Inspection on 10/08/07 for Froome Bank

This inspection was carried out on 10th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Froome Bank 31/10/08

Froome Bank 10/10/06

Froome Bank 29/12/05

Froome Bank 21/07/05

Froome Bank 04/03/05

Froome Bank 06/09/04

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

CARE HOMES FOR OLDER PEOPLE Froome Bank Tower Hill Bromyard Herefordshire HR7 4QN Lead Inspector Denise Reynolds Unannounced Inspection 10th August 2007 12:05p 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 Froome Bank DS0000060777.V336503.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. Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Froome Bank Address Tower Hill Bromyard Herefordshire HR7 4QN 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) 01885 483469 01885 489421 Shaw Healthcare Ltd Care Home 18 Category(ies) of Dementia (9), Old age, not falling within any registration, with number other category (9) of places Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2006 Brief Description of the Service: Froome Bank was purpose built as part of the Bromyard Community Hospital complex but is self-contained with its own front door. It is within walking distance of Bromyard town centre although the route is not flat. The building is situated so that the garden looks out over lovely countryside views and each unit has its own courtyard garden. The service provider for Froome Bank is Shaw healthcare Ltd who took over control of the Home from Herefordshire Council in 2004. During 2005 they completed a major refurbishment project. The accommodation is laid out in two self-contained units which each has nine places. One of the units, known as the Pink unit provides 9 places for older people with general, age related care needs. The other, known as the Blue unit provides 9 places for people who have care needs due to having a dementia illness. The weekly charge is Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. To help us plan the inspection we looked at information in the Annual Quality Assurance Assessment (AQAA), from Shaw healthcare. We took into account what people told us in survey forms; we received these from three people who live at the Home, two relatives and one professional who visits the Home. During the visit we spoke privately with two people in their rooms. We looked at the accommodation and spoke with Mrs Morgan and some staff. We inspected various records including a sample of care records and staff records. What the service does well: What has improved since the last inspection? All of the requirements from the previous inspection had been fully met or met to a degree that means we have not needed to repeat them. Staff have worked hard to improve the care records and these generally now contain more information to make sure staff know what care each person needs. Mrs Morgan is aware that more needs to be done to develop this. People living at the Home are having more say in the quality of their meals and fruit is available for them all the time. More activities have been provided so that people have enjoyable things to do to pass the time. Residents’ meetings have been established to give people more of a say in the day to day life of the Home. The Home has a new manager with a record of developing good quality services. She has begun to introduce more effective management and is committed to creating a quality service. Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 6 Health and safety arrangements in the Home have been improved. The quiet rooms and laundry are not being used for storage as they used to be. 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. Froome Bank DS0000060777.V336503.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 Froome Bank DS0000060777.V336503.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are given information about Froome Bank to help them and their families decide if it is the right place for them to live. Staff usually find out about peoples’ individual needs and preferences before they come to the Home so that staff will know what care they will need. EVIDENCE: In almost every case staff get detailed information about people coming to Froome Bank before a person moves in. They do this by meeting the person and people who know the person well, usually their closest relative or other carer. They also use the assessments done by social care staff. We looked at one care record that did not have this information in it. There was a specific reason and this did not reflect the normal practice at Froome Bank. The information Shaw healthcare put in the AQAA showed that they Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 9 know how important it is to get this information and Mrs Morgan is intending to improve the way this happens at Froome Bank. In our surveys, people told us that they had been given enough information about Froome Bank before they arrived. A copy of the ‘service user guide’ for the Home is displayed in the entrance hall. This had out of date information in it and needs to be replaced. Froome Bank DS0000060777.V336503.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at Froome Bank feel well looked after by staff and have their health care needs attended to. People who live at the Home usually have their privacy and dignity respected. There is no clear strategy making sure people who have dementia related needs have these met. EVIDENCE: People told us in our surveys and when we talked to them that they feel the staff look after them well. We saw from records we looked at that staff work closely with local General Practitioners and District Nurses to make sure people have medical attention when they need it. People told us in the survey forms that they feel they always or usually get the care the need. One relative added the comment – “Looks after all my parent’s needs ….staff give her the attention she needs to be as happy as she can be at this time in her life. Gives family support.’ Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 11 Staff have worked hard since the previous inspection to improve the care plans. This means that staff have more information to help them be consistent in the care they provide. We found some examples where the information could be improved further by being more individualised and more specific. We saw one record that said a person needs ‘appropriate cutlery’ but nowhere does it say what this is in her case. Another care plan gave limited information about assistance with personal hygiene - ‘Personal hygiene need – 1 carer to assist’. The care plans for people with dementia related care needs should be more helpful to staff. For example one care plan that includes the statement – ‘ensure staff are aware of known triggers that may cause (person’s name) to become aggressive and record incidents to identify new trigger factors’ but the information about what those factors are was not in the file. There was no assessment or care plan for a person who had arrived at the Home two weeks ago. Staff spoken to knew about the care she needs and the daily records showed that the person has settled but without an assessment or care plan it is possible that some of the person’s care needs could be overlooked. Shaw healthcare recognise the need to support staff in writing and using care plans to underpin good care and staff are being given more training about this. Peoples’ appearance showed that staff had helped them to look their best and a care record showed that a visiting professional had commented on how well a person looked – ‘Social call to see how (name of person) has settled in. (Name of professional) commented on how clean, tidy and well presented she looked.’ However, as at the previous inspection we found dry toothbrushes in some bedrooms suggesting that some people had not been helped to clean their teeth that morning. This is a concerning lapse because starting the day with a clean mouth is important to how most of us feel as well as being essential to our health. Signed consent forms show that people are spoken to about having their medication looked after by staff and having a photograph taken to include in their care plan. It was not obvious whether this good practice is extended to all aspects of care planning. Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 12 We saw that people are provided with equipment they need for comfort and safety, for example pressure relieving cushions and mattresses, a mobile hoist and handling belts. Medication storage is secure and medication was observed being administered and recorded carefully. We audited a small number of medicines and found the balances in stock were correct. This was helped by the good practice of dating packs of medicines when these are first opened and by highlighting the record sheet when the first dose from a new pack is administered. We noted excess amounts of an item of medication, this should be reduced. Disused stock needs to be returned to the pharmacy. People can choose to have a key to their room so they know they will not be disturbed or have someone go into their room when they are out. People we spoke to said staff are very good about knocking on doors before going into a room. Staff told us about a person who prefers people not to go into their room at all and that they respect this; we spoke to this person and they confirmed that this is so. Some time before the inspection staff informed us about an expected death at the Home. The care records showed that staff on duty had been very attentive to the care needs of the person and sensitive to the needs and wishes of relatives. We also noted the flexible approach to the person’s care before they became ill. Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People appreciate the communal activities provided for them to enjoy. Food is varied and well presented and while the style of catering (cook/chill) limits people having a say in the food that is served they can relax and enjoy their meals because mealtimes are leisurely. There is no clear strategy for developing leisure interests for people who have dementia related care needs. EVIDENCE: Froome Bank is a friendly place to visit and the visitors’ book showed that there are lots of people coming and going. Relatives who sent surveys to us said they always or usually felt they were kept in touch with by the Home. People who live at Froome Bank have been very unhappy with the food in the past. This is because the main meal of the day is provided from the external caterers who supply the hospital. The food is ‘Cook/chill’ which means that it is cooked off site and warmed on arrival at the Home. The problem has been Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 14 that this limits the choice people have about the overall menus although there is a choice offered each day. Since the last inspection this has been talked about a lot at the Home. People have had the chance to discuss it at their residents’ meetings and staff have worked hard at communicating with the supplier about how to make the system more flexible. There is now a good process for making prompt complaints when the food quality is poor and staff have arranged for more food to be available in the unit. Staff explained that they can now provide a cooked tea for those who want it. One person living at the Home told us there is always a fruit bowl in the room with fresh fruit and that staff come round with menu for next day to ask people what they want. Occasionally everyone, including the staff have fish and chips from the chip shop. Soft drinks are served with every meal and at weekends they have a drinks trolley with a supply of wine, beer or spirits for people to enjoy with their meal if they choose to. The main complaint people have about the food currently is that people don’t know what to choose from the menu because so people don’t know what it is. The manager explained that it has now been agreed that the menus will include a brief description of the dish. A variety of things to do are arranged and people told us that they enjoy these a lot. We also saw in some care records that people have been taking part. One told us how much she enjoys the ‘Pub Club’ on Wednesdays, Bingo on Mondays, the fortnightly church service and the quizzes organised by one member of staff. The minutes of the residents’ meetings showed that there have been several outings during the summer and various group activities such as a drum workshop which was so popular people want this to be arranged again. We saw staff spending time playing a game of snakes and ladders with people in the dementia care unit. Judging by the amount of laughter, this was being enjoyed by the people taking part. The approach to care in the dementia unit appears to be based on staff using their initiative in the way this rather than on a well developed approach to person centred care. The care plans still lack information to help staff arrange things that individual people might want to do such as keeping in touch with family and friends, sending birthday cards, taking part in a log term hobby and so on. The organisation has forms for this as part of the care plan but they are not being used to their full potential. Information is too general, for example – ‘To have opportunities to participate in individual and group activities in the Home according to … individual interests and preferences,’ Or, in other cases relevant information is not recorded, for example, the ‘Dates that are important to me’ section is blank or is not linked to a plan to help the Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 15 person remember birthdays etc. This is especially important for the people who live in the dementia care unit. Residents meetings are being used to give people more say in how things are done at Froome Bank and people spoken to felt that they are listened to. Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Froome Bank has a complaints procedure for people to use and most people know what to do if there is something that they are not happy about. Training updates are planned so staff knowledge about what to do if they suspect a person has been abused or neglected is kept up to date. EVIDENCE: Adult protection and recognising the signs of abuse and neglect is part of the organisation’s training programme. Staff we spoke to said they would immediately report any concerns to Mrs Morgan, someone more senior in the organisation or to social services, the police or CSCI if necessary. They did not appear to be aware of the local multi agency adult protection arrangements. This needs to be reinforced with them so that they know how the overall process works. Most staff are due for their adult protection training to be updated and Mrs Morgan confirmed that this is in hand and would make sure the links with external processes are reinforced. There had been no complaints received by the Home or by us about the Home since the previous inspection. People told us they feel safe and know who to speak to if they are concerned about something. A relative who sent us a survey form wrote – Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 17 ‘Gives her security – saying she feels safe’ Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The quality of décor and furnishings makes the Home a pleasant and comfortable place to live. The laundry and storage for equipment need to be improved to minimise the risk of cross contamination and accidents. EVIDENCE: Information provided in the AQAA shows that required maintenance checks are carried out (in some cases by the PCT who lease the premises to Shaw healthcare) and that the organisation monitors that this is being done. Peoples’ bedrooms and the communal areas are comfortably furnished and attractively decorated. People are encouraged to have their own belongings in their rooms to make them more personalised. All the bedrooms are single Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 19 although they do not have ensuite facilities. The building was clean and tidy. One person who lives at the Home said to us – ‘Everything is so clean. Bed put clean – not left in any muddle. No smell in the place. There is a cleaner every day.’ The quiet rooms are tidier than at the previous inspection so that they are nicer for people to use if they have visitors. There is still a lack of storage space, especially for large pieces of equipment like mobile hoists and wheelchairs. This means that they have to be kept in bathrooms and corridors which doesn’t look very nice and could cause accidents. Mrs Morgan is giving this further thought to try to improve the situation. At the previous inspection concern was expressed by staff, relatives and social care staff about the height of the drop from the garden outside the dementia care unit and whether the current fencing is adequate to ensure that no one could climb onto it and fall. Mrs Morgan said she will check what had been done about this and whether more needs to be done to risk assess the area. The laundry is small and not designed to ensure good infection control by reliable separation of clean and dirty laundry. However, it is clean and since the previous inspection is no longer used for inappropriate storage. Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are given enough time when staff help them with their personal care and feel well looked after. Recruitment practice is robust and protects against unsuitable staff being employed. Staff training is provided so that staff can develop the knowledge and skills they need to provide good care. EVIDENCE: The organisation has a well-established recruitment procedure with support provided to the homes by a central human resources team. The procedures are robust and CSCI has agreed that paperwork related to recruitment checks can be kept at the organisations head office. We were shown the computer records for the most recent recruit to the Home; this showed that all required checks had been done. Staff who work for Shaw healthcare have an ongoing training programme that the organisation monitors using a colour coded computer system to identify forthcoming and overdue renewal dates. Most of the staff at Froome Bank have up to date training in health and safety topics or will be having updates where the system has shown courses are due or overdue. Courses in adult protection and dementia are both scheduled during September 2007. The organisation also intends to increase the number of staff who have done NVQ Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 21 training. Mrs Morgan believes that the training programme will be improved and developed following the recent appointment of a new regional training manager. On the two days we went to the Home for this inspection the staffing arrangements appeared adequate. We saw that staff were not unduly hurried and that they had time to spend with people. In our survey people indicated that they think there are always or usually enough staff on duty. People told us they like the staff and think they are good, one person said The staff are tops – they must be particular about who they have to work here’ There are two staff vacancies at present and it is hoped that these will be filled shortly. A member of staff has recently returned from sick leave and will be resuming her lead role in training staff in safe moving and handling. Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Shaw healthcare have recently appointed a new manager to manage the service at Froome Bank. This is part of a strategy to improve the quality of the service and enhance the lives of the people who live there. EVIDENCE: Mrs Jan Morgan is the new manager at Froome Bank having recently moved form another home operated by Shaw healthcare. She is an experienced person and has done the registered manager’s award. She has a good understanding of the way the organisation wants its services to develop and of the legal framework that care services have to comply with. She shows a Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 23 commitment to continued development and improvement. Staff spoken to said they think that the Home is moving in the right direction and that staff morale has improved as a result. Mrs Morgan has confirmed to us that her application for registration will be sent to us shortly when she has gathered all the required documentation, including an up to date CRB certificate. The organisation has a quality assurance system that uses questionnaires to get the views of residents and their relatives. The results of this internal system have not been used to develop an action plan to address any shortfalls raised. Mrs Morgan is aware of the importance of doing this and this is one of the ways she hopes to improve the service. Individual staff supervision is not well established at Froome Bank. A start has been made on this and Mrs Morgan hopes to get it fully up and running this year. She confirmed that she has been receiving regular supervision from her line manager. The Home has limited involvement in peoples’ finances, as all bills are dealt with by head office. A small number of people have money held for them in the Home for safekeeping. This is kept in individual wallets with receipts and records of spending. Storage of cleaning materials in each unit (including in the unit kitchenettes) is tidy and secure. We saw that some cleaning items are still decanted into secondary containers without clear labelling. Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X X 2 X X X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 25 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 Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Froome Bank DS0000060777.V336503.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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