Inspection on 30/11/07 for Greenford Care Home

This inspection was carried out on 30th November 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Greenford Care Home 07/10/08

Greenford Care Home 18/06/08

Greenford Care Home 26/07/07

Greenford Care Home 20/06/06

Greenford Care Home 07/03/06

Greenford Care Home 07/07/05

Greenford Care Home 29/12/04

Greenford Care Home 12/07/04

Greenford Care Home 22/12/03

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

CARE HOMES FOR OLDER PEOPLE Greenford 260-262 Nelson Road Gillingham Kent ME7 4NA Lead Inspector June Davies Key Unannounced Inspection 30th November 2007 09:45 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 Greenford DS0000029057.V352768.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. Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenford Address 260-262 Nelson Road Gillingham Kent ME7 4NA 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) 01634 580711 donna.h@charinghealthcare.co.uk Charing House Investments Ltd Donna Horn Care Home 18 Category(ies) of Dementia - over 65 years of age (0) registration, with number of places Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Dementia – (DE(E)). The Maximum number of service users to be accommodated is 18. Date of last inspection 26th July 2007 Brief Description of the Service: Greenford is home to 17 service users with dementia. The home itself is situated in Gillingham adjacent to Gillingham Park, which can be accessed via the back courtyard. The home has mainly single rooms, two having en-suite facilities, day areas have a homely feel even though it is open plan in design. The main town of Gillingham offers High Street shopping and a mainline railway station. The home itself is on a bus route. There is limited parking to the rear of the home. The cost of the service ranges from £394.75p to £500:00p per week. Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 30th November 2007 over a period of 6.5 hours. During the inspection the inspector spoke with three residents, two members of staff, the registered manager, the area manager and a visiting relative. Documentation relating to all the standards inspected was viewed and a tour was carried out of the home, both internally and externally. What the service does well: What has improved since the last inspection? The complaints file has now been updated to ensure that any complaint made is properly recorded investigated and a timely reply is made to the complainant. Much work has been done to ensure that the residents live in a safe, environment and that they have access to a plentiful supply of hot water, that furniture is replaced as and when required. One of the old bathrooms has been renovated and a bath hoist has been fitted. A kitchen assistant has been employed in the afternoon to prepare and cook tea for the residents, this ensures that care staff now have time to spend with the residents, and that there are sufficient care staff on duty at tea time to meet the needs of the residents. Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 6 Staff recruitment practices have improved, with all relevant checks being carried out to ensure that staff are fit to work with vulnerable residents and to ensure the safety of the residents. Refurbishment work is still ongoing in the home, with radiator covers being fitted to all radiators, thermostatic control valves fitted to all hot water outlets, and vanity units in resident’s bedrooms are being replaced. The home now has a decoration and refurbishment programme to ensure that the residents live in a comfortable and safe environment. 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. Greenford DS0000029057.V352768.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 Greenford DS0000029057.V352768.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): Standards 3 and 6 People who use the service experience good quality outcomes in this area. Service users move into this home knowing that their personal needs can be met and their independence will be promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection there have been no new residents admitted to the home. The Inspector viewed three pre-admission assessments carried out by the registered manager and found these to be comprehensive in detail. All pre-admissions assessments gave a clear view of the care needs of the prospective service user including their likes and dislikes, life history, medical history and interests. The home does not offer intermediate care. Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 9 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): Standards 7, 8, 9 and 10 People who use the service experience good quality outcomes in this area. The care planning system is clear and consistent to provide staff with the information they needs to meet the service users needs. Medication in the home is well managed promoting good health. Personal care is offered in a way that protects the residents’ privacy and dignity and promotes independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were seen to be individual in that they all contained information gained at the pre-admission assessment. Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 10 Only one care plan had information regarding the personal hygiene care that residents had received or had supervision with. A requirement has been made. None of the residents in the home have pressure areas. There was evidence from observation that where there is a high risk of pressure areas developing residents are referred to the district nurse for pressure relieving equipment. The inspector observed pressure relieving equipment in the form of specialised mattresses and pressure relieving cushions in the home. The care plans and the registered manager and care staff on duty confirmed that any resident who needs assistance with continence is referred directly to the continence nurse who then carries out an assessment and provides suitable aids accordingly. The continence nurse then carries out reviews of continence needs at appropriate intervals. None of the residents in the home have regular visits from CPN’s. Should a problem arise regarding the mental health of a resident, then the manager would request that the G.P. makes a referral to the Mental Health Team. Exercise activities are part of the activities programme and a specialist motivation lady comes into the home every month to carry out exercises and other activities with the residents. Nutritional screening is carried out monthly and weights are recorded within the care plan, where there is any concern regarding the weight gain or loss for a resident this is reported directly to the G.P. There was evidence in the care plans that residents have access on a regular basis to dentists, opticians, chiropodists and audiologists. Any concern regarding a resident’s health is reported directly to the G.P. The inspector carried out an audit of medication administered in the home, and found that MAR sheets were signed off appropriately when medication is administered. The medication both in the blister packs and boxes corresponded with the MAR sheets. The home does not use controlled drugs at the present time. All staff that administer medication had received training, and there was a list of trained staff at the front of the MAR folder with their initials. The medication fridge is clean and daily temperatures are recorded. All unused medication is returned to the pharmacist on a monthly basis. The policies and procedures for the administration of medication in the home are under review. The inspector observed that staff respects the privacy and dignity of the residents. Personal care is carried out in the privacy of the residents’ bedrooms, or in communal toilets and bathrooms with doors closed. Residents are assisted to toilets in a discreet manner. The inspector observed that staff knock on bedroom doors before entering the room. Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 11 Residents are able to have their own telephone in their room if they wish to do so, or they are able to use the homes own mobile phone for telephone calls. Two residents said that they were able to choose what clothes they wished to wear, and from observation the inspector saw that all residents were appropriately dressed. Three care plans clearly stated how the residents wished to be addressed. Two residents said “The staff here are very kind, nothing is too much trouble for them”. “The staff here are wonderful, they are always kind and considerate”. There is one shared bedroom in the home at the present time, and this is fitted with privacy curtains between the beds and around the vanity unity. Staff confirmed that residents are able to see visitors in the privacy of their own bedrooms at any time if they wish to do so. Greenford DS0000029057.V352768.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. A variety of activities are on offer to the residents, and links with the community are good. The meals in the home are good offering both choice and variety and catering for special diets. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans showed that residents are able to express preferences. One resident said, “I can get up when I want to and go to bed when I want to.” Another residents said, “I get up early but I also go to bed early.” Residents are offered a variety of activities and are able to choose what activities they wish to be involved in. Four residents said that they are able to join in activities as and when they wish. One resident said “I love it when Elvis comes to sing to us, we have great fun.” Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 13 The registered manager has made arrangements to take some of the residents to the Central Theatre at Chatham to see the Snow White Pantomime. There is also a choir from the local Church of England visiting the home at Christmas to sing carols and perform a nativity play. The registered manager has also arranged for two Christmas parties to be held in the home one in the afternoon and one in the evening and relatives and friends are invited to attend. Both the manager and staff confirmed that some families take some of the residents out on a regular basis. The registered manager does not handle any of the resident’s finances. Residents have elected their relatives or solicitors to manage their personal finances for them. None of the residents have an advocacy service, but the registered manager stated that she would know how to contact an advocacy service should there be a need. From observation during a tour of the home it was obvious to the inspector that residents are encouraged to personalise their own rooms with their personal possessions and small items of furniture. All residents are able to have access to their care plans. All care plans are kept in accordance with the Data Protection Act 1998. The inspector viewed the menus for the home and found them to be varied, and offering a balanced and nutritious diet for the residents. Resident’s food likes and dislikes are recorded in their care plans and these are adhered to. There is a choice of menu at each mealtime. Each resident is offered three meals a day. Drinks and snacks are offered throughout the day. None of the residents in the home have liquidised meals. The cook does cater for diabetic diets and other diets can also be catered for if there is a need. The inspector observed that mealtimes are unhurried and residents can sit and chat over their meal if they wish to do so. Two residents need encouragement from staff to eat their meals, and this is done discreetly, with the member of staff sitting with the resident. Comments from four residents were – “The food is very nice here.” “We are offered a choice of food so I always have what I like best.” “I have no complaints about the food, it is all good.” “Sometimes I like the food, sometimes I don’t it depends who is cooking.” Greenford DS0000029057.V352768.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16 and 18 People who use the service experience good quality outcomes in this area. Service users know their complaints will be listened to and acted on. Staff have knowledge and understanding of adult protection issues, which helps to protect service users from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints policy and procedure is displayed in the home, and is in the process of being updated to reflect the contact name and address of the new registered providers. There have been no complaints to the home since the last inspection. One resident said, “I do know how to complain, I would speak with the manager, and I know she would listen to me.” Another resident said, “I have no need to complain about anything.” While the policies and procedures relating to the protection of vulnerable adults are informative, these are in the process of being reviewed to reflect the new registered providers. Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 15 There have been no adult protection issues in the home since the last inspection. 26 of staff have received POVA training and further training is being provided within the next few months to ensure that all staff are POVA trained. One member of staff said, “I do now about abuse, we have policies and procedures that tell us what to do if we suspect that abuse has occurred.” Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 People who use the service experience good quality outcomes in this area. Recent investment is significantly improving the appearance of this home creating a comfortable and safe environment for the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is undergoing major refurbishment of all rooms since the new provider has taken over the home. All radiators are being covered; vanity units replaced and thermostatic control valves are being fitted to all hot water Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 17 outlets. A boiler and water tank have been replaced and residents now have a good flow of hot water to their vanity units. A ground floor bathroom has been refurbished and now has a usable bath with bath hoist in place. There are further plans to ensure that bedrooms are redecorated as and when they become vacant. During this inspection the inspector noted that all rooms had been personalised according to the residents wishes. All windows have window-opening restrictors fitted. The communal areas of the home are in good decorative order, and comfortably furnished. At the back of the garden there is a small paved patio area, which looks out onto the local park. Residents use this area when the weather is good. This area is safe and secure for use by the residents. The laundry is situated in the basement of the building, with very steep stairs, leading down. Since the last inspection a child gate has been fitted to ensure that residents cannot get down into this area. It is important the registered provider risk assesses this staircase that staff use, when taking laundry from the home down into the laundry. The laundry room is kept clean and tidy. There is an industrial washing machine with sluicing facility and an industrial tumble drier. Red alginate sacks are used for fouled laundry. The laundry room floor is impermeable to water. Throughout the home there is a provision of disposable gloves and plastic aprons for staff to use when carrying out personal hygiene tasks or clearing up spillages. Any clinical waste is placed into an appropriate clinical waste bin that contains a clinical waste plastic sack. This is emptied at regular periods and placed into a large bin, which is securely kept in the back yard. Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. Staff morale has improved with better staffing levels this offers consistency of care to the people using this service. The standard of vetting and recruitment practices are good ensuring that residents are not placed at risk. Further staff training is required to ensure that residents receive care from a multi skilled care team to ensure a good quality of care and support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last key inspection the staffing levels in the home have improved in that a kitchen assistant has been employed to prepare a cooked tea for the residents in afternoon, this has ensured that there is sufficient care staff to assist service users. Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 19 The registered manager has worked hard to ensure that she 53 of care staff with a NVQ level 2 and above with further care staff enrolled or about to be enrolled on a NVQ course. Recruitment practices in the home are good, with all the appropriate checks being carried out prior to a new member of staff being employed. The inspector looked at the staff personnel files for three members of staff and found that all files complied with National Minimum Standards. From viewing all staff training files the inspector found that not all staff have undertaken mandatory training or relevant work related training. The area manager was present at the time of this inspection and confirmed that training was being arranged and that she was hopeful that all staff would receive mandatory training within the next few months. A requirement has been made to ensure that staff do receive this training within a stated period of time. The inspector also found that the while the home does have an initial induction, at the present time none of the staff have completed ‘Skills for Care’ induction. The area manager said that they are about to introduce a ‘Skills for Care’ induction within the next few weeks and that all staff will be expected to work through it within the first few weeks of their employment. Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. The manager has a good understanding of what needs to improve in the home. Planning is in placed and sets out how this improvement will be resourced and managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has worked in the home for two and half years. She was enrolled on NVQ level 4, but due to a failure in the training agency, she has not been able to complete this qualification and is waiting to sign up with Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 21 the local college so that she can complete can obtain this qualification. Staff and residents spoke highly of the manager, saying that she was always available to listen and provided good leadership within the home. One resident said, “The Manager is lovely she is always available to help and listen to what I say.” The new area manager stated that quality assurance is in the process of being developed in the home to include, residents, relative, staff and external stakeholder surveys. The area manager will ensure that the manager carries out regular monitoring of all the systems used in the home. There has been a health and safety and fire risk assessments of the home, which was carried out in July 2007. All the residents in the home have stated that they wish the manager to look after their personal finances. All residents have their own finance sheets, and monies in and out are recorded on this sheet. Where expenditures are made on the residents’ behalf receipts are kept in their own personal finance file. All resident’s monies are kept separately in a secure place within the home. The manager or head of care only have access to the resident’s personal allowances, and monthly monitoring checks are carried out and signed by the manager and head of care. Not all staff have received their mandatory training and this has been mentioned under Staffing within this report with a requirement being made. The health and safety issues referred at the previous inspection have or are in the process of being addressed. Radiators are in the process of being fitted with radiator guards, a new boiler and water tank have been fitted, which ensure that residents bedrooms on the first floor now have a steady flow of hot water, this has also eliminated pipe noise in the residents bedrooms. On the day of this inspection, plumbers where in the process of fitting hot water control valves to all the hot water outlets in the building. All windows are fitted with window restrictors, and external doors are fitted with number locks to ensure the safety of the residents in the home. The door to the laundry room situated in the basement has now been fitted with a safety gate to ensure that residents do not have access down the steep stairs to the basement. The kitchen hand washbasin tap has now been replaced and staff can now wash their hands prior to handling food. All accidents are correctly reported into the Health and Safety accident book. Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 22 Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 12(1) Requirement The registered manager must ensure that daily records reflect in detail the personal hygiene care given. To use the term ‘All care given’ is not helpful or adequate. Daily records when well written, help to ensure a consistent approach and good quality of care for the residents. Requirement made at previous inspection on 26/07/07 with timescale not met. The registered person must ensure that staff receive mandatory training within the first six months of their appointment, and that this is updated at regular period during their employment. The registered person must ensure that all new staff complete a set induction as laid out by Skills for Care, Common Induction Procedures. Requirement made at previous inspection on Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 25 Timescale for action 31/01/08 2. OP30 12(1)(a) (b) 18(1)(a) (c) 31/01/08 26/07/07 with timescale not met. 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 Greenford DS0000029057.V352768.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Greenford DS0000029057.V352768.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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