Inspection on 17/08/06 for Hamilton Lodge

This inspection was carried out on 17th August 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hamilton Lodge 07/09/09

Hamilton Lodge 03/12/08

Hamilton Lodge 17/12/07

Hamilton Lodge 02/05/06

Hamilton Lodge 20/10/05

Hamilton Lodge 04/05/05

Hamilton Lodge 07/12/04

Hamilton Lodge 30/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Hamilton Lodge Thelma Turner Homes Ltd, Hamilton Lodge Carr House Road Doncaster DN4 5HP Lead Inspector Jayne Barnett Middleton Key Unannounced Inspection 17th August 2006 10:50 Hamilton Lodge DS0000042678.V307009.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 Hamilton Lodge DS0000042678.V307009.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. Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hamilton Lodge Address Thelma Turner Homes Ltd, Hamilton Lodge Carr House Road Doncaster DN4 5HP 01302 556046 01302 813101 hamiltonvoyage@tiscalli.co.uk 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) Voyage Limited Denise Josephine Annable Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd May 2006 Brief Description of the Service: Hamilton Lodge is a Care Home registered to provide care for people with a Learning Difficulty. The home consists of a main building and a separate house that has been converted into 2 semi-independent living flats. The main building of the home has a good range of communal areas, which include 2 dining rooms and separate lounge spaces. All the bedrooms in the main building are single occupancy and have en-suite facilities. Each of the 2 semi-independent living flats are fully self contained. The home is situated close to a municipal park and local shops. There is a large supermarket close buy and the centre of Doncaster is approximately 1.5 miles from the home. There is a high staff ratio provided and emphasis is put on service users integrating with the community and especially using the local college for education. The fees for the care offered at the home at 17/08/06 vary from £1.165 to £3.299 should any resident require a ratio of 2:1 staffing over 24 hours. The homes statement of purpose, service user guide and complaints procedure is available in appropriate formats. Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted by Jayne Barnett-Middleton. Prior to the inspection contacts made to The Commission For Social Care Inspection, the homes service history and a pre-inspection questionnaire were examined. Five residents completed a service user survey to give their opinion of the care provided. A fieldwork visit took place from 10.50am to 16.15pm. Opportunity was taken to make a tour of the premises, inspect a sample of records including care plans and staff records. Discussions took place with the registered manager, residents and staff. The inspector wishes to thank the manager, staff and residents for their assistance and time throughout the inspection process What the service does well: What has improved since the last inspection? All care plans had been updated to identify the types and times that restraint should be used. The format implemented was excellent and clearly described situations when the resident may become anxious, the behaviour that they may display and techniques that the staff should use to reassure the resident. A previous requirement to carry out a risk assessment for a restricted entrance to the downstairs flat had been met. A handrail had been provided promoting safe access for residents who have mobility difficulties or visual impairment. Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 6 Staff had received training to cover the use of restraint techniques and when they should be used. The manager and staff appeared committed in continuing to develop the quality of care offered. Care plans had been reviewed and mini care plans had been devised. The manager was in the process of implementing health action plans, which will enhance the quality of information already provided. 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. Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 7 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 Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 8 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 the following standard(s): 2 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Residents’ needs and aspirations were assessed and their individual needs were reflected in their plan of care. EVIDENCE: Three care plans were checked and these demonstrated that the residents care needs were assessed prior to their admission. This confirmed that the service was appropriate for the resident and provided staff with the information to formulate an individual plan of care. Five residents, via the service user questionnaire, confirmed that they had been asked if they wanted to move into home and that they had received enough information helping them to decide that it was the right place for them to live. Hamilton Lodge DS0000042678.V307009.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. All residents have individual care plans, which contain detailed information about their care and support needs. Residents are supported and encouraged by the staff team to make decisions about their lives promoting independence. Risk assessments have been developed, supporting residents to take risks as part of an independent lifestyle. EVIDENCE: Three resident care plans were checked; which described the residents individual care needs. The format was detailed and included the residents’ preferred daily routine, healthcare needs and emotional control enabling staff to provide the appropriate level of support. The care plans checked had been reviewed on a regular basis and where possible residents were involved in planning their care, enabling them to agree that it was a true reflection of their individual needs. Since the last visit all care plans had been updated to identify Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 10 the types and times that restraint should be used. The format implemented was excellent and clearly described situations when the resident may become anxious, the behaviour that they may display and the techniques that the staff should use to reassure the resident. The manager, staff and independent advocate had been involved in agreeing with residents the techniques that they would use should they require reassurance. In addition to the required care plan a mini care plan had also been developed. This gave a brief yet detailed overview of the residents specific care needs. The manager said that the plans had proved very useful for new staff in that it gave them a good overview and understanding of the residents care needs during their initial weeks of employment. Through discussions with the manager and staff, observation and from reading three care plans it was evident that residents were encouraged to make decisions about their lives. The staff had a very good knowledge of residents’ individual needs and was able to describe how they promoted choice for example the choice of food and daily activities. All residents surveyed said that they always decided what they did each day and that they could choose what they did during the day, evening and at the weekend. Risk assessments had been developed for all residents, which identified the individual risks that were presented to residents on a daily basis and the action required to reduce the risk, enabling residents to live an independent lifestyle Hamilton Lodge DS0000042678.V307009.