Inspection on 01/08/07 for Knellwood

This inspection was carried out on 1st August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Knellwood 31/07/08

Knellwood 29/11/06

Knellwood 30/01/06

Knellwood 18/08/05

Knellwood 27/09/04

Knellwood 06/04/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Knellwood 83 Canterbury Road Farnborough Hampshire GU14 6QN Lead Inspector Beverley Rand Unannounced Inspection 1st August 2007 10:50 X10015.doc Version 1.40 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 DS0000012340.V341557.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. DS0000012340.V341557.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Knellwood Address 83 Canterbury Road Farnborough Hampshire GU14 6QN 01252 542169 01252 541153 knellwood@aol.com http/www.knellwood.co.uk/ Farnborough (War Memorial) Housing Society Limited Ms Janet Gover Care Home with Nursing 52 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) Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (52) of places DS0000012340.V341557.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th November 2006 Brief Description of the Service: Knellwood is a large home situated in its own extensive grounds located in Farnborough and within easy access to shops, local amenities, railway station, bus routes and the M3 motorway. The home is under the management of a non profit making charity and provides accommodation for up to 52 service users over the age of 65. Responsibility of the day to day running of the home is with the registered manager who is responsible to the homes board of management. The home has recently been registered to accommodate residents with nursing care needs, although to date, none have moved in. The home charges between £380 and £442 a week, exclusive of personal items such as hairdressing, chiropody, newspapers, escort duties and toiletries. This information was provided on the day of the inspection. The fees for nursing care have been set at £750 a week, inclusive of any state benefit payable. DS0000012340.V341557.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection. Prior to the inspection the inspector reviewed the previous inspection report and the Annual Quality Assurance Assessment which was completed by the manager of Knellwood. During the inspection the inspector spoke with three residents, three care staff and the manager. The inspector looked at records such as recruitment files and care plans. What the service does well: What has improved since the last inspection? What they could do better: Care plans need to be developed and reviewed carefully to ensure staff can meet all residents’ needs. The home must ensure that referrals are made to DS0000012340.V341557.R01.S.doc Version 5.2 Page 6 healthcare professionals when residents’ care is deteriorating. Medication records need work to ensure they are accurate. Activities need to be reviewed to meet the needs of people with dementia. Staff and the manager need to have up to date training so residents are protected. 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. DS0000012340.V341557.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000012340.V341557.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 does not apply to Knellwood. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that new residents have been assessed and that the home can meet their needs. EVIDENCE: The Annual Quality Assurance Assessment, (AQAA) detailed the assessment process. The home welcomes prospective clients and/or families to view the home at any time and no appointment is necessary. The manager says this leads to an open atmosphere and the chance to view the home and facilities. Arrangements are then made for an assessment day, which will give the home a clearer picture of the needs of the prospective resident and this, with a medical report from their current GP forms the basis of assessment. It also gives the person a chance to meet other residents and experience for themselves daily life within a care setting. At times, if the person is preparing DS0000012340.V341557.R01.S.doc Version 5.2 Page 9 to move into the locality to be closer to family, the assessment has been over a weekend period, so they stay overnight in the home. Where the prospective resident cannot visit the home, the manager visits them wherever they are to undertake the assessment. The inspector looked at three assessments and found them to contain appropriate information. DS0000012340.V341557.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning systems do not fully support residents. Medication records have improved but need further work to ensure residents are fully protected. Staff respect the privacy and dignity of residents. EVIDENCE: The AQAA states that care plans are in place and are reviewed monthly. The inspector looked at three care plans and some improvement was noted since the last inspection, such as specific details regarding personal support needed. However, none contained information about mental health issues which was also highlighted at the last inspection. Through talking with staff it was found that staff had different strategies for supporting a resident with challenging behaviour, which may contribute to the behaviour. The home has not undertaken personal life histories or profiles on residents which would assist care planning. Care plans had been reviewed monthly but two stated, ‘no change’ since admission to the home, and for the last three months there was no comment, only the date of review. The daily