Inspection on 13/12/05 for Kilmory

This inspection was carried out on 13th December 2005.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kilmory 08/12/06

Kilmory 08/08/05

Kilmory 06/01/05

Kilmory 05/08/04

Kilmory 16/03/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

Heather House Nursing Home

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Kilmory Beech Hill Headley Down Bordon Hampshire GU35 8NL Lead Inspector Marilyn Lewis Unannounced Inspection 13th December 2005 10:00 Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 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 Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 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. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kilmory Address Beech Hill Headley Down Bordon Hampshire GU35 8NL 01428 712177 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) Robinia Care Limited Catalina Ignat Care Home 6 Category(ies) of Learning disability (6), Sensory impairment (6) registration, with number of places Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2005 Brief Description of the Service: Kilmory is a large detached house that stands back from the road at Headley Down, Hampshire. The home provides accommodation for six younger adults who have learning disabilities. The residents are accommodated in four single rooms and one shared room. There is a large lounge, with an adjoining small conservatory currently used as the office, and a large conservatory to the rear of the lounge, that is used as an activities room/dining room. There are gardens and patio area to the rear of the property and a lawned area to the side. The home is owned and operated by Robinia Care Limited, an organisation that has been a registered care provider since 1995. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 13th of December 2005. The inspector met with the newly registered manager and two staff members. Staff interaction with residents was observed and care plans were sampled for two residents. Records were seen for staff recruitment and training, medication, fire safety and fire drills. This was the second unannounced inspection for the year 2005/2006. Information on standards assessed at the first inspection can be found in the inspection report dated the 8th August 2005. What the service does well: The home looked clean, homely and welcoming and had a relaxed atmosphere. Good interaction was observed between staff and residents. A full care needs assessment is undertaken for all prospective residents before they are offered a place, to ensure the home can meet their needs. Prospective residents know that the home can meet their needs and aspirations and are able to visit the home to meet staff and residents before deciding to live there. Good care plans provide staff with all the information they require to fully support the residents. Residents are consulted about all aspects of life at the home and are encouraged and supported to make their own decisions. The home has confidentiality policies in place and staff are aware that all information about residents is confidential. Residents have the opportunity for personal development and are able to participate in a wide range of activities both in the home and the community. Resident’s rights are respected. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 6 Residents are provided with a choice of nutritious meals served in a friendly relaxed atmosphere. Residents are able to receive personal support in the way they prefer, their physical and emotional needs are met and they are protected by the home’s clear procedures for dealing with medicines. The home takes all complaints seriously and resident’s safety is protected by staff awareness of abuse. Residents are supported by an effective staff team, who receive regular supervision and the training required to do their jobs. The home has clear procedures for the recruitment of staff. The registered manager has the experience required to run Kilmory and residents and staff benefit from the open approach to management operated at the home. The health, safety and welfare of residents are promoted and protected by the home’s safe working practices. What has improved since the last inspection? Since the last inspection resident’s individual care plans have been reviewed and updated so that they provide staff with the information required to fully support the residents. The registered manager has implemented a series of fire drills that include practice in the evacuation of the residents. The large lounge in the home has been made to look more comfortable and homely by the moving of a changing and exercise trolley/bed into the small room next to the lounge. This provides more privacy for residents while they receive personal care. Since the last inspection the manager has registered with the commission. Over the past twelve months staff have been recruited for the home and there is now very little employment of agency staff. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 7 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. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4 and 5 No one is admitted to the home without a full care needs assessment and prospective residents are able to visit the home and know that the home can meet their needs and aspirations. EVIDENCE: The registered manager is currently reviewing the home’s Statement of Purpose and Service User Guide. These documents will be assessed at the next inspection. The home has not admitted a new resident for some time and therefore it was not possible to see a recent full care needs assessment report. However the two assessment reports seen indicated that a full and detailed assessment was undertaken for each resident prior to offering a place at the home. The assessments contained information on all aspects of care needs and included relevant information from health professionals and staff from the current home. A number of visits were made to the home during the transition period including short visits for meals and an overnight stay. The registered manager has the experience required to run the home. Staff receive training in all aspects of care provision and in specific topics relevant to the residents, such as epilepsy. Advice and support is obtained from the GP and other health professionals, including physiotherapists and the community behaviour team, as required. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 10 Each resident is provided with a contract giving the terms and conditions for living at the home. The contract is in symbol format. The registered manager said that work was taking place to provide a contract in a more suitable format for the residents and to update some of the information, including transport costs. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 Good care plans provide staff with the information they require to support the residents who are encouraged to make decisions about their lives and are supported to take risks as part of an independent lifestyle. EVIDENCE: Care plans were sampled for three residents. Since the last inspection the care plans had been reviewed and updated and were now very detailed and provided good information for staff to follow to support the residents. The care plans showed evidence of recent review. Care of pressure areas was recorded in the section of the care plan for personal care. The registered manager is arranging for pressure area care to be documented in a separate care plan to provide clearer information for staff. It was evident during the visit and while looking at records that staff encourage the residents to make decisions about their lives. A member of staff speaking to a resident in the lounge asked if the person would like to have some music playing and went on to give a choice of music available. Another resident was asked if they would like to help prepare lunch in the kitchen or if they would prefer to go out for a walk Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 12 The registered manger said that staff held one to one discussions with the residents to ensure they were involved in all aspects of life at the home, including recruitment of new staff. Prospective new staff members are asked to spend a day with the residents for them to decide if they would like the person to work with them. The residents at the home have very little verbal communication but their methods for communicating to staff are recorded in their care plans. Body language and facial expressions are the main methods used for some of the residents while others can identify pictures and photographs of objects and are able to sign which they prefer. Care plans seen contained risk assessments for all aspects of daily living and leisure activities. The risk assessments document the assessed risks and the actions required to minimise the risks. Residents are encouraged to be as independent as possible. The home has policies on confidentiality in place and staff receive a copy of the policies when starting work at the home. Records for residents and staff were stored appropriately. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Residents have the opportunity for personal development and are able to participate in a wide range of activities both in the home and in the community. Resident’s rights are respected and they are offered a choice of nourishing meals served in a friendly, relaxed atmosphere. EVIDENCE: Two of the six residents attend educational sessions at the organisations resource centre, located in a nearby town. The home has individual activities programmes in place for all the residents that include cookery, art, music and aromatherapy. One resident has a camera and takes photographs that are downloaded onto the residents’ computer. During the inspection visit, two residents went out for walks around the village with staff. Records seen stated that one resident had recently visited a zoo and another had been on a shopping trip. The home has its’ own transport that is Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 14 used to transport residents to sessions at the local resource centre and for trips to the countryside and places of local interest. Documents seen stated that visitors are welcome at the home at any time but it is advisable for them to telephone first, to ensure the resident will be at the home. Visits by relatives and friends are recorded in the resident’s care plans. Residents’ rights are documented in the service user guide that is made available to all residents, their relatives and staff. The document states that residents should be treated with respect at all times. During the inspection visit it was noted that staff spoke to the residents in a friendly, respectful manner, taking time to allow residents to communicate and there was a relaxed atmosphere in the home. The registered manager said that one of the residents is asked to pick the menu for the day, by choosing from pictures and symbols. Residents’ preferences for food items are recorded in their care plans and they are offered a choice of foods at meal times. A dietician has advised staff on the nutritional needs for one resident who requires dietary supplements. Menus seen indicated that residents were provided with nutritious, interesting meals. Fresh fruit and vegetables were readily available. Staff were observed assisting residents with their meals in a friendly, manner. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 Residents receive personal support in the way they prefer and they are protected by the home’s clear procedures for dealing with medicines, however the lack of monitoring of resident’s weights could put their health at risk. EVIDENCE: Care plans seen indicated that residents were able to choose how they received personal support. The plans gave details of the resident’s likes and dislikes including whether they preferred to shower or bath and which toiletries were to be used. Daily records indicated that residents were able to change their routines as they wished. For example, one plan stated that the resident, who normally went to bed at around 10pm, had stayed up much later watching a video. Visits from GPs and health professionals were recorded in the resident’s care plans. A district nurse had been working with staff at the home with regard to one resident and a physiotherapist has advised on exercises and hydrotherapy sessions for some of the residents. Advice and support is also received from the Community Behaviour Team, who were visiting the home at the time of the inspection. An occupational therapist visits the home frequently to advise on the use of specialist equipment required by the residents to enable them to be as independent as possible. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 16 The documents indicated that the weight of residents was not being monitored and recorded on a regular basis. Records for one resident indicated that the person had not been weighed for 2005. The registered manager said that she had discussed the need to weigh residents on a regular basis at the home, with the area manager and suitable weighing equipment was being identified. The home has clear procedures for dealing with medicines. Only staff who have received training in the administration of medicines are able to give the medicines to residents. Staff have received specific training by district nurses, in the administration of insulin, prescribed for one resident. Medication records checked had been completed and records for medicines stored in the controlled medicines cupboard matched the stock held. Records are kept of all medicines brought into the home and the disposal of any unwanted medication. The registered manager said that it was difficult to ascertain how much the residents understood of the ageing process and death. The wishes of the residents relatives were recorded in the care plans and the care managers of those, without known relatives, were to be contacted during a serous illness. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home takes all complaints seriously and residents are protected by staff awareness of abuse issues. EVIDENCE: The home has a complaints policy in place that indicates who will investigate the complaint and timescales for the process. The policy also states that people are able to contact the commission at any time if they wish to make a complaint. Records seen indicated that all complaints were taken seriously. Staff talk with the residents, on a one to one basis, to obtain feedback on the quality of care provided. Due to communication issues it was not possible to discuss the complaints procedures with the residents. Staff receive training on abuse awareness during induction and in specific training sessions. Up to date information on the procedures to be followed should abuse be suspected was available to all staff. Two staff members spoken to about the procedures were aware of them and indicated that they would have no hesitation in reporting any concerns. Documents were seen for the recording of personal money kept at the home for two residents. In both cases the records matched the amount held. Monies are stored securely and records are kept of all transactions. The home has a voucher system in place to refund £1.50, spent by residents, on buying food when out for a meal. Transport costs are calculated on a mileage basis but at present the amount per mile has not been confirmed by the organisation. Policies for funding for residents holidays are in place with payment for staff being organised through the organisations Human Resources department. The organisation has recently brought new policies into place that Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 18 provides funding of up to £500 towards the cost of one holiday for each resident per year. The registered manager said that residents are not asked to contribute to presents for staff. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were assessed at the last inspection and information can be found in the inspection report dated 8th August 2005. At the time of this inspection the home looked clean and welcoming and was decorated ready for Christmas. Residents’ rooms contained many personal items including posters, photographs and ornaments. The registered manager said that discussions are taking place about changing the large conservatory into a sensory room for residents. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36 Residents benefit from the clarity of staff roles and responsibilities and are supported by an effective staff team who receive regular supervision and the training required to do their jobs. Residents are protected by the home’s clear recruitment procedures. EVIDENCE: The home employs a registered manager, two senior support workers and nine support workers. Since the last inspection the need to employ agency staff has decreased, with very few shifts now covered by agency staff. In the last month an agency carer was employed only for one shift. Each staff member is provided with a clear job description when they commence work at the home. Recruitment records were seen for two staff members. The records contained all the information required including two written references, proof of identity and work permits. The two staff members were from overseas and police checks had been obtained from their home country. Criminal Records Bureau and Protection of Vulnerable Adults checks had been applied for when they commenced work at the home. All staff members had received training in Epilepsy, first aid, moving and handling, food hygiene and infection control. Seven out of the eleven staff members had attended training sessions on abuse awareness and five on Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 21 communication methods. All new staff members must complete an induction course that includes all aspects of care provision. The induction programme is followed by a more in depth training programme called the Certificate for Working with People with Learning Disabilities. This training programme is completed over six months and must be finished before the staff member is able to commence NVQ training. The registered manager holds NVQ level 3 in care. The two senior support workers are due to commence studying for the qualification early in 2006 and a support worker has applied to study to level 2. The registered manager is aware of the need for fifty percent of the support staff to have obtained or be in the process of completing at least level 2. Two staff members spoken to during the inspection said that they wanted to obtain NVQs as soon as they had completed the mandatory training programmes. They also said that the registered manager encouraged and supported them to attend training sessions. The registered manager and one of the senior support workers have received training in providing supervision for support workers and all staff receive regular supervision. The supervision meetings are arranged at a time suitable to both parties and records are kept of the discussions, which include staff training and development needs. The registered manager receives supervision from the area manager. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 The registered manager has the experience required to run the home and residents benefit from the open approach to management operated at the home and by staff who use safe working practices. EVIDENCE: The registered manager trained as a nurse in her home country and has experience in caring for people with learning disabilities. She currently holds NVQ level 3 in care and is due to start studying for the Registered Managers Award and NVQ level 4 in 2006. Catalina Ignat has recently registered with the commission. The registered manager operates an open approach to management at the home. During the inspection it was evident that residents and staff were able to speak to the registered manager at any time and her interaction with them was relaxed and supportive. Two staff members on duty at the time of the inspection said that they received good support from the registered manager. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 23 The registered manager said that it was difficult to hold group resident meetings due to communication issues but one to one meetings were held with each resident regularly. Topics discussed included any changes to the environment and residents chose the colours for the décor of their rooms and communal rooms. Prospective new staff members were asked to spend a day at the home to meet the residents. The residents were then asked their opinion of the prospective staff member, before a position is offered by the registered manager. The registered manager is in the process of reviewing all the home’s policies and procedures and these will be assessed during the next inspection. During the inspection visit staff were seen to use safe working practices when moving and handling the residents and during the preparation of food. The kitchen looked clean and food was being stored appropriately. The laundry was in good order. Hazardous substances such as cleaning fluids were seen stored securely. Health and safety instructions were displayed around the home. Records seen for fire safety training indicated that all staff had received training. The registered manager has implemented a series of fire drills that includes evacuation of the residents. However the records indicated that three staff members had not attended a fire drill. Following the inspection the registered manager contacted the commission and confirmed that the three staff members had now attended a fire drill. Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kilmory Score 3 2 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 x DS0000012091.V269585.R01.S.doc Version 5.0 Page 25 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 YA19 Regulation 13(4) (c) Requirement The weight of the residents must be monitored and recorded. Timescale for action 31/01/06 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 Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Kilmory DS0000012091.V269585.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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