Inspection on 14/08/07 for Maple Leaf House

This inspection was carried out on 14th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Maple Leaf House 01/06/06

Maple Leaf House 17/01/06

Maple Leaf House 20/10/05

Maple Leaf House 22/06/05

Maple Leaf House 01/09/04

Maple Leaf House 11/02/04

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

CARE HOMES FOR OLDER PEOPLE Maple Leaf House Kirk Close Ripley Derbyshire DE5 3RY Lead Inspector Brian Marks Key Unannounced Inspection 14th August 2007 09:00 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 Maple Leaf House DS0000042716.V341178.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. Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maple Leaf House Address Kirk Close Ripley Derbyshire DE5 3RY 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) 01773 513361 01773 513501 home.rpl@mha.org.uk home.fxg@mha.org.uk Methodist Homes for the Aged Vacant Care Home 46 Category(ies) of Dementia - over 65 years of age (47) registration, with number of places Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2006 Brief Description of the Service: Maple Leaf House is a 46-bedded care home with nursing for people with dementia, operated by Methodist Homes, and which opened in August 2003. The home is situated on the outskirts of Ripley and is one storey and purpose built, with all facilities having level access. The home is divided into three wings, each accommodating fifteen people, with their own lounge, kitchenette and dining area. Décor, furnishings and fittings are of a high standard and all bedrooms are single and have en-suite facilities. There is an enclosed garden with outdoor seating. Support services are in place with a choice of GP, optician and dentist, and community psychiatric nurses, occupational therapists, physiotherapists and dietician are involved as required. The home has two activities coordinator posts, who have responsibility for ensuring that a good range of entertainment and in-house activities are arranged. The weekly fees for this home range from £625 - £709. Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a Key unannounced inspection that took place at the home over a period of a day and a part day. Additionally, time was spent in preparation for the visit, looking at previous inspection reports and other relevant documents and preparing a structured plan for the inspection. At the home, apart from examining documents, files and records, time was spent speaking to the manager, who was in charge of the home during the visit, the deputy manager and eight of the staff working on the morning shift. Because of the nature of their disability, none of the people living at the home were personally interviewed. However an extended period of time was spent observing the care being given to a small group of people in one of the lounge areas and this was followed up by the discussions with staff and examination of care records. In addition the relatives of seven residents returned written survey forms before the inspection started and also five visitors who were at the home during the inspection were spoken to. No other inspection visits have been made to the home since the last Key unannounced inspection on 1st June 2006. What the service does well: This home was built to a high specification and provides a quality environment for staff and residents. It is spacious, light and airy and, as it is split into 3 units, the residents are accommodated in living environments that are homely in scale. All bedrooms are large and single and have en-suite facilities, and give levels of comfort and equipment for those people who have specialist nursing needs. There is a variety of communal space; this includes garden areas that are enjoyed by residents during the summer months. Staffing levels at the home have been set above the minimum standard for this type of home and because the staff group is large, recruitment has produced a team with a variety of skills, knowledge and experience. Standards of induction of new staff to the home are good; staff are able to quickly get to know the individual needs of the people who live at the home and what is expected of them. The work of the staff group is guided by good quality documentation, particularly the personal care plans, and these cover a wide range of needs and activities that ensure they properly understand the individuals who live at the home. They are written in a clear style that helps staff work consistently and safely, and communication within the home between different staff groups and those on different shifts makes sure that everybody is aware of the important things that need to be done. The work of the two activities coordinators provides a good standard of social life and the catering service of Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 6 the home provides a variety of meals to meet all individual tastes and preferences. The parent organisation, Methodist Homes, supports the activity of the home closely and regularly undertakes examinations of the home’s operation to ensure a high standard of service is maintained. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Maple Leaf House DS0000042716.V341178.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 Maple Leaf House DS0000042716.V341178.