Inspection on 01/09/06 for Freegrove

This inspection was carried out on 1st September 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 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

Freegrove 12/08/08

Freegrove 05/12/05

Freegrove 09/08/05

Freegrove 12/10/04

Freegrove 21/04/04

Freegrove 14/05/03

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

CARE HOMES FOR OLDER PEOPLE Freegrove 60 Milford Road Pennington Lymington Hampshire SO41 8DU Lead Inspector Mr Rodney Martin Unannounced Inspection 1st September 2006 09:30 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 Freegrove DS0000011914.V307420.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 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. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Freegrove Address 60 Milford Road Pennington Lymington Hampshire SO41 8DU 01590 673168 01590 679120 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) Ms Charlotte Duffin Mrs Angela Andrews Care Home 17 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (17) of places Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5 December 2005 Brief Description of the Service: Freegrove is set in a residential area close to local amenities on the outskirts of the town of Lymington. It provides residential care for up to seventeen elderly residents, some of whom have mild dementia. The home is on ground and first floors and there is a passenger lift between these. There are a variety of aids and adaptations to allow residents to move about more independently. Thirteen of the bedrooms are single and two are doubles, although the doubles are only normally used as singles. Four of the single rooms and both double rooms have en suite toilets. There is a communal bathroom and separate toilet on the ground floor and a communal bathroom and separate toilet on the first floor. There is a large garden with several car parking spaces to the front of the property, and a large enclosed garden to the rear. The current level of fees is £327.04 to £460 per week. This information was contained in the pre-inspection questionnaire received in the Commission’s office on 11 May 2006. There are additional charges for chiropody, hairdressing and the purchase of newspapers and/or magazines. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 9.45am and 3.15pm. An opportunity was taken to look around the home, view records and talk to a visitor, several service users and staff members. On arrival the inspector was told the registered manager and registered provider were on holiday. However, a staff member rang Mrs Charlotte Duffin, registered provider and Mrs Angela Andrews, who is the registered manager and they came in to assist in the inspection process. On the day of the visit fifteen service users were accommodated. Freegrove is currently full. Although the home is registered for seventeen residents the management regard the home full with fifteen service users as two double bedrooms are occupied as single bedrooms. In line with the Commission’s policy, all the key standards were inspected on this occasion. There was one previous issue identified at the last inspection that required following up. It was confirmed that staff had received safe handling of medication training. What the service does well: The home provides a good service, especially for those residents with dementia. The needs of residents are met within Freegrove and there is a very relaxed atmosphere in the home. There is a good staff team, who are suitably trained and supervised to provide a good standard of care for residents. One visitor said that the staff were very helpful and they also got a warm welcome every time they visited. Residents have a varied life with a choice of informal activities available, good meals are provided and visitors encouraged. The home provides a clean environment free from adverse smells. Freegrove DS0000011914.V307420.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. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process is well managed with an assessment completed, to ensure that Freegrove can meet their needs. Freegrove does not provide intermediate care. EVIDENCE: Freegrove was accommodating fifteen female residents, whose ages range from 69 to 96 years. All the residents were admitted since 2001. It was noted that over half the residents have a diagnosis of dementia. There was evidence that the home is able to meet residents’ needs. Since the last inspection, three new residents were admitted. The last admission was on 17 July 2006. On the day of the visit the inspector met the husband of one of the newly admitted residents. He visits regularly and is able to have lunch with his wife. He stated that he is always made to feel welcome, the care is good and the food is well presented. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 9 The files of the last two residents’ admitted were viewed and they both contained a comprehensive pre-admission assessment, detailing relevant information for the home to make an informed judgment regarding whether they could meet the perceived needs of the resident or not. As noted in the description of the service, two double bedrooms are used as single bedrooms and so the home tends to be full with fifteen residents. Freegrove is currently full. Following an initial inquiry, the prospective service user would be asked to view the home and invited to spend a day in Freegrove. The manager would visit the prospective service user in their own home or in hospital, if necessary. Two of the current residents came initially as a short stay residents. All, bar one, service users were previously local residents. The one resident who came from a distance moved to Freegrove to be near their family, who live in the Lymington area. Freegrove does not provide intermediate care, although prospective residents can come for a short respite stay, if there is a vacancy. Short stay residents are assessed in the same way as permanent residents. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ physical and emotional needs are being met, with evidence of good support from health professionals. The home has clear arrangements in place ensuring the medication needs of residents are met. Working practices in the home ensure the promotion of privacy and independence for service users. The home has clear arrangements in place for supporting terminally ill residents in the way they prefer. EVIDENCE: Each resident has an individual file. The file contains the personal details of the resident including a family history, the pre-admission assessment; various risk assessments, the care plan and review of the care plan. The registered provider discussed changing the home’s care planning files to a ring binder filing system, which is indexed and has sub-headings for ease of reference. Freegrove does not operate a keyworker system but is considering implementing one as a means of enabling staff to get to know certain residents much better, which in turn would help in the delivery of care to the individual resident. The records gave a clear indication of the care required. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 11 The personal and oral hygiene of each service user is maintained and recorded. A record is kept of all health professional visits. Residents are able to choose which doctor they are registered with. A mobility assessment is undertaken and recorded, together with a risk assessment. The manager reported that there is very good support and relationship with the various GPs. There is good support from the district nurses and community psychiatric nurses, from the Becton centre, coming to Freegrove. The home has a relevant medication policy, which satisfactorily details the receipt, recording, storage, handling, administration and disposal of medicines. Although residents are able to self medicate within the home’s risk management framework, currently none are self-medicating. The home operates a Nomad system for administering medication. This is kept in a locked cupboard. The home does not currently have any controlled drugs. On the day of the inspection, in the manager’s absence, a senior care assistant administered the medication. This was given appropriately with attention to preserving the resident’s dignity. So far six staff members have received safe handling of medicines training. The rest of the staff are due to complete the training through Brockenhurst College. Staff members supported service users with kindness and sensitivity, using service users’ preferred names and supporting gently with care giving. Staff members knocked on service users’ door before entering. Residents, spoken to, confirmed that privacy and dignity is respected at all times. Residents can see their GP in the privacy of their own room. Lockable storage is provided in each bedroom. An appropriate lock is provided on all bedroom, toilet and bathroom doors. Residents are free to make and receive telephone calls in private. Four residents have their own telephone installed. A resident spoken to said that they “like it here” and “that the care is very good here”. The home has a policy on death and dying and a procedure, for staff to follow, of what to do in the event of the death of a resident. The manager reported that family members could stay with a service user who is dying. It was noted that the service users wishes concerning terminal care and arrangements after death are routinely recorded. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to engage in a variety of appropriate age-related activities in the home. Residents are supported to maintain contact and positive relationships with family and friends. Nutritional needs of residents are well managed and offer variety and choice. EVIDENCE: The home provides various activities for residents to participate in. As previously noted, half of the residents have a diagnosis of dementia and maintaining interest and concentration span is important in providing a fulfilling life, as the use of activities can significantly improve the quality of people’s lives. The home has various reminiscence materials as well as using reminiscence for quizzes. Details of purchasing a comprehensive book on activities for people with dementia, from the Alzheimer Society, was discussed with the registered provider. One resident told the inspector they enjoy knitting and have interested several other residents in joining in knitting sessions. Residents can enjoy mini-bus outings, with various trips into the New Forest. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 13 Contact with family and friends is maintained and all residents have visitors. On the day of the visit the inspector met the husband of a service user and spent some time with them. They were very complimentary about the home, stating that they were always made welcome and there was a very relaxed atmosphere in the home. He also confirmed that his wife enjoys the activities as well as being able to take her out for car rides. Residents are encouraged by the staff to make choices in their daily life and these choices include choosing which clothes they will wear and what time they get up and go to bed. Residents are also encouraged to take control in their daily life. There was evidence that residents had brought their own personal possessions. The home is not appointee for any service user as well as not handling any service users’ money. Apart from three residents, the majority of residents come down for breakfast. Currently none of the residents have a cooked breakfast, which is served from 7.30am in the dining room. Residents are not offered a choice for the midday meal unless they do not like what is on the menu. On the day of the inspection the cook was not on duty and the senior care assistant cooked the lunchtime meal. The inspector was able to have lunch with the residents. Residents had battered fish or fish cakes, with chips, mashed potato, peas and beans. One resident does not like fish so they had a turkey burgher. The care assistants served lunch from a heated trolley asking the individual resident what they wanted. Residents had tinned pears and ice cream or evaporated milk for dessert. Food records seen were satisfactory with alternatives to the main menu recorded. The menus indicated that residents prefer more traditional meals, especially enjoying roast dinners. On the day of the visit the inspector met the husband of one of the newly admitted residents. He visits regularly and is able to have lunch with his wife. He stated that the food is well presented. Several residents, spoken to, said that the meals in Freegrove were very good. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure, which residents feel able to use and an adult protection procedure, which protects and safeguards residents from abuse. EVIDENCE: The home has a detailed and relevant complaints procedure. Residents, spoken to, were aware of whom to complain should they have a need to. The Commission has not received any complaints and there were none recorded in the home. Freegrove has all the relevant documentation relating to adult protection, including a whistle blowing and the adult protection policy. Staff, spoken to, were aware of the various forms of abuse and the issues involved. Staff have received adult protection training and this is also part of the home’s induction core training package. The home has signed up with Brockenhurst College for staff to participate in a three-month training course on adult protection. Since the last inspection a PoVA [protection of vulnerable adults] meeting was held on 12 May 2006, following a resident’s admission to hospital. There was some degree of confusion between A&E and the social work department but a case conference was still held. The outcome of case conference was that the home had acted properly and no further action was to be taken. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 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, 21, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, safe and pleasant environment, where they have individualised their bedrooms, to meet their needs. EVIDENCE: A tour of the building was undertaken. Freegrove is over two floors with a passenger lift to the first floor. Freegrove has thirteen single bedrooms and two double bedrooms, with six rooms provided with en suite toilet facilities. Although the home is registered for seventeen residents the home is full with fifteen residents accommodated as it is a management decision to use the two double bedrooms as single bedroom accommodation. Since the last inspection room 15 has been fully decorated, the lounge, dining room and upstairs hallway has been redecorated with new carpets laid and garden furniture purchased. Residents, spoken to, were happy with their rooms and the home’s facilities. