Inspection on 10/10/06 for Hilltop House

This inspection was carried out on 10th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hilltop House 22/01/09

Hilltop House 01/12/05

Hilltop House 05/04/05

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

CARE HOME ADULTS 18-65 Hilltop House Ashton Road Hartwell Northampton Northamptonshire NN7 2EY Lead Inspector Kim Cowley Unannounced Inspection 10th October 2006 11:00 Hilltop House DS0000063092.V315134.R02.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 Hilltop House DS0000063092.V315134.R02.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. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hilltop House Address Ashton Road Hartwell Northampton Northamptonshire NN7 2EY 01604 864466 01604 864466 ian.mosley@oakleafcare.com 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) Oakleaf Care (Hartwell) Ltd Mr Ian Mosley Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10), Physical disability (3) of places Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No one falling within the category of PD may be admitted to Hilltop House unless they are also in the category MD No one falling in the category PD shall be admitted to Hilltop House when there are already 3 people in that category accommodated Persons in the category PD are accommodated in Bedrooms 1, 2 and 5 (as identified in documentation by CSCI on 25th October 2004) at Hilltop House The maximum number of persons to be accommodated at Hilltop House is 12 all of which are to be male 1.12.06 Date of last inspection Brief Description of the Service: Hilltop House is a service for males with acquired brain injury and associated disorders. It opened in 2005 and is situated in a converted manor house on the outskirts of the village of Hartwell in rural Northamptonshire. It provides personal care and nursing to twelve younger adults, and includes three places for residents who have physical disabilities in addition to acquired brain injuries. Accommodation is on two floors and all rooms are single and have ensuites. There is a dining room, a large lounge, a small smoking room, and a conservatory on the ground floor. The home is set in extensive grounds and features include an activities room, summerhouse, lawns and paddocks, and a secure garden area. Fees are £2,545 per week. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, which lasted five hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that the inspector looked at the care provided to three residents living at the home by meeting or observing them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. The inspector also met with the Manager, Responsible Individual, Nurse in Charge, Horticultural Therapist, Teacher, and a visiting social worker. What the service does well: Hilltop House offers an excellent all round service to younger adults with acquired brain injuries. The home has a lively and purposeful atmosphere and all residents interviewed or observed appeared to be happy and settled in the home. Their comments included: ‘I’ve moved on since I’ve been here.’ ‘I am learning to cook. I cook for myself three times a week.’ ‘My flat’s lovely. I’m very proud of it.’ ‘I go to the shops on my own to collect the newspapers.’ The home has a team of experienced care, nursing, and specialist staff, who provide holistic care to residents based on a social model. Staffing levels are high and exceed the recommended minimum set out by the Residential Forum. The home’s ethos is to give residents as much choice as possible and help them to become more self-sufficient. One member of staff said, ‘This is a fantastic place to work. The best thing about it is seeing some residents make massive progress while they are here.’ The programme of educational and recreational activities at the home is impressive. All residents have the opportunity to gain independence and group skills, develop new hobbies, and integrate in the wider community. All residents are encouraged to lead full and active lives through individually tailored programmes based on their needs and interests. Records showed that residents have progressed and increased their skills through taking part in the educational programme. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 6 The Manager and Responsible Individual are qualified nurses with substantial experience of caring for people with acquired brain injuries. They work fulltime in the home and liaise with residents and staff on a daily basis. Under their leadership this home has gone from strength to strength, and has become a centre of excellence in their field of acquired brain injury care. What has improved since the last inspection? What they could do better: No areas in need of improvement were identified at this inspection. Please contact the provider for advice of actions taken in response to this Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 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 Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. EVIDENCE: All residents are assessed prior to admission. Staff use the home’s purposedesigned assessment pack and visit residents in their homes or in hospital. Before carrying out the assessment staff explain to residents who they are and what Hilltop House provides. The assessment form is then completed following consultations with the resident, their friends/families, and any health and social care professionals involved. A social worker was visiting the home on the day of inspection. She said the home was unusual in that it was prepared to allow a gradual admission of a resident (in this case over three months). The Manager said gradual admissions were used when appropriate and made the transition smoother for all parties involved. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 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, 7, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents care needs are met. EVIDENCE: Care plans are initially based on the results of the assessment carried out when a resident first moves into the home (see ‘Choice of Home’). Each resident is allocated a named nurse and a named care worker. These staff oversee their care and are responsible for drawing up care plans and risk assessments. The Manager said this approach enables staff to employ the best practice from both health and social care models. The home has a policy that care plans must be reviewed at least every 12 weeks. However the Manager said that if significant change occurs then the review will be brought forward. Records showed that this is the case. Daily records include a minimum of three entries every 24 hours. They are completed by nurses or care workers (nurses countersign those records made by care workers). Staff also use a Communication Book to alert each other to Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 11 any incidents or changes to resident care. Daily records can be crossreferenced with care plans via a number system in the margins. Care plans were inspected and found to be of a high standard being clear and detailed with specialist input where necessary. The nurse in charge on the day of inspection said residents are involved in drawing up their care plans, where possible, and sign to say they agree with them. If they are unable to do this, their relatives are asked to sign on their behalf, where appropriate. Residents at Hilltop House are particularly vulnerable to risk due to the nature of their condition. In response to this staff have put in place detailed risk assessments. These were drawn up following consultation with residents, the health and social care personnel that support them, and, where relevant, their families/friends. Those inspected showed a range of potential risks being explored and decisions made about the level of risk in each area. Risk assessments are reviewed at least every six months and following any relevant incident. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 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, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents are encouraged to lead full and active lives. EVIDENCE: The overall programme of educational and recreational activities is impressive. At Hilltop House residents have the opportunity to increase their independence and group skills, develop new hobbies, and integrate in the wider community. All residents are encouraged to lead full and active lives through individually tailored programmes based on their needs and interests. In April this year a full-time teacher joined the staff team who is experienced in working with people with acquired brain injury. He organises a full programme of one-to-one and group sessions based on residents’ current needs and future plans. Basic skills (numeracy, literacy, and computers) are taught with the emphasis on preparing residents for independent living. The teacher also runs social and leisure groups which give residents the opportunity to interact with each other, with members of the local community, Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 13 and with relatives and friends. Records showed that residents had progressed and increased their skills through taking part in the educational programme. The home has also employed a full-time Horticultural Therapist. He has helped residents to grow a range of produce for the home’s kitchen. One resident has won prizes at a local fruit and vegetable show with the vegetables he has grown. The home also has an Occupational Therapist and an Assistant Occupational Therapist who help residents to increase their daily living skills with a view to independent living. At the last inspection one resident said he would like a full-sized pool table in the home. Since them two full-sized pool tables have been provided, one in the conservatory and one in the games room. The Manager said these are proving popular with the residents. The home employs a full-time cook who works from 9am to 3pm from Tuesday to Friday, and on Sunday. A part-time cook covers the other days of the week. Provisions are purchased from local shops and outlets, for example eggs come from a local farm. All staff who work in the kitchen have their Basic Food Hygiene certificate. Breakfast is served from 8.30 to 9.30. A cooked breakfast is served twice a week. Lunch, the main meal of the day, is served from 12.30 to 13.30. Tea is from 17.15 to 18.15, and supper is served on request. Tea is either cooked or cold. Residents and staff eat together at mealtimes. The Manager said this arrangement promotes social interaction and has the additional benefit of staff acting as role models for residents who wish to improve their social skills. Residents are weighed weekly and their food intake is monitored to ensure their diet is effective. On 6.10.06 the home was awarded a ‘Heartbeat Award’ for promoting healthy eating. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 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): 18, 19, 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. The health and personal care needs of residents are met. EVIDENCE: Some residents need help with their personal care and care plans show this is provided by staff. All residents have their own ensuite facilities. Residents are encouraged to do their own laundry. The home has one industrial and one domestic washing machine, the latter being for residents to operate themselves. All residents have laundry baskets in their rooms and they are expected to use these with support from staff where necessary. The home has its own GP service. Their GP, who has experience of caring for people with acquired brain injury, visits when required or residents can go to his surgery, which is a 20 minutes drive away. A District Nurse is attached to the GP’s surgery and provides care and advice where necessary. All residents have an annual health check carried out by their GP. The home also has its own Consultant Psychiatrist, Consultant Psychologist, Physiotherapist, Consultant Dietician, Consultant Speech and Language Therapist, and Consultant Social Worker. All these professionals have Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 15 experience of working with people with acquired brain injury and the consultant is a specialist in this field. Dental services are accessed via a local hospital where staff have experience of working with younger adults with disabilities. Hearing services are accessed via the home’s GP. Opticians visit the home when required. The GP service has its own dispensary and medication is supplied from there. The home’s medication room is well organised and secure. Only nurses administer medication. The Manager said that if any new medication procedures are introduced the pharmacist or the relevant drug company provide staff training. The home’s contract pharmacist is responsible for inspecting the home’s arrangements for medication storage and administration. At present no residents are self-medicating. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 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 the following standard(s): 22, 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents feel able to talk to staff about any concerns they might have. EVIDENCE: There is a standard complaints procedure in the service user guide and this is made available to residents and their representatives. If necessary, the home’s speech and language therapist can translate the procedure into symbols for residents who are unable to read the written word. Residents are encouraged to tell a member of staff if there is anything they are not happy about. Each resident has a named nurse and a carer they can approach. Alternatively they can talk to any other member of staff including the Manager and the RI. All residents can use the home’s phones free for 45 minutes per week, and this is another way they can raise concerns as either the Manager or the RI are always on call. Since the last inspection the home has received one complaint. The complainant was kept fully informed during the investigation and sent copies of all relevant documents. In addition staff at the home and a consultant who was involved spoke personally to the complainant about their concerns. The Manager said the complainant was satisfied with the outcome of the investigation. Staff are knowledgeable about adult protection and the home has all the required policies and procedures in place. In-house training on this subject is also provided to all staff, including ancillary staff. Records and past Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 17 communication with CSCI has demonstrated that staff have the knowledge and resources to safeguard residents. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 18 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, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents live in an environment that is comfortable and well maintained. EVIDENCE: The home, a converted former manor house, is situated on the outskirts of the village of Hartwell in a rural setting. It is decorated and furnished to a high standard and provides an environment that is both spacious and homely. The home is situated in extensive grounds including a secure garden, which is accessed via the conservatory. A cleaner is employed five days a week and the carpets are professionally cleaned every two months. Residents are encouraged to help with the cleaning, assisted by staff, as this is part of their daily living skills programme. All areas of the home inspected were clean and tidy. Since the last inspection two further beds have been registered. These are set apart from the main accommodation in a self-contained unit with it’s own entrance. Residents who live here are moving towards independent living. The Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 19 unit has two bedrooms, each with their own ensuite facilities, and a shared kitchen. The home’s offices have been relocated to a converted barn in the grounds. A new activities room for residents is located in the same building. Some areas of the home have been redecorated including five of the bedrooms. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 20 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, 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Friendly and professional staff meets residents’ needs. EVIDENCE: Qualified nurses, care workers, specialist staff, and ancillary staff are employed. Staff turnover and sickness levels are low. The majority of the staff team have previous experience working with residents with acquired brain injury. The home is run on a social rather than a behavioural model, and staff are expected to share the home’s ethos of giving residents as much choice as possible. Staffing levels are high and exceed the recommended minimum set out by the Residential Forum. Two residents have 24-hour one-to-one care due to their particular needs. Since the last inspection the following new posts have been created and filled: Deputy Manager, Teacher, Occupational Therapy Assistant, Physiotherapist, Horticultural Therapist, and a part-time Speech and Language Therapist. The Manager said staff tend to be recruited by word of mouth. Staff must have CRB and POVA checks and two written references before they start work. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 21 The home has its own training group headed by the RI and including members of staff with particular experience in staff training. Most training is provided inhouse with external accreditation. Clinical and statutory training days are held and include sessions aimed at increasing the staff’s understanding of brain injury. The majority of the care staff team have NVQ level two or above or are studying for it. All staff hold current first aid certificates. New staff undertake a comprehensive induction that helps to identify their future training needs. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 22 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, 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents live in a home that is safe and well managed. EVIDENCE: The Manager is a qualified learning disability nurse with a current pin number He has 13 years nursing experience. For the past six years he has specialized in the care of young adults with acquired brain injury. Both he and the Responsible Individual (who is a qualified mental health nurse) work full-time in the home and liaise with residents and staff on a daily basis. Since the last inspection a quality audit system has been put in place. The Manager, RI, and designated members of staff have responsibility for auditing different areas of the service. These range from the environment (audited monthly) to care plans (audited three monthly). The Manager said this system gives an overview of how well the home is running and identifies any areas in need of improvement. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 23 Resident meetings take place on a monthly basis with minutes taken. Two members of staff have been given responsibility for facilitating these. Records showed a good attendance and all residents being given the opportunity to speak out. The home has an annual quality assurance questionnaire for residents. This is user-friendly and covers areas such as the premises, food, and care. Residents either fill it in on their own of with assistance from staff or their relatives or representatives. The RI oversees health and safety in the home. Records showed that good policies and procedures are in place, and ongoing improvements carried out. Contractors and the home’s handyman, who is a qualified electrician, carry out routine repairs and servicing. The Environmental Health Officer inspected the kitchen on 25.09.06 and judged it to be of an ‘excellent standard’. The home’s Fire Risk Assessment was reviewed and updated in September 2006. Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 24 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 4 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Hilltop House DS0000063092.V315134.R02.S.doc Version 5.2 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!