Inspection on 19/04/05 for Grove Court

This inspection was carried out on 19th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Grove Court 06/09/07

Grove Court 18/01/07

Grove Court 05/10/05

Grove Court 17/11/04

Grove Court 16/06/04

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

CARE HOME ADULTS 18-65 Grove Gourt 100 Lancaster Road Newcastle Staffordshire ST5 1DS Lead Inspector Peter Dawson Announced 19 April 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Grove Court Address 100 Lancaster Road Newcastle Staffordshire ST5 1DS 01782 628983 01782 714982 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Rethink Vacancy Care Home 14 Category(ies) of 14 MD registration, with number 14 MD(E) of places 1 LD Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 14 MD - 30 years on admission. Date of last inspection 17 November 2004 Brief Description of the Service: Grove Court is a large Victorian building located in a desirable residential area close to Newcaslte town. It iwas opened in 1991 and is run by the Rethink Organisation. Up to 14 people who have a severe mental illness are accommodated. The home provides care for up to 14 people with enduring mental health conditions. This is provided in a supportive environment with support from specialist primary care and hospital health professionals. The aim is to maximise independence and promote an increased quality of life. There are 6 single and 4 double bedrooms some have en-suite facilities. Accommodation is on 3 floors with shaft lift access to the first floor. One recently created bedroom is in the annex adjoining the home, has good facilities including en-suite shower and is for a less dependent resident. There is a large lounge area with dining facility and a separate dining area which is the designated smoking area (most residents smoke) and also doubles as a sitting area throughout the day. There is a larage well eqipped kitchen and bathroom/toilet areas. The laundry is located in the basement. Bedrooms are located on 3 floors. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were the maximum number of residents (14) in the home at the time of the inspection. The inspector attended staff handover and the standards of recording and discussion were good. There were 3 residents on holiday in Wales for a week, the remaining residents were all seen and spoken to. All expressed their satisfaction at the care provided at Grove Court. There was evidence of staff commitment and observed good engagement between residents and staff. There are individual weekly activities for all residents. A member of staff has been identified to lead the further development of activities and this will add a further dimenstion. Six relative and 12 service users completed feedback forms sent directly to the Commission. The comments were all very positive about the service provided at Grove Court. Considerable amounts of money have been raised by a local charity for Grove Court and many luxury items bought, the decisions being made with residents. A new dining table and chairs had been purchased from those monies since the last report. There are 3 shared bedrooms in use and the occupants of one room were having difficulties due to sharing, but there are presently no alternatives. The proposed building programme will improve this situation considerably. An incomplete application has been received by the Commission and returned to the home. This application is urgent to ensure that a Registered Manager is appointed to the home as required. The home has a good record of staff training and exceeds the required 50 of trained staff required by 2005. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Provision of single bedroom accommodation for all residents is important with this resident group because of the mental health status of many residents. All have severe mental health needs and have disturbed patterns of behaviour and illnesses. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 7 A Registered Manager must be appointed to the home as soon as possible. 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. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5. Additional information relating to the physical environment standards should be added to the statement of purpose. There was evidence of good assessments and appropriate introductions to the home for residents. EVIDENCE: The statement of purpose and service users guide is available in the home for residents and visitors. The statement of purpose must state the number and size of bedrooms, including those under 10 sq. m. and the number of single and shared bedrooms. Assessments are carried out prior to admission by Care Management Social Workers and also by the homes staff. Most admissions are subject to CPA arrangements. No new residents have been admitted since the last inspection. Introductory visits are always made prior to admission including overnight stays. All residents admitted to date have been funded by local authorities and the usual contracts are completed and signed by residents who retain a copy of the contract. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 Care plans are to a high standard with all needs clearly defined and the actions required to meet need. Health care matters are well documented and any deterioration carefully monitored and appropriately referred. This is vital with the complex mental health care needs of this group. Standards 6 – 10 were found to be met. EVIDENCE: Care plans were sampled and there was evidence of comprehensive assessments prior to admission which provided the basis for individual care plans. Plans including information on all aspects of social, emotional, health and recreational needs. All intervensions by health care professionals were recorded concisely and chronologically allowing good tracking of health care issues. There is a weekly planner for residents outlining the social, educational and recreational programme. This included visits to hospital and facilities accessed in the hospital setting. Most residents are subject to CPA arrangements and are involved in planning and review of all aspects of those arrangements. This is provided on a multi-disciplinary basis and reviews chaired usually on 6 monthly basis by Consultant Psychiatrist. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 11 Residents are consulted on a daily basis about personal choices and involved in decisions about the home. There are regular residents meetings (minutes seen). There is current debate with residents about how best to spend £1,500 dontated from local charity. The final decision will be made and will include all residents. Risk assessments are in place for all resident activity and were sampled. The complex mental health needs of the residents mean that risks have to be carefully and clearly assessed and defined to ensure promotion of independent lifestyles. Information concerning residents is kept in the office area allowing confidentiality. Residents are involved in all care planning information and this is only shared with others with the consent of residents. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17. There are individual programmes of activity for all residents. The home intends to further build upon this with nominated member of staff organising activities. Residents are encouraged to participate in community activities and staff readily available to support them. Residents are involved in discussions and decisions concerning daily life in the home. EVIDENCE: Individual programmes of activities are provided, this may include 1:1 activities with staff or small group activity. Activities are limited by the fluctuating mental health needs of residents. These are known to and understood by staff. The is a varied age range of residents with varying or limited interests. These are catered for on an individual basis. A recently admitted resident has a programme including attending gym, library, gardening scheme and to commence art college in September. Two residents now visit local snooker hall twice weekly together, one of those Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 13 previously unable to partake in community activity. There is a monthly “curry club” several residents involve and enjoy the social aspects of visiting the community. The accent is upon external activities where possible as part of normalisation and staff have worked hard to encourage residents to access community facilities over the years. Three residents visit Harplands Day centre regularly. Contact with family and friends are strongly promoted, one resident has 5 days with her mother and 5 days at Grove Court, many other have regular visitors and go out with their visitors wherever possible. In an attempt to increase and formalise an activity programme staff have decided that a particular staff member will have a specific responsibility for an activities programme. This is to be introduced as soon as new domestic worker commences duty. There is enthusiasm in providing a 7 day activity programme and all staff are of course, involved in those activities. Residents have clearly been involved in those discussions. At the time of the inspection 3 residents were away on a weeks holiday with a member of staff in Portmadoc, where Rethink organisation have a caravan. They had been taken the day prior to the inspection and 2 other residents had “gone for the ride” and recounted the trip with enthusiasm. All residents are offered annual holidays, last year one went to Bournemouth with staff member and 3 went to Pontins, Blackpool with 2 staff. All residents spoken to said they were satisfied with food provision. The midday meal is prepared by the cook but other meals prepared by residents with staff assistance if required. All prepare their own breakfast and there is free access to the kitchen area and to food with the exception of the mid-day cooking period. Many residents have gained considerable weight and are on diets requested by them and advised by the dietician. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Evidence supported the view that the physical and emotional health care needs of residents were clearly identified, monitored and actioned when required. Records indicated there was a safe system of medication administration in the home. EVIDENCE: Residents generally require little direct physical personal care support from staff who mainly monitor and encourage personally hygiene regimes. All staff have received moving and handling training. The mental health care needs of residents are complex and varied and staff have all had training in specific aspects of mental health care needs. The importance of understanding conditions and potential side-effects of medication or deterioration in mental health status is vital in this home. Discussions and inspection of documents indicated that staff are vigilant in this area and a good record of early identification of changes in the mental health care status of residents. Care plans clearly stage diagnosed conditions and warning signs of any deterioration. The district nursing service are not currently visiting the home. All residents have allocated Consultant Psychiatrist, CPN and Key Worker under aftercare arrangements. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 15 Medication is provided in MDS form from Boots Chemists. Records were inspected and all documents including MAR sheets were found to be correctly completed. There is a count of medication to closely monitor medication to included in MDS packs e.g. Clozapine which is supplied directly from hospitals. All staff have completed medication training. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The complaints procedures are known to and readily available for residents and visitors. Instructions for reporting suspected abuse are in place and the vulnerable adults procedures recently invoked following complaint by resident. EVIDENCE: There is a complaints procedure posted in the home for residents and visitors. The procedure is provided by the Rethink Organisation, is lengthy and difficult to understand. The home have provided a simple and concise complaints procedure which has been given to all residents. There have been no complaints to the home or the Commission since the last report. There are regular resident meetings (minutes seen) when residents have the opportunity of expressing their views about the service and are involved in decision making. There is a very comprehensive policy/procedure relating to abuse and also a copy of the vulnerable adults procedures in the home. The procedures for reporting abuse are reviewed during staff supervision. Staff have clear instructions concerning the reporting of suspected or actual abuse. A resident has recently been supported in making a complaint of alleged abuse whilst in hospital. This has invoked the vulnerable adults Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 17 procedures with a multi-disciplinary response. The matter is still under investigation. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29 and 30 There is a good standard homely environment. Plans to extend the property ad provide all single rooms are necessary as outlined in problems discussed during the inspection. The provision of domestic hours will allow more staff time for care. EVIDENCE: Furniture fittings and equipment are to a good standard and well maintained. Many areas have been upgraded in the past couple of years, particularly the communal areas. There are presently 6 single and 4 shared bedrooms. All bedrooms have ensuite facilities. One bedrooms is below 10 sq. m ( 8.7 sq m.) and this must be recorded in the statement of purpose. Plans have been drawn up by Architects for and extension which will provide 4 additional en-suite bedrooms. This will then provide all single bedroom accommodation, and will not increase the number of residents. Single bedrooms are important for this resident group, some having disturbed nights and an issue was discussed during the inspection which strongly Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 19 indicated the need for two residents to have their own bedrooms, they were both dissatisfied with the occupation of a shared bedroom, both were indicating they may wish to leave the home. Staff were dealing with this matter to the best of their ability, but the need for single bedroom accommodation for all is clearly vital. This will be resolved when the building work is complete. The home must send a copy of the proposed extension to the Commission for approval. There is an excellent large lounge with small dining facility. The main dining area doubles as the designated smoking area (there are 10 smokers). The secluded walled garden area is spacious and appealing and provides an excellent facility during the summer months. All bedrooms have facility for TV and other electrical equipment. All rooms are lockable if residents wish to lock their bedroom doors. Standards of hygiene in the home are good. At the present time there are no domestic hours, cleaning is carried out by staff with assistance from residents where appropriate. There has been an allocation of 20 domestic hours per week from the budget which will relieve staff of the onerous task of cleaning all areas. The laundry is located in the basement and new washing and drying machines have recently been purchased. A small domestic washer has also been purchased to allow residents the opportunity to wash their own clothes as part of indepdendence. The door to the basement area should be locked, with key available from staff. It was noted that the lock was defective and the door therefore open. This must be rectified. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 to 36 Staffing levels remain adequate for the resident group. The home exceeds the required 50 of NVQ trained staff by 2005. There is an good record of staff training and supervision in the home. EVIDENCE: The previous manager left the home in June 2004 an Acting Manager appointed b the home. Three members of night staff have left the home since the last inspection, although one has returned. Advertisements for replacements are being arranged. There are 2 people confirmed as bank staff to cover vacancies. Some night shifts have been covered by agency staff. There has been some re-designation of staff at senior level which has strengthened the management team. The number of staffing hours remains the same at 360 per week. This is adequate for the perceived dependency levels of residents. There is an agency cook working in the home at this time. Catering hours cover 5 days, the other 2 days covered by care staff. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 21 Domestic hours of 20 per week have been introduced from the budget, staff have completed these tasks to date. Commencement is restrained only by arrival of satisfactory CRB check. All staff have either completed or are involved in NVQ study. Only 2 staff have not completed NVQ and are presently studying level 2. 88 of staff have completed NVQ training thereby exceeding the required numbers by 2005. All staff have completed statutory training and there have been additional training opportunities with staff involved in cultural awareness, clinical risk assessments and suicide awareness training. Four staff have completed Early Intervention in Psychosis training, most relevant to this client group. Staff supervision is in place on a required regular basis for all staff. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38, 40, 41, 42 and 43. A Registered Manager must be appointed as soon as possible. The present arrangements for management of the home are satisfactory. Risk assessments are to a very high standard and there is good and adequate recording in all records seen. Access to the laundry must be restricted to ensure safety to residents and all notifications under Regulation 37 notified to the Commission. There is evidence to indicate that service users are protected. EVIDENCE: The home does not have a Registered Manager at this time. Rethink have appointed an acting Manager. Application has been made for approval of the Acting Manager as Registered Manager but this can not proceed at this time as the required fee did not accompany the application. This is being pursued by the home with the organisations Finance Section. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 23 A Registered Manager must be appointed as soon as possible to comply with Regulation 8. Documentation, including Care Plans were sampled and were of good professional standard. Health & Safety issues in the home are well documented and there are excellent risk assessments relating to resident activity and the building. These are regularly reviewed. Access to the laundry located in the cellar area was not secure at the time of the inspection, the lock was defective. This must be replaced/repaired immediately. A draft policy/procedure relating to residents holidays has been compiled by the home and in fact applied prior to the 3 residents going on holiday at this time. A draft policy on drugs and alcohol identified in the last report has been completed and ready for implementation. Rethink have established a Area Risk Leaders on a regional basis who will give advice or direct enquiries to the appropriate source and carry out audits of documentation. All staff have completed Moving & Handling training although this is presently not required in relation to residents. There are sufficient numbers of staff first aid trained and all staff will receive updated training in this area over the period April-June 2005. A referral under the vulnerable adults procedure had not been notified to the Commission under Regulation 37 and the Acting Manager aware of the need for such notifications in the future. Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grove Gourt Score 3 2 2 N/A Standard No 37 38 39 40 41 42 43 Score 3 2 N/A 3 3 2 3 E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 25 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. 4. Standard 1 1 42 42 Regulation 8 Schedule 1(16) 37 13(4) Requirement Application must be made to the Commission for a Registered Manager Rooms below 10sq m must be stated in the Statement of purpose All events affecting the lives of residents must be reported to the Commission. Access to the laundry must be made safe to residents. Timescale for action 31/05/05 30/04/05 Ongoing 30/04/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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 Grove Gourt E51-E09 S4950 Grove Court V217433 190405 Stage 4.doc Version 1.30 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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