CARE HOMES FOR OLDER PEOPLE
Linden House 44 - 46 Station Road Sholing Southampton Hampshire SO19 8HH Lead Inspector
Christine Hemmens Unannounced Inspection 14th October 2005 10:00 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 Linden House DS0000011902.V257625.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 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. Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Linden House Address 44 - 46 Station Road Sholing Southampton Hampshire SO19 8HH 023 8044 1472 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) Mrs Rita Baker Mr Mark Baker Mr Mark Baker Care Home 21 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (21), Mental disorder, excluding learning of places disability or dementia (4), Mental Disorder, excluding learning disability or dementia - over 65 years of age (21), Old age, not falling within any other category (21) Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Persons in the category MD or DE referred to above are not to be accommodated under the age of 55 years No more than 4 service users to be resident at any one time between the ages of 55-65 years 23rd June 2005 Date of last inspection Brief Description of the Service: Mrs Baker and her son Mr Baker own Linden House and are the registered providers and Mr Baker is the registered manager. Linden House provides care and support to 21 elderly residents over the age of 65 and is registered to accommodate residents with dementia. Mrs Baker and her son, Mr Baker, over the years have extended and made extensive improvements to the home. The home has three floors with a stair lift to the first floor. The home has 17 bedrooms, four of which are doubles, a large lounge, and conservatory, separate dinning room and an additional quiet area. The home has an interesting scenic enclosed garden, with plenty of seating for residents to enjoy the garden in the warmer months. Linden House is located within a three-mile radius of the City of Southampton, which has a range of social, recreational and historical interests available. The home is situated within a residential area, which has good transport links to the city centre, local health facilities and local shopping. Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second unannounced visit to the home this year undertaken over one day. Mr Baker expressed his displeasure in the minimal timescale between inspections, but was happy for the visit to take place. The purpose of the visit was to review the two requirements issued following the previous visit to the home in June 2005 and to review standards not covered. Mr and Mrs Baker assisted the inspector with the inspection. The inspector met with four residents, three visitors to the home, a student nurse on her district nurse placement and one member of staff. What the service does well:
Mr and Mrs Baker do well to meet to meet the majority of requirements issued following visits to the home in a timely manner and are open to suggestions and advice to improve the service. Mr and Mrs Baker are always open and honest and strive to provide a valuing service that meets the individual needs of the residents. Staff are well trained, enthusiastic and provide a caring and respectful approach towards the residents and their visitors. One resident informed the inspector that the home was very nice and that she was well cared for by the staff and Mr and Mrs Baker. A relative informed the inspector that she couldn’t want for a better home for her mother and commended both the staff and Mr and Mrs Baker for their dedication and by going that extra mile to provide a warm friendly and welcoming home. The relative also informed the inspector that when her mother was admitted to hospital recently Mr Baker frequently visited in his own time to see how she was. Mr and Mrs Baker provide a warm, friendly and welcoming home where attention to detail is apparent, nicely laid tables with table clothes and linen napkins, all visitors to the home are provided with tea and home made cakes or biscuits on arrival. The home provides stimulating activities for the residents to assist with maintaining their cognitive and sensory needs and their wellbeing. Activities are monitored and a record of the activity and its outcome for individuals is recorded. Residents are provided with stimulus and communication aides to assist with their communication and orientation. The home provides a choice of nutritious and wholesome homemade foods, and caters for special diets when required. The home hasn’t received any complaints since 2003, however it provides clear information on how residents or their relatives can complain if they are unhappy, the home also provides residents and relatives with information on Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 6 advocacy services and ensures as far as feasibly possible they protect them from harm of abuse. The home is tastefully decorated and kept clean and free from offensive odours throughout. The home is regularly maintained and all appliances and utilities are regularly serviced. The home has adequate numbers of skilled and dedicated staff, however it has recently suffered some staffing shortage due to holiday and illness. Mr Baker’s recruitment procedures are very robust and he does not start anyone into the home until there is evidence that they have not committed a serious crime or abused a vulnerable adult. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office.
