Inspection on 08/11/05 for Harefield Lodge

This inspection was carried out on 8th November 2005.

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 no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Harefield Lodge 03/10/06

Harefield Lodge 23/06/05

Harefield Lodge 01/12/04

Harefield Lodge 30/07/04

Harefield Lodge 08/10/03

Harefield Lodge 03/06/03

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

CARE HOME ADULTS 18-65 Harefield Lodge 6 Westwood Road Southampton Hampshire SO17 1DN Lead Inspector Christine Hemmens Unannounced Inspection 8th November 2005 10:00 Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 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 Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 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. Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Harefield Lodge Address 6 Westwood Road Southampton Hampshire SO17 1DN 023 8055 5802 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) Rivers Reach Care Limited Sonia Beverley Osborne Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th June 2005 Brief Description of the Service: Harefield Lodge provides care and support for up to ten younger adults with learning disability and challenging behaviour. The home’s aims and objectives are to promote independence and quality of life by ensuring service users can be involved in all aspects of daily living and personal care. Help is provided when required but residents are supported to live their lives as independently as possible. Harefield Lodge is part of the Rivers Reach Care Limited who also own a further three homes providing care and support for residents with learning disabilities and complex needs. Harefield Lodge is a large family house situated in a residential area of Portswood. It is close to local amenities and Southampton Common is within walking distance. Accommodation is provided in single rooms over two floors. One room has its own on suite and separate lounge area. There is a large lounge and separate dining room and a spacious garden. Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the second unannounced visit this year was to review the requirements issued following the previous visit to the home and cover areas of the standards that had not been previously covered. The visit was undertaken in one day and the registered manager assisted the inspector. For the purpose of the visit the inspector viewed residents’ personal plans, staff records and undertook a tour of the building. The inspector met with staff and some residents who were around at the time of the visit. Six requirements were issued following the last visit to the home, all six requirements have been fully met. Three requirements were issued following this visit. What the service does well: The home has done well to meet the requirements issued following the last visit to the home. There is evidence to demonstrate that since Rivers Reach Limited have appointed the current manager and she was successfully registered at the beginning of the year major improvements have been made to the home. The home has gone from receiving a very high number of requirements every visit some of which were repeated to receiving very few. The registered manager has set high standards within the home and is a very good role model for the staff and residents. The residents are observed to be very comfortable with the manager and some have found the manager a good listener when they are worried or troubled. The staff have adopted good values and an enthusiasm to get things right and improve the service for the residents. Staff are provided with the skills to carry out their roles appropriately by regular training and the manager setting them interesting objectives and tasks to keep them stimulated and interested. The residents personal plans have greatly improved over the last couple of visit and there is an strong emphasis in using a person centred approach and producing an individual plan for the resident that has been adapted in various forms to meet the communication needs of individual residents. The home is kept very clean and well maintained and residents are supported to assist with the cleaning of their rooms and various jobs around the home. One resident informed the inspector that he liked his room and helped staff to clean it. The residents are supported to undertake a variety of daily living activities and leisure activities. A member of staff is responsible for coordinating these and has developed a very good piece of work to establish what the residents want to do and what their interests are. A resident commented on how much he liked living at Harefield Lodge because staff helped him to do the things he liked. Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 6 The manager has undertaken an organised approach to administration and record keeping aiding the smooth running of the home. Residents, staff and records pertaining to the environment are well maintained and checks on appliances and life saving equipment are regularly carried out. What has improved since the last inspection? What they could do better: The home could do better to improve its cleaning of the bathrooms and provide paper towels in toilet areas to avoid cross infection. The manager could do better ensure she can evidence that newly appointed staff have clear protection of vulnerable adult checks (POVA) and ensure residents and the Commission for Social Care Inspection receive a copy of the report on the outcome of a very comprehensive and lengthy quality questionnaire undertaken by the operational manager. In addition the manager must make arrangements in the future to replace the stair carpet that is becoming thin and frayed in areas. Please contact the provider for advice of actions taken in response to this Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 The home undertakes a through assessment process and meets with the perspective resident before they move into the home. EVIDENCE: The home has been running with two resident vacancies for approximately a year. The manager informed the inspector that she has recently received a number of referrals to admit service users to the home. The manager stated she has met with the prospective residents and carried out an assessment to ensure the home can meet their needs and that they are compatible with the other residents currently living in the home. The manager demonstrated that she has taken careful consideration and has obtained further assessments from placing authorities before making a decision as to who will be suitable to move into the home. Prospective residents are encouraged to visit the home as often as they like in order to meet with other residents and staff before they make a decision if they would like to move in. Social services are involved in the transition process and relatives/residents’ representatives are welcome to visit the home if they wish. Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 7 The home has made very good progress in developing a person centred approach to meeting the needs of the residents, and provided support to make decisions and informed choices in their everyday lives. EVIDENCE: The home has made good progress over the last year in developing a person centred approach to meeting the individual needs of the residents. Each resident has a personal plan of his or her own that has been completed using a person centred approach. The plans were primarily developed to support staff to provide a consistency of care and identify the person behind the disability and so supporting them to have a valuing, respectful and fulfilled lifestyle. Each resident’s plans are very detailed, identifying their strengths, needs, and risks and how staff need to appropriately support them. However during the last visit to the home the manager was asked to consider how the personal information about the resident that should belong to the resident if they wished could be achieved. Since that visit the manager has worked in conjunction with the residents, staff and sought advice from specialist on how the plans could be developed in an accessible format and the resident be empowered to own and hold their personal plans. The inspector viewed some excellent work undertaken. Using a variety of communication tools including Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 11 audio and includes written in the first word “what people like about me”, “people in my life”, “Things important to me” “where I live, routines, likes dislikes, how to keep me safe, dreams and aspiration and complaints. The inspector will establish the thought of the residents during the next visit to the home. Through the process of developing the plans the manager and staff stated they were very surprised how much they had a learnt about the residents and found it a valuing experience. The home can demonstrate in many ways how it supports the residents with decision-making and choices about their lives. This was observed when staff spoke with residents and encouraged them to choose, and be involved in activity in the home. The inspector was informed by one resident that she was going to Spain for her holiday next year, this is a decision she had made and was working with her keyworker to decide exactly where she wanted to go. The home has developed communication tools to assist the residents with complex communication needs to make choices. I.e. menu plans and activity plans and picture calendars. Another resident’s stated he really liked living at Harefeild lodge because the staff help him to do the things he likes to do. Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 16 The home has made very good progress in empowering the residents to take part in appropriate activities, be part of their local community and have their individuality respected. EVIDENCE: The home has produced some very good evidence to demonstrate that they have adopted a person centred approach to meeting their individual needs and in doing so supporting them to be empowered to make informed decisions and choices about their lives and daily activity. Following the previous visit to the home the manager was required to ensure that all staff were made aware of how the resident wished to be addressed and by what name they wished to be know as. This has been achieved, the manager in formed the inspector that she met with all the residents and asked them by what name they would to be called. This has been documented in the residents’ personal notes and the personal record to held by the resident. The manager has appointed one of her senior staff to be an activity coordinator and one of her roles was to meet with each resident individually to identify their specific interests, likes, dislikes and hobbies. The member of staff has undertaken an excellent piece of work to pull all the information together using Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 13 a quality questionnaire format. The information has then been used to develop an individual activity plan for each resident and includes information on the residents support needs, contact numbers of places the resident regularly attends, communication needs, identifying the individual communication needs of the resident in an easy format. An individual information form has been produced for agency and new staff when supporting residents in the community and a section to write feedback on how the activity went. However the member of staff has taken this project further on her own imitative to seek information about integrated college courses, accessibility, finances and a checklist for staff to consider when taking the resident out such as personal appearance. The member of staff informed the inspector that she has really enjoyed carrying out this piece of work and is continuing to with the project to ensure residents complex communication and behavioural needs are met. The member of staff went onto say that she is developing a communication picture calendar for one of the residents. The staff member is commended for her dedication and hard work. This will be reviewed during the next visit to the home to evaluate how effective the activity information and plans have been. Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the core standards were viewed on this occasion please refer to the last report dated 23rd June 2005. EVIDENCE: Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 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 The home has made very good progress in empowering residents to raise concerns confidently and protect them from harm, however an ongoing protection of vulnerable adult (POVA) situation continues to cause the home concern. EVIDENCE: Following the previous vist to the home the manager was required to produce the complaints procedure in an accessible format to meet the complex communication needs of some of the residents. The manager has undertaken some very good work and has produced a clear complaints procedure for the residents. The manager evidenced that she has read through the procedure and where possible asked residents to sign, these are kept with the residents’ personal files. The manager has also produced a stamped card addressed to the responsible individual of the service (RI), which has an unhappy face on the other side. One of these has been produced for each resident who if they are unhappy can show this to a member of staff who will seek to see if they can help or support the resident to send it to the RI. This is seen as very good practice and a tool for empowering the resident. This will be reviewed during the next visit to the home to review its effectiveness. The manager as far as feasibly protects residents from harm of abuse, staff receive regular training and the manager has shown an interest in becoming a trainer for adult protection and grasping the legal aspects and framework that govern decisions made by other agencies. The home has moved on over the last eighteen months on how they have addressed adult protection issues and trained staff, however unfortunately the home is currently supporting a resident the best way they can to keep them safe from harm. The manager and staff have worked closely with the social services, police and specialist Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 16 health care professionals to protect the resident. This remains ongoing with currently no clear solution on how it can be resolved. (Protection versus resident’s individual rights). The manager must also ensure as stated in section 31 – 36 Staffing that she can demonstrate POVA checks have been undertaken on newly appointed staff. Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 27 The owners and manager continue to make improvements to the home to provide a comfortable welcoming and homely environment for resident to live. However some further improvement were identified at the time of the visit. EVIDENCE: Harefield Lodge is a large period property situated close to the centre of Southampton. The home boasts some attractive period features and all the rooms accessed by the residents are spacious, bright, and pleasantly decorated and furnished. The home is kept very clean and tidy and where possible free from offensive odours. At the time of the visit the downstairs toilet and shower room a source of unpleasant odours identified during previous visits to the home was in the process of a complete refurbishment. The requirement issued following the last visit to the home to redecorate bathrooms has been met. The home has redecorated the bathrooms, replaced toilet seats, blinds and installed soap dispensers and handrails for easy access into and exit from the bath. This is seen as very good progress however the manager is advised to introduce paper hand towels in bathroom and toilet areas and to ensure a thorough cleaning regime is undertaken in these areas to reduce the risk of cross infection. The house has a very large staircase to the first floor, identified during previous visit to the home the stair carpet is wearing in places and will need to Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 18 be replaced at some stage. Therefore the manager is required to forward to Commission for Social Care Inspection an action plan detailing when the carpet will be replaced. The home has a large enclosed garden with a large decked area, landscaping and an enclosed pond and nature area. Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 The home works effectively to ensure residents are supported by competent and qualified staff that can meet their needs. The home has made good progress in adopting good recruitment procedures, however the home must ensure it can evidence that residents are safe from potential harm of abuse. EVIDENCE: The home currently has nine staff including the manager to meet the needs of seven residents currently living in the home. The staff are rostered dependent on the residents needs and daily activity. The manager informed the inspector that she was in the process of recruiting two new staff in view of two new residents moving into the home. This demonstrates that the home has fully considered the needs and the impact of two new residents to the home. The home’s recruitment procedures have improved over the last few visit to the home. The inspector viewed two staff files one of which was a new member of staff. The manager has adopted an organised approach to record keeping and keeps good administration records. The manager is fully aware of recruitment procedures including obtaining all the necessary checks prior to staff starting, however the manager could not demonstrate that she can fully protect residents from potential harm as she was unable to demonstrate that a POVA check of the newly appointed member of staff had been undertaken. The manager stated that the service uses an umbrella body to undertake Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 20 checks and are notified by phone the outcome of the check, the manager is advised that she must keep a record of the call or request written confirmation. The manager was informed that the member of staff would have to remain supernumerary, fully supervised and reframe from providing personal care until such time the manager has evidence that the staff members POVA check was clear. Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 and 42 The home benefits from a leader who is energetic, open to change and strives to continually improve and keep safe the service. Quality assurance questionnaires have been undertaken with residents and staff, however there is no evidence to measure the outcomes or the actions from the questionnaire. EVIDENCE: Since the appointment and registration of the manager at the beginning of the year the home has gone from strength to strength and has clearly benefited from a stable management structure and energy of the manager. Significant improvements have been made in the approach to the care and support of the residents, staffing, training and the environment. The manager demonstrates that she is knowledgeable, keen to learn and maintain good working relationships with residents, families, staff and professionals. The manager has almost completed her registered managers award (RMA) and regularly attends training to update her skills, she recently Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 22 did a two-day course on communication, and a three-day health and safety course. The inspector observed an open and friendly approach to residents and staff and was always listening out to what was going on throughout the home. One member of staff the inspector spoke with said that the manager was very good, caring and supportive and she knew where she stood with her. The member of staff stated she received regular support and supervision sessions and the manager always set clear objectives. The manager produced evidence that she takes seriously the health and safety of the residents and staff. Good record keeping, staff training and evidence of checks on fire equipment and service certificates for utilities. The requirement to PAT test portable electrical appliances has been met. Further to good record keeping and maintaining a safe environment for the residents and the staff manager has organised one of her staff to put a food hygiene file together for staff, this includes legislation, food probing and fridge temperature checks and evidence that staff have signed to say they have read the procedures on what to do when handling food. This is seen as good practice. The home has had repeated requirements made against it regarding quality assurance. The home has been asked to develop a quality assurance system and forward a report to the Commission for Social Care Inspection detailing the outcome and the action the home is going to make to if necessary improve the service. However the operational manager responsible for developing, collating and producing the report to the Commission for Social Care Inspection has to date not completed it. The manager informed the inspector that all conformation, questionnaires and surveys are with the operational manager and she was waiting on the outcome. The manager was advised to chase the report up. Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X 3 X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Harefield Lodge Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 3 2 X X 3 X DS0000011916.V256799.R01.S.doc Version 5.0 Page 24 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 YA30 Regulation 23(5) Requirement The registered manager must provide paper towels for toilet areas to avoid cross infection. Timescale for action 31/01/06 2 YA30 3 YA34 4 YA24 The registered manager must ensure a thorough cleaning programme of all bathrooms and toilets are undertaken on a regular basis. 17(2) The registered manager must 19(1)(a)(b)(i) obtain evidence that newly appointed staff have been cleared through POVA 23(2)(b) The registered manager must produce an action plan detailing when the stair carpet will be replaced. The carpet will be viewed during the next visit to the home. The registered manager must ensure the residents receive a copy of the quality questionnaire report and a copy is forward to the Commission for Social Care Inspection. 23(2)(d) 31/01/06 31/01/06 31/01/06 5 YA39 24(2) 31/01/06 Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 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 Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Harefield Lodge DS0000011916.V256799.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!