Inspection on 21/05/07 for Jubilee House Therapy Centre

This inspection was carried out on 21st May 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 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

Jubilee House Therapy Centre 06/02/06

Jubilee House Therapy Centre 03/08/05

Jubilee House Therapy Centre 28/02/05

Jubilee House Therapy Centre 05/07/04

Jubilee House Therapy Centre 25/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOME ADULTS 18-65 Jubilee House Therapy Centre Eamont Park Eamont Bridge Penrith Cumbria CA10 2BN Lead Inspector Marian Whittam Unannounced Inspection 21 and 31st May 2007 14:00 st Jubilee House Therapy Centre DS0000010096.V333581.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 Jubilee House Therapy Centre DS0000010096.V333581.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. Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jubilee House Therapy Centre Address Eamont Park Eamont Bridge Penrith Cumbria CA10 2BN 01768 890009 01768 891212 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) Fire Services National Benevolent Fund Janet Mc Greevy Care Home 4 Category(ies) of Old age, not falling within any other category registration, with number (4), Physical disability (4) of places Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Physical disability: Code PD Old age, not falling within any other category: Code OP The maximum number of people who can be accommodated is: 4. Date of last inspection 6th February 2006 Brief Description of the Service: Jubilee House is a 41-bed purpose built rehabilitation and therapy centre that is situated next to the river Eamont near to Penrith. This facility is accessible to members and their families of the fire service. Four of the beds are registered with the Commission for Social Care Inspection to accommodate service users who require nursing input during their planned programme of therapy. The remainder of the beds are used by those who are self caring. Potential service users can self refer to the service. The registered beds are located on the ground floor in large rooms that enable service users with a wide range of needs to be accommodated and who may require additional equipment in their rooms. Information is made easily available to people who use the service with the Statement of purpose and service users guide and information packs provided. There are no fees charged to people who use the service who are eligible beneficiaries under the Fire Services National Benevolent Fund. Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the centre over 2 days commencing at 14:00 on 21.05.07 and completed on 31.05.07. This was necessary because the four nursing beds registered with the Commission for Social Care Inspection (CSCI) are not always in use. The site visit on 21.5.07 included a full tour of the building, and facilities used by clients. Staff were observed and spoken with and relevant documentation was examined. The manager was available and assisted throughout both visits. Pre- inspection information on staffing and services provided by the home, requested in advance by CSCI, was returned before the visit. What the service does well: The centre aims to either improve or maintain skills and independence for the people who use the service and as part of that to introduce and promote a healthy lifestyle after the person returns home. The centre develops a detailed programme of therapy and activity with the people using the service for their one or two week long stay. This individual programme involves the members of the therapy team, who have a wide range of skills and expertise, in its development. Clients are encouraged to visit or contact the centre prior to their stay to identify any problems or worries. The organisation does give people the opportunity to ask questions about the service and have all the information they may need to make a choice about coming to the centre. The centre constantly looks to add to the programme sessions on offer and ways to fully cater for the needs of each individual coming to the centre. The organisation has a comprehensive audit system in place to identify any areas of weakness and improve on them. The home has a comprehensive set of policies, procedures and risk assessments that promote the safety and wellbeing of the residents and staff. Evaluations of the centre done by people using the service show a high level of satisfaction across all areas of the service from housekeeping, meals and the staff and therapies on offer. The environment is well designed and maintained to meet the different needs of the clients. It is a light, bright and relaxing environment and has attractive views over the river Eamont in quiet countryside. Staff training and the development of professional and interpersonal skills is given a high profile and staff and have clear views of their roles and the direction the centre is moving in. Despite changes in the management team there is a clear vision about the future development of the service and support for the staff. Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 6 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. Jubilee House Therapy Centre DS0000010096.V333581.R02.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 Jubilee House Therapy Centre DS0000010096.V333581.R02.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): NMS 1, 2, 3 and 4 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a thorough admission procedure that ensures a full assessment of needs is completed and Information is provided about the centre to ensure all that use the service know that it can meet their needs. EVIDENCE: The centre has a clear statement of purpose setting out the aims, objectives and philosophy of the centre. The centre has a through admissions procedure for the people who come to use the service. Information within the care plans follows the admission process and information is given to the clients. There is a detailed admission process, covering all activities of daily living and detailed so that preparations can be made well in advance of someone coming in and specific needs assessed and provided for. Nursing staff may also contact clients and their carers and specialist services such as physiotherapists and occupational therapists involved in client’s care to get a clear picture of needs and abilities before admission. Information from GPs and specialist services is obtained with the client’s consent and therapists and staff at the centre assess any physical and medical needs when planning the programme, for example Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 9 where there are cardiac problems. Staff meet before the client comes to the centre to discuss and assess physical and nursing needs using information from their initial enquires. Many clients have attended the centre before and so some information will be known and can be built upon on each admission. The centre takes clients from all over the country but those who wish can visit for the day prior to admission and spend a trial day at the centre, ask questions and get a feel for what goes on. Jubilee House Therapy Centre DS0000010096.V333581.