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 and 6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People do not come to live at the home without their needs being carefully and extensively assessed and the services they need from the home being identified. This makes sure that the care provided is right when they move in. EVIDENCE: From the examination of care records, all the people who are living at the home have been assessed before moving in to make sure the home can meet all of their social and healthcare needs. This assessment process is extensive and covers all the important areas in people’s lives, and is carried out by one of the senior staff during a visit to the place where they are living and identifies the type of care required. From all the information obtained as people come to live at the home, a detailed care plan is developed (see next section) that indicates how staff will provide help consistently and safely on a day-to-day basis. From discussions with the relatives present, people coming to the home are given opportunities to visit before coming to stay, as part of Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 9 the assessment procedure, and they are helped to settle into the new environment by the careful attentions of staff. The home does not provide an intermediate care service so Standard 6 does not apply. Maple Leaf House DS0000042716.V341178.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 good. This judgement has been made using available evidence including a visit to this service. The care of all residents, including health care, is carefully planned and given in ways that respect individuality and privacy. EVIDENCE: The care records of people living at the home contain a ‘Support Plan’ that reflects all the information gathered about the individuals needs and capabilities. The Support Plan includes a wide-ranging description about how staff care for individuals, divided into a number of important areas to reflect personal, social and health needs. Additionally, these include identified areas of risk affecting the residents’ lives, including quality of skin health (Waterlow) and any wounds, nutrition, mobility, mental health and whether the person regularly experiences falls. Taken all together they create a practical guide for staff to care for residents consistently and safely. The individual aspects of the care plans are looked at and evaluated by the home’s staff on a monthly basis, and revised where necessary. This indicates that care is being provided which is based on up-to-date information. One of the negative effects of having such extensive care records is the writing up and recording requirements are Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 11 similarly extensive and staff time spent caring for residents may be reduced as a result. Good contact with health care services has been maintained and records indicated that outside professionals from mental health, diabetic, cardiac and terminal care services are regularly referred to. The assessments and care plans, mentioned previously, indicated clearly the care steps needed to be carried out by nursing and care staff in meeting health needs, and daily records examined showed how these had been done. Feedback from relatives indicated that care at the home was carried out properly and overall expressed satisfaction with the home and its staff: ‘The staff are very helpful and interested in giving the best care that they can’. ‘Staff liaise with us and then with the GP, and we try and establish the problem and attempt a solution’. ‘I am very pleased with the care, it is the best home I have been in’. ‘The monitoring systems are very good’. The home operates the Monitored Dosage System for medicines management on behalf of the people living there and the examination of records and storage areas indicated everything to be generally satisfactory with clear procedures to be followed to ensure safety and consistency. One instance of handwritten instructions not being signed were noted and the system of administering medicines to people who consistently refuse is an issue for further discussion with the home’s management. Maple Leaf House DS0000042716.V341178.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 good. This judgement has been made using available evidence including a visit to this service. Opportunities for residents to engage in leisure and social activities have continued to improve, and the catering of the home is a service that aims to meet individual needs and is viewed positively by them. EVIDENCE: The programme of social life at the home has continued to develop since the last inspection and both activities coordinators were in the home during this inspection and were observed with individual residents as well as small groups. Some new activities have been tried since the last inspection visit – reflexology, the development of a sensory environment – and one of the coordinators described how she had been using simple domestic tasks to encourage engagement of residents with their environment. Care staff are also involved with supporting activities in the main communal areas. As the home is operated by Methodist Homes there is good support for spiritual and religious activities including a regular church service; an interest in this is not a requirement for living at the home. A visit to the kitchen was made and discussion with kitchen staff indicated that a planned menu is provided at the home. Most meals are traditional in style to reflect the preferences of an older age group, and a choice is offered at all Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 13 main meals with a cooked option additionally available for the teatime meal. Meals are based in principles of healthy eating, and fresh ingredients were in evidence in the kitchen and regular deliveries of food are made to the home; aspects of storage were satisfactory. Specific health needs are reflected within the catering arrangements, such as weight loss and gain, diabetic problems and for those residents who require a softened or liquid diet. The residents mostly take their meals together in the 3 dining areas and staff were observed giving direct assistance to those that needed it. A popular new service has been the development of birthday cakes prepared by the cook and decorated to reflect individual personalities and interests. Feedback from relatives was very positive about the food