Inspection on 25/03/08 for Hadrian Park

This inspection was carried out on 25th March 2008.

CSCI found this care home to be providing an Good service.

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

Hadrian Park 19/08/10

Hadrian Park 15/07/10

Hadrian Park 03/06/10

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

CARE HOMES FOR OLDER PEOPLE Hadrian Park Marsh House Avenue Billingham Stockton-on-Tees TS23 3DF Lead Inspector Brenda Grant Key Unannounced Inspection 25th March and 1st April 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hadrian Park DS0000070534.V360769.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. Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hadrian Park Address Marsh House Avenue Billingham Stockton-on-Tees TS23 3DF 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) 01642 566322 01642 566744 Southern Cross OPCO Ltd Position Vacant Care Home 73 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (49) of places Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia, over 65 years of age - Code DE(E), maximum number of places: 24 Old age, not falling within any other category - Code OP, maximum number of places: 49 The maximum number of service users who can be accommodated is: 73 2. Date of last inspection: Brief Description of the Service: Hadrian Park is a purpose-built home opened in 2004. There are 73 beds available, 24 of which are specifically for those suffering from dementia. The dementia unit is separate to the rest of the home, and is built around a courtyard, therefore enabling those who live at the home access to a secure, outdoor space, which has been landscaped. This unit is on the ground floor. The remainder of the home has both ground floor and first floor rooms, which are reached by a lift. All rooms are for single occupancy; have en-suite facilities consisting of a toilet and wash hand basin. Residents are able to personalise their rooms, according to preference and taste. At the time of the inspection the fees ranged from £408 to £492. Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection was an unannounced inspection. We assessed the information from: information we already have about the home and we carried out two visits to the home. The visits took place over two days, ten hours and fifty minutes in total. We received surveys completed by: three staff, eight people who use the service and six relatives and/or carers. Discussion and observation took place with eleven people who use the care service, one relative, three staff, the administrator and the manager. We looked around the home as well as examining a number of records which included those for: staff and people who use the care service, health and safety and maintenance checks, complaints, accidents and medication documentation. What the service does well: People who used the service told us, they thought this was a ‘lovely’ home. One person told us, “I get good food, I have a nice room and I can please myself with what I do” and in a survey a person wrote, “It is warm and comfortable and overall staff are friendly”. A relative told us, “I consider the home to be well run and staffed by caring staff who take good care of my Father/Mother”. Other comments from people were: “I am very happy” “I have been given the best care” “I am very satisfied with the services” “They do a really good job and I think they do everything well”. The home provided regular activities and outings for people who used the service. There were also weekly trips to the local pub. There was a good relationship between people who worked and lived at the home. In a survey a person wrote, “Staff are friendly and helpful and have a laugh”. Management and staff were obviously enthusiastic with all aspects of their work. Staff complete thorough induction training and basic and further training is provided for staff. Each member of staff has a training profile that showed what training has been completed and staff’s training needs. Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 6 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. Hadrian Park DS0000070534.V360769.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 Hadrian Park DS0000070534.V360769.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’s needs are assessed before moving to the home and people are assured those needs. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: A sample of eight files, of people who use the care service, was examined. They contained assessments carried out by a care manager. Assessment information included general information as well as the person’s health, social and personal care needs care. The manager visited people and completed a further assessment before people were admitted to the home. People’s files contained the home’s assessment documentation. Four people who used the care service and one relative told us, before admission they were involved with the assessment process and people had the opportunity to look around the home. All of the assessment information was used to start Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 9 a Care Plan. The manager told us, when people were admitted to the home they were allocated a Key Worker who was the person’s named carer. The home did not offer intermediate care therefore standard six did not apply. Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. Individual’s health, personal and social care needs are mostly met and recorded in Care Plans. People are protected by the home’s policies and procedures for dealing with medicines. People are treated with respect and their right to privacy is upheld. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: A sample of eight Care Plans were examined. The home had developed a Care Plan for each person who used the service. There was information about the person’s care needs and how those needs would be met. Two of the eight Care Plans had signatures of the person, or their relative, showing they were involved with the Care Plans. The manager told us, care staff were to make arrangements for all people and/or their relatives to sign the Care Plan documentation. The Care Plan information covered all aspects of caring and daily living. People were assessed for areas of risk. Basic assessments were carried out but when a high risk had been identified the risk assessment Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 11 documentation was not always completed. The risk assessments, which had been completed, included details of how those risks would be managed; to reduce those risks to an acceptable level. The plans showed they had been reviewed and updated on a monthly basis but risk assessments were not always reviewed at the same time. The files included healthcare information. The home had new documentation, for recording health care treatment and appointments. The new documentation had all health care information together for: doctors and District Nurses, opticians, chiropodists, dentists and other healthcare specialists. Previous documentation had separate recording sheets for each area of health care. They could more easily show the regularity of treatment and appointments from each healthcare professional. The records had details of the outcomes of health care visits and if treatment was to