records for one of the DS0000012340.V341557.R01.S.doc Version 5.2 Page 11 residents’ care plans looked at clearly showed a deterioration in physical and mental health yet this was not reflected in the reviews, which stated no change since admission to the home. The resident had not been referred to all the healthcare professionals who may have been able to improve their well being. Two out of three staff spoken with were not aware of the residents’ diagnosis of dementia. There was no evidence of residents being involved in reviewing their care plans and the manager said this was due to most residents being unable to participate. The inspector advised that residents could be more involved on a less formal basis for individual parts of the care plan, such as asking if they were pleased with the way staff had helped them that morning. The home does generally support healthcare professionals involvement such as doctors, district nurses etc. However, as detailed above, a resident may have benefited from other professional healthcare but was not referred. Residents go out to visit their own dentists and optician. A chiropodist visits, seeing some people every two months and some every three months as necessary. Staff gave the inspector examples as to how they respect residents’ privacy and dignity. All residents who spoke with the inspector said the staff were good. The home has a private telephone booth so residents can make calls in private. Medication administration records showed no gaps. However, a resident’s daily records showed they had thrown their tablets onto the floor. Staff said they would give tablets from the next day and ask the pharmacist to replace the missing ones. Records did not show an extra supply of medication coming into the home and the manager was unable to determine how the situation had been rectified, including whether the resident had actually had the medication. The home is now generally recording how many tablets come into the home and a book is maintained for controlled drugs. An audit of a particular drug showed more were being stored than were recorded. The manager thought the last month’s supply had not been recorded. The manager said staff who administer medication have either completed the Safe Administration of Medication course or are trained nurses, yet records showed only three out of eight care staff had completed the course. DS0000012340.V341557.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home offers residents a range of activities and choices in everyday life but residents with dementia may benefit from activities being planned to meet their needs. Visitors are always made welcome and residents can bring their possessions to the home. Residents enjoy the food. EVIDENCE: The AQAA states that a craft area is set up in one of the communal rooms for residents to access as they wish and this was seen during the inspection. Staff also allocate regular activity time and are support those who need guidance. The manager wrote that trips out are arranged following consultation with the residents and have included the coast, theatre, gardens, museums, meals out and visits to pubs. Entertainerment is also provided by external organisations. Other activities include bingo, crafts, making Christmas cards and tags. The home always has a service of remembrance in the main hall which is also attended by the mayor or deputy mayor and members of the British Legion. The home has a trolley shop selling goods such as toiletries and sweets. The library van visits monthly and assists residents in the selection of DS0000012340.V341557.R01.S.doc Version 5.2 Page 13 books in various formats. A hairdresser visits three times a week. Residents who spoke with the inspector confirmed activities took place and one felt that staff would try to get particular craft materials if requested. One staff member said there were little activities happening but other staff confirmed there were, but also said that people with dementia often did not join in and there were not any activities aimed specifically at them. One of the residents spoken with observed that people with dementia did not often join in with activities. The manager said residents with dementia were encouraged to join in activities or watch. However, for a home with such a large number of confused residents, more specialist activities must be provided, such as reminiscence. Visitors are made welcome at any reasonable time, and have the opportunity to have a meal with their family member if they wish. A guest room is available for family members to use if they have travelled from a distance. A resident confirmed that her visitor was made welcome. It was evident from walking around the home that residents can bring their own ornaments and furniture as bedrooms were individualised. The manager said that their maintenance man always takes all picture hooks down when a room is vacated, and fills the holes, so that the new residents can have things where they would like them. Some residents have their own telephone line and could purchase fee paying television if they wished. Residents told the inspector that the food was, ‘very good’ and, ‘very nice’. Another resident said there is a choice of two main meals with omelette as an alternative. The resident said that the menu is changed every so often and that they personally gave feedback to the cook on a daily basis. The AQAA states that care staff are in each dining room supporting those who need help with eating. They also discreetly monitor dietary and fluid intake of the resident and report any areas of concern to senior staff. The manager said the cooks had attended a course, ‘Eating for Health in Care Homes’. The home responds to individual food needs, for example, a resident who has been unwell has been eating a lot of homemade soups. DS0000012340.V341557.