Inspection on 13/06/05 for Hazelwood Lodge

This inspection was carried out on 13th June 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hazelwood Lodge 07/05/09

Hazelwood Lodge 29/11/07

Hazelwood Lodge 04/09/06

Hazelwood Lodge 06/10/05

Hazelwood Lodge 16/12/04

Hazelwood Lodge 14/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 HAZELWOOD LODGE 148 Chase Road London N14 4LG Lead Inspector Georgia Chimbani Announced 13 June 2005 @ 13:00 pm The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Hazelwood Lodge Address 148 Chase Road, London, N14 4LG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8886 9069 020 8951 5577 Mr Sudhi Jatania of Hazelwood Lodge Limited Mr S Obeng PC - Care Home 10 beds Category(ies) of LD - Learning Disability registration, with number of places HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16 December 2004 Brief Description of the Service: Hazelwood Lodge is a care home registered to provide care for a maximum of ten younger adults with learning disabilities. The home is owned by Hazelwood Lodge Limited. The home is situated in a pleasant residential area and within walking distance to the shops, underground station and other transport links of Southgate, North London. The home is a detached house divided into two floors. On the ground floor, there are four single bedrooms, a kitchen, lounge, diner, laundry room, a toilet and a shower room. On the first floor, there are six single bedrooms (one with ensuite facilities), a bathroom, a separate toilet and the staff office. Washbasins have been provided in all bedrooms without ensuite facilities. The front of the building is paved and there is parking for cars. The back garden is partly paved and accessible to service users. It is attractive and contains a variety of trees and shrubs. The stated aim of the home is to meet the different and individual needs of service users and to maximise their potential for independent living.The home is a two storey detached house. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was four hours and 15 minutes in duration. Present at this inspection was the registered person, Mr Jatania, the registered manager, Mr Obeng and two senior members of staff. There were eight service users living in the home and two vacancies. The inspector was able to interview three service users during the course of the inspection. Efforts were made to interview the other five service users however this was not possible due to the service user’s limited communication skills. Despite this limitation the inspector was able, through non-verbal language and observation to make a judgement that service users are happy and well cared for. Part of this inspection was used to confirm compliance with matters identified at previous inspections. 11 requirements were issued at the last inspection and all were met. A further 7 requirements relating to risk assessments, culturally appropriate foods, staff training and supervision, safety data sheets and repairs around the home are made following this inspection. What the service does well: The home provides a good standard of care and makes every attempt to meet service user’s needs. The home provides a safe, secure and comfortable living environment where service users are able to make decisions on the decoration and furnishings in their bedrooms. Service user’s opinions and decisions regarding their care are recorded and respected. Service users have confidence in the staff and management of the home and the way in which the home is run. The home has enabled service users to maintain close links with a variety of community groups/organisations through various activities and daycentre attendance and visitors to the home. The home also facilitates the attendance of service users at educational institutions. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 6 What has improved since the last inspection? What they could do better: An immediate requirement was issued requiring all staff to receive supervision on a regular basis. Although risk assessments are in place for all service users there needs to be more information on how to minimise identified risks. Service users must be provided with culturally appropriate meals and records maintained of food offered to them. The carpet in a service user’s room must be cleaned or replaced, the laundry floor must be replaced and the entrance to the shower room repaired. Safety data sheets must be available for all chemicals kept in the home. Staff must have up to date food hygiene training received in the last 3 years. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 and 4 Comprehensive assessments of service user’s needs and investment in staff training have shown the home is commitment to meeting the needs of service users. This is in line with the home’s stated aim that is “to meet the different and individual needs of service users and to maximise their potential for independent living.” EVIDENCE: Following the last inspection one service user has been admitted to the home. An examination of their file revealed that a pre-admission assessment from the placing authority was available. There was evidence confirming that the home had also carried out an assessment of the service users needs before admission. An examination of the visitor’s book showed that the service users had visited the home with their mother and Social Worker a few weeks before admission. At the time of admission the service user was a few weeks away from their 18th birthday therefore a variation application was submitted to the CSCI to allow them to admit the service user. Records examined confirmed that service user’s needs are being met. A service user at the home suffers from epilepsy and has infrequent seizures. The home maintains records of when these seizures occur. The inspector noted that some staff at the home have received training in epilepsy. The inspector was able to HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 10 interview 3 service users. The remaining five service users had limited verbal communication skills or seemed reluctant to speak to the inspector. Discussions with 3 service users confirmed that their needs were appropriately met. The inspector observed that service users who had limited communication were well dressed, relaxed and related well with staff. It was evident that staff knew the individual needs of service user and were able to provide them with a drink or a particular type of food through non -verbal communication. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8 and 9 Service user care planning documents give a comprehensive and accurate picture of service users’ needs. There must be clarity on how risks to individual service users are to be met to ensure their safety. The opinions of service users are valued by the home as their views are sought and the decisions they make are respected and recorded. EVIDENCE: At the previous inspection, a requirement was made requiring the registered persons to ensure that ways of supporting a service user experiencing problems with his continence are identified. The inspector was advised that a referral had been made for this service user to the continence advisor. The continence advisor had then visited the service user and made written recommendations to be followed by staff. There was documentary evidence to indicate that staff were carrying out these recommendations. The continence advisor is expected to carry out a follow up visit soon. Two service user files were examined. There was evidence of detailed care plans with monthly and six-monthly reviews carried out. Risk assessments were also available but they did not contain strategies for minimising all the identified risks. This is required. The home holds regular residents meetings to promote service user HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 12 independence and to involve them in the day-to-day running of the home. A meeting held in July 2004 showed that service users had discussed food, holiday destinations and had been introduced to service users admitted to the home on respite. A meeting held in June 2005 showed that service users had discussed possible holiday destinations and a consensus reached on where to go. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 14, 15 and 17 The home effectively facilitates the involvement of service users in a range of leisure and educational activities to keep them occupied and to promote their development. This encourages service users to feel a sense of purpose and be part of the local community. The level of service user consultation on food has resulted in positive feedback on the food provided at the home. Culturally appropriate food must be provided to ensure the particular needs of some service users are not overlooked. EVIDENCE: Of the 8 service users currently living in the home, 4 attend life skills training at Southgate College and 3 attend a day centre almost every day. One service user will sometimes attend a day centre but on some days they will refuse to go and their wishes are respected. The inspector was able to interview a service user who had just returned from a day at college. They informed the inspector that they had been studying at the college for the past 4 years. The courses they studied included cookery, assertiveness and food hygiene. They were due to start a catering course soon. Another service user informed the HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 14 inspector that they enjoyed going to the daycentre and participating in activities such as painting and writing. Two service users have their nails professionally done by a mobile “Nails on wheels” service. One service user proudly showed the inspector her manicured hand and confirmed that she enjoyed having her nails done. Documentary evidence was seen confirming that service users participate in a range of activities such as going to the cinema, a ferry boat outing, a bus ride to central London and attending a local gym. Service users had recently been on day trips to Brighton and Southend. This was confirmed during an interview with a service user. Service users have regular contact with their friends and family. One service user was in Europe with his mother. A tour of the kitchen revealed that a requirement made at the last inspection to repair cracked tiles and a damaged counter had been met. The menu was examined and it was varied and appeared nutritionally balanced. There was evidence that service users choices had been incorporated into the menu. Foods such as rice, fish, chicken and potatoes that had been requested by service users at resident’s meetings were included in the menu. During discussions with management the home advised that they provided culturally appropriate foods to one service user but in the absence of documentary evidence this could not be confirmed. The inspector was also unable to confirm this with the service use due to their limited communication skills. The registered persons must ensure that culturally appropriate foods are provided to service users. Records of meals offered to service users must be maintained. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20 The health of service users is promoted through regular health checks and referral to specialist workers. The medication policy and accompanying documentation has been reviewed to encourage their independence and safeguard them from harm. EVIDENCE: Inspection of two service user files indicated that service users had access to various health professionals. There was evidence that one service user had been assessed by a continence advisor. Another service user had been referred to an Occupational Therapist [OT] and Language Therapist. At the previous inspection the registered persons were required to review the medication policy to include a section on disguising of medication. A standard agreement form was also required for service users who might wish to selfadminister their medication. Both documents were seen and assessed as satisfactory. The inspector confirmed that there were no service users selfadministering medication at that time. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Service users have confidence in the complaints system and they have every assurance that their concerns will be listened to and promptly addressed. EVIDENCE: One complaint has been received by the home since the last inspection. The complaint was investigated according to the home’s procedures and within the relevant timescales. The complaints procedure is displayed in the entrance hall of the home. The name NCSC has now been amended to CSCI. Interviews with service users revealed that they had no complaints and if they did they feel they would be listened to. One service user said if they had a complaint they would address it to the registered person or “teddy bear.” When asked who teddy bear was the service user informed the inspector that this was the name that they had given to the registered manager as they could not pronounce his name and he looked like a teddy bear! The inspector observed that another service user who stated, “teddy bear is lovely”, used this affectionate term of address It was clear from these discussions that staff have a very good rapport with service users. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 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 standard(s) 24, 29 and 30 The home provides a comfortable and pleasant living environment for all service users. Recent adaptations have promoted the independence of a named service user but some communal areas of the home need maintenance to ensure the safety of all service users. EVIDENCE: A tour of the home revealed that it was well-maintained, brightly decorated to suit individual service user’s tastes and comfortable. Service users interviewed expressed satisfaction with their bedrooms. A previous requirement to replace the carpet on the staircase had been complied with. An inspection of the laundry room revealed that the flooring needed to be replaced as it was not securely sealed around the edges and this posed a risk of spreading infection. The carpet in the bedroom opposite the kitchen requires cleaning or replacement. There is a large gap where the hallway carpet ends and the floor tiles start in the ground floor shower room. This must be addressed. No offensive odours were detected in the home. The inspector was shown hand rails that following a recommendation by an Occupational Therapist had been fitted outside to enable a service user to move safely into the garden. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 and 36 The improvement of recruitment practices in the home reduces the risk of harm and abuse to service users. The investment by the home in staff training has resulted in a well trained workforce that is able to response to service user’s needs. While most staff have benefited from regular supervision this must include all members of staff to ensure that a consistently high standard of care is maintained. EVIDENCE: Through examination of a staff file the inspector was able to confirm that requirements made at the last inspection regarding documents for an identified member of staff are now available. A criminal records bureau check was sent to the CSCI following the last inspection. Details such as references, a full employment history and a recent photograph were available for inspection. No new staff have been recruited at the home since the last inspection. Staff training records were seen and these confirmed that staff have training in food hygiene, moving and handling, fire safety and medication. The inspector noted that some staff had received food hygiene training more than five years ago in 1998 and 2000. The registered persons are required to ensure that all staff have received food hygiene training in the last three years. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 19 Four staff files were randomly selected and examined. Two staff had received regular supervision. The other two staff had last received supervision in January 2005. In a discussion with management it was revealed that there had been reluctance by some staff to make themselves available for supervision. The inspector was unable to discuss this with the staff concerned, as they were not on duty. An immediate requirement was made requiring the registered persons to ensure that all staff working in the home receive regular supervision. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 43 The home undertakes a variety of health and safety checks and including fire training. Safety data sheets must be available for all chemicals used in the home to ensure the safety of service users. EVIDENCE: Following the last inspection an annual development plan was sent to the CSCI. This was discussed with management at this inspection. The home plans to install a commercial washing machine in the near future. Thought is being given to the installation of a conservatory and possible conversion of the existing office into another service user room. No definite plans have been made yet. During a tour of the home there was no evidence of fire doors wedged open. A number of health and safety checks were carried out. A list of chemicals used in the home was seen however safety data sheets are required for each product. Portable appliance testing had been carried out on 10/10/04. Records of accidents and incidents were seen. HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 21 An Environmental Health Officer had visited the home on 6/4/05. A letter written by the home to environmental health was seen confirming that their recommendations had been carried out. Staff have previously received fire training but refresher course is planned for 21/6/05. Records were also seen confirming that recent checks had been carried out to electrical installations, gas, water storage tanks and fire equipment. Records of fire drills and fire alarm tests carried out by the home were seen. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 HAZELWOOD LODGE Score 3 x 3 Standard No 24 25 26 27 28 29 30 Score 2 x x x x 3 3 Version 1.20 Page 22 G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc 9 10 LIFESTYLES 2 x Score STAFFING Standard No 11 12 13 14 15 16 17 x 3 x 3 3 x 2 Standard No 31 32 33 34 35 36 Score x x x 3 2 1 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x 2 HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 9 Regulation 13(4)(c) Requirement The registered persons must ensure that risk assessments contain sufficient information on how to minimise identified risks. The registered persons must ensure that culturally appropriate foods are provided to service users. Records of meals offered to service users must be maintained. The registered persons must ensure that the follwing areas are addressed; The carepet in the room opposite the kitchen is cleaned or replaced. The gap between the hallway carepet and the floor tiles in the shower room is addressed. The registered persons must ensure that the laundry room flooring is replaced. The registered persons are required to ensure that all staff have received food hygiene training in the last three years. The registered person must ensure that all staff working in the home receive regular supervision. [previous timescale of 14/6/04 Timescale for action 13/9/05 2. 17 16(2)(i) 13/9/05 3. 24 13(4)(a) 23(2)(b) (d) 13/9/05 4. 5. 30 35 13(3)(4) (c) 13(6) 18(c)(i) 18(2) 13/9/05 13/9/05 6. 36 27/6/05 Immediate requiremen t Page 24 HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 and 16/12/04 not met] 7. 43 13(4)(c) The registered persons must ensure that safety data sheets must be available for all chemicals kept in the home. 13/9/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection Solar House, 1st Floor, 282 Chase Road, Southgate, London, N14 6HA 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 HAZELWOOD LODGE G59 S10581 Hazelwood Lodge V221109 13.06.05 Stage 4.doc Version 1.20 Page 26 - 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!