Inspection on 16/07/08 for Gedling Care Home

This inspection was carried out on 16th July 2008.

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

Gedling Care Home 03/04/09

Gedling Care Home 24/09/07

Gedling Care Home 02/08/06

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Gedling Care Home 23 Waverley Avenue Gedling Nottingham NG4 3HH Lead Inspector Steve Keeling Unannounced Inspection 16th July 2008 09:00 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 Gedling Care Home DS0000067378.V368535.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. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gedling Care Home Address 23 Waverley Avenue Gedling Nottingham NG4 3HH 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) 0115 9879792 Kalbro Care Uk Limited Pauline Margaret Park Care Home 26 Category(ies) of Dementia (6), Dementia - over 65 years of age registration, with number (26) of places Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the total number of beds, a maximum of 26 may be used for the category DE(E). Within the total number of beds, a maximum of 6 may be used for the category DE. 24th September 2007 Date of last inspection Brief Description of the Service: Gedling Care Home provides residential care for 26 older people in the early stages of dementia. The home is located in an inner city area of Gedling, Nottingham, close to the local shops, general practitioners’ surgery and other amenities. The home is an extended residential house, which consists of three-storeys. The home has two lounges, a conservatory and a separate dining area. The home has 20 single rooms one of which is fitted with an en-suite facility and 3 double rooms. There is a passenger lift permitting access to the first and second floor. A small enclosed garden is to the rear of the property. The current fee are £348 to £388 per week; this does not include toiletries, clothing, hairdressing, holidays and outings. This information and a copy of the last inspection report is available to people who use the service and their representatives on request. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views on the quality of service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. One inspector conducted the unannounced visit. The main method of inspection used was called ‘case tracking’ which involved selecting people who use the service and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. The registered manager, two members of staff and a visitor to the home were spoken with as part of this inspection. Documents were read as part of this visit and medication management was inspected to form an opinion about the health and safety of people who use the service. A partial tour of the building was undertaken which included bedrooms, communal areas and the garden to make sure that the environment is homely and safe. A review of all the information we have received about the home since the last inspection was considered in planning this visit, which included an Annual Quality Assurance Assessment (AQAA), provided by the manager and the single response to the ten “have your say” survey which was filled in by a relative on behalf of a person who uses the service. The quality rating for this service is 2 star this means the people who use this service experience good quality outcomes. What the service does well: Information relating the care home is contained within the Service Users Guide (SUG), which provides up to date information relating to the service. People have assessments performed prior to moving into the home, to make sure their needs can be met. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 6 The healthcare needs of people who use the service are recorded and met. Medication is managed appropriately and people who use the service are afforded appropriate levels of privacy and dignity. Recreational activities are provided and opportunities are available for people who use the service to interact within the broader community. People who use the service benefit from the provision of an appealing balanced diet and are able to have snacks and drinks as they wish. Complaints and concerns are effectively managed and staff have received training in Safeguarding Adults to promote peoples safety. People who use the service benefit from a safe, well-maintained environment, which is pleasant, comfortable and clean throughout. The number of staff employed at the home meets people’s needs and staff have received appropriate training. Recruitment practices are effective in promoting safety. The home is run and managed by a person who is fit to be in charge and the safety and welfare of people who use the service is promoted. What has improved since the last inspection? Written confirmation is now provided to ensure that people who use the service or their representatives know that assessed needs can be met. Menus offering choice of meals are now made available and suitable procedures have been established to aid people in selecting their meal preference. Staff recruitment files now include two written references. Sufficient numbers of suitably experienced and skilled staff are available to meet the assessed needs of people living at the home. Regular recorded supervision is now provided for staff. Weekly and monthly hot water monitoring is now performed and chlorination procedures are performed to prevent Legionella contamination. Risk assessment have been undertaken to assess the safety of people who use the service whilst in the garden/patio area. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 7 Incidents that affect the well being or safety of people who use the service are now reported to the Commission for Social Care Inspection. Personal information relating to accidents is now filed securely in line with the Data Protection Act 1998. 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. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information relating the care home is contained within the Service Users Guide (SUG), which provides up to date information relating to the service provision. People have assessments performed prior to moving into the home, to make sure their needs can be met. EVIDENCE: The pre inspection survey asked, “did you receive enough information about this home before you moved in, so you could decide if it was the right place for you?” the response received by the Commission stated, “yes”. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 10 The manager stated within the Annual Quality Assurance Assessment that prior to a planned admission people are provided with information about the home. The guide clearly sets out the objectives and philosophy of the service, the qualifications and experience of staff, and information relating to how to make a complaint. We spoke to a visitor to the home who confirmed that she had received the guide, she said “I found it useful and informative”. Records show that need assessments are performed prior to people gaining residency. Additional professional assessments are also used when available, which includes assessments from Social Services departments. A requirement was made at the last inspection that written confirmation must be provided to ensure that people who use the service know that the home can their meet assessed needs. Records were available to demonstrate the requirement has been met. Intermediate care services are not provided at the Home Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The healthcare needs of people who use the service are recorded and met. Medication is managed appropriately and people who use the service are afforded appropriate levels of privacy and dignity. EVIDENCE: The pre inspection survey asked people “do you receive the care and support you need?” the response received by the CSCI stated, “yes”. Records showed that care plans are developed to address the identified needs of the people who use the service and are re-evaluated on a monthly basis to ensure changing needs can be identified and met. Records showed and a visitor confirmed that people who use the service or their representatives are involved in the care planning process. The visitor was particularly happy with the managers efforts to keep her fully informed of any developments in relation to her relatives care needs. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 12 The pre inspection survey asked “do you receive the medical support you need?” the responses received by the CSCI stated, “always”. Records showed and people who use the service confirmed that they have access to the District Nursing team, Chiropodists and their General Practitioner on request. Records also showed and people confirmed that that also attend opticians and the dentist. A medication round was observed; the medication was administered in a safe manner. Medication Administration Records (MAR) had no gaps present and medication administration was recorded effectively. Medication was being supplied by a large pharmaceutical retailer who provides advice and training opportunities for staff at the home. Medication, which requires refrigeration, was stored within a secure fridge. The temperature within the medication fridge is recorded on a daily basis and was within the required 2-8 degrees centigrade. The pre inspection survey asked “do staff listen and act on what you say?” 100 of the response received by the CSCI stated, “yes”. A person who use the service said, “Staff are caring and friendly” and confirmed that her respect and dignity is always promoted whilst performing personal interventions. People said that the routine in the home is flexible in meeting their needs and that they have control over their lives and can make independent decisions in relation to their daily routines. A visitor confirmed that the staff are welcoming and respectful at all times, and said that she had never witnessed anything that gives her cause for concern. The visitor said that she was extremely happy with the service and could not fault any aspect of care provision. Gedling Care Home DS0000067378.V368535.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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recreational activities are provided for people who use the service. People who use the service benefit from the provision of an appealing balanced diet and are able to have snacks and drinks as they wish. EVIDENCE: The pre inspection survey asked people “are there activities arranged in the home that you can take part in?” and “Does the care service support people to live the life they choose?” the response received was “always”. A social activities co-ordinator is employed, with the responsibility to provide a varied social activities programme. People who use the service said that they enjoy the social activities at the home, which include bingo, board games and guest entertainers on a monthly basis. Seasonal events are also provided such as a summer fair and Christmas celebrations. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 14 On the day of the visit people were enjoying a baking session in the afternoon, the atmosphere was relaxed and people were interacting well with each other. Although people are encouraged to take part in the activities they said that staff respect their choice if they do not wish to participate. A well-maintained, pleasant, secure garden area is now available for use in the summer months. The garden area is accessible to people with impaired mobility and the area has a range of garden furniture for their use. The manager stated that an open door policy is encouraged at the home and stated that family and friends can visit as they wish. A visitor to the home confirmed the open access and stated that that the staff at the home always make visitors welcome, saying, “I come here almost every day, the staff are always friendly and welcoming and I am always offered tea and coffee”. The manager stated within the Annual Quality Assurance Assessment “the home offers three meals per day with choices. Various diets are catered for and a stock of snacks is available at other times”. A visitor to the home confirmed that her relative is provided with a vegetarian diet at all times, which is his preference, and was impressed with the managers efforts to ensure that peoples preference is respected at all times. People who use the service said that they were very happy with the meals at the home, stating “the food is very good and there is always a good choice available”. On the day of the visit people were provided with a choice of cottage pie or a fish dish with fresh vegetables followed by plum pudding and custard. The meals were home made, well presented and looked very appetising. People also confirmed that they could have a drink whenever they wish. A visitor to the home said, “Staff always promotes decisions and choices in relation to his food preferences. The previous home could not cope but I feel this home definitely meets my relatives needs at all times”. In response to a requirement made at the last inspection written menus are now on display in the dining room to assist people in selecting their meals. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 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. 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. Complaints and concerns are effectively managed and staff have received training in Safeguarding Adults. EVIDENCE: The pre inspection survey asked people, “Do you know who to speak to if you are not happy?” and “Do you know how to make a complaint?” the responses received were “always”. A clear written complaints procedure is displayed in the main entrance and the procedure is supplied on admission within the service users guide”. In response to a requirement made at the previous inspection the complaints procedure is now available in large print format. People who use the service said they felt safe in the home and that staff are receptive to their needs and wishes, they felt confident that they could report any concerns to the manager. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 16 We asked a visitor to the home if she was aware of the complaints procedure and was she aware of what to do if she was not happy with the service. The visitor confirmed that she has received a complaints procedure within the service users guide and said, “The manager is approachable and professional I feel confident that any issues would be addressed to my satisfaction”. The manager was not investigating any complaints at the time of the visit. Records showed that the manager records complaints/concerns and liaises with social service departments effectively to promote the health and wellbeing of people who use the service. Training records showed that staff have received training in relation to the Safeguarding Adults and staff spoken with were able to confirm this. The manager has recently completed a Protection of Vulnerable Adults course provided by the Nottinghamshire Safeguarding Adults board and the revised Nottinghamshire Safeguarding Adults policy is available for guidance should staff suspect abuse is happening in the home. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 17 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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service benefit from a safe, well-maintained environment, which is pleasant, comfortable and clean throughout. EVIDENCE: The pre inspection survey asked people “ is the home fresh and clean?” the response was “yes”. People spoken with were very satisfied with the standard of cleanliness in the home and confirmed that their bedrooms are cleaned on a daily basis, as are the communal areas. A visitor to the home stated “ I visit every day, the standard of hygiene throughout the home is very good, its always very clean”. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 18 The homes internal environment, which included the dining room and the lounge areas, are clean, fresh and homely throughout. Bedrooms are well maintained, clean and fresh. Window restrictors are evident throughout the home to promote the safety of people who use the service. A well-maintained, pleasant, secure garden area is now available for people use in the summer months. The garden area is accessible to people with impaired mobility and has a range of garden furniture. The manager has arranged for the bathroom doors to be “colour coded” and utilises pictures throughout the home to aid the communication process for people. Staff confirmed that protective aprons and gloves were available in the bathroom areas and staff said that they are used at all times to promote infection control. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 19 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff employed at the home meets people’s needs and staff have received appropriate training. Recruitment practices are effective in promoting safety. EVIDENCE: The pre inspection survey asked “are staff available when you need them? The response was “always”. People who use the service said “there is enough staff on duty and staff are always available when we need them”. A visitor to the home said, “Staff are very caring and considerate. They have a good sense of humour; there is always a good ratio of staff to residents. I come most days and I have never witnessed any thing that gives me cause for concern”. Records showed that members of staff only commence employment once satisfactory Protection of Vulnerable Adult (POVA) checks and Criminal Record Bureau (CRB) checks have been obtained. At a previous inspection a Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 20 requirement was made to ensure that two written references are obtained prior to staff commencing employment, records showed that the manager has addressed the requirement. Records showed and staff confirmed that on commencing employment staff are enrolled on an induction programme based on the “Skills for Care” common induction standards. Additional training is also provided in relation to dementia care, health and safety, moving and handling, fire safety, first aid, abuse awareness and managing challenging behaviour. Information provided by the manager within the AQAA showed that the service has achieved the target of 50 of staff trained to a National Vocational Qualification (NVQ) level two and above to ensure a suitably qualified workforce is employed at the home. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 21 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run and managed by a person who is fit to be in charge and the safety and welfare of people who use the service is promoted. The process for recorded peoples finances could be improved. EVIDENCE: The registered manager has been in post since March 2006. She is a Registered Mental Nurse (RMN) and has almost completed a degree level Registered Managers Award. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 22 The manager has addressed all the requirements made from the previous inspection. A member of staff said that she felt supported by the manager, and said, that supervision sessions are performed by the manager on a three monthly basis and provides an opportunity to discuss any issues relating to the care provision. Records of weekly and monthly water temperature checks are maintained together with water chlorination procedures to prevent Legionella contamination. Risk assessments are now in place to ensure the safety of people with mobility difficulties and those susceptible to falls whilst using the garden/patio area. Significant events, which affect people who use the service, are now reported to the Commission for Social Care Inspection. Personal information contained in the accident book is now filed securely in line with the Data Protection Act 1998. A visitor said “this place is more like a home, its friendly, all the residents are chatty the staff are always friendly and helpful, it’s a lovely place”. The visitor also said, “the manager is very knowledgeable, we have learnt so much about our relatives needs, he has improved significantly, the additional knowledge provided by the manager is also conforming to us”. Staff said that policies and procedures are readily accessible and information within the AQAA showed that the policies and procedures are updated appropriately. The manager ensures that satisfaction surveys are performed on a yearly basis and the information gleaned from the questionnaires is used to improve service provision. Regular meetings are also provided for people who use the service and their representatives to encourage them contribute to developments within the home. People’s money is individually stored within a secure area. The manager stated that all financial transactions for example hairdressing and chiropody services are recorded. Receipts for financial transactions are obtained to ensure that people are protected from financial abuse. An examination of the financial records showed that in some instances payments for hairdressing services had not been deducted from the running total in the financial records. The health, safety and wellbeing of people who use the service is promoted by the provision of effective routine maintenance. Up to date electrical circuit safety certificate and gas certificate was available. Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 23 Gedling Care Home DS0000067378.V368535.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 3 8 3 9 3 10 3 11 x 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 x x x x x x 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 x 3 x 2 x x 3 Gedling Care Home DS0000067378.V368535.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. 1 Standard OP35 Regulation 17 Requirement To promote the health and wellbeing of people who use the service financial records must be up to date at all times. Timescale for action 01/09/08 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 Gedling Care Home DS0000067378.V368535.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Gedling Care Home DS0000067378.V368535.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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