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 16 The registered provider reported that they have plans to level the rear garden for patio access to enable residents to enjoy the garden more fully. There are also plans to erect a greenhouse to enable residents to grow their own plants and vegetables. In the maintenance programme there also plans to replace the fascias. There was evidence of residents’ personal belongings in the rooms. There were no adverse smells noted. The registered provider said that they prided themselves on keeping Freegrove smelling fresh and this was the usual comment by the many visitors to the home. The home has a separate laundry room, which is situated away from food preparation. The laundry room was clean and tidy. There are plans for residents to have individual laundry baskets to help with the clean linen distribution. There was evidence of COSHH [control of substances hazardous to health] policies and procedures in place. Staff, spoken to, were aware of infection control procedures and practices. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good staffing levels and residents are supported by sufficiently trained and supervised staff, to ensure that their needs are met. EVIDENCE: Since the last inspection the home has recruited seven carers, as seven carers have left. There were reasonable explanations for these departures. The home, however, has not had to use agency staff, as staff will cover for each other, as well as the manager going on the ‘floor’ if needed. Although one carer is on maternity leave the home is not recruiting any more carers. Freegrove employs fifteen staff members, which includes a cook and a housekeeper. The majority of the staff are full-time. As part of their job description, care staff are involved in light domestic duties. The inspector was able to speak to the staff individually and as a group and there was evidence that the staff team worked well together. A visitor spoken to said that “the staff were very helpful”. Two staff have obtained NVQ [national vocational qualification] in care at level 2 and a night carer is waiting for a place to commence NVQ level 2. Two night carers, who left, since the last inspection, had NVQ level 2. The home has staff meetings every two months and the carers value these. Staff receive a Christmas present from the home. Although there has been a turnover of staff since the last inspection the rest have worked in the home a long time and Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 18 consequently there has been continuity of care. On the day of the inspection there were three carers on duty. The cook was not in and so the senior care assistant cooked lunch. From the information given and observations made by the inspector during the inspection, the staffing meets the present needs of the current service users in the home. Freegrove operates a robust recruitment process and there was evidence that the home was following the necessary checks before staff commenced their duties. Staff have received relevant training through distance learning from Brockenhurst College, including infection control and safe handling of medicines. The manager is currently negotiating further courses with the college for dementia, adult protection and a further four staff members are to start, this month, a safe handling of medicines course. Staff have received dementia training from the community psychiatric nurse service in the Becton Centre. There has also been training on health and safety, manual handling, food hygiene, first aid, safer people awareness and fire safety. A system of supervision is in place and staff, spoken to, confirmed they had received oneto-one sessions with the manager. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 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, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is approachable and has an open style of management. She provides good leadership, which ensures staff are supported and residents’ health, safety and welfare promoted through the home’s practices. EVIDENCE: Angela Andrews has worked in Freegrove for twenty-five years and as registered manager for fifteen years. She has just finished her registered managers award for NVQ level 4 in both management and care having completed the last unit and following collating her portfolio will present it for marking. She communicates a clear sense of direction and leadership within the home. She has been able to cascade relevant training to the staff. There is an open, friendly and transparent atmosphere within the home. There are clear lines of accountability within the home. The registered provider and Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 20 registered manager assisted the inspector during the visit and there was evidence that they work well together. One resident, spoken to, summed up the views of others by stating “I like it here”. A quality assurance system is in place. Feedback is informal through observation, discussion and verbal feedback from relatives as well as a questionnaire, which is distributed to the residents. The home is not appointee for any service user. Residents have relatives or solicitors as appointed representatives. Freegrove is not responsible for the resident’s financial affairs. Hairdressing and chiropody is billed direct to the relative by the chiropodist and hairdresser concerned. The fire log book was inspected and the records indicated that the fire safety equipment had been tested and serviced within the guidelines. Staff have received fire safety training and the home had a fire drill on 7 June 2006. Staff, spoken to, were aware of what to do in the event of a fire. The manager ensures the safe working practices by planning courses on health and safety within Freegrove, including first aid, adult protection, manual handling, food hygiene, fire and medication. Risk assessments are in place. There are current and up to date contracts on electrical equipment as well as kitchen and domestic appliances et cetera. COSHH [control of substances hazardous to health] policies and procedures are in place. Window restrictors are in place on the windows above ground level, to ensure safety for residents. From a check of the records and practices observed in the home during the inspection, the health and safety measures taken in the home ensure the welfare and safety of the residents. Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 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 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 22 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 Freegrove DS0000011914.V307420.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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