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, 15, 16 and 17. Quality in this outcome area is Excellent. This judgement has been made from evidence gathered both during and before the visit to the service. Residents had regular opportunities to access age, peer and culturally appropriate activities enabling them to lead fulfilling lives outside as well as within the home. All residents, irrelevant of their support needs, had good access to the community and amenities promoting equality and choice. The daily routines within the home were flexible and promoted independence, individual choice and freedom of movement. Residents were encouraged to eat a healthy diet, promoting their health and wellbeing. EVIDENCE: All residents had good opportunities to access appropriate activities. The residents and staff spoke positively of the many activities that they attended. During the morning of the visit the majority of residents were out either Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 12 shopping or attending local amenities. Two residents were busy preparing for a holiday to Centre Parks the following day. During the afternoon the staff and residents were preparing for a residents birthday party and afterwards several residents planned to go swimming. Residents who had chosen to spend the evening at home were given the opportunity to suggest any activities that they wished to do for example crafts or board games. The manager said that a summer fete was planned and that residents were involved by making crafts to sell. Several residents had offered to help on the day by helping out with beverages and snacks. The care plans checked included a personal activity plan, which detailed the activities and gave structure as to how the resident, chose to spend their week. One checked identified that the service user attended a work placement during the week and attended activities such as swimming and trips out. Time was incorporated within the activity plan for the service user to choose what they wanted to do either accessing the local community or relaxing at home. Discussions with staff, residents and observations demonstrated that the routines within the home were flexible. The residents were encouraged to make simple choices about their daily living activities for example when they rose and retired and how they wished to spend their day promoting independence and choice. Residents who had chosen to spend the day at the home were observed to be relaxing in the lounge areas with staff and other residents or spending time within the privacy of their bedroom. Residents were able to access work placements and college placements. One resident who attended a work placement three days per week said that she thoroughly enjoyed her job. Their current work placement was about to finish and the manager was actively working the resident to find an alternative work placement. The home has its own mini bus, which gave staff the flexibility to plan trips on a regular basis. Staffing levels were good which ensured that residents with high support needs were able to receive the 1-1 support that they needed ensuring that all residents had equal choices to access activities. Residents were offered and encouraged to eat a healthy diet. Menus varied dependent on the residents likes, dislikes and dietary requirements. The staff had a good knowledge of service users individual needs and was able to describe their individual preferences. The lunchtime meal observed was relaxed, informal and the meals served looked appetising and well presented. Hamilton Lodge DS0000042678.V307009.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Residents received personal support, which promoted their privacy, dignity and independence. Residents’ physical and emotional needs were met. The care plans contained detailed information about how the resident’s personal support could be met by staff in order to meet their individual needs A policy and procedure to ensure that staff adhered to the safe administration of medication was in place to protect residents from risk. EVIDENCE: Resident’s personal support needs and emotional needs were recorded in the individual plans checked and were very comprehensive. Records of healthcare appointments, the treatment offered and follow up action were maintained and demonstrated that residents have good access to a range of healthcare professionals. The manager was in the process of developing ‘Health action plans’ for all residents. The manager explained that the plans would give a brief yet specific Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 14 overview of the residents emotional and healthcare needs and as an example should the resident require a hospital visit or admission this would enable hospital staff to gain some understanding of the residents abilities and needs. Positive and appropriate relationships were observed between the staff and residents. Throughout the visit the staff team were observed to treat residents with respect and in a manner that respected their privacy and dignity. There was a medication policy and procedure to ensure that staff adhered to safe practices. Medication systems were very well organised. Medication records seen were very well maintained and the manager carried out weekly medication audits to ensure that medication had been administered and signed for appropriately. There were detailed guidelines for all residents as to when P.R.N medication (medication to be administered when required) should be administered. One record checked stated that the resident was prescribed diazepam once per day and that a further dose could be administered if required. However the medication record required more detail to ensure that all staff are clear of when they would administer any further dose to promote the health and wellbeing of the resident. The Medicines were securely stored and staff responsible for administering medication had received training prior to administering medication independently. Hamilton Lodge DS0000042678.V307009.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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to the service. The complaints procedure was clear and accessible ensuring that any complaints would be listened to and dealt with appropriately. The homes adult protection procedures promoted the protection of residents from harm or abuse. EVIDENCE: The complaints procedure ensured that service users and their relatives were aware of how to make a complaint and who would deal with them. The manager confirmed that no complaints had been received at the home since the last inspection. All residents surveyed said that they knew how to make a complaint and who to talk to should they be unhappy. There was an adult protection procedure in place at the home. All staff had received training enabling them to identify and report any allegations or incidents of abuse to residents. All residents surveyed said that they were treated well and that the staff would always listen and act on what they said. Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home was well maintained, odour free, well decorated and homely, promoting a comfortable and safe environment for residents. The home was very clean and the laundry area was appropriately equipped to meet the needs of the residents. EVIDENCE: The environment within the home was very clean, comfortable and homely. Residents were observed to move freely around the home and appeared relaxed in their environment. A previous requirement to carry out a risk assessment for a restricted entrance to the downstairs flat had been met. A handrail had been provided promoting safe access for residents who have mobility difficulties or visual impairment. All communal areas and bedrooms were decorated to a good standard and furnishings were of a good quality. The manager said that there were plans to redecorate the main lounge and new furniture had also been ordered. There Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 17 were many homely touches of pictures and ornaments and it was evident that the manager and staff took pride in promoting a homely environment for residents to live. The residents bedrooms were all individually decorated reflecting personal choice. One resident said that she had recently requested a bath in her bedroom as opposed to a shower. This had been provided and she was really pleased with the improvement. The staff were responsible for the general cleaning of the home. This arrangement appeared to work well as all areas seen were clean, tidy and odour free presenting a hygienic and well-kept environment. All residents, via the survey, said that the home was always fresh and clean. Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. A good ratio of staff is provided ensuring that the general and specific needs of the residents are met. A good induction and training programme is in place ensuring that the staff are able to meet the residents general and specific needs. The home operated a recruitment procedure that promoted the protection of the residents EVIDENCE: There was an informal and relaxing atmosphere within the home. The manager and staff had a very good knowledge of resident’s individual needs and positive and appropriate relationships were observed. All residents said that they were treated well by the staff commenting “ I am happy here”, “It is good living here” and “The staff are good to me”. Four weeks staff rotas were checked and these evidenced that sufficient staff were employed to ensure that the individual needs of the residents could be met. Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 19 A good training programme was in place. Discussions with staff and records demonstrated that staff had received all mandatory training including Fire, moving and handling and first aid. In addition to the required training, training specific to the needs of the resident was also available. The manager had implemented an excellent training matrix for all staff that demonstrated the training that they had received and when refresher training was due. The manager said that care plan and fire refresher training was scheduled to take place later in the month. One member of staff who was relatively new at the home confirmed that they had received the appropriate level of support and induction, enabling them to safely care for residents, during their initial weeks of employment. Since the last visit all staff had received training to cover the use of restraint techniques and when they should be used. The manager confirmed that over 50 of the staff team held a National Vocational Qualification Level 2 or 3 in care, developing their skills and promoting good care practice. A recruitment policy and procedure was in place. Three staff files checked contained a range of information including two references, declaration of health and qualifications/training. All staff employed had undertaken a Criminal Records Bureau Check at the enhanced level, promoting the protection of the residents. Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The residents and staff were benefiting from the organisation and leadership of the management team. Residents and staff were given the opportunity to contribute to the development of the service. Quality assurance systems were in place ensuring that the residents, relatives and other professionals were able to give their views of the service. The homes policies and procedures promoted the health, safety and welfare of residents and staff. EVIDENCE: The manager had many years experience within the caring profession. Through discussion and observation it was evident that the manager had formed Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 21 positive relationships with all of the residents and that she had a good understanding of their individual needs. All previous requirements had been met and it was evident that she was committed in further developing the quality of care that was offered. The staff confirmed that they felt supported by the management team and that they all worked well as a team. Individual supervision and appraisals were taking place regularly, giving staff the opportunity to discuss their role and development needs. Staff and resident meetings were held on a regular basis giving them the opportunity to discuss the service and to suggest ideas for improvement. In addition to this residents and relatives were regularly surveyed to give their opinion of the care that was offered. The questionnaire format was detailed and asked for their opinion on the staff team, the choice of food, quality of environment what they liked about the home. A handyman was employed at the home and a routine programme of maintenance was in place. All areas throughout the home were very well maintained which promoted a safe environment. Maintenance records seen were well maintained and evidenced that water temperatures and fire systems were checked on a regular basis. Procedures were in place for the maintenance and servicing of appliances and equipment, promoting and protecting the health safety and welfare of staff and residents. Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 22 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 23 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 YA20 Regulation 13 Requirement Medication records must include more detail to ensure that all staff are clear of when P.R.N medication should be administered. Timescale for action 01/10/06 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 Hamilton Lodge DS0000042678.V307009.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Hamilton Lodge DS0000042678.V307009.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. 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