Inspection on 24/11/05 for Kingsley

This inspection was carried out on 24th November 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 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

Kingsley 05/08/08

Kingsley 23/08/06

Kingsley 17/02/06

Kingsley 07/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Kingsley 28 Downs Park Herne Bay Kent CT6 6BZ Lead Inspector Mark Hemmings Announced Inspection 24th November 2005 13:00 Kingsley DS0000047949.V251579.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 Kingsley DS0000047949.V251579.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. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingsley Address 28 Downs Park Herne Bay Kent CT6 6BZ 01227 363395 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) Dyzack Limited Rhonda Diana Grant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Not applicable Brief Description of the Service: Kingsley Homes (the Home) is registered to provide accommodation and personal care for eight younger adults (service users) who have a learning disability. The premises are an older detached property which has two storeys. The ground and the first floor are used to provide accommodation for the service users. The second floor houses various offices and related functions. Each of the service users has their own bedroom. All of the bedrooms have a private bathroom. The Home is located on a quiet residential street and it is within walking normal walking distance from Herne Bay’s shopping centre. The Registered Provider is a private limited company. Mr Z Hasmat Ali is one of the Directors of the Company. He is the Responsible Individual. This means that he is responsible for overseeing the work of the Registered Manager. In turn, the Registered Manager administers the Home on a day to day basis. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was announced and it took about three hours to complete. This was the first inspection visit to the Home since it was registered earlier in the year. During the visit, the Inspector spoke with or spent time with five of the service users. Also, he spoke with the Responsible Individual and with the Registered Manager. The Inspector examined various records and he spoke with one of the support workers. The Inspector looked at various parts of the accommodation. The Home continues to provide the service users in residence with the support and assistance they need. Service users say or indicate that they remain satisfied with the provision made for them in Kingsley Homes. There are no required developments at the end of this Report. What the service does well: What has improved since the last inspection? Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 6 As noted previously, this was the first inspection visit to the Home since it was registered. 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. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 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 Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Prospective service users are given the information they need to make an informed decision about living in the Home. Service users’ needs and aspirations are assessed before they move into the Home. Service users are confident that the Home will enable their needs for assistance and support to be met. As appropriate, prospective service users have the opportunity to visit the Home before deciding about moving in. Each service user is informed of their terms and conditions of residency. EVIDENCE: There is a Service Users’ Guide. This is a brochure which prospective service users are given and which outlines both in pictures and in text, the facilities and services provided in Kingsley Homes. In addition to this, the Responsible Individual and the Registered Manager speak with prospective service users and with members of their families in order to answer any remaining questions they may have. The Responsible Individual and the Registered Manager meet with each prospective service user to assess their needs for assistance. This is done to ensure that these needs can be met reliably in the Home, should the admission proceed. The Inspector is satisfied that suitably careful consideration is given to each potential admission. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 9 The Inspector spoke with three service users about their experience of moving into the Home. They said that they had known what was on offer and that they had been confident that their needs would be met. Service users are encouraged to visit the Home at least once before moving in, if this is considered to be helpful for them. The Inspector noted that in the case of some of the admissions, several visits had taken place in order to gently introduce the people concerned to his new home. Naturally, this is an important example of good care practice. All of the service users have a copy of the contract of residence. This document gives a suitably detailed account of the terms and conditions in accordance with which the Registered Provider delivers accommodation and care services in the Home. In addition to this, the Responsible Individual and the Registered Manager speak with each service user and as necessary with members of their families, in order to clarify the information contained in the document. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10. Service users are confident that their present and future needs for personal care will be met in a reliable and consistent manner. They are suitably consulted about both the assistance they receive and the day to day running of the Home. Service users are supported in taking prudent risks. Suitable arrangements are in place to safeguard confidential information about service users. EVIDENCE: There is a service user plan for each service user. These documents describe the assistance the service user in question has agreed to receive. The Inspector sample checked several sections of one of these plans and he found them to be suitably detailed. Service users are consulted about the contents of the plans and they are invited to contribute to any reviews which are convened. Service users say or indicate that they consider themselves to receive all the assistance they need. Support workers assist service users in a manner consistent with that described in the individual service user plans. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 11 Service users are assisted to take those reasonable risks which are part of everyday living. The Responsible Individual and the Registered Manager are aware of the need to keep this matter under continuous review. This is so that service users are assisted to avoid situations in which their own welfare or that of others may become jeopardised. There are various administrative systems in place which are designed to ensure that confidential information about service users is treated as being private. Support workers have a good understanding of how to ensure confidentiality in practice. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Service users have access to a suitably varied range of social and vocational activities. Some of these involve engagement with the local community. Service users are assisted to maintain contacts with family and friends. Service users are enabled both to exercise their citizenship rights and to respect those of other people. Service users are offered a suitably healthy diet. EVIDENCE: Service users undertake a range of social and vocational activities. Service users say or indicate that they are consulted about what they want to do and that staff assist them to access the necessary resources. The Inspector witnessed several of these events taking place during the course of the inspection visit. Most of these involved service users leaving the Home in order to attend activities in the community. Service users consider their time to be appropriately occupied. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 13 The pace of daily life in the Home is relaxed and unhurried, there being no unnecessary rules or routines to disrupt service users’ experience of a normal domestic setting. Having said this, support workers do bring a definite measure of order to the pattern of each day. The Inspector considers this to be a further example of good practice. This is because it responds appropriately to the service users’ needs for guidance and direction. In so doing it enables them to get around to doing more things than might otherwise be the case. Service users are assisted to maintain helpful contacts with members of their families and with friends who do not live in the Home. Service users say or indicate that they are provided with good quality meals and that they always have enough to eat. The Inspector had the opportunity to dine with some of the service users. He noted the meal served to be of a good standard and to be adequate in quantity. The written menu indicates that the service users are offered a normally balanced diet. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Service users receive assistance and support in a respectful and appropriate manner. Service users’ physical and emotional health care needs are met. Service users are assisted to handle their own medication, when this is appropriate. There are suitable arrangements in place to enable staff to retain and dispense medication on behalf of service users. EVIDENCE: Service users say or indicate that support workers are attentive to their needs without being intrusive. The Inspector witnessed a large number of occasions on which support workers assisted service users. He noted these events to be characterised by a quiet informality which is consistent with good care practice. Service users who have problems with aspects of their physical health are assisted to seek and to follow the advice of their doctor. The support workers keep a tactful eye open so that medical conditions are noted at an early point. The Commission has not received any expressions of concern in relation to the operation of the Home, from members of the primary health care team. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 15 None of the service users currently in residence have elected to handle their own medication. However, the Registered Manager said that this facility would be available should it be appropriate for a service user to act in this capacity in the future. The Inspector examined selected aspects of the arrangements used by staff to administer service users’ medication on their behalf. He found that suitable practices were in place to store medicines and to ensure that service users take them in the manner intended by their doctor. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Service users consider that their views are listened to and that as necessary they are acted upon. Service users are protected from abuse, neglect and self harm. EVIDENCE: There is a complaints procedure which explains how service users and other stakeholders can make a complaint about any aspect of the facilities and services provided in the Home. Service users are confident that any matter they raise will receive serious attention and if possible will be addressed. The support workers have a sound understanding of what constitutes good care practice. As part of this, they are aware of the need to be alert to instances which might jeopardise the well-being of a service user. Also, they are aware of how to bring such a matter to the attention of the Registered Provider and/or to external regulatory bodies such as the Commission. Service users indicate that they feel safe living in Kingsley Homes and that they trust members of staff to act in their best interests. During the course of an earlier post-registration visit to the Home, the Inspector had the opportunity to speak with a family member of one of the service users. She said that she is confident that the service user in question is safe and well in Kingsley Homes. Also, she praised the support workers for their kindness and for their concern. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 17 Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30. The Home provides comfortable accommodation. Service users’ bedrooms are adequately presented and equipped. There is a sufficient number of toilets and bathrooms. There are sufficient shared spaces. The Home is cleaned to a normal domestic standard. EVIDENCE: Service users say or indicate that their accommodation is homely and that it is comfortable. The Registered Provider completely refurbished the property before it was opened and as a result it is finished to a good standard. Service users say or indicate that they like their bedrooms and that they have all they need in order to use them as bed sitting areas. The Inspector visited several of the bedrooms and he noted them to be comfortable and to reflect the preferences of their occupants. There is an adequate number of toilets and bathrooms, given the needs of the service users presently in residence. Also, there is sufficient provision of lounge and dining space to enable the service users to relax in comfort when not occupying their bedrooms. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 19 The accommodation is cleaned to a normal domestic standard. The Inspector examined the kitchen. He noted it to be presented to a suitable standard of hygiene and to be operated appropriately. The Inspector understands that the local Department of Environmental Health has not recommended the completion of any improvements which remain outstanding. Kingsley DS0000047949.V251579.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. Support workers have a good understanding on their duties and they work together well as a team. Support workers have the competencies they need. There is an adequate number of staff on duty. A number of steps are taken to ensure that only suitable people work in the Home. The duties completed by the support workers are supervised adequately. EVIDENCE: Support workers are provided with a written account of their duties. The staff team is relatively stable. This means that people have got used to working together and that service users know who is going to be around and what they are going to be doing. There are handover meetings at the beginning and end of each shift and support workers keep diary records of how things are going for each service user. There are regular staff meetings and support workers say that they are actively consulted by the Registered Manager about how the Home is administered. Three of the six support workers employed in the Home have completed a relevant National Vocational Qualification (NVQ) in health and social care. The Registered Manager said that plans have been made for three more support workers to begin studying for the Award in 2006. This qualification is designed Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 21 to validate that individual support workers have the skills they