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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 6, 7, 8 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using the centre are consulted in the care planning and therapy planning process and are fully supported to exercise choice and be as independent as possible. EVIDENCE: The people using the centre are very much involved in all aspects of their therapy programmes and fully consulted about their individual care plans and therapy programmes are planned with them. Care plans and programmes are developed from the pre admission information and further on admission. The programme of therapies and activities is planned at the beginning of the client’s stay and take into account physical limitations and relevant assessments for risks when using equipment and for mobility. A timetable is drawn up that is reviewed and may be adjusted and changed in consultation with the client and to suit their individual needs and wishes. The records show the programmes are very individual and specific about what an individual needs and aspires to achieve. A high level of individual support is Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 11 provided and a clinical assistant or 2 if needs dictate are available to assist at all sessions. Jubilee House Therapy Centre DS0000010096.V333581.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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using the centre are supported and offered many opportunities to take part in a variety of physical activities and complementary therapies based on their individual needs and wishes. EVIDENCE: People using the service are offered opportunities for therapeutic activities and personal development with a wide range of physical and complimentary therapies available to them, including gym sessions, back care workshops, outdoor activities, saunas and physiotherapy. A range of Health promotion sessions are also on the programme including topics such as alcohol awareness, men and women’s health, nutrition and weight management, handling stress, Pain Management, Aromatherapy, Reiki, Reflexology, Acupuncture, and preventing heart disease. Sessions in the swimming and hydrotherapy pool are planned within the clients programme to meet individual abilities and objectives. All the sessions and activities available are discussed at the beginning of the client’s stay and agreed around their aims, objectives Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 13 and physical limitations. Clients decide how they structure their time with the staff at the centre. A workshop board shows all the different activities and classes for the day. Those who use the service are invited to evaluate all aspects of their stay and therapy and one commented, “The service is excellent, I know of nothing that compares. It is focused on the needs of each individual”. Another evaluation of their stay said “I could not have done it without you”. There is a more relaxed agenda during the evening with a choice of leisure activities for people to choose, relaxing in their own rooms, in the lounge with satellite television, at the bar or using the pool table. For those who are less physically able clinical assistants or nursing staff are available to support them in their personal, leisure and social activities There is free time to go out locally into the community and visit the surrounding area, the countryside, local towns and public houses and shops. There is a laundry for clients to use for their personal clothing. There is a relaxed and informal dining area and a menu changed daily and displayed in the foyer and nutritional advice is included in the sessions on offer. The home can provide for special and therapeutic diets according to people’s particular preferences or needs and this is discussed before admission. People using the centre are asked before arriving if they had any particular requests about things to be organised for example, shopping trips or hairdressers so this could be included in the programme for the week. Jubilee House Therapy Centre DS0000010096.V333581.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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 18, 19 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using the centre receive personal and healthcare support in the way they want to meet their physical, social and emotional needs and respects their privacy and dignity. EVIDENCE: The centre has medication policies and procedures in place and people using the centre are supported to remain in control of their medications if that is what they want to do. Lockable storage facilities are provided for clients to keep their medicines safe. Records are kept of any medication the home accepts and the quantities returned when people leave and staff monitor and assist with medication if the client wants or need this. If needed people using the centre can be registered with the local GP surgery as temporary patients so they can easily get medical support during their stay at the centre. Physical and emotional healthcare needs are assessed and discussed with nursing clients and a care plan examined indicates that actions are put in place to meet those assessed needs. For example ensuring aids are ready and available like plate guards and adapted cutlery to promote independence. An Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 15 emotional/psychological assessment done before admission helps anticipate any problems in that respect and focuses on sessions that might be beneficial. There are further assessments during the stay and follow up after the stay if needed. Jubilee House Therapy Centre DS0000010096.V333581.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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the centre are able to express their concerns through an effective and accessible complaints procedure and are safeguarded by an efficient adult protection procedure. EVIDENCE: The centre has a clear and comprehensive complaints procedure, including timescales for investigation and response that is on display and in the information pack given to all people who use the centre. There have not been any complaints made since the last inspection and no concerns have been raised with CSCI. The comprehensive admission procedure and information taken prior to admission means needs and preferences have been identified and anticipated so few complaints arise other than day to day issues that can easily be put right during a stay. Procedures are in place to protect clients from abuse and staff are aware of the policy and the procedures to use in the event of any resident being put at risk. Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 24, 25, 26,27,28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the centre enables the using it to live in a safe, well-maintained and comfortable environment that encourages independence. EVIDENCE: The whole of the centre is clean, well maintained, makes good use of natural light and is bright and airy. All the bedrooms have spacious en-suite facilities. The bedrooms and communal areas are furnished to a very high standard and with plenty of space and suitable furnishings and facilities. The corridors are wide to allow for easy wheelchair access. The dinning room is informal and light and airy with various heights of tables and chairs to enable clients to sit comfortably whilst eating. There is an open lounge area at the end of the dining room with a variety of chairs, sofas and coffee tables where people can relax and mix socially and has ample room for wheel chairs to have easy access. Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 18 Throughout the building there are small seating areas for clients to sit, enabling them to relax and chat with others or just look out of the low windows and admire the views. Each area has sofas, chairs, tables and magazines with plants and flowers to add a touch of interest and colour. The bedrooms used by clients needing some nursing care are on the ground floor and large enough for wheelchair users to move around in easily and to accommodate any equipment that might be needed. All these bedrooms have adjustable nursing beds and spacious en suite bathrooms with showers. There were several communal bathroom facilities all well maintained and clean with a range of equipment to assist bathing if needed by clients. There also client laundry facilities as well as the centres own on site laundry and sluice facilities if needed. Evaluations of the service following stays in the home show positive comments on housekeeping, “towels are changed daily, its clean and definitely comfortable”. There are a variety of comfortable and well equipped therapy rooms, for relaxation, counselling, complimentary therapies and also conference and meeting rooms with Internet access for those who want this. There is a computer in the bar area as the centre is developing an, ‘internet café’ for those staying there. There is also a gymnasium with a range of equipment, a physiotherapy area, sauna and fitness room so all needs and preferences can be catered for. Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 32, 33, 34, 35, and 36. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The levels of skill and training for staff at the centre and the robust recruitment procedures in operation mean the safety and wellbeing of people using the service are promoted. EVIDENCE: The centre has a stable staff team providing continuity for people using it and a high standard of care and support. Staff training records show that the nursing staff, care staff and therapists have a broad range of expertise and qualifications. All staff are encouraged to develop their professional skills and areas of interests for the benefit of the clients. A client who had used the centre had commented upon the “Excellent service, delivered professionally with care and compassion- I am sad to go”. The range of expertise amongst staff includes holistic therapies, counselling, exercise therapy and physiotherapy. The staffing ratio is high, with the home maintaining good staffing levels. There is a good skill mix of qualified nurses and therapists and care staff and there are, currently over 75 of the care staff trained to National Vocational Qualification (NVQ) levels 2. Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 20 The centre operates robust recruitment procedures and supervision and staff appraisals. Staff records show appropriate Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks and references have been obtained prior to employment to ensure the safety of the clients. Staff have regular supervision and annual appraisals and assessments at intervals in the first 6 months of employment looking at their professional abilities, attitudes to their work and team working. Induction training is given and recorded and staff have a training plan agreed with them and developed at supervision. Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 37,38,39,40,42 and 43 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. There is an effective quality assurance system that ensures residents are satisfied with the care and support they receive. EVIDENCE: People using the centre are given opportunities to comment on the quality of the services offered and opinions about the programmes the centre provides. There are evaluation forms in the bedrooms covering all aspects of the service and feedback is encouraged during the treatment sessions. Families are also able to provide feed back if they wish as to, as are volunteers. The home has a detailed annual development plan that looks at quality assurance, research priorities and future development of services for all Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 22 beneficiaries of the service. There is evidence of effective financial planning and budgetary control. An objective internal audit and monitoring system is in place to monitor the standard of the services being provided for the people using the services. As part of its quality assurance checks the organisation used a ‘mystery shopper’, a client who uses the services and reports back on their experiences. There are policies in place to safeguard the clients’ rights, these are updated annually and are available to all staff. Staff are very involved in service development and consulted on policies and procedures and ideas for improvement. Innovation is encouraged with the ‘big idea’ that rewards staff who put forward ides that improve or help services develop or be more effective. There have been changes in the registered manager recently and a new manager has been recruited and has registered with the Commission for Social Care Inspection. The new manager is also the centre’s Clinical Team Leader and so is familiar with the centres and its aims and is a registered nurse. Despite this change there is evidence of good support and continuity within the management team who run the service well, and continue to try to improve the service for the benefit of those using it. There are working practices in place to minimise the risk of accidents and the home has a comprehensive range of policies and procedures in place to promote and protect residents and staff. All equipment is maintained under annual service agreements. Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 4 3 3 4 3 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 4 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 X LIFESTYLES Standard No Score 11 3 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 3 4 3 X 3 3 Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 24 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. 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 Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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. Extracts may not be used or reproduced without the express permission of CSCI Jubilee House Therapy Centre DS0000010096.V333581.R02.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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