Inspection on 05/10/07 for Hoffmann Foundation for Autism 69 Castleton Avenue

This inspection was carried out on 5th October 2007.

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

Hoffmann Foundation for Autism... 06/06/06

Hoffmann Foundation for Autism... 26/10/05

Hoffmann Foundation for Autism... 24/05/05

Hoffmann Foundation for Autism... 04/02/05

Hoffmann Foundation for Autism... 12/07/04

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

CARE HOME ADULTS 18-65 Hoffmann Foundation for Autism 69 Castleton Avenue 69 Castleton Avenue Wembley Middlesex HA9 7QE Lead Inspector Mr Robert Bond Key Unannounced Inspection 5th October 2007 10:00 Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hoffmann Foundation for Autism 69 Castleton Avenue 69 Castleton Avenue Wembley Middlesex HA9 7QE 020 8902 1155 020 8900 0930 castletonavenue@aol.com Address 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) Hoffmann Foundation for Autism Ms Leticia Addo Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2006 Brief Description of the Service: 69 Castleton Avenue is a registered care home for 6 adults with learning disabilities. At the time of the inspection there were 6 residents accommodated in the home. 69 Castleton Avenue is an extended semidetached house in a quiet residential road close to East Lane and Wembley High Street. It is within walking distance of shops and bus routes. The area to the front of the house has been paved over to provide off street parking. At the rear of the property is a pleasant garden with a lawn and patio area. The property consists of a ground and first floor and at the front of the house is a ground floor flat (occupied by one of the residents) which is integral to the house. The flat consists of a bed sitting room, bathroom and kitchen. The flat has its own front door and another door, which opens into the ground floor corridor. The rest of the ground floor consists of a laundry, an office, the small lounge (known as the music room), the large lounge and a communal toilet. On the first floor there are five residents’ bedrooms, a bathroom, a shower room and a staff sleeping in room. The fees are on average about £1,480 per week. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection that looked at the key standards only, contained within the National Minimum Standards (NMS) for care homes for younger adults, as published by the Department of Health. The previous key inspection took place on 6th June 2006, however an additional random inspection was conducted on 6th December 2006. The purpose of this random inspection was to check compliance by the home with requirements made at the previous key inspection. The Inspector found at the December inspection that 5 of the 8 requirements had been met, but 3 had not. No new requirements were made at that time. At this key inspection in October 2007, I found that all the previous requirements had now been met. At this present key inspection, I assessed the home’s performance against 34 of the NMS, and found that 5 anticipated outcomes were exceeded, a further 14 outcomes were fully met, whereas 5 outcomes were only partially met. This led me to make 5 requirements. I received in advance of the inspection, an Annual Quality Assurance Assessment completed by the Registered Manager. I also used Regulation 26 reports provided to us by The Hoffman Foundation for Autism. During the inspection I interviewed the Registered Manager, talked to other staff members, met the residents, toured the premises, and examined a range of documents. The home was fully occupied, having six residents. Three residents are white British, and three are black Afro-Caribbean. All are Christian. No issues of equality and diversity needs not being met came to light during the inspection. The home is fully staffed with the exception of the deputy manager post that has been vacant for 9 months, with the deputy’s duties being spread between the two senior support workers. What the service does well: Prospective residents have their individual aspirations and needs fully assessed and recorded, they visit the care home in advance of moving in, and are fully involved in the transition programme. Residents are involved in drawing up and reviewing their support plans, they are consulted about what they want, involved in helping the home to operate, and are supported to live or move towards living independent life styles. A good range of work, educational and leisure activities is provided to residents. Good links exist with the local community, family and other relationships are encouraged, and residents’ rights and responsibilities are respected well. Residents are provided with healthy and varied food, including ethnic meal options. Residents receive good Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 6 personal care support in the way they prefer and their health needs are being well met. In most respects residents are well protected by the home’s medication policy and practices. Residents’ complaints are listened to and fully investigated. Staff are fully trained in how to protect residents from abuse, neglect and self-harm. Residents are well supported by sufficient numbers of support staff, who are adequately trained. Residents are well protected by the home’s recruitment practices, and residents play a useful part in the recruitment process. The home has an attractive lounge and well-kept garden. The home is well managed and quality assurance mechanisms are excellent. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. People who use this service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents have their individual aspirations and needs fully assessed and recorded, prospective residents visit the care home in advance of moving in, and they are fully involved in a good transition programme. EVIDENCE: I examined the assessment documents held by the care home on the newest resident to move in. An assessment had been submitted by his care manager on behalf of the London Borough of Brent. The Registered Manager of the care home had undertaken her own assessment to confirm that his needs could be met at 69 Castleton Avenue. A transition process had been undertaken to smoothly arrange the resident’s transfer from his previous supported living accommodation to the care home. He is temporarily accommodated in the care home but will ultimately transfer into the downstairs flat that forms part of the home’s premises. A phased transfer took place that involved visits in advance of moving in, meeting the other residents, and a staff meeting to discuss his support plan. All these aspects are well recorded. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are sufficiently involved in drawing up and reviewing their support plans, they are well consulted about what they want, well involved in helping the home to operate, and are well supported to live, or move towards living, independent life styles. EVIDENCE: I examined in detail two support plans for the two residents who had moved in most recently. One support plan had originally been created for when the resident had been in supported living, and as he had moved in to the care home only 3 days before, the support plan had not yet been amended and updated. Ideally a new plan should have been created already. The other resident had moved in one year before. The latest version of his support plan was dated 3rd July 2007 and hence was due for its three monthly review. Previous reviews had been undertaken. The support plan was seen to contain a person-centred communication report, signed by the resident and the keyworker. The support plan contained detailed instructions for staff members concerning how the resident wished his/her personal care support to be provided. An example of review meeting notes were seen and the Registered Manager reported that if a major change in the support plan was being Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 10 considered, then the resident and their relatives would be present at the meeting. In addition to review meetings, one to one meetings take place two weekly between resident and their key-worker. Residents are also consulted at two weekly residents’ meetings, where topics such as outings, activities and food are discussed. Residents are also involved in meetings to discuss the management of the home, residents are invited to play a part in the recruitment of new staff members, which is commended, and residents assist in the running of the home for which there is a rota covering shopping, cleaning, and setting the dinner table, for example. I noted that individual risk assessments have been undertaken on residents that cover such aspects as using the home’s vehicle, and the potential risk of a resident absconding from the home. Some residents confirmed that they did go out alone. One resident told me, “ I have just come in”. The Registered Manager said that the home promotes independence, and indeed that is why the home has a semi-independence flat as a stepping-stone to moving out to supported living or fully independent living. This facility is commended. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. A good range of work, educational and leisure activities is provided to residents. Good links exist with the local community, family and other relationships are encouraged, and residents’ rights and responsibilities are respected well. Residents are provided with healthy and varied food, including ethnic meal options. EVIDENCE: The Registered Manager reported that 2 residents have administrative type employment within the Hoffman Foundation for Autism organisation, and that 5 residents attend College. There they learn photography, computing, gardening, citizenship etc. No one attends a day centre at present. Each resident has an activity timetable that covers the whole week. I examined one. Specific leisure activities noted were swimming, bowling, and visits to the cinema. The Registered Manager mentioned trips to Madame Tussaud’s, London Zoo and a holiday in Blackpool that 3 residents went on. Relatives are invited to resident’s review meetings and attend birthday parties in the home. Residents are encouraged to return to their parents’ home. The Registered Manager reported good relations between the care home and its Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 12 neighbours. The ethnicity of the current residents is that 3 are white British and 3 are Afro-Caribbean. Ethnic meals are provided and all residents are encouraged to try them but with alternatives available as necessary. All 6 residents are Christian and those who want to attend church are encouraged to do so, with one resident going with his/her family, and another meeting their family at the church. The Registered Manager reports that relationships are encouraged. All residents have a key to their own bedroom but not to the front door. All residents see an advocate on a monthly basis, which is commended. The home has a rota of duties for residents to assist in running the home. I saw the home’s food menu, which listed alternative choices and contained plenty of variety. Residents are involved in choosing and preparing the meals. The Registered Manager confirmed that healthy options are encouraged and that referrals to a nutritionist or dietician are made where necessary. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents receive good personal care support in the way they prefer and their health needs are being well met. In most respects residents are well protected by the home’s medication policy and practices. EVIDENCE: I examined two residents’ support plans and found that they contained detailed personal care guidance for staff that demonstrated how the resident wished his/her needs to be met. The support plans also contained a health assessment form, a monthly weight record, and a health action plan that was updated annually. An annual health check is also undertaken that includes a medication review. The Registered Manager reported that all the residents are subject to the Care Programme Approach and are seen by a psychiatrist as necessary. One resident is visited by a community psychiatric nurse. I checked the home’s medication records and medicine storage arrangements. The only error noted was that the record of medication returned to the pharmacist on 15th June 2007 was not complete, as the strength of the medication was not given. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ complaints are listened to and fully investigated. Staff are fully trained in how to protect residents from abuse, neglect and selfharm. EVIDENCE: I examined the home’s complaints record and found that two complaints had been properly recorded, investigated and acted upon. No complaints were made to me by residents, either in advance or during the inspection of the care home. I checked the home’s records for training staff in the Protection of Vulnerable Adults and found them to be up to date with all staff having received the training. The home was seen to have a copy of the London Borough of Brent’s Adult Protection policy and procedure. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 and 30. People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is sufficiently comfortable for residents but would be more homely if all the lights were in working order. The home would also be safer for residents if a hot water supply was available throughout. Residents’ independence and privacy would be further promoted if bedrooms contained a lockable space for valuables. EVIDENCE: I toured the premises in the presence of the Registered Manager, and was invited to see inside two of the bedrooms by their occupants. The bedrooms are lockable but do not contain the required lockable space for valuables. One resident said to me, “I chose this colour”, referring to the paint in his/her bedroom. Two examples were noted where light bulbs in resident’s bathrooms were broken. These were in the light fittings that are above the mirror behind the wash hand basin. One wash hand basin in one bedroom, and one in a bathroom did not have any hot water supply. The Registered Manager reported recent repairs to the home’s roof and chimney. I noted that the home was clean and has an attractive lounge and a well-tended garden. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are well supported by sufficient numbers of support staff, who are adequately trained. Residents are well protected by the home’s recruitment practices, and residents play a useful part in the recruitment process. EVIDENCE: I examined a sample staffing rota and noted that a minimum of two support workers are on duty each day, plus the Registered Manager as a supernumerary. Extra support workers are rostered to help with the provision of activities. At night one worker sleeps-in, whilst another stays awake. Three bank support staff are currently being used, but the Registered Manager reported that they know the residents and building well. The post of deputy manager has been vacant for nine months but a new senior support worker started in December 2006. The AQAA states that of 11 care staff, 6 have achieved the NVQ level 2 in care award. Thus more than 50 of the care staff are qualified. A further two are undertaking the NVQ 2 award. I examined a staff recruitment file and found that it contained an application form, identification check, references, and CRB disclosure. The Registered Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 17 Manager reported that residents assist in the recruitment process, which is commended. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home, with excellent consultation mechanisms. The health, safety and welfare of residents are generally well protected, but there is an issue about hot water temperatures not being sufficiently high. EVIDENCE: The Registered Manager reported that she has a job description, and has obtained the Registered Manager’s Award and NVQ level 4. The number of requirements in the previous CSCI key inspection report was 8, with a further 8 recommendations. This report contains only 5 requirements. I spoke to two members of staff. One confirmed that she had all the training necessary to do her job, the other said, “I enjoy working here.” Quality Assurance is dealt with by Head Office who hold a quarterly Relatives Forum and send out quarterly feedback forms to relatives, General Practitioners and care managers. Regulation 26 visits and reports are also undertaken. Brent Advocacy Council holds a group meeting with residents on a monthly basis, which is commended. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 19 I noted that health and safety checks are undertaken weekly and monthly throughout the care home. However although the format facilitates a check that hot water does not exceed 40 degrees Centigrade, the present format in use by the care home does not mention any minimum hot water temperature. This anomaly must be corrected. The NMS state that the hot water temperature should be close to 43 degrees Centigrade as a means of controlling the risk of Legionella. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 20 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 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 2 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 4 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000017432.V352795.R01.S.doc 3 3 4 4 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 4 x x 2 x Version 5.2 Page 21 Hoffmann Foundation for Autism 69 Castleton Avenue no 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 YA20 Regulation 13(2) Requirement When medicine is disposed of by returning it to the pharmacist, the records must show the strength of the medication. Broken light bulbs in fittings above the mirrors in resident’s bathrooms must be replaced. Each bedroom must be furnished with a secure storage space for resident’s valuables. All parts of the care home must have a suitable hot water supply in order to help protect residents from possible infection. Health and safety guidance and check lists issued by the provider must be changed so that hot water temperatures are maintained that are sufficiently high to control the risk of Legionella developing. Timescale for action 01/11/07 2 3 4 YA24 YA26 YA30 23(2)© 23(2)(m) 23(2)(j) 01/12/07 01/01/08 01/11/07 5 YA42 13(4)(a) 01/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 22 No. Refer to Standard Good Practice Recommendations Hoffmann Foundation for Autism 69 Castleton Avenue DS0000017432.V352795.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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