served at the home and the overall catering operation. Visitors reported that they are free to come to the home throughout the day and a good number were seen during the visit. The bedrooms are big enough to accommodate visitors but there is also a small sitting room on each wing for their use, which increases the options for privacy and bigger family groups. ‘Staff have been very good since he came here in an emergency’. ‘After an extended period of daily visits my mother’s carers have become my friends’. ‘I’m always very well received here and made to feel part of the home’ They also reported that routines at the home were very flexible and that residents have the run of the home; some were noted making themselves comfortable away from their ‘home’ wing. The involvement of the Methodist Church network, as mentioned above, also increases community involvement of the home and allows residents a greater range of social contact. Maple Leaf House DS0000042716.V341178.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 good. This judgement has been made using available evidence including a visit to this service. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to protect residents from harm. All residents’ interests are supported by outside professionals and family members. EVIDENCE: The home has a comprehensive complaints policy and procedure that has been centrally developed by the organisation and regularly updated. A copy of the policy is included in the Service Users Guide, which is given to residents and their representatives, and a summary is also on display at the home. The written records indicated that there had been five complaints made to the home’s management since the last inspection and the records indicate that these had been dealt with speedily and appropriately. The home also maintains a record of compliments made in writing and these are routinely received from relatives expressing satisfaction with the care offered at the home. Feedback from relatives indicated that they are comfortable with the process of raising concerns or problems with the home’s staff and management and that they are reassured that they will always be taken seriously. Methodist Homes has a comprehensive policy that guides staff in their responsibilities to safeguard residents from harm and this is available within the home. The guidance also includes reference to the procedures required by law and operated by the key public agencies, such as Social Services and the Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 15 Police. All staff receive initial training in this subject when they start work, and there is an annual training programme for all staff to refresh their knowledge and understanding, which will enhance resident safety. Maple Leaf House DS0000042716.V341178.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 good. This judgement has been made using available evidence including a visit to this service. The home is clean, hygienic and offers good standards of comfort to residents in the bedrooms and the communal areas. EVIDENCE: Observations made around the building during the visit and from discussion with the person employed to look after maintenance indicated a planned approach to keeping the home in good order and a commitment to deal with problems quickly. All residents are accommodated in single rooms with ensuite facilities and the standard of specialist equipment provided is high. The courtyard garden area has matured steadily and is an attractive and safe area for residents to enjoy. The original design of the home had been to a high specification, and specialist consultants were employed who advised on colour schemes and detailed features that made the home suitable for people with dementia who may be liable to be confused by their environment. The manager indicated that the communal areas are due for redecoration and contractors were at the home looking at this during the inspection. The Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 17 recommendations made at the last visits by the Environmental Health Officer and Fire Officer have been dealt with. On the day of the inspection all areas of the home that were visited were clean and tidy, and free from odours. However some of the written and verbal feedback from relatives indicated that this was not always so and commented on irregular lapses in cleanliness, particularly in private bathrooms. Others commented more favourably on this subject and it was stated that they ‘cannot fault the cleanliness of the home which is always clean and fresh’. Comments about the quality and speed of the laundry service were equally positive and all residents observed in the home during the inspection wore clean and well-presented clothing. Maple Leaf House DS0000042716.V341178.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 good. This judgement has been made using available evidence including a visit to this service. The needs of residents are met by a group of staff who are on duty in good numbers and who have been properly recruited and trained, so that they work consistently and safely. EVIDENCE: The staffing rota indicated that numbers of care staff on duty during the day are higher that the minimum required by law, although there has been a slight adjustment since the last inspection with a reduction in daytime carer hours made in order to create an extra post on the night shift. The observations of the care staff spoken to confirmed that there were times when gaps in the assigned staffing levels were not covered and this had a negative impact on the way they worked: ‘The job becomes very task orientated when we are short staffed and this puts us all under pressure. The quiet times are very rare’. ‘It can sometimes be very hard, particularly in the mornings; nobody gets up by themselves’. Comments from some relatives also supported this: ‘I know