Linden House DS0000011902.V257625.R01.S.doc Version 5.0 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 Linden House DS0000011902.V257625.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were viewed on this occasion. EVIDENCE: Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 and 9 The home provides a good standard of care in meeting the health and welfare needs of the residents, however the home must ensure care plans describe how the care needs of the residents are to be met and ensure all prescribed medications are recorded correctly. EVIDENCE: The inspector viewed three residents’ individual plans and reviewed the requirement issued following the previous visit to the home in July 2005. Mr and Mrs Baker on the whole ensure residents are appropriately supported by providing staff with guidance in the form of care plans to care for the residents’ individual needs. This was supported by both residents and relatives who said they felt they were well cared for. Following the requirement issued during the last visits to the home Mr Baker has developed an assessment/care plan that identifies the mental health needs of the residents. Mr Baker informed the inspector that he had developed the plan after seeking advice from the district nurse and community psychiatric nurse. The plan includes details on the residents mental health diagnosis, signs of illness, desired outcome for the individual and evidence of monitoring and reviewing on a
Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 10 regular basis, however Mr Baker is advised to incorporate into the plan details on “how” to support and care for the resident when there is evidence of illness, confusion or agitation. The home demonstrates that it has good working relationships with medical professionals and takes seriously the physical and mental health needs of the residents in their care. Mr and Mrs Baker ensure the medical health needs of the residents are well supported by medical professionals and there was evidence in the personal plans to demonstrate that a range of health care professionals regularly visit the home. Each personal plan viewed by the inspector provided a plan of care and details on visits by medical professionals and the outcome of the visit. At the time of the visit the inspector met with a student nurse who was on her district nurse placement. The student nurse informed the inspector that she visits the home on a regular basis to carry out dressings and wound care and has found the care in the home to be very good, “the staff are very helpful and caring towards the residents”. The student nurse reported that there were no infected wounds and the home provides pressurerelieving equipment when required and ensures that the residents receive a healthy balanced diet and plenty of fluids. The inspector viewed one resident’s plan that identified the resident as having support from the physiotherapist and the exercises the resident was required to do to maintain mobility, however there was no guidance for staff on how they were to support the resident. Mr Baker was advised to seek guidance and support from the physiotherapist to write a step-by-step guide on how to support the resident with their physiotherapy and record outcomes. Following the last visit to the home Mr Baker was required to keep a record of medications dispensed by visiting GP’s. Mr Baker informed the inspector that he was currently writing a medication policy to include medications dispensed by GP’s, the policy is currently in draft form. Generally the home undertakes safe practices in the administration and safe keeping of medications, however Mr Baker must ensure all medications prescribed or dispensed by GP’s and pharmacists are recorded on medication record sheets and staff record correctly when a resident refuses or misses medication i.e. when unwell or absent from the home. Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 15 The home provides a stimulating and very welcoming environment where visitors are made to feel welcome and residents receive healthy home made nutritious meals. EVIDENCE: Mr and Mrs Baker are very proactive in meeting the cultural, religious and recreational interests and needs of the residents. This was supported by comments made by residents, staff and visitors. Residents were observed to be involved in a number of leisure activities of their choosing such knitting and reading the paper, one resident was sorting out placing bets on their favourite horses. One relative informed the inspector that there “is always something going on in the home and my mum is always encouraged to participate”. The home organises regular activities in the home to stimulate the residents’ sensory and cognitive needs and wellbeing. A record of who attended, and the outcome of the activity are recorded. The inspector was informed that the home celebrates residents’ birthdays and will hold regular parties and celebrations throughout the year such barbeques and Christmas parties. The inspector observed a respectful and patient approach adopted by staff when meeting their needs and trying to ascertain what the resident was communicating. Staff were observed to communicate clearly with the residents. The inspector has observed over the last couple of visits to the home the emphasis on creating a communication friendly and stimulating
Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 12 environment for the residents to live. Pictures of how Southampton and the local area used to look are on the walls, each resident has a picture of them and their name on their bedroom door, and toilet and bathroom facilities are clearly signed using pictures and words. This is seen as very good practice. Mr Baker talked at length of the benefits that this has had for the residents and his future plans to develop a menu plan in picture form. During the visit the inspector had an opportunity to meet with a number of relatives and visitors to the home, however it was observed throughout the day the home received a stream of visitors. Each visitor was welcomed politely, and offered refreshments on nicely laid trays with freshly baked cakes. Friendly banter was observed between staff and relatives and Mr and Mrs Baker were observed to meet each relative individually and answer or provide information about the resident. (This was observed to be done in a discreet and respectful way). This was supported by the student nurse who informed the inspector that she enjoyed coming to the home and that visitors always seem very happy with the care their relative is receiving. Residents have access to a cordless phone if they wish to make calls in private. The home provides nutritious home made food and residents are supported to make choices and a daily menu is recorded on a notice board. A record of food residents has eaten is kept. Residents are supported to eat in a comfortable relaxed environment where tables are neatly laid with tablecloths and cloth napkins, flowers and fruit. All residents were observed to have a jug of water or drink of their preference next to them which was changed or topped up throughout the day, those requiring support are supported on a one to one basis. The home caters for specialist diets such as diabetes and seeks the advice of the GP or dietician if there is a concern about a residents eating habits or weight loss. Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The home has adopted a clear complaints procedure and takes the legal rights of the residents seriously. The home as far as feasibly possible protects residents from harm of abuse. EVIDENCE: Mr Baker informed the inspector that the home has not had any complaints made about the home, its service or its staff since 2003. Mr Baker has adopted a very clear complaints procedure, which is displayed in prominent areas of the home and given to new residents or their relatives on admittance to the home. Mr Baker has adopted very good administration systems for dealing with and answering complaints if required. Residents and relatives who the inspector met with said they did not have any complaints or concerns about the care they were recieving, but if the did they said they would feel comfortable approaching Mr and Mrs Baker as they felt they would listen. The student nurse informed the inspector that she has not witnessed anything untoward that has caused her to complain or be concerned. Mr Baker has access to an independent advocacy service and stated he would refer residents or relatives to the service or social services if he could not deal with their concerns. Advocacy contact details are displayed throughout the home. The home as far as feasibly possible protects the residents from harm. Mr and Mrs Baker are able to demonstrate that they take seriously the issue of abuse and the vulnerability of the residents. All but two newly appointed staff have received training in abuse awareness and Mr Baker and his deputy have
Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 14 attended a number of workshops provided by Southampton City Council. A new member of staff with whom the inspector met with was able to demonstrate that she had an awareness of what constituted abuse and what she would do if she ever witnessed an abusive act. The home has a number of residents who have a tendency to wander or try to leave the home if they can. The home has put security measures in place, to protect residents from potential harm if they leave the building unescorted, however the rights of all individuals were discussed and Mr Baker was advised to develop a policy to support the use of the keypad. Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The proprietors provide a warm, welcoming and tastefully decorated environment for residents to live. EVIDENCE: Mr and Mrs Baker have demonstrated repeatedly on previous visits to the home the importance of providing a comfortable, clean and as far as feasibly possible a safe place for residents to live. Mr and Mrs Baker have a rolling schedule of maintenance and improvement to the home. A dedicated handyman deals with identified works in a timely fashion, and refurbishment is undertaken with limited disruption to the home. During this visit to the home a number of rooms had been redecorated, an upstairs storage room had been transformed into a dedicated sluice room and special equipment storage and some very nice curtains and blinds had been professionally hand made for the conservatory. The home is hygienically clean and residents’ bedrooms are kept neat and tidy with nicely laundered bedding and personal items.
Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 16 Residents have access to the first floor via the support of a stair lift. Staff were observed supporting residents on the stair lift. Other aids are provided in the home to assist residents to freely mobilise around the home or with the assistance of staff. Mr Baker has recently purchased another mobile hoist for the upstairs bathroom and bedrooms. Laundry is undertaken onsite unless a relative specially asks that its not. The home prides itself in the attention is gives to the laundering of clothing and bedding. All residents were observed to be neatly dressed. Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29 and 30 The home demonstrates importance of having adequate skilled and correctly recruited staff to meet and safeguard the residents. However the home must ensure it documents the induction process for new staff. EVIDENCE: The home can demonstrate that it employs adequate staffing levels to meet the needs of the residents, the home has on an early shift three carers, a cook, a cleaner and the manager. However on the day of the inspection the home was very short of staff and rightly Mr Baker stated his priority was with the residents and that Mrs Baker had stepped into help. The inspector was informed that this was an unusual situation as there were a number of staff on leave or absent through illness. However this did not affect the care of the residents on the day of the visit, residents were observed to be having their needs adequately met, supported when required and staff were observed spending time chatting with residents and relatives. Mr Baker undertakes a thorough recruitment procedure and does not take on new members staff until clear CRB (Criminal Record Bureau) and POVA(Protection of Vulnerable Adults), checks have been received. Mr Baker admitted that this had caused problems and frustration in covering shifts at times. The home does not rely on agency staff to cover absences. The inspector viewed three new starter records and observed all correct documentation was in place. Mr Baker was informed of new guidance coming into force in the New Year regarding CRB’s and was advised to obtain a copy.
Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 18 Mr and Mrs Baker are very proactive in ensuring staff receive training to equip them with the skills to undertake their job appropriately. Mr Baker provided training records that evidenced that staff have undertaken basic training such as moving and handling, fire, and first aid and training specific to the needs of the residents such as abuse, dementia care, asthma, infection control including MRSA. In total over eight different training sessions have been undertaken in the previous nine months and more were scheduled before the end of the year. However Mr Baker must ensure he evidences that newly appointed staff are appropriately and correctly inducted into the home. A new member of staff confirmed that she had been inducted into the home and shown fire points, exits etc and shadowed staff before confidently providing hands on care. The member of staff felt she had been well supported when she first started. Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32 and 38 The registered manager demonstrates good character and leadership skills and provides a well run and as far as feasible safe a home that meets the needs of the residents, their families and staff. EVIDENCE: Mr Baker the registered manager and Mrs Baker the registered provider demonstrated throughout the inspection the importance of providing a warm, welcoming, friendly and stimulating environment to live and with staff and managers who show respect dignity and value the individuality of the residents. All the residents, relatives and staff with whom the inspector spoke with complemented Mr and Mrs Baker on their leadership skills their caring nature, attention to detail and the support they provide. This was observed by the inspector throughout the course of the visit. Mr Baker is fully qualified to manage the home having undertaken his registered managers award and NVQ4 (National Vocational Qualification) in
Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 20 care. Mrs Baker used to be nurse and demonstrates she has the skills to observe when someone is becoming unwell. Both Mr and Mrs Baker are keen to develop their service further and always welcome advice and suggestions. The inspector observed a cohesive team who go about their roles confidently and competently. Camaraderie and respect was shown between staff, residents, the managers and relatives. Mr Baker was able to demonstrate that as far as possible he provides a safe environment for residents to live. Fire records were seen to be up to date and fire equipment regularly tested. Service certificates for the home’s utilities and moving and handling equipment were observed to be up to date and COSSH (Corrosive substances hazardous to health) are safely locked away. Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 21 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X X 3 Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 22 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) Requirement The registered person must ensure all care plans including those identifying the mental health needs of residents’ detail how the care is carried out. Timescale for action 31/12/05 2 OP8OP7 12(1)(b) 15(1) The registered person must 30/11/05 ensure guidance issued by health care professionals for a specific plan of care is clearly recorded on “how” it is to be carried out. i.e. physiotherapy exercises. The registered person must 30/11/05 ensure all medications prescribed or dispensed by the GP at short notice or over the phone are clearly recorded on the medication administration record as prescribed. This requirement has been repeated a further failure to comply may result in further action being taken. 3 OP9 13(3) 4 OP9 13(3) The registered person must 30/11/05 ensure when medications are not given, the medication
DS0000011902.V257625.R01.S.doc Version 5.0 Page 23 Linden House administration sheet indicates why the medication was omitted. I.e. Absent from the home, unwell etc. 5 OP30 18(2) The registered person must ensure a record is kept of the induction process for new staff. 31/12/05 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 Linden House DS0000011902.V257625.R01.S.doc Version 5.0 Page 24 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
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