Inspection on 16/07/07 for Mon Choisy

This inspection was carried out on 16th July 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Mon Choisy 24/07/09

Mon Choisy 24/07/07

Mon Choisy 22/06/06

Mon Choisy 21/02/06

Mon Choisy 09/08/05

Mon Choisy 23/11/04

Mon Choisy 29/06/04

Mon Choisy 12/02/04

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 Mon Choisy 128 Kennington Road Kennington Oxford OX1 5PE Lead Inspector Sally Newman Unannounced Inspection 16th July 2007 10:30 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 Mon Choisy DS0000013112.V339920.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. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mon Choisy Address 128 Kennington Road Kennington Oxford OX1 5PE 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) 01865 739223 enquiries@auditcare.com Mrs Ellen Audit Mrs Ellen Audit Care Home 28 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (28) of places Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 28. 22nd June 2006 Date of last inspection Brief Description of the Service: The home is located near Oxford in the village of Kennington, close to shops and public transport facilities. The home is privately owned and managed, and provides 24-hour support for a maximum of 28 residents; it does not provide nursing care but accesses appropriate external medical and nursing services to maintain the health of the residents living there. Mon Choisy is the larger of two homes owned by Mr & Mrs Audit in Kennington and shares a management structure and policies and procedures with its sister home, Kirlena House. It was opened in 1985 and extended in 2001. There are 22 single rooms and three double bedrooms with a wash hand basin in each. There are two assisted baths, five showers and ten WCs. The house itself is detached, with a patio area and sloped garden at the rear that can be accessed via pathways with handrails. Residents’ rooms are on two floors with stairs and lift access to the first floor. The rear ground floor sun lounge overlooks the garden and there are further communal rooms - a separate dining room-cum-sitting room, a sitting room overlooking the front drive and a small internal sitting room. The kitchen caters for the residents of both homes. There is a laundry and further utility rooms in outbuildings at the rear of the home. The fees for this home range from £491 to £562 per week. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an inspection that was conducted over the course of three days and included a visit to the service of just over six hours duration. Information provided by the service prior to the visit and data held by the Commission has been used in the evaluation of this service. In addition, time was spent discussing the service with the proprietor/manager. Staff on duty were spoken to, of which five were seen in private. Three service users were seen by the inspector in private in their bedrooms. Service users were spoken to throughout the home and a visiting relative and health care professional were spoken to in private. Satisfaction surveys were sent to a variety of people by the Commission and, as a result, one general practitioner returned a survey, and two relatives’ and a service user survey were completed and returned to the Commission. Survey results provided some positive comments about the service but some areas relating to personal care were considered to be less than adequate. Service users spoken to who were able to provide a view were generally happy living in the home and could not think of any obvious areas that could be improved. A range of records were sampled whilst at the home, a tour of the premises was conducted and observation of interactions between staff and service users was undertaken throughout the course of the visit. Nine recommendations were made at the last inspection, which have been mostly complied with. The provider has a range of polices and procedures relating to equality and diversity. Care plans have been designed to take account of individual needs and cultural and religious choices. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service that meets the needs of individuals of various religious, racial or cultural backgrounds. The Commission has received no complaints about the service since the last inspection. A concern raised as a result of an allegation made by a service user was fully investigated and was considered to be unfounded. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The overall upgrading of bedrooms could be undertaken more swiftly. Address social and psychological care needs more comprehensively. Seek the views of professionals involved with the home. Ascertain the past interests of service users in order to plan activities from a service user perspective. Further develop the range of activities, particularly for those individuals with memory impairment. Provide more fresh vegetables at mealtimes. Increase the provision of dementia training to all staff. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 7 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. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 8 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 Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective service users have their needs appropriately assessed prior to a place being offered. EVIDENCE: All prospective service users are visited in their own home or hospital, usually by the proprietor, who completes an assessment form covering a wide range of topics. In addition, information from a range of relevant sources is obtained. This can include care management assessments, information from GP’s, hospital or relatives. This information is used to assess whether the individual’s needs can be met by the home and forms the basis of the care plan. The care plan is then added to and expanded as more information comes to light. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 10 A visiting relative spoken to in private confirmed that she had visited the home prior to her mother moving in and she had been provided with sufficient information on which to make a decision as to whether her mother should move to live there. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 11 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 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of service users are set out in an individual plan of care. The service users’ health care needs are mostly met. The arrangements for medication protect service users. Service users are treated with respect and their right to privacy is upheld. EVIDENCE: Care plans are arranged using a standex system. Five service user files and care plans were seen. All contained a range of information including likes and dislikes, social and health care needs and daily records, providing a very brief overview of the service user over the course of a shift. In addition, appointments with health care professionals are recorded and the outcome detailed. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 12 Since the last inspection regular monthly reviews of care plans are now taking place. However, there is no recorded evaluation or summary of how the service user has been, what they have done or how the care provided is meeting the needs of the service user. It would be good practice to include some detail and overview of important events for the individual service user for the period of time being reviewed. In discussion with a visiting relative it was confirmed that formal reviews are held annually and she had attended one for her mother the previous week. It was noted that a falls register is maintained for each service user, which is considered to be good practice. Discussion with a visiting district nurse indicated that generally the home manages the health care needs of service users well. She had no concerns about the care provided by the home. The GP survey indicated that the service always seeks advice appropriately and usually meets the health care needs of individual service users. From all those spoken to and from the results of surveys, there were four comments which suggested the home could improve the frequency of the application of protective creams to service users and their response to requests for medical intervention. It was noted that in a downstairs bathroom a range of toiletries were stored. The proprietor advised that these were available to any service user who wanted to use them. The use of communal toiletries is not good practice and should cease. Service users own toiletries should be taken to the bathroom when they are to have a bath. A hairbrush in need of cleaning was also in the bathroom and the inspector was assured that this belonged to a particular service user who must have left it in error. A brief overview of the medication arrangements was undertaken. The inspector was advised that the home frequently seeks the advice of a visiting pharmacist who can also be contacted through the pharmacy. A senior carer demonstrated the procedure for administration of lunchtime medication. This individual was clearly familiar with the process and was knowledgeable about the medication being administered. vIt was noted that the room in which medication is stored was excessively hot. This was subject to recommendation at the last inspection. The proprietor was advised to seek guidance from the pharmacist and to obtain documentary evidence that this had been done. Service users spoken to confirmed that they are spoken to and treated with respect by staff. These issues are addressed with new staff as part of induction training and reference is made to the need to safeguard individual privacy as part of supervision and ongoing training. Throughout the course of the visit staff were observed knocking on bedroom doors before entering and talking to service users in a respectful and appropriate manner. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 13 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 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ lifestyle in the home mostly match their expectations and preferences. They are supported to maintain contact with significant others and are encouraged to exercise choice and control over their lives. The meals are wholesome and enjoyed by service users. EVIDENCE: The activities provided in the home have improved since the last inspection. There is now a care worker with responsibility for co-ordinating activities and she informed the inspector that these are arranged between two and three times per week. Activities include cards, scrabble, skittles and gentle exercise. In addition, there is very occasionally a keyboard player who visits the home, and the ‘pat the dog’ organisation. Birthdays and Christian religious anniversaries are also celebrated. Both relative surveys indicated that the activities are minimal and should be expanded. One also noted that many people are asleep when they visit and they rarely see an activity taking place. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 14 The home now keeps a record of activities organised but it is not kept up to date. It would be useful to include the names of the service users taking part in activities and when one-to-one sessions occur, such as reading and discussion. Information provided by the service prior to the visit identified that a family history sheet could be implemented in order to find out more about service users’ past lives. This would be good practice and could help to identify appropriate and person-centred activities. However, this was identified by the inspector at the last inspection and little progress has been made since. The manager stated in information provided that the home would also like to arrange more outside activities and trips. There are no restrictions on visiting times and one visiting relative confirmed that she is always welcomed when she visits her mother approximately twice per week. One service user advised that she is collected every Sunday by her son for lunch, an activity she looks forward to. It was apparent from discussion with those service users who were able to provide a view, that the meals are well regarded. A choice is not routinely available at the main meal but an alternative is offered to those who would like it. This was confirmed in the service user survey returned to the Commission. The inspector was informed that tablecloths have been replaced and napkins are now provided on the dining tables. The cook was spoken to and she confirmed that she feels well supported in her role and is provided with sufficient funds to purchase food for the home. The home does not routinely provide fresh vegetables as past experience has seen considerable waste. This waste had occurred following the bulk purchase of fresh vegetables and it was suggested by the inspector that smaller quantities could be purchased in order that service users have fresh vegetables on a regular basis. The cook confirmed that there is always fresh fruit available for service users and it was her view that all service users have at least five portions of fruit and vegetables a day. The menu works on a three-weekly basis and is due to be reviewed by the proprietor and the cook together. New menus have been incorporated, sometimes with limited success, and generally most service users prefer traditional foods. Roasts are served twice weekly and are enjoyed by all service users. A recent visit by the environmental health officer has seen the introduction of the safe food practice book in the home. This has been working fairly well, although staff still require guidance on appropriate completion of documentation and the taking of fridge and freezer temperatures in the absence of the cook. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 15 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are listened to and acted upon appropriately. Service users are protected from abuse. EVIDENCE: The service has a clear complaints policy, a summary of which is included in the statement of purpose. Other than the matter referred to in the summary, the home has not received any complaints since the last inspection. The proprietor advised that the home encourages feedback from service users and when concerns are expressed they like to act upon them and take appropriate action before a situation escalates. The GP survey indicated that the service responds appropriately to concerns, the service user survey stated that they always know how to make a complaint and, of the two relatives’ surveys, one said they did not know how to make a complaint and the other said they could not remember. A full review of staff training was not undertaken. However, the proprietor confirmed that all staff have received training in the protection of vulnerable adults. Staff spoken to provided varying degrees of knowledge and understanding of the procedures but, with some direction, clearly understood the potential for abuse and the types of abuse that an individual can be subjected to. Mon Choisy DS0000013112.V339920.