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents feel able to complain to the manager although some may not know how to make a formal complaint. Residents may not be protected through the lack of staff training or understanding of adult protection procedures. EVIDENCE: The home has a complaints procedure which has been given to residents. The home has not received any complaints since the last inspection, and all the residents who spoke with the inspector said they felt able to raise complaints with the manager if they needed to. They were confident that she would deal with any complaints appropriately. The manager was aware from her own quality assurance systems that not all residents or families knew how to make a complaint and intends to address this. The home has appropriate procedures in place should there be an allegation of abuse and the manager is aware of how the process of an investigation works. The AQAA states that all staff have been trained in the protection of vulnerable adults and the last inspection found this to be the case. However, two of the three staff spoken with could not remember doing such training. These staff were also unaware of where the home’s written policies and procedures were kept and did not know how a suspicion or allegation of abuse would be dealt DS0000012340.V341557.R01.S.doc Version 5.2 Page 15 with and by which agencies. They were aware they were to report to the manager in the first instance. DS0000012340.V341557.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well decorated and clean environment EVIDENCE: The home is partly a Victorian house and has an ongoing programme of redecoration and re-furbishment. The large windows have been sympathetically replaced with double glazing. The home has large communal areas: a hallway with seating, two dining rooms, a main lounge, a ‘quiet’ lounge without a television and a conservatory with views over the garden. All these rooms are decorated and furnished to a high standard. There are three kitchenette rooms in the home, where residents could make drinks, but these are not currently used. Individual bedrooms are well decorated and are re-decorated when they become vacant. All rooms have lockable storage and electric door closures which means residents can have their doors open safely. All rooms have an ensuite basin facility, some have toilets. All baths and basins which are used by DS0000012340.V341557.R01.S.doc Version 5.2 Page 17 residents are fitted with thermostatically controlled valves so that residents are not scalded. However, one was found to be running hotter than it should have been and staff were alerted to this. Staff said they did not think a record of hot water temperatures were kept but that they tested the temperature of the bath before someone got in. Call bells are situated in the bedroom and ensuite toilets, and are also portable so residents can move them around the room, or take around the house and garden. Some facilities have equipment adaptations as necessary, for example, one bedroom has been fitted with a specialist shower. There are seven bathrooms and all are fitted with appropriate hoists. The manager said a new Parker bath has been ordered to update one of the bathrooms. The inspector found two bars of soap, a sponge and a can of hairspray in one of the communal bathrooms. Staff said this should not have been there as they did not know who these items belonged to. The home sits in large grounds which are tended by the gardener. Residents were seen to be sitting in the garden, chatting or reading a book alone. Flower boxes were filled with summer bedding. The home also has dedicated rooms for healthcare and hairdressing. Staff have a staff room, a changing room, washing facilities and lockers for their belongings. There is also a room for training. The home employs a laundress nearly fulltime. Washing machines are commercial and suitable for the task. There is a separate sluice room. Staff spoken with said there was always a good supply of disposable gloves and aprons. All staff carry a bottle of alcohol based skin disinfectant. A resident who was asked said the home was a, ‘clean place’ and another said the home was clean and it was generally the same staff member who cleaned her room. DS0000012340.V341557.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from suitable staffing levels which include support staff. Robust recruitment procedures are in place which protect residents. There are sufficient numbers of qualified staff but residents would benefit from staff having more training. EVIDENCE: On the day of the inspection the staffing was as follows: the manager and a senior, five care staff, a cook and kitchen assistant, four cleaning assistants, the gardener, maintenance person and company secretary. A new care worker had started that day and was going to shadow staff for the week. The rota does not yet include any registered nurses as no residents with nursing needs have moved into the home. However, the manager is aware that nurses will need to be employed and has made plans in this regard. Staffing numbers are reviewed according to residents’ needs. The home has a recruitment procedure which involves