Inspection on 25/05/06 for Goffs Park Nursing Home

This inspection was carried out on 25th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Goffs Park Nursing Home 18/07/07

Goffs Park Nursing Home 03/01/07

Goffs Park Nursing Home 03/10/05

Goffs Park Nursing Home 01/06/05

Goffs Park Nursing Home 16/11/04

Goffs Park Nursing Home 01/06/04

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

CARE HOMES FOR OLDER PEOPLE Goffs Park Nursing Home 39 Goffs Park Road Crawley West Sussex RH11 8AX Lead Inspector Miss Helen Tomlinson Unannounced Inspection 25th May 2006 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 Goffs Park Nursing Home DS0000024146.V299803.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. Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Goffs Park Nursing Home Address 39 Goffs Park Road Crawley West Sussex RH11 8AX 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) 01293 524942 01293 539506 info@goffsparknursinghome.co.uk www.goffsparknursinghome.co.uk Goffs Park Care Homes Limited Mrs Elizabeth Bannister Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 37 persons in the category OP (Old age not falling within any other category) to be accommodated at any one time 3rd October 2005 Date of last inspection Brief Description of the Service: Goffs Park is a care home which is registered for up to 39 people aged 65 years and over. It provides nursing care. The care home is a converted large detached house, situated in a residential area of Crawley, close to the town centre. Accommodation is provided on 3 floors, which can be accessed using a passenger lift. There are 27 single and 4 double rooms. 1 of the double bedrooms on the third floor was being used as a communal lounge, in order to provide additional lounge space for the residents. There is one other medium sized lounge on the ground floor. This is also used as the dining room at meal times. There are large, well kept grounds which are accessible to residents in suitable weather. Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by two inspectors, Miss Helen Tomlinson and Mrs Lynne O’Donnell. The inspectors arrived at the home at 7.20am and left at 6.45pm. Nine days prior to this inspection the registered manager had resigned her position of manager in the home. Confirmation of the cancellation of her registration with the Commission had not been received. This has since been given, in writing to the Commission and the post of registered manager is vacant. At the time of this inspection this nurse remained in the position of being in day to day charge of the clinical and nursing issues in the home. The Responsible Individual was aware this should not continue and was asked to confirm, in writing, to the Commission, the name of the person in day to day charge. An adult protection alert had been raised at the home, regarding the care of one resident, in March 2006. At the time of this inspection the investigation was not concluded and Crawley Social Services had suspended contracts and were not placing any new residents in the home. This suspension had taken place whilst the investigation was ongoing. The home should be contacted directly to ascertain if this suspension has been lifted. The investigation had included residents who were funded by social services having a review of their care. Nurses from the Primary Care Trust had participated in these reviews and recommendations made to staff at the home. Staff had welcomed this support and advice, with specialist health professionals visiting the home to give guidance. The majority of recommendations had been acted upon. Prior to the visit to the home information was gathered from previous inspections and information received regarding the service. During the inspection a full tour of the premises took place, inspectors spoke to the staff, residents, visiting health professionals and relatives. Care practices were observed, care plans and daily records examined and other documents seen as necessary throughout the inspection. On conclusion of the inspection feedback was provided to the Responsible Individual. At the time of the last inspection fourteen requirements were made. At this inspection eleven had been met, one could not be assessed and two remained outstanding. No new requirements were made. This is reflective of the improvements made at the home in recent months. It was agreed with the Responsible Individual that many improvements were in the early stages and continual development was necessary to ensure good outcomes for residents. What the service does well: Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 6 Residents said staff were kind and polite when assisting them and offering support. They said their dignity and privacy was respected and they were given choices of routines in their daily life. Residents can have visitors to the home whenever they wish. Visitors said they were welcomed into the home. What has improved since the last inspection? What they could do better: The food and fluid charts should be used to assess residents individual needs and make sure these are met. The oral health of residents should be maintained by staff where the resident is unable to do this themselves. The individual social needs of the residents should be understood and met by staff on an ongoing daily basis. Dining space should be available for residents to have the choice of eating their meals with each other in an appropriate setting. Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 7 A manager should be appointed, who has the experience, skill and knowledge to manage the day to day running of the home. In the interim period a person should be in charge of the care of the residents to provide a good quality of care and continuity for the residents. Staff must be appropriately supervised. 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. Goffs Park Nursing Home DS0000024146.V299803.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 Goffs Park Nursing Home DS0000024146.V299803.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed. It was not possible to assess key standard 3 at this inspection. EVIDENCE: No new residents had been admitted therefore the inspectors were unable to examine the process of assessment prior to admission to the home. The contracts with social services in Crawley were suspended at the time of this inspection and no new residents were being admitted via this route. Those care plans examined had assessments on file which had been carried out, by the manager, prior to the resident being accommodated in the home. Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Residents benefit from health assessments and care planning which is individual to their needs and involves the advice and guidance of specific health professionals. The procedures for storage, administration and recording of medication safeguarded the residents. Residents had their privacy and dignity respected by the staff. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The care plans for eight residents were reviewed. These provided details as to the health, personal and social care needs of residents and how these were to be met by the staff team. It was noted that care plans had been reviewed in line with recommendations received by the PCT, following the completion of recent health care reviews. Staff within the home were in the process of implementing new care plans for all residents. A sample of these new care plans was seen during the inspection and it was noted that these provide more detail and information on individual needs. Action to be taken by staff to ensure these needs were met, was also recorded and provided greater detail than before. Where necessary the plans had been reviewed and new issues or Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 11 changes in condition had been included. Staff discussed how they now read the care plans to guide them about how to deliver care to the residents. At this inspection all residents with bed rails in use had protectors in place. Health care assessments and needs were recorded within care plans. It was evident through care plans seen, discussions with staff and visiting health professionals that advice and guidance from other health professionals was requested and sought in relation to specific health care needs. Staff considered that the improved working relationships with other health professionals had had a positive impact on meeting health care needs of residents. Recommendations made by the Primary Care Trust (PCT) nurses in relation to meeting health care needs had been implemented within the home. However further work was needed to ensure the effective use of food and fluid monitoring charts. In addition concerns were raised as to the oral health care of residents and how this was being met by staff. There was no evidence the care plans had been drawn up in consultation with the residents or their relatives. The medication storage and administration records were examined. Medication was safely and securely stored on all floors. The administration records had some gaps in signature which indicated residents may not have received their medication as prescribed. Some residents had received a review of their medication by the G.P. as recommended by the PCT. Staff were seen to protect the privacy and dignity of the residents. Bathroom and bedroom doors were closed when care was being given, most staff knocked on bedroom doors before entering, residents wore appropriate clothing and had been assisted with their personal grooming where necessary. Residents spoken with said staff showed them respect when providing care and assistance, speaking to them in a polite manner. Since the last inspection appropriate locks had been fitted to the bathroom and toilet doors. Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Some residents were happy with the social aspect of life in the home whilst others were isolated and not stimulated. Work was underway to improve the activities available. Residents can see friends and relatives whenever they liked. Resident’s wishes and preferences were respected, when they had been sought. Not all personal choices were obtained by staff. Residents received a nutritious diet and choices had been introduced at all mealtimes. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: At the last inspection a requirement was made in respect of activity provision within the home. Whilst there was little evidence within the home of an increase in activity provision it was clear through discussions with the Responsible Individual and the management team that they were in the process of introducing a range of different activities. Members of staff were to receive training in using an activity programme within the home, which would be cascaded throughout the staff team. In addition a further scheme is to be introduced which uses different reminiscence activities. Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 13 Individual social care needs and preferences were beginning to be recorded within care plans however further work was needed to ensure all individual preferences were recorded and understood with staff guidance as to how these can be best met. Some residents spoken with were happy to pursue their own pastimes, reading, watching television and listening to the radio. For those needing assistance with this their specific needs and choices should be understood and respected. Some staff did not take advantage of assisting residents as a time to talk to them. This was a missed opportunity for residents isolated in their own rooms to have some social interaction. The lack of social activity and the isolation of residents was raised as a concern following the social services reviews of care. A requirement for this to be developed remains unmet. It was clear through discussions with residents and staff that visitors are able to visit the home at any reasonable times. One visitor spoken with said this was the case and they could stay as long as they wished. Residents spoken with said their choices and preferences with regard to rising and retiring times and whether to sit in their own bedroom or the lounge, were sought and respected. Some individual preferences had been recorded on the plans of care. The choice of meals had improved greatly since the last inspection. Menus had been reviewed and now provided a choice of meals at both lunchtime and tea time. Residents spoken with confirmed that they now have a choice. They also advised that further alternatives were available if they did not like the choices on the menus. Individual likes and dislikes were recorded within care plans along with any special diets e.g. diabetic. In discussion with the cook, it was clear that she was aware of individual likes and dislikes and also particular dietary needs. All residents spoken with were happy with the meals served. It was recommended that aspects of food preparation and storage prior to the service of meals is reviewed following observations made during the day. Particularly in relation to the serving of breakfast with all choices i.e. porridge and toast, put on a serving trolley together and taken around the home. Drinks were observed to be available throughout the day, with individual preferences i.e cold or hot drinks, being given as requested. Additional dining space had not been made available to residents who ate their meals either in their bedrooms or in the lounge at portable tables. The Responsible Individual said there were plans to knock two bedrooms into one room to make a dining room. Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Residents felt able to discuss complaints with staff at the home. They were not assured that issues would be resolved to their satisfaction. The recent allegation of adult abuse in the home had served to improve the protection of residents. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: One complaint had been received by the Commission since the last inspection. This had been investigated by the Commission and found to be unsubstantiated. Residents and a visitor spoken with said they would approach any member of staff with issues of concern or complaints. Comments were made that issues were not always resolved to their satisfaction. Since the last inspection an allegation of adult abuse had been received. At the time of this inspection the investigation into this allegation had not been completed. Whilst the investigation was ongoing the contracts from Social Services had been suspended and no new residents had been admitted via their assessment process. The investigation had included a review of the health and social welfare of the residents, by social services and the Primary Care Trust. At the time of this inspection this review had been concluded and staff at the home were implementing the recommendations made. This allegation and subsequent investigation had raised the awareness of the issues of abuse with staff in the home. They had received updated training on the care of vulnerable adults and those spoken with were aware of their responsibility to report any suspicions of abuse they had. Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The home was clean, safe, well maintained and free from offensive odour. Appropriate measures were in place to prevent the spread of infection. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: Goffs Park is a detached, converted house and as such the layout is small corridors, on 3 floors, with bedrooms off them. Whilst this was said to be an attraction to some visitors and residents spoken with, it also presented some difficulties in ensuring the highly dependent residents were adequately supervised. A tour of the premises took place. The general areas of the home were clean and free from offensive odours. The corridors and most bedrooms had new carpeting fitted which residents commented on as being “very nice.” New furniture had been provided in some bedrooms which again residents liked and thought was “fresh and clean.” Some specific areas required more thorough cleaning such as shelving in resident’s bedrooms. The storage of items was safe and did not cause a hazard to the residents. The carpet in one doorway Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 16 was a potential trip hazard for staff and residents. Since the last inspection all toilet doors had locks fitted. One area of the home was very warm and residents in this area said it did get stifling and they were unable to turn down the heating. This was discussed with the Responsible Individual. Since the last inspection paper towels and pump soap had been made available in all bathrooms and toilets and resident’s bedrooms. This had improved since the last inspection. Staff wore appropriate protective clothing when assisting the residents. Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29 and 30 The number and skill mix of staff was sufficient to meet the needs of the residents. The recruitment procedures in the home protected the residents. Staff had received training appropriate to the work they were doing. The amount of training in the home had increased. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service EVIDENCE: The staff numbers and skill mix in the home were sufficient to meet the needs of the residents accommodated at the time. Since the adult protection investigation was started a second registered nurse is now on duty from the hours of 9am to 5pm seven days per week. The nurses discussed how this has helped to improve resident’s care by them having more time to spend with residents to assess and meet their needs, to keep records up to date and work with care staff to offer supervision and support. The recruitment records for one new member of staff employed since the last inspection were reviewed during the inspection. These demonstrated that all required checks had been carried out. Since the last inspection staff training had increased with all statutory training having been or was in the process of being updated. Health professionals were also delivering training to the staff pertinent to the current resident’s needs. This training included first aid, nutrition, protection of vulnerable adults, infection control and health and safety. Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,36 and 38 The continuity and quality of care for the residents was not protected by having no-one managing the care home. Ways of running the home in the best interests of residents were being developed. Staff were not appropriately supervised. The health and safety of the residents was protected. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. EVIDENCE: At the time of this inspection the registered manager had resigned from this position and remained working at the home, in the position of a registered nurse. It was discussed that there was no change in the management of the day to day running of the home, with this person being in charge of the shift, giving direction to other staff and taking the lead with visiting professionals. Staff spoken with thought this person was in charge of the home. Since the Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 19 inspection the registered manager has confirmed to the Commission, in writing, that she has resigned as the registered manager and her registration with the Commission will be cancelled. It was discussed that this person must not remain in day to day charge of the home, since they had resigned this position and relinquished their registration. The Responsible Individual discussed that he is currently trying to recruit into the post of manager. In the meantime he was requested to confirm to the Commission, in writing, the name of the person in day to day control of nursing and clinical issues. Quality assurance was being developed within the home. Residents questionnaire had been devised and were in the process of being given out to residents. The Responsible Individual discussed how this was a gradual process at the beginning of implementation. Staff spoken with said they did not receive supervision or appraisals from senior members of staff. This must take place to ensure all staff are supported and any training needs identified. At the last inspection it was noted that there was an improvement in the number of residents who had their call bells to hand when in their bedrooms unattended. At this inspection one vulnerable resident did not have theirs to hand, putting their health and safety at risk. Accident records were kept. Staff had received health and safety training. The environment was safe and fire training and procedures were in place. Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 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 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X X X X 2 X 3 Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? YES 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 OP3 Regulation 14 Requirement Timescale for action 26/05/06 2. OP12 16(2)(m)( n) 3. OP15 23(2)(g) Accommodation will not be provided in the care home unless an appropriately qualified person has assessed the needs of the resident. This requirement remains in place as it was not possible to reassess this requirement at this inspection. 30/06/06 The registered person must consult the residents about their social interests and make arrangements for them to engage in social and community activities. Residents should be consulted about a programme of activities and provide facilities for recreation. This requirement remains unmet from the inspection dated 3/10/05 The timescale of 31/12/05 has expired. The registered person shall 30/09/06 ensure there is adequate sitting, recreational and dining space provided from the resident’s private accommodation. This requirement remains unmet since the inspection of 1/6/05. DS0000024146.V299803.R01.S.doc Version 5.2 Goffs Park Nursing Home Page 22 The timescale given of 31/12/05 has expired. 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 Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Goffs Park Nursing Home DS0000024146.V299803.R01.S.doc Version 5.2 Page 24 - 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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