need to respond effectively to service users’ needs for assistance. The Registered Manager said that all new support workers receive a period of introductory training before they work with service users without direct supervision. Support workers confirmed this account. They observed that the introductory training they received gave them the competencies they needed in order to respond effectively to the service users’ individual needs. In addition to the introductory training, the support workers undertake ongoing training in a variety of subjects directly related to their work in the Home. Support workers say that these training inputs have provided a useful platform from which to review and to develop further their care practice. The Registered Provider has almost completed an exercise which is designed to validate the adequacy of the competencies possessed by each of the support workers. The Inspector understands that the exercise will be completed by 1 January 2006. From the evidence reviewed during the course of the inspection visit, the Inspector considers that the support workers have the competencies they need in order to provide a reliable and effective response to the present service users’ needs for assistance. There are at least three support workers on duty from early in the morning until the night cover arrangements start. The Inspector considers there be sufficient staff on duty to enable the current service users’ needs for assistance to be met in a prompt and a sustainable manner. The Registered Provider undertakes a number of security checks in relation to each employee. These are completed in order to ensure that only suitable people have unsupervised access to service users who may be vulnerable. The Registered Manager often works alongside the support workers when they are providing assistance to the service users. This enables her to monitor and to give advice to support workers about aspects of their care practice. The support workers consider that both the Registered Manager and the Responsible Individual are knowledgeable about residential care and are supportive in their manner. This informal dialogue is complemented by more organised meetings. These entail each support worker meeting in private with the Registered Manager in order to review their work and to resolve any problems should there be any. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 22 Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 23 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): 27, 38, 39, 40, 41, 42 and 43. The Registered Provider runs the Home so as to reliably provide service users with appropriate assistance. The Registered Provider operates a quality assurance system. Service users’ rights and best interests are protected the operation of the Registered Provider’s recording systems and by the implementation of its policies and procedures. The health and safety of service users and staff is adequately protected. The continued operation of the Home is supported by the implementation of a suitable business plan. EVIDENCE: The Registered Manager has the competencies necessary to enable her to operate the Home in the best interests of the service users. She has acquired one of the formal qualifications in the management and delivery of health and social care services, which are specified for incumbents of her post. She said that she intends to obtain the second specified Award within the revised timescale established by the relevant Standard. The Registered Manager has a detailed understanding of the day to operation of the Home and of the Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 24 particular needs of each of the service users. The Commission is satisfied that she and the Responsible Individual operate a suitable system to monitor and to run the Home on a day-to-day basis. The Registered Provider operates a quality assurance system. This is designed to enable stakeholders in general and service users in particular, to comment on the adequacy of the facilities and services available in the Home. The Inspector noted that respondents in the exercise have expressed a high level of satisfaction with the facilities and services provided in the Home. The Registered Provider is going to re-arrange the way in which the completion of this annual exercise is recorded. This is so that everyone concerned can have a more clear idea of who has responded, who has not and what has been said. This development will be completed in time for the next round of consultations to be undertaken in 2006. The Registered Provider maintains various recording systems to assist in the management of the Home. The Inspector examined several of these and he noted that there were no patterns which indicated the need for him to make any further enquiries. The Inspector examined the records which the Registered Provider keeps in relation to those service users who elect to receive assistance with the management of their weekly personal spending allowance. The various entries were found to be in order. There are various policies and procedures available in the Home. These are designed to support staff when undertaking their duties. The Inspector noted that support workers are conversant with the principles expressed in these documents. Also noted, was that they carry out their work in a manner which is consistent with their provisions. The Registered Provider completes a regular review of the premises to ensure that there are no significant hazards which might compromise the health and safety of any of the service users. The Registered Manager said that this exercise has not identified any significant hazards which remain to be addressed. The Inspector did not notice any such hazards when he examined selected aspects of the premises. The Inspector understands that the Kent Fire Service has not recommended any improvements which remain outstanding. The Registered Manager has continued to complete the periodic checks which have to be made to ensure the continued adequacy of the Home’s fire safety regime. However, the Inspector was not certain which support workers had been included in the Registered Provider’s programme which is designed to ensure each individual’s competency to avoid a fire safety emergency and to respond effectively to one should the need arise. This was because of the way in which the relevant Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 25 records are written. The Registered Manager said that this matter will be corrected from the date of the inspection visit. The Registered Provider has arranged for all appliances such as gas boilers to be serviced in accordance with the manufacturers’ instructions. The Responsible Individual said that the continued operation of the Home is supported appropriately by the Registered Provider’s business plan. He said that it is anticipated that the Home will remain a viable financial concern for the foreseeable future. Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 26 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 3 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 3 3 3 3 3 3 3 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 Kingsley Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000047949.V251579.R01.S.doc Version 5.0 Page 27 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 Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Kingsley DS0000047949.V251579.R01.S.doc Version 5.0 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!