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 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a safe and mostly well-maintained environment that is kept clean, pleasant and hygienic. EVIDENCE: A tour of the premises was undertaken and a range of records relating to servicing and maintenance were seen. The home employs a full time maintenance man who addresses repairs and general maintenance issues on a daily basis. Some of the bedrooms seen had linoleum on the floor and some furniture was old and damaged. The proprietors advised that there is an ongoing programme of furniture renewal including metal beds, and new service users to the home can request carpeting on the floor. One relative indicated that this option had not routinely been offered and the impression they received was that there was a reluctance to provide a carpeted floor. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 17 In discussion with Mr Audit, one of the proprietors, he undertook to contact the relatives of all current service users to make clear that carpeting is available in bedrooms if wanted by service users and appropriate to their needs. During the tour it was noticed that the floor outside the downstairs bathroom was damaged. A temporary repair had been undertaken but the damage still presented a trip hazard. It will be a requirement that a suitable long-lasting repair is made to the floor without delay. In a downstairs bedroom it was noticed that the window could be pulled open with the latches engaged. The occupant advised that this had been reported but had not yet been fixed. This matter was brought to the attention of the proprietors who appeared to be unaware of the problem. They undertook to repair and make safe the window without delay. This matter will also be subject to requirement. There are three lounge areas available to service users and a small relatives’ room that is also used by the visiting hairdresser. These are all decorated to a good standard and are furnished with a range of good quality furniture. The proprietor advised that all taps in bedrooms are due to be replaced with lever type taps to assist service users. Throughout the areas seen the home was clean, tidy and free from offensive odours. The laundry area floor has been retiled since the last inspection and now provides a more hygienic area in which to work. Mon Choisy DS0000013112.V339920.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are met by appropriate numbers of staff, who are trained and competent at their jobs. Service users are in safe hands and are protected by the home’s recruitment policy and practices. EVIDENCE: Five staff were spoken to in private and four files for the most recently recruited staff were seen. Information provided by the service prior to the visit was used and the record of staff was seen. Staff were observed going about their duties in a calm and professional manner. There were sufficient staff on duty to meet the needs of service users. Staff spoken to were clear about their roles and responsibilities and felt well supported. Staff meetings are held approximately every six months and one-to-one recorded supervision is provided two to three monthly. One staff member spoken to clearly had some difficult with understanding and speaking English. The proprietors responded by confirming that this individual had received English lessons and was warm, patient and understood by service users. Staff indicated that training was ongoing and a range of courses had been undertaken such as dementia, manual handling, risk assessments, health and safety and food hygiene. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 19 Staff training records were kept separately for each member of staff. It would be useful to introduce a training profile for the team as a whole to provide a quick reference overview of all training undertaken. NVQ training had been started by some staff and one staff member spoken to advised that they had completed NVQ 4. The service did not provide information about staff qualifications, as requested by the Commission prior to the visit. Recruitment records were in place as required by regulation in all four recently employed staff files. The manager advised that two photographs were awaited but passports did include clear images of the staff concerned. The home does utilise tools such as interview records, but these were not always easily identified within the files seen. Mon Choisy DS0000013112.V339920.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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and is run in the best interests of service users. Service users’ financial interests are safeguarded and their health, safety and welfare and that of the staff are promoted and protected. EVIDENCE: The manager is very experienced and has run homes for older people for more than 25 years. She has now completed the Registered Managers Award. Random visits have now been introduced by the manager so that care practice can be monitored. Advice was given to fully record these visits and the outcome of any recommendations. All staff spoken to felt well supported and a range of positive comments were received about the manager. Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 21 The service does supply questionnaires to relatives and several completed and returned forms were seen. The responses had not been collated and, despite advice provided at the last inspection to seek the views of other stakeholders such as health care professionals and care managers, this had not been implemented. The home does not hold money for any service users. Petty cash is used to purchase small items should service users need them and they are then invoiced directly. A three-monthly health and safety check is undertaken by the handyman when any issues are raised. From information provided by the service prior to the visit and documentation seen in the home, there was evidence that a range of servicing and regular checks of equipment are undertaken. On the day of the visit a fire consultant had been to check the fire warning system. Lift and bath hoist servicing documentation was in evidence. General risk assessments for the home were in evidence and had been reviewed in March 2007. Mon Choisy DS0000013112.V339920.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 3 8 2 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 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 2 X 3 X X 3 Mon Choisy DS0000013112.V339920.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 2 Standard OP19 OP19 Regulation 23 23 Requirement To ensure that the window in downstairs bedroom is made secure. To ensure the flooring outside the downstairs bathroom is repaired to avoid trips. Timescale for action 31/07/07 31/07/07 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 Mon Choisy DS0000013112.V339920.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Mon Choisy DS0000013112.V339920.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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