Inspection on 02/02/07 for Grove (The)

This inspection was carried out on 2nd February 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grove (The) 05/01/06

Grove (The) 19/07/05

Grove (The) 28/02/05

Grove (The) 24/08/04

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

CARE HOME ADULTS 18-65 Grove (The) 72 Grove Road Walthamstow London E17 9BN Lead Inspector Rob Cole Unannounced Inspection 2nd February 2007 10:00 Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 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 Grove (The) DS0000007318.V311976.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 Adults 18-65. 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. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grove (The) Address 72 Grove Road Walthamstow London E17 9BN 020 8520 3510 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) aidanspence@hotmail.com Mr Aiden Spence Ms Lisa Goldwater Mr Aiden Spence Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: The Grove is a care home registered to provide accommodation and support to three adults with mental health needs. The home is located in the Walthamstow area of the London Borough of Waltham Forest. The home is in a residential area, close to shops and other local amenities, and to transport networks. The home is in keeping with other properties in the vicinity. The home is jointly owned by two proprietors who are both qualified psychiatric nurses. One of the proprietors is the registered manager of the home. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 2/2/07 and was unannounced. The inspector had the opportunity of speaking with service users, staff from the home and a CPN who was visiting on the day of inspection. The homes manager was present for most of the inspection. The inspection also included a tour of the premises, and an examination of records and documents. Overall the inspector was satisfied that this is a well run care home, and that service users receive high levels of individual support. Service users spoken to informed the inspector that they were happy with the home. The home presents as having a warm, friendly and welcoming environment. What the service does well: What has improved since the last inspection? 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. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 7 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that service users are provided with sufficient information about the home to make an informed choice as to move in or not. This information is provided through written documentation and the opportunity of visiting the home. EVIDENCE: The home has both a Statement of Purpose and Service User Guide in place. The Statement of Purpose outlines the philosophy of care in the home, stating “We endeavour to create and maintain an environment that is both physically and emotionally safe…by forming positive and supportive relationships that are based on mutual trust and respect.” The Service User Guide, or “Residents Handbook” is more detailed, and includes all information required by the Care Homes Regulations 2001. All service users are given their own copy of the Guide. Both documents are written in plain English, and are accessible to all service users. The Guide and the Statement are dated, and subject to regular review. All service users have a written contract/statement of terms and conditions, which have been signed by both the manager and the service users. The home Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 8 retains a copy and service users have their own copy. The contracts are in a format that is accessible to service users. They include details of fees charged, what they cover and what is extra, periods of notice required, the rights and obligations of each party and all information required by National Minimum Standard 5. The home has an admissions procedure in place. The inspector spoke with a service user who had recently moved into the home, who said that they had had a very thorough transition period, including several visits to the home before a final decision was made about moving in. Service users initially move in to the home on a trial basis, after which a placement review meeting is held. Since the previous inspection the inspector was pleased to note that the home now carries out comprehensive pre admission assessments on all prospective service users before they move in to the home. These cover needs associated with medication, mental health issues and social and leisure needs. Through observation and discussion there was evidence that the home is able to meet the collective and individual needs of service users. Staff demonstrated a good understanding of their roles and responsibilities, and of the individual needs of each service user. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the inspector’s judgement that service users have control over their daily lives, and that the home is able to meet service users individual needs. EVIDENCE: Individual care plans are in place for all service users. These are clear and comprehensive, and of a good standard. They are drawn up with the involvement of the service user, their keyworker and the homes manager. Plans are subject to regular review. Plans include information on medication, mental health, phsyical well being and leisure needs. Clear goals have been identified, along with strategies to help achieve those goals. Daily records are also maintained, these are linked to the care plans. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 10 Risk assessments are also in place for all service users, these are likewise of a good standard, and subject to regular review. Risks have been identified, and strategies are in place to manage and reduce these risks. They covered risks associated with substance misuse, violence and aggression and mental health issues. Through observation and discussion there was evidence that service users have a large degree of control over their daily lives. Service users are able to get up and go to bed at a time of their choosing, they choose their own clothes to wear etc. Service users are able to come and go from the home as they wish, subject to the completion of a satisfactory risk assessment. Service users are offered keys to their bedrooms, and to the front door. Service users are consulted over the day to day running of the home, for example they have been involved in choosing the décor for their bedrooms. Regular service user meetings are held, these evidenced discussions on activities and holidays. The home has a confidentiality policy in place, which makes clear under what circumstances a confidence may have to be broken in the health, safety and welfare interests of service users and others. The inspector was informed that staff and service users can access confidential records as appropriate. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that service users are supported to live valued and fulfilling lives. They have access to a variety of social and leisure activities, and food was of a good standard in the home. EVIDENCE: One service user has employment working in a stationary shop, and they are currently working towards an NVQ in retail. The home is looking into the possibility of one service user attending literacy classes. One service user attends the “Black Persons Mental health Association”, while another chairs a “hearing voices” group in Newham, which arranges various social activities such as swimming. Another service user attends AA meetings. Service users have regular access to the community, for example visiting local shops and markets. Service users regularly access public transport, including Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 12 buses and tubes. The home has access to an allotment in the Essex countryside, service users spoken to informed the inspector that they very much enjoyed working there. Service users have access to a variety of social and leisure activities, both in house and in the community. In house service users have access to TV, DVD, music, board games, one service user likes to paint, another plays the guitar. The home has various pets, including a dog, a cat and various tropical fish, which service users have responsibility for looking after, for example taking the dog for a walk. In the community service users go swimming, to the theatre and cinema, pubs, restaurants, football matches, and on bike rides. Service users are offered holidays as part of their basic contract price, and several recently visited Southend for a holiday. One service user regularly visits Edinburgh to see their girlfriend. Service users are able to maintain contact with family and friends, including going for overnight stays. Service users can see visitors at any reasonable hour, and can see them in private if they so wish. Service users are given their own mail to open, and can use a telephone in private. Records are maintained of menus, these evidenced that service users are offered a varied, balanced and nutritious diet. Service users are offered choice over meals, and are involved in food preparation. Questionnaires are issued daily to gain feedback on the quality of the food, these evidenced high levels of satisfaction with the food provided. Service users were observed to help themselves to drinks and snacks throughout the day. The kitchen was clean and tidy, and food was stored appropriately. Records are kept of fridge and freezer temperatures. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the view of the inspector that the home is meeting the personal and health care needs of the service users. Service users have access to all relevant health care professionals, and medications are administered and recorded as appropriate. EVIDENCE: Service users are responsible for their own personal care, although some need encouragement in this area, and guidelines are in place around this in their care plans. On the day of inspection staff were observed to knock and wait for an answer before entering bedrooms. Service users are able to get up and go to bed when they wish, and choose their own clothes to wear. All service users were appropriately dressed on the day of inspection. The manager informed the inspector that service users would be able to remain in the home with a terminal illness, as long as the home was able to Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 14 meet their medical needs. The home has sought and recorded the views of services users on their wishes in the event of their death. All service users are registered with a GP. Since the previous inspection records are now maintained of medical appointments, including of any follow up action necessary. Records indicated that service users have access to health care professionals as appropriate, including dentists, opticians and CPN’s. On the day of inspection o CPN was visiting a service user. They informed the inspector that they believed The Grove to be a very good home, and that they were always kept informed of any developments, and that staff had a very good understanding of the issues involved for the service user they supported. The home has a medication policy in place, and all staff undertake training before they are able to administer medications. No service users currently self medicate, or are on any controlled drugs. Medications are stored securely in a locked cabinet. Records are maintained of medications entering the home and of those that are returned to the pharmacist. Medication Administration Records are maintained, those examined by the inspector appeared accurate and up to date. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector believes that appropriate systems have been put in place to help ensure that service users are protected from the risk of abuse, although the home must ensure that all staff undertake training in adult protection issues. EVIDENCE: The home has a complaints log, although the manager informed the inspector that the home has not received any complaints within the past year. There was also a complaints procedure, this was on display within the home, and made reference to the CSCI. Service users spoken to demonstrated a good understanding of whom they could complain to if they so wished. The home has a copy of the Local Authorities adult protection procedures, and also its own policy on adult protection. This appeared to be in line with current legislation. Two of the current staff team have not received any training on adult protection issues, and one of those spoken to by the inspector demonstrated a only limited understanding of their roles and responsibilities with regard to adult protection issues. It is required that all staff receive training in adult protection issues. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 16 The home holds money on behalf of service users in a locked cabinet. Records and receipts are maintained of financial transactions involving service users monies. Those examined by the inspector appeared to be satisfactory, and evidenced that money was spent appropriately. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that the home is suitable to meet its stated purpose with regard to the physical environment. There is adequate private and communal space to meet service users needs, and the home is generally well maintained both internally and externally. EVIDENCE: The home is situated in the Walthamstow area of the London Borough of Waltham Forest, and is close to shops, transport links and other local amenities. The home is in keeping with other homes in the area. Communal space consists of a sitting room, dining room, kitchen and garden. The dining room is a new room, previously the dining room and kitchen had been combined. Service users spoken to informed the inspector that they were happy with the extra space. All bedrooms are ensuite, with a toilet, shower and hand basin. Bedrooms have all been recently decorated, and service users Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 18 were involved in choosing the new décor. There is a separate bath/toilet, with a suitable lock fitted, and a separate toilet for staff. On the day of inspection all bathrooms were clean, tidy and free from offensive odour. All service users have their own ensuite bedrooms. Bedrooms have been decorated to service users personal tastes, and service users are involved in keeping their own rooms tidy. Bedrooms had adequate furniture, including table and chair, wardrobe and chest of draws, while bedding, carpets and curtains were all well maintained. Service users had televisions and music systems in their rooms as they wished. Bedrooms had adequate natural light and ventilation, and meet National Minimum Standards on size requirements. The home has a designated laundry room, which is domestic in scale and suitable to meet service users needs. COSHH products were stored securely. The home has introduced a policy on infection control. Hand washing facilities were situated throughout the home. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 19 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The inspector believes that the home is staffed in sufficient numbers to meet service users needs, and that staff have a good understanding of their roles and responsibilities. However, the home must ensure that all necessary pre employment checks are carried out on staff as appropriate. EVIDENCE: The home provides 24-hour staffing, including an emergency on-call procedure. Staffing levels have increased since the previous inspection as a result of two further admissions to the home. The home had a staffing rota on display, this accurately reflected the actual staffing situation on the day of inspection, and since the last inspection it now records the hours worked in the home by all staff, including the manager. Through observation and discussion there was evidence that staff have a good understanding of their roles and responsibilities, and that they have built up good relations with individual service users. Staff were seen to interact with Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 20 service users in a friendly and respectful manner. All staff have been provided with a copy of their job description and of the General Social Care Council codes of conduct. Staff receive a structured induction on commencing work at the home, this includes the physical environment and service user issues. Staff receive regular training, recent training has included breakaway and dual diagnosis. The inspector was pleased to note that staff have received health and safety training as appropriate since the last inspection, including on fire safety and first aid. Of the four care staff employed at the home, only one has achieved a relevant care qualification, and it is required that at least 50 of care staff employed at the home have an NVQ Level 2 in Care or equivalent qualification. All staff now receive regular formal supervision from the homes manager. This is minuted, and staff get a copy of the minutes. Supervision covers training needs, performance and service user issues. The home has policies in place on equal opportunities and recruitment and selection. The inspector checked staff employment files, and for one staff member it was found that a CRB check had not been carried out. It is required that the home carries out a CRB check for all staff prior to them commencing work at the home. Other employment checks, such as references and proof of ID, were found to be in place. Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 21 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the judgement of the inspector that the homes manager is suitably experienced to competently carry out their roles and responsibility. The Grove appears to be a well run and managed home. EVIDENCE: The manager is a Registered Mental Health Nurse and has twenty years experience of working with adults with mental health issues, including fifteen years in a managerial capacity. Staff and service users informed the inspector that they found the manager to be approachable and accessible, and on the day of inspection staff were observed to interact with the manager in a relaxed Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 22 manner. Through the homes polices and practices their was evidence that the manager makes a commitment to equal opportunities within the home. The home has policies and procedures in place in line with National Minimum Standards. Those checked by the inspector, including medication and adult protection, appeared satisfactory. Record keeping in the home was generally of a good standard, confidential records were stored securely, staff and service users could access their records as appropriate. Staff supervisions, service user meetings and care plan reviews all contribute to quality assurance within the home. In addition, the home seeks feedback from visiting health and social care professionals, feedback seen by the inspector was generally very positive. Copies of previous inspection reports were available to view in the home. The home has various health and safety polices in place, for instance on food hygiene and fire safety, and staff receive health and safety training, including first aid and fire safety. Fire extinguishers were situated around the home, these were last serviced in May 2006. Fire alarms are tested weekly, and have been serviced within the past twelve months. The home holds regular fire drills. The home had in date certificates for gas safety, electrical installation and PAT testing. It also had in date employer’s liability insurance cover. Hot water and fridge/freezer temperatures are checked as appropriate. However, on the day of inspection the homes COSHH cupboard was found to be left unlocked, and it is required that all COSHH products are stored securely. Grove (The) DS0000007318.V311976.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 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 2 3 Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 24 Yes 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. Standard YA23 Regulation 13 Requirement The registered person must ensure that all staff who work at the home receive appropriate adult protection training. (Timescale 30/04/06 not met) The registered person must ensure that at least 50 of the care staff employed at the home attain a relevant care qualification. (Timescale 30/04/06 not met) The registered person must ensure that all necessary employment checks are carried out on all staff, including CRB checks, in line with the Care Homes Regulations 2001. (Timescale 30/04/06 not met) The registered person must ensure that all COSHH products are stored securely. Timescale for action 30/04/07 2. YA32 18 31/05/07 3. YA34 19 31/03/07 4. YA42 13 28/02/07 Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 25 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 Grove (The) DS0000007318.V311976.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Grove (The) DS0000007318.V311976.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. 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