be continued. A person we spoke with told us, “Staff are very good. If I am not well they call a doctor”. Another person told us, s/he regularly had treatment from a chiropodist who carried out visits to the home. The manager told us, the home ensured referrals were made when specialist equipment and/or healthcare treatment was needed. The home took satisfactory action for managing resident’s medicines. The home’s senior care staff administered medicines. Staff files confirmed they had completed training for handling and administering medication. The medicine storage was found to be satisfactory. We looked at the Medication Administration Records. During our first visit to the home there were a few gaps, where staff had not signed to confirm medicines had been administered but our second visit confirmed all medication records had been satisfactorily completed. The files, of people who use the care service, included assessment details to determine if a person was capable of managing their own medicines. At the time of the inspection ‘site’ visits the home had two people who were in some control of their medication. Staff were observed being respectful to residents and knocking on bedroom doors before entering the room. People’s dignity was mainly maintained but we saw one carer carrying out a care task, in a bedroom, that had the door open. The manager told us, she would remind staff that they were to make sure bedroom doors were closed when care tasks were carried out. A person told us, “Staff are always kind and treat us right”. We noticed there was a good relationship between staff and people who lived at the home. Hadrian Park DS0000070534.V360769.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 have a lifestyle that suits them and they live as they wish. Individuals have choice and control over their lives and people maintain their contacts with families and friends. The home provides a varied and balanced diet for people who use the care service. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: People who use the care service had the opportunity to join in with daily activities. The notice board had details of the activities, as well as informing people of forth coming events. The home had an activities co-ordinator who planned and arranged activities and events Monday to Friday. During our first ‘site’ visit the co-ordinator was not at work and no one had informed people the activities would not take place. During our second visit the co-ordinator was at the home and we saw people enjoying a sing-a-long. One resident told us, “We do all sorts of activities but the Bingo is the best”. The manager told us, the home sometimes hired a bus, for outings, and entertainment was brought to the home. A person told us, “We had an Easter party, that was really nice”. One person said, “We can join in with activities if we want to”. Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 13 During our second ‘site’ visit we saw a carer sitting and talking with a person, giving the person special one to one time and attention. Both the person and the carer seemed to enjoy having a ‘chat’. The home arranged for weekly outings to a pub near the home. People told us, “We have a good time in the pub”. The home had a monthly Newsletter, to keep people informed about what was happening at Hadrian Park. The home provided for people’s religious needs by arranging regular religious services. The manager told us, where possible the home sometimes arranged for people to attend their own churches. A relative told us, “Staff are very friendly”. S/he informed us, visiting could be at any time and there were no visiting restrictions. People told us that relatives and visitors could, “Come and go as they please”. People who used the service told us, they lived their lives as they wished. People were able to bring some of their personal possessions, to keep in their bedrooms. People told us, they got up and went to bed whenever they wished. During our second visit, mid morning, we saw a person having a late breakfast. S/he told us, “I had a bit of a lay in today”. Individuals could choose to stay in their bedrooms or go to communal rooms. A person told us, “I can please myself, there are no restrictions here”. Two people told us, they looked after their own personal allowances but their families managed their other financial affairs. Six of the eight people we spoke with, complimented the cook for the food served at the home. The home’s menus were examined, they showed there was a variety of food offered to people and there was a choice of meals. The menus were displayed on tables. The lunches, we observed, were well presented and the dining rooms were very pleasant. The cook told us, she catered for special diets. The cook told us, sometimes care staff had served people the correct type of food but it was not always the food the cook had specially prepared, as care staff had not noticed that food was in the heated trolley. The food stored at the home was of there being fresh fruit and vegetables and a good variety other dried, tinned and frozen foods. The cook kept a record of the food that had been served at the home and there were records for: the cleaning rota, fridge, freezer and food temperatures. Hadrian Park DS0000070534.V360769.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): Standards 16 and 18. People are confident their complaints will be listened to, taken seriously and acted upon. Individuals are protected from abuse by the home’s policies and procedures. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: The home had a Complaints Procedure. People we spoke with told us, they did not have anything to complain about and they were all satisfied with the service they received. People knew of the procedure and they were confident complaints would be dealt with. The manager told us, she was investigating, and taking action, regarding two complaints she had recently received. The home had an adult protection procedure, for safeguarding adults, and a ‘whistle blowing’ policy. Staff records confirmed, during induction training, staff had an awareness of adult protection procedures. Two thirds of the staff had completed formal adult protection training. The manager was arranging for the rest of the staff to undertake that training. Staff told us, they knew of the procedures to follow if there was an allegation of abuse on an individual. The home sometimes held small amounts of people’s money. We examined a sample of people’s financial records, they showed there was a satisfactory record of all transactions. Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. People who use the service live in an environment that is safe and wellmaintained. The home is clean, pleasant and hygienic and free from offensive odours. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: Hadrian Park provided a homely, warm and comfortable environment. All parts of the building and garden were accessible to wheelchair users and people with physical disabilities. The home was well maintained and there was a record of all routine maintenance that had been reported and completed. The home employed a person who carried out general maintenance and safety checks. The general appearance of the home was very good but there was a hall carpet that was stained. The requirements of the Environmental Health Department Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 16 had been met and all fire safety measures were in place. The fire alarm checks were recorded and a Fire Risk Assessment was in place. The gardens were well maintained. There was a small enclosed garden, for the safety of people who had dementia. A new attractive patio area had been developed in the front garden. Both gardens had paved areas that were accessible to wheelchair users and there was seating, for people to sit outside in warmer weather. The home was clean, pleasant, hygienic and free from offensive odours. Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards: 27, 28, 29 and 30. The numbers and skill mix of staff are satisfactory. Staff are trained and competent to care for the people at the home. People are protected by the home’s recruitment procedures. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: On the days of the inspection ‘site’ visits there was sufficient staff to meet the needs of the people who lived at the home. Staff told us, during our first visit, a member of staff had not arrived at work, that reduced numbers of one unit but staff worked as team and coped with the shortage. A care assistant told us, s/he thought there was usually enough staff on duty. In addition to the care staff there was laundry, domestic and kitchen staff. A person who used the service told us, “95 of staff are really lovely but one just does his/her basic job”. In a survey a relative commented, “Staff are really friendly and they do well with looking after people”. The home had a senior care assistant, for each unit, they supervised the work of care assistants. The manager told us, the home was soon to appoint a deputy manager who would support the manager and be fully involved with aspects of the running of the home. Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 18 The number of care staff who had successfully completed the National Vocational Qualification at Level 2 was over 78 . 16 of those care staff had also successfully completed Level 3 of the qualification. There were 3 male and 39 female care staff, that gave people a choice of gender, of staff who carried out people’s care needs. The last inspection found the home followed a thorough recruitment and selection procedure but there were some gaps in staff’s employment history. We checked a sample of staff files, for new employees, and found there were no gaps in the home’s records. A sample of training records was examined. They confirmed staff had completed induction and basic training and updates for training was planned. Staff had also completed dementia training; to raise staff’s awareness of the individual needs of people who had dementia. The manager told us, extra training was planned for March 2008; particularly for fire and adult protection training as some staff had not completed that formal training. Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 19 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, 36, 37 and 38. The home is well managed and run in the best interests of the people using the service. People’s personal money is safeguarded by the home’s procedures. The health, safety and welfare of staff and people who live at the home is promoted and protected. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: The home did not have a registered manager. The home’s newly appointed manager was going to make an application, with the Commission for Social Care Inspection, to be the registered manager. She had six years experience of managing care services, including one and a half years as deputy manager at this home. She was undertaking training for National Vocational Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 20 Qualification Level 4, in care, which was almost completed. The manager told us, she would continue her training later this year, to gain a management qualification. Staff told us, the manager gave support when it was needed. On the days of the inspection ‘site’ visits, the new manager did not know if the home had a quality assurance/monitoring system. This would be asking people, their relatives and friends and stakeholders in the community to complete surveys/questionnaires on how the home is achieving goals for people who use the service. The results of such a survey could be included in the home’s development plan. A week after the inspection, the administrator told us, the home had already sent surveys; to ask people for their views on the running of the home. The manager had ‘relative’s surgeries’ where individuals could discuss specific needs of people who used the service. There were staff meetings, held every two months. Meetings with people who used the service were twice yearly. The provider carried out unannounced monthly monitoring visits and wrote a report on the outcome of the visit. The home had some good management monitoring systems in place and the manager carried out regular audits of the service. Records of the audits were available at the home. A sample of financial records, of monies held on behalf of people who used the service, were examined and found to be correct. Staff had one to one supervision approximately four or five times yearly. Additionally, there were annual appraisals. The manager told us, she was to make plans so that supervisions would take place at least six times yearly. People’s records were mostly kept in lockable drawers but we found the drawers to be unlocked when there was no staff in present. There were some files, containing people’s personal details, on shelving in the units; they were not kept in a secure place. A sample of health and safety records were examined and found to be satisfactory. The manager kept an up to date record of all maintenance and checks that were required throughout the year. Checks for; electrical appliances, fire equipment and fire Risk Assessments were up to date. The home kept records of all accidents and there was a record for checks of the hot water outlet temperatures. Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 21 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 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 4 2 2 3 Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement People and, when appropriate, their relatives must be involved with Care Plans. Risk Assessments must be completed when a high risk has been identified. People’s privacy must be maintained, when care staff carry out care tasks. There must be an effective quality assurance system, based on seeking the views from people who use the service and others. So that the home can make sure it is meeting the aims, objectives and statement of purpose. (09/04/08 the home informed us, surveys have been sent to people) Staff must have one to one supervision at least six times yearly. People’s personal records must be kept secure at all times. Timescale for action 30/06/08 2. OP10 12 30/05/08 3. OP33 24 30/09/08 4. OP36 18 31/07/08 5. OP37 17 30/06/08 Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 23 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 Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Hadrian Park DS0000070534.V360769.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!