they are short staffed as it’s regular to see only two staff on the wing (rather than three) for the morning’. During the time spent observing daily life in one of the lounge areas the staff spent much of their time with residents in the bathroom and bedroom areas or giving late breakfast to certain individuals. The majority of residents observed spent their time passively sitting and having few interactions with staff. When Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 19 staff did interact directly with residents, however, they were positive and encouraging and always took time to ask questions rather than deciding things for them. Because of continued turnover of care staff the programme of completing a National Vocational Qualification (NVQ) at level 2 is ongoing but the numbers qualified or recently completed just reaches the 50 target required. A further group of staff are currently registering with the relevant training agency to commence in the near future. Most staff have received training or updates in the ‘core’ health and safety subjects, with shortfalls for new staff in food hygiene. An introductory programme of awareness training of the needs of people with dementia has been started since the last inspection and a number of staff have completed the extended programme provided by the national Alzheimer’s Society. It is the stated target of the management that this will be a foundation course for all staff. All the staff spoken to were positive about the standard of training opportunities available to them and this includes the induction programme that is given to new starters. Records indicated that the turnover of care staff remains high with 19 changes in the past year out of a compliment of 30 staff. Recruitment drives are a continuous process and recent appointments, when completed, will bring the numbers above the established up to the full compliment for the home. The post of deputy manager has been filled since the last inspection and the management arrangements of the home’s three units changed to create greater flexibility. Examination of the files of the 2 newest staff indicated that recruitment and selection had been carried out properly and all checks required to ensure protection of the residents had been made. However in order to speed up the process of recruitment the application form used by Methodist Homes has been much reduced and this did not ask for information about reasons for leaving in the applicant’s previous employments, which is required by law in order to make sure that people employed are right for the job. Maple Leaf House DS0000042716.V341178.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 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has good administration and management systems and is a safe place to live and work; its operation is routinely examined in order to establish the best quality of care for the people that live there. EVIDENCE: A new manager has been appointed at the home since the last inspection and she is currently going through the final stages of registration with CSCI. The manager is an experienced registered nurse and is well qualified, having achieved the Registered Managers Award and specialist qualifications in the care of people with mental ill health. Her responsibilities and accountability are clearly laid out within the Methodist Homes structure and she receives regular support from her own line managers. Both staff and relatives recognised that this was another period of change for the home but there was general support for the impact that the new manager has made. Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 21 As an organisation Methodist Homes is committed to providing a quality service and employs a number of systems to make sure that standards are monitored and maintained. Regular assessments of different aspects of the home’s operation such as medicines administration, health and safety activities, care plan documentation and resident finances are carried out through the year. These are done by people external to the home as well as the ‘in house’ quality team, and serve to build up a picture of how well the home is doing. The direct views of residents and relatives are also sought through care reviews, regular group meetings and from informal comments. Information received before the inspection indicated that the broad range of health and safety activity at the home, including the servicing of equipment, was satisfactory and a sample examination of fire safety activity supported this. Methodist Homes has developed substantial protocols and guidance for the managers of its homes to follow and requires regular audits to be completed to ensure that monitoring standards remain high. The person responsible for maintenance has developed a detailed programme of risk assessments that underpins and makes safe the whole working and living environment. Maple Leaf House DS0000042716.V341178.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 4 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X X X X 4 Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13(2) Requirement All handwritten entries in the written medicines record must be signed and dated by the responsible person so that accountability and an audit route are established and safety of the system maintained. All staff must receive training or instruction in the safest ways of handling and serving residents’ food so that they are fully aware of their responsibilities to maintain a hygienic living and working environment. Timescale for action 30/09/07 2. OP30 18(1) 31/12/07 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 Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Maple Leaf House DS0000042716.V341178.R01.S.doc Version 5.2 Page 25 - 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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