Inspection on 14/02/06 for Iris Hayter House

This inspection was carried out on 14th February 2006.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Iris Hayter House 03/09/07

Iris Hayter House 17/01/07

Iris Hayter House 26/07/05

Iris Hayter House 28/02/05

Iris Hayter House 26/08/04

Iris Hayter House 17/02/04

Iris Hayter House 14/08/03

Iris Hayter House 15/08/02

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Iris Hayter House 43 Sandford Road Littlemore Oxfordshire OX4 4XL Lead Inspector Nancy Gates Announced Inspection 14th February 2006 11:00 Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 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 Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 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 Older People and 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. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Iris Hayter House Address 43 Sandford Road Littlemore Oxfordshire OX4 4XL 01865 749560 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) info@ogh.org.uk Oxfordshire Group Homes Ltd Mrs Rachel Bronwyn Whitehall Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (13) Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 13. 26th July 2005 Date of last inspection Brief Description of the Service: Iris Hayter House is a large bungalow located on the outskirts of Oxford city. The accommodation comprises of a number of communal areas (lounges and a dining room) with each resident having their own bedroom. The home provides 24-hour support to 13 people who have a mental health support needs. The majority of residents have been discharged from a hospital setting and continue to require support and accommodation. The staff provide close and continued links with individuals community mental health teams and all relevant professionals, i.e. psychiatrists, community psychiatric nurses (CPN) and social workers. All residents receive support to develop an individualised care programme. Residents are encouraged to use local community facilities. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector was in the home from 11.00am until 2.30pm on a weekday. The manager, a number of residents and staff members were aware that the inspector would be visiting. Nine residents were in the home at the time of inspection; the remaining residents were out of the home. There were five staff members on duty inclusive of the registered manager. All staff and residents were welcoming, allowing for the atmosphere of the home to be generally relaxed. A number of records were looked at inspected including the personal records of residents. A group of residents and staff were spoken with. No visitors were available to speak to the inspector at the home. What the service does well: The home completes a clear and detailed assessment of need before a resident is admitted, giving assurance that care needs will be met. A good standard of support and opportunity is provided to residents within the boundaries of care plans. Records are written clearly and are maintained to a good standard for the continued protection of residents. Consultation with residents and health care professionals regarding their support plans is conducted on a regular basis allowing for the support provided being consistent, clearly relating to residents changing needs and wishes. Residents’ healthcare needs are appropriately supported. Needs and wishes are respected. Medication is stored securely and administration is accurate, ensuring residents safety. The staff on duty were clearly experienced and knowledgeable. Responses to residents were respectful and clear, demonstrating responses in accordance with residents written care plans. Residents are protected by the policy documentation and by staff knowledge regarding the protection of vulnerable adults. Resident’s finances are protected by a clear and transparent system of collection and recording. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 6 The health and safety of residents and staff is assured at the home through accurate recording and consultation with appropriate authorities. 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. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 (Younger Adults 18-65) & 3 (Older People) The home completes a clear and detailed assessment of need before a resident is admitted, giving assurance that care needs will be met. EVIDENCE: Referrals to Iris Hayter House follow the Care Programme Approach (CPA) process (Mental Health Act 1983). Individuals discharged from a hospital setting under specific sections of the Mental Health Act 1983 can be accommodated at the home. Documentation provided within the CPA process inclusive of care management information is clear and comprehensive, allowing for clear judgement of need prior to admission Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 9 The admission records for one new resident provided evidence of a clear admission process involving the resident and relevant professionals at all stages. The assessment pays particular attention to risk management strategies and how the strategies can ensure that a resident is supported to take risks whilst remaining within the remit of their care plan. A gradual move has ensured that the resident has had a relatively smooth transition from hospital to the home. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) 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 (Younger Adults 18 – 65) & 14 (Older People) Individual care plans and personal information for residents is written at a good standard. Consultation with residents and health care professionals regarding their support plans is conducted on a regular basis allowing for the support provided being consistent, clearly relating to residents changing needs and wishes. Clear and comprehensive information underpins a good quality of support for assessed needs, reflecting the decisions of resident’s where possible. EVIDENCE: Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 11 The inspector observed the files of three residents, which contained assessment information inclusive of Care Programme Approach (CPA) documentation and care plans. The files contained a number of clear documents relating to the support needs of residents, for example, CPA assessments, risk assessments, information regarding physical health, mental health, legal requirements, daily activities and daily notes recorded twice daily. Review documentation was also contained within the file and is in accordance with the requirements of the CPA process Information contained within the files focuses on issues identified, if possible by individuals and monitored by staff to ensure goals remain realistic. The age and enduring mental health support needs of resident’s impacts on the level of participation and decision making by individuals. The inspector met with seven residents who were being supported with activities in the home. Observation of the interactions confirmed that people are supported to make decisions about areas in their life. Any restrictions identified within the risk assessment process were considered reasonable and geared to ensure their safety and ensure that the interests of all residents were best met. Resident’s files noted participation in a range of local activities and day services/groups. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The standards in this section were assessed at the unannounced inspection. Judgements regarding standards 13, 14, 15, 16 and 17 (Younger Adults) and 10, 12, 13 and 15 (Older People) have been included within the inspection report of the 26th July 2005. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 13 EVIDENCE: Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 20 (Younger Adults 18-65), 9 & 10 (Older People) Residents’ healthcare needs are appropriately supported. Needs and wishes are respected. Access to additional support from health care professionals is consistent and meets residents health needs. Medication is stored securely and administration is accurate, ensuring residents safety. EVIDENCE: Health care needs are supported by local general practitioners and through the Community Mental Health Team (CMHT). The monitoring of residents mental health needs is completed with the Community Mental Health Team (Care Team), inclusive of a psychiatrist, community psychiatric nurse and social worker. Professional visits are Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 15 encouraged and welcomed. Reviews are undertaken on a regular basis. Care plans and daily records provided evidence to the inspector of ongoing contributions to plans and reviews undertaken by the staff with residents. Residents receive medication on a singular basis within the office. A local pharmacist supplies the home with medication stored within blister pack dispensing systems. Medication administration records are supplied by the pharmacist to support accurate administration and recording. Recording is accurate; no omissions were noted. Medication administration and recording is of a good standard. No ‘controlled drugs’ are currently used. Staff confirmed that medication training and tests have to be undertaken to ensure competency in dispensing and recording. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 (Younger Adults 18-65) & 35 (Older People) Residents are protected by the policy documentation and by staff knowledge regarding the protection of vulnerable adults. Resident’s finances are protected by a clear and transparent system of collection and recording. EVIDENCE: The home has a copy of the Oxfordshire multi agency guidance for the Protection of Vulnerable Adults. Oxford Group home has provided policy documentation relating to the protection of vulnerable adults, which has been made available to all staff. The manager confirmed that there have been no referrals to the protection of vulnerable adults list since the last inspection. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The standards in this section were assessed at the unannounced inspection. Judgements regarding standards 24 and 30 (Younger Adults) and 19 and 26 (Older People) have been included within the inspection report of the 26th July 2005. EVIDENCE: Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The majority of the standards in this section were assessed at the unannounced inspection. Judgements regarding standards 32 and 35 (Younger Adults) and 27, 29 and 30 (Older People) have been included within the inspection report of the 26th July 2005. Staff recruitment records were not available for inspection, therefore the protection of service users could not be guaranteed. EVIDENCE: The inspector’s request to observe staffing records was unable to be granted due to all staff records being held at the human resources department in Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 19 Oxford Group Homes head office. The manager was unable to demonstrate that recruitment checks for the protection of service users had been undertaken, although stated that the HR department provides verbal confirmation of the receipt of references and a satisfactory Criminal Records Bureau check. The documents can be viewed by the manager within the recruitment process. The inspector acknowledges that the HR department is willing for records to be viewed at their department but this clearly does not meet the requirements of the Care Home’s Regulations. A checklist signed by the registered manager, must be held within a staff file in the home, which confirms that all required documents not kept in the home are present on file at the proprietor’s office and are available for inspection at any time. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 (Younger Adults 18-65) and 38 (Older People) The health and safety of residents and staff is assured at the home through accurate recording and consultation with appropriate authorities. EVIDENCE: Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 21 A number of records were examined which detailed the maintenance of health and safety within the home. The manager acknowledged and confirmed that the home complies with of the legislation documented within standard 42. The manager has initiated contact with the Fire Officer and the Environmental Health Officer to ensure that the home remains safe for all household members. Risk assessments have been completed in relation to safe working practices. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 1 35 X 36 X CONDUCT AND MANAGEMENT Standard No Score 37 X 38 X 39 X 40 X 41 X 42 3 43 X X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Iris Hayter House Score X 3 3 X DS0000013093.V286915.R01.S.doc Version 5.1 Page 23 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 OP29YA34 Regulation 19 (1)(b), (c) Requirement The registered manager must keep in the home and available at all times for inspection under Regulation 19 of the Care Homes Regulations 2001 and the Care Standards Act 2000 (Establishments and Agencies) (Miscellaneous Amendments) Regulations 2004 Substituted Schedule 2. The Commission is prepared to accept the following in respect of the Substituted Schedule 2 and Schedule 4, Paragraph 6 information. A checklist signed by the registered manager must be attached to each staff file in the home which confirms that required documentation is present on file on the proprietor’s area or regional office and are available for inspection at any time. Timescale for action 30/04/06 Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 24 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 Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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. Iris Hayter House DS0000013093.V286915.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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