Inspection on 13/09/05 for Friarn House Residential Care Home

This inspection was carried out on 13th September 2005.

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

Friarn House Residential Care... 06/03/07

Friarn House Residential Care... 31/01/06

Friarn House Residential Care... 17/02/05

Friarn House Residential Care... 22/07/04

Friarn House Residential Care... 25/03/04

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

CARE HOMES FOR OLDER PEOPLE Friarn House Residential Care Home 35 Friarn Street Bridgwater Somerset TA6 3LJ Lead Inspector Kathy McCluskey Unannounced 13 September 2005 th 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 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. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Friarn House Address 35 Friarn Street, Bridgwater, Somerset, TA6 3LJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01278 445115 Mr John Whitehouse Mrs Estelle Louise Josephine Whitehouse Mr John Whitehouse Personal Care Home only 16 Category(ies) of Dementia - over 65 (16) registration, with number Old age (16) of places Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Work to be carried out by 31st December 2005 to provide an assisted bathroom where the bath can be accessed from three sides. Registered for 16 persons in Categories DE(E) and OP. Date of last inspection 17th February 2005 Brief Description of the Service: Friarn House is a large terraced house situated in Bridgwater and is within easy access of the town centre and local facilities. The home has a good sized enclosed garden. Parking is limited to the surrounding streets. Friarn House is registered with the Commission for Social Care Inspection to provide personal care for up to 16 service users over the age of 65 years, who require care by means of old age or dementia. The home is not registered to provide nursing care. The registered providers are Mr and Mrs Whitehouse. The registered manager is Mr Whitehouse. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over one day (3.75hrs) by CSCI Regulation Inspector Kathy McCluskey. The registered provider/manager Mr John Whitehouse and the deputy manager Mr Alan Farkas were available throughout the inspection. The inspector was able to meet with the staff on duty and the majority of service users. Staff and service users were welcoming and helpful. All communal areas of the home were seen along with a selection of bedrooms. Records were examined relating to staff, service users and health and safety. The inspector would like to thank the service users, staff and management for their time and cooperation with the inspection process. This was a very positive inspection. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report and the last announced inspection report. What the service does well: Friarn House provides older people, who have dementia, with a safe, comfortable and homely environment. The home is effectively managed and the provider/manager provides an open and inclusive style of management. Since taking over the home 2 years ago, the provider/manager has implemented a major programme of refurbishment and redecoration. Many areas of the home have already been improved and the programme is ongoing. The home takes appropriate steps to ensure that the assessed needs of individuals can be met. The provider/manager operates a thorough preassessment ‘package for prospective service users. Service users at the home benefit from excellent support and input from appropriate healthcare professionals. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 6 Care needs are clearly identified in individual care plans and these are kept under review. The home has an established and ‘happy’ staff team who have been appropriately trained. This has a positive outcome for service users. Staff interactions with service users were observed to be kind and respectful. Assistance was offered in an ‘unhurried’ manner. Staff spoken with stated that Friarn House was a ‘nice place to work’. Staff were positive about the training opportunities available to them and were very positive about the support they received from the provider/manager and the deputy. Service users spoken with informed the inspector that they were ‘happy’ living at the home and that they liked their bedrooms. Service users also commented on the kindness of staff. Comments about the food were also positive. One comment was that ‘there is always plenty to eat. The home takes appropriate steps to reduce the risk of abuse to service users and to ensure the health and safety of service users, staff and visitors. What has improved since the last inspection? At the last inspection, 2 recommendations were raised relating to infection control and obtaining social histories for service users. At this inspection, the inspector was able to see evidence that these had been addressed. Since the last inspection, the outside paintwork of the home has been painted. The home continues with its planned programme of refurbishment and redecoration. The commitment of the registered provider/manager to improve the environment since taking over the home has had a positive outcome for service users. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 7 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. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 8 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 Standards Statutory Requirements Identified During the Inspection Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 9 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 standard(s) 1, 3, 4 and 5. Standard 6 is not applicable as the home is not registered to provide intermediate care. Prospective service users are able to make an informed choice about moving to the home. The home takes appropriate steps to ensure that the assessed needs of service users and prospective service users can be met. EVIDENCE: The home ensures that service users, prospective service users and/or their representatives are provided with a copy of the home’s Statement of Purpose and Service User Guide. These documents detail the services offered by the home. The home’s current fee range is between £328 and £390 per week. Fees charged are determined upon the assessed needs of an individual. Extra charges are met by the service user for hairdressing, chiropody and newspapers. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 10 The provider/manager takes appropriate steps to ensure that the needs of prospective service users can be met by the home. Prospective service users are fully assessed by the manager or the deputy, who will visit the prospective service user in their home or hospital. Assessments from other relevant health care professionals are obtained where available. Evidence to support this was seen in the two care plans examined. Prospective service users and/or their representatives are invited to visit the home to meet staff and other service users. A day visit is also offered. Admission will only be offered if the home is sure that the assessed needs of the individual can be met. Examples were given to support this. The first four weeks of admission is considered a trial period. The home avoids emergency admissions and will only consider if they are able to conduct a pre-admission assessment first. This is felt to be positive. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 11 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 standard(s) 7, 8, 9 and 10 The home’s care planning systems are clear and consistent and the home takes appropriate steps to ensure that healthcare needs are fully met. The home’s procedures for the management and administration of medication is good. Service users are treated with respect. EVIDENCE: Each service user has a plan of care. Two care plans relating to the most recent service users were examined at this inspection. Care needs were clearly identified as were instructions for staff on how to meet an individual’s assessed needs. As recommended at the last inspection, the provider/manager has taken appropriate steps to establish social histories for service users. A letter, which had been sent out to relatives, was shown to the inspector. Progress will be followed up at the next inspection. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 12 Appropriate assessments were seen in the care plans examined relating to moving and handling needs and reducing the risk of pressure sores. Risk assessments were seen relating to the risk of falls. Service users weight is monitored monthly. Records were seen. The inspector was informed that there were no service users suffering with pressure sores. All service users are registered with a G.P and the provider/manager stated that the home had excellent support from all health care professionals. The home has an allocated community mental health link nurse who visits the home on a regular basis. The home’s procedures for the management and administration of medication were examined and were found to be well-maintained. The home uses the Monitored Dosage System (MDS) with pre-printed medication administration records (MAR). Medicines were seen to be appropriately stored with no excessive stock levels. MAR charts were appropriately completed and contained photos of service users and a list of staff signatures authorised to administer medicines. A sample of controlled drugs were checked and were found to be correct. As recommended at the last inspection, pages in the controlled drugs book have been numbered. Medicines were securely stored. The provider/manager and the senior staff member on duty confirmed excellent support from the pharmacist. During the inspection, staff were observed interacting with service users in a kind and respectful manner. The atmosphere was relaxed. Interventions were unhurried. To ensure the privacy of service users, bathroom/toilet and bedroom doors are fitted with a lock which can be accessed by staff in the case of an emergency. Screening is available in the shared bedroom. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 13 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 standard(s) 13, 14 and 15 The home supports service users to maintain contacts with family and friends. Service users benefit from a wholesome diet. EVIDENCE: The home welcomes visitors at any reasonable time in accordance with the wishes of service users. Service users choose where they see their visitors and are able to have the privacy of their own bedroom if they so wish. Many service users enjoy trips out with their visitors. This was evident on the day of the inspection. Service users are supported and encouraged to choose how and where to spend their day. On the day of this inspection, service users were observed moving freely around the home. Service users can access their bedrooms whenever they choose. All meals are cooked freshly at the home. The inspector was able to meet with the cook during the inspection. A four week menu was seen. Meals appeared varied and wholesome. Service users spoken with at the inspection were positive about the food and stated that there was ‘always plenty to eat’. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 14 As recommended at the last inspection, the kitchen has been deep cleaned. The kitchen has also been redecorated since the last inspection. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 15 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 standard(s) 16, 17 and 18 The home takes appropriate steps to reduce the risk of harm or abuse to service users. The home has an appropriate complaints procedure in place. EVIDENCE: The home has produced a complaints procedure. The inspector was informed that no complaints have been received by the home in the last 12 months. No concerns have been raised directly with the CSCI. Staff and some service users spoken with stated that they would not hesitate in raising concerns if they had any. The home is taking appropriate steps to reduce the risk of harm or abuse to service users. A whistle Blowing Policy is available and the home has policies relating to abuse. The home also has a copy of Somerset’s Policy on the Protection of Vulnerable Adults. The home follows robust recruitment procedures which includes enhanced CRB checks and, where required, POVAFirst checks. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 16 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 standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 Service users benefit from a pleasant, comfortable, homely and clean environment. Improvements made by the provider/manager have had a positive outcome for service users. Service users have comfortable bedrooms which they are encouraged to personalise. EVIDENCE: Friarn House, although not purpose built, appears suitably adapted to meet the needs of service users. Accommodation is arranged over two floors. Access to the first floor is via two stair cases. One is fitted with a stair lift. The home would not be conducive to those service users who required a wheelchair to mobilise. The home has a very pleasant and well maintained garden with seating for service users. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 17 Since taking over the home 2 years ago, the provider/manager has implemented a major programme of refurbishment and redecoration. Much work has already been done and the programme is on-going. The major improvements already carried out have had a positive outcome for service users and staff. Service users have access to a very comfortable dining area, good size lounge and pleasant conservatory. A small ‘quiet’ room is also available to service users and visitors. The home currently has 3 bathrooms, 1 of which is located on the ground floor. Two baths are fitted with seats. The providers have committed to improving this provision be the end of the year. There are plans to install a level access shower room. The home has 14 single bedrooms, 11 of which are fitted with en-suite toilet facilities and 1 double bedroom, which also has an en-suite toilet. All bedrooms are fitted with a wash hand basin as a minimum. A selection of bedrooms were seen at this inspection and it was evident that service users are encouraged to personalise their rooms. All bedrooms seen were beautifully decorated and furnished. Service users who were able to express a view informed the inspector that they liked their rooms. A nurse call system is sited throughout the home. On the day of this inspection, all areas of the home seen were very clean and free from malodours. The home takes appropriate steps to reduce the risk of the spread of infection. Staff handwashing facilities are appropriately sited throughout the home. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 The home ensures that staffing levels are appropriate to meet the assessed needs of service users. Service users benefit from an established staff team who are well trained and motivated. Staff morale is high and this has a positive outcome for service users. EVIDENCE: Staff spoken with did not express any concerns on being able to meet the assessed needs of service users. The inspector was informed and was able to observe during the inspection, that care staff are able to spend ‘quality’ time with service users. This is positive. There have been no changes to staffing levels since the last inspection. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 19 3 carers are on duty between 0800hrs and 1400hrs, 2 between 1400 & 1800hrs and 2 carers from 1800 – 2200hrs. Nights are covered by 1 waking & 1 sleep-in staff. The provider/manager and the deputy manager work in addition to the care hours provided and also provide on-call cover. An activity co-ordinator is employed for 30 hours a week and a cook covers 7 days. The inspector noted that staff morale was high. This was also confirmed by staff spoken with. Staff stated that they felt very well supported and had good training opportunities. Staff described Friarn House as a ‘nice place to work’. The provider/manager appears committed to staff training and has recently purchased a training package for staff. As this is only just in the process of being implemented, progress will be followed up at the next inspection. The home follows appropriate recruitment procedures. Recruitment records for the two most recent employees were examined at this inspection and were found to contain all information as required in Schedule 2 of the Care Homes Regulations 2001. This included CRB and POVAFirst checks. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34, 35 and 38 The home appears well managed and service users benefit from an open and inclusive style of management. The home takes appropriate steps to ensure the health and safety of service users, staff and visitors. EVIDENCE: The registered provider/manager is Mr John Whitehouse. Mr Whitehouse has been the owner/manager of the home since November 2003. Mr Whitehouse is currently undertaking the NVQ4 awards in Care and Management and the NVQ assessor’s award, D32/33. Mr Whitehouse holds current certificates in first aid, manual handling, infection control, food hygiene, management & administration of medication and certificates in dementia care. He also has an NVQ3 in promoting independence. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 21 Mr Whitehouse is supported by his deputy, Mr Alan Farkas. Mr Whitehouse and Mr Farkas provide 7 days a week cover to the home. Staff confirmed that the provider/manager promotes an open and inclusive style of management. Staff confirmed excellent support from Mr Whitehouse and Mr Farkas. Both the provider/manager and the deputy manager are very much ‘hands-on’ and both demonstrated a good knowledge of the needs of service users at the home. Meetings are held on a regular basis for staff with minutes maintained. The views of service users are sought on a ‘day to day’ basis as formal meetings are not felt to be appropriate. The inspector was informed that the home does not currently manage any monies on behalf of service users. The home displays appropriate and up to date employers liability insurance which expires 26/10/05. At the time of this inspection, the home is taking appropriate steps to ensure the health and safety of service users, staff and visitors. This was ascertained by a tour of the premises, discussions with staff and on examination of the following records: FIRE SAFETY – The home conducts weekly checks on the home’s fire detection systems and monthly checks on emergency lighting. Records were seen. Fire detection systems and fire fighting equipment are serviced by an outside contractor on an annual basis. This was last done in February 2005. Staff training appeared up to date. ELECTRICAL SAFETY – The home’s portable appliances (PAT) are tested annually. This was last carried out in December 2004. The home has an up to date electrical hardwiring certificate. GAS SAFETY – The home’s last annual gas safety check was conducted on 12/01/05. ACCIDENTS – The home maintains appropriate records for all accidents. All accident records were seen to be appropriately stored in accordance with the Data Protection Act 1998. The manager analyses accidents monthly and takes appropriate action where required. HOT WATER OUTLETS/SURFACES – The home maintains records of monthly checks on all hot water outlets. Records seen indicated that bath hot water outlets were within HSE recommended limits. One outlet tested by the Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 22 inspector exceeded recommended limits. The deputy manager took immediate action to rectify this at the time of the inspection. To reduce the risk of injury to service users, all bath hot water outlets have been fitted with thermostatic controls. EQUIPMENT SERVICING – The home has two stair lifts. Servicing records seen indicated that these were last serviced in February. The provider/manager advised that arrangements had been made for them to be serviced on 29/09/05. Confirmation that this has been carried out must be forwarded to the CSCI. The home’s 2 bath hoists and 1 mobile hoist were serviced on 03/08/05. - Nurse Call bells are checked in-house on a weekly basis. - To ensure the safety of service users, all upstairs windows are restricted, radiators covered and any free standing wardrobes are secured to the wall. - The home has a qualified first aider on every shift. - The inspector was able to see evidence that 2 recent staff had been issued with a copy of the home’s health and safety policy. Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 23 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 x 3 3 x x 3 Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 24 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 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. 1. Refer to Standard Good Practice Recommendations Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Riverside Chambers Castle Street Taunton TA1 4AL 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 Friarn House Residential Care Home D53-D02 S50730 Friarn House V233399 090805 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!