Inspection on 26/09/06 for Morrell House - City of York Council

This inspection was carried out on 26th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Morrell House - City of York... 10/01/06

Morrell House - City of York... 29/06/05

Morrell House - City of York... 22/03/05

Morrell House - City of York... 16/11/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Morrell House - City of York Council Morrell