obtaining references, Criminal Record Bureau, (CRB) checks and Protection of Vulnerable Adult, (POVAFirst) checks. The inspector looked at recruitment files for three new staff and found they all contained the appropriate checks which were completed prior to the person starting work. DS0000012340.V341557.R01.S.doc Version 5.2 Page 19 New staff undertake induction and foundation training based on the National Training Organisation, Skills for Care which senior staff facilitate. Records showed that not all staff had updated their Moving and Handling training and the manager agreed the training was out of date. One senior staff member has completed the Train the Trainer course in Moving and Handling but there were no dates set for her to pass on this training to the staff. The manager had not refreshed her training since 2003 and does sometimes work a shift whereby she would undertake moving and handling tasks. Staff have not received training in dementia which is not acceptable in a home where the majority of residents have some level of memory loss or dementia. The manager said she had been trying to access a course from a particular organisation but they have not got back to her. The inspector advised that training needs to be accessed as a priority and therefore approaches to other organisations would be necessary. The manager has accessed an external organisation which is in the process of undertaking a training needs analysis which will identify gaps in training. Twelve out of twenty four care staff have achieved the National Vocational Qualification in Care, Level 2 and six are currently studying for the award. This meets the standard. DS0000012340.V341557.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is run by an experienced and qualified manager, but residents would benefit from more attention being paid to areas such as training. Residents’ financial interests are safeguarded. The home ensures that equipment is maintained. EVIDENCE: The manager has achieved the Registered Manager’s Award and has managed the home for ten years. She is continuing her professional studies by working towards a Diploma of Higher Education in Health Care. Residents said the manager was approachable. However, there are issues regarding care plans and training as detailed above. The AQAA states that all requirements from the DS0000012340.V341557.R01.S.doc Version 5.2 Page 21 previous inspection have been met. Whilst three have been, two have seen improvements but are not considered to be met (please see summary). The home distributes questionnaires to residents, their families and staff, seeking their views on the home. The results are then analysed by someone other than the manager. Regulation 26 visits, (which look at various quality issues) are completed monthly, on a rota system by people from the board of management and these are discussed with the manager. The Chairman of the Board visits three mornings a week, and does his own quality checks. The home also uses an annual formal quality assurance system. The home looks after small amounts of money for some residents who request them to do so or who are unable to do so themselves. The inspector looked at records for two people and found that receipts were kept, residents sign where possible and the records matched the amount of money held. The home keeps a list of fire safety training and this is held twice a year. Records showed three care staff had not had updated training, although the manager thought they had done the training. A date had not yet been booked for the next training which the manager said was due in September. Fire safety equipment such as alarms and emergency lighting are tested regularly and records are kept. Maintenance certificates were seen for equipment such as hoists. The Environmental Health officer visited recently and scored the home as having a, ‘high level of food hygiene’. Two recommendations were made and the manager said these have been addressed. DS0000012340.V341557.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 DS0000012340.V341557.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15 (1) (2,c,d) Requirement Careplans must set out in detail the action which needs to be taken to ensure that all aspects of care needs are met. Residents must be involved in reviewing careplans. This requirement is outstanding from the last inspection 2. OP8 13 (1)(b) The home must refer residents to the appropriate health care professionals when residents’ health is deteriorating. Medication records must be correct so that an audit trail can be followed. The activities programme for residents with dementia must be reviewed and specific activities accessed as necessary to ensure residents with dementia can benefit. All staff must understand protection of vulnerable adults procedures. The manager and staff must DS0000012340.V341557.R01.S.doc Timescale for action 31/10/07 31/10/07 3. OP9 13 (2) 31/10/07 4. OP12 16 (n) 31/10/07 5 6. OP18 13 (6) 18 (c,i) 31/10/07 30/11/07 Page 24 OP30 Version 5.2 10 (3) have up to date training in Moving and Handling to ensure the safety of residents. Staff must have training in working with people with dementia to promote the well being of residents. Training remains an outstanding issue from the last inspection. 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 DS0000012340.V341557.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 DS0000012340.V341557.R01.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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