a healthy, nutritious and balanced diet is offered. Foxley Lane (121a) DS0000028136.V331376.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Standards 18, 19 & 20 were assessed at this inspection. Service users can feel confident that they will get the right support to take care of their personal and healthcare needs. Anyone who needs to take medicine regularly to help them stay well will get the proper support from staff to make sure that this happens EVIDENCE: The staff are continually able to demonstrate that they are very aware of what each service user needs and they are sensitive about how they should meet those needs. Both of the service users need technical aids and equipment to help them to be as independent as possible. Each service user continues to have a detailed care plan that tells the staff in great detail the way that each wants to be cared for and supported and about what each person likes or does not like. Male staff do not provide personal care to the female service user. However the family of the male service user have agreed that personal care for him can be undertaken by female staff. The home does now have one Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 14 permanent male member of staff who is available to support the male service user. The manager is actively seeking to recruit more male staff. Both of the service users are encouraged to maintain some routine and are able to set their own bed-times and getting up times. Staff at the home have had a marked degree of success with discouraging one service user from remaining in bed all day, and this has expanded their opportunity to be involved in their day to day life. Both of the people who live at the home usually go to see a local GP if they are not feeling well. The service users can see any local GP but both see the same one that the staff know very well and get along with. The staff are very good at writing down anything that happens if anyone becomes unwell. If either of the service users has an illness or something else is wrong with them then the staff do know what this is and how to help them to get the treatment that they need. Body maps are used for service users to document incidents of self-harming behaviour. These are monitored daily. The staff team are still very good at mapping the changes in mood for one service user to try to establish patterns of mood change and triggers for mood change. This demonstrates a continued understanding of this service user’s complex needs and a commitment to meeting those needs. The home has a policy and procedure for handling medication. All staff receive medication training as part of their induction training. Both of the service users need to take medicine every day and the staff are very good at making sure that this happens so that they can stay well. The staff are also good at making sure that no one can get hold of any medicine that they should not have and so they keep medicines locked away. The staff also make sure that medicines are handled properly to help to keep everyone safe and two staff are always involved in giving medication. One service user also has PRN medication (this is additional medication that is given if it is needed). Staff have been given the appropriate guidelines about when this should be given and how it should be recorded. The frequency of use of this type of additional medication is diligently monitored and indeed is also decreasing. Foxley Lane (121a) DS0000028136.V331376.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 22 & 23 were assessed at this inspection. The service users can feel confident that the staff team at the home know what to do if there are complaints or concerns about abuse. The home has clear guidance for staff about the procedures to be followed in either of these circumstances. EVIDENCE: The service users are given clear information about how to complain and what happens when they make a complaint. However, due to their complex needs and communication impairments each would find it impossible to make a complaint without the assistance of either an advocate or family member. It is noted that the one care manager and two family members who have made contact with the Commission are all very aware of how to make complaints if the need arose. No complaints about the standard of care have been made to either the home or to the Commission since the previous inspection. The staff team are good at making sure that all of the service users are protected from abuse (this means that the staff at the home do everything that they can to stop any of the service users from being hurt by someone else). There is also clear written information for staff about what to do if they think that a service user is being hurt or abused by another person. The staff know what they then have to do to keep people safe. The home has a copy of Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 16 the geographical authority’s local protecting vulnerable adults from abuse procedures. The home also reports any significant incidents to the Commission as it is required to do. The home listed on the pre-inspection information that they had made 5 protection referrals since the previous inspection. In fact, none of these incidents actually resulted in a protection investigation being required and the home responded to each in the most appropriate and effective way. Foxley Lane (121a) DS0000028136.V331376.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 24, 29 & 30 were assessed at this inspection. The service users can feel confident that they are living in a well maintained and clean home. EVIDENCE: The home had an entirely new kitchen fitted in 2005. The bedrooms for each of the people who live here are layed out in a way that not only takes account of each person’s particular needs but also very importantly, their own unique personality. The home is well maintained, well decorated and comfortably furnished. In 2005 the home had new carpets fitted and softer furnishing that helps with the acoustics around the communal areas. The loop system in the lounge was again tested during this visit and was found to now be fully operational. The home was found to be clean and free from any offensive odours. Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Standards 32, 34 & 35 were assessed at this inspection. The service users can feel confident that they are living in a home that gives proper consideration to recruiting only suitable people to work here. Staff are well supported through supervision and have a wide range of training opportunities. EVIDENCE: Recruitment is processed by SENSE with the Manager short listing and interviewing candidates with another SENSE manager. The file of one new member of staff was seen during this visit and all of the relevant documents were found to be in place. The home has two permanent staff vacancies, although two new staff have been appointed recently subject to satisfactory background checks. Bank staff and a small group of familiar agency staff cover for any vacancies. The Manager is careful to only use bank staff that are known to the service users. Bank staff receive the same training and support as permanent members of staff. Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 19 All new staff are subject to a detailed induction programme that includes core training such as basic first aid, food handling, adult protection, communication and SENSE core values. All staff completing the induction automatically progress to NVQ. Additionally there is in- house induction in relation to the home’s procedures, service user needs etc, all of which are documented. Staff training profiles are maintained in the home. Additional to all of this core training there is evidence of extensive focus on communication training with staff have access to training on working with deaf/blind people, Makaton, British Sign Language and Deaf awareness. All staff have training is Crisis Prevention and Intervention. As an organisation, SENSE have a very clear commitment to training their staff and recognise the value that this has in providing people with the necessary skills to support the service users. Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Standards 37, 39 & 42 were assessed at this inspection. The service users can feel confident that they are living in a home that is well managed both internally and by SENSE and that the necessary health and safety checks are properly carried out. EVIDENCE: The previous manager of the home took up a temporary “acting up” position as an area manager with SENSE. This was then confirmed as a permanent position and she left the home. For the last 18 months the deputy manager has been acting as the manager, and her position was made permanent in November 2006. She has recently applied to the Commission to become the registered manager and this process should be completed shortly. This person Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 21 already has the NVQ level 3 qualification and has just started the registered managers award, equivalent to NVQ level 4. The home continues to be subject to SENSE’s quality audit system; this system is service user centred and fully meets the requirements of this standard. This audit is subject to regular reviews. The Manager undertakes regular audits of all aspects of the running of the home. Each member of staff has designated responsibilities, their achievement of which is monitored through the supervision system. The Responsible Individual visits the home on a monthly basis; detailed reports are submitted to the CSCI. As part of these visits the Responsible Individual contacts representatives of service users to establish their feed-back on the service. The home should note that the monthly visits reports are now no longer required to be submitted to the Commission unless these are specifically requested. The following health and safety checks have been carried out within the last year: Fire Alarm System: 26/09/06 Fire Extinguishers: June 2006 Gas Safety Check: 05/10/06 Electrical Installation: 19/09/02 Legionellosis: 09/12/06 Portable appliances: 21/10/05 The home is good at making sure that the people who live and work here are kept safe from fire and other hazards. Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 4 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 X 27 X 28 x 29 3 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 x LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 4 X 4 X X 3 x Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Foxley Lane (121a) DS0000028136.V331376.R01.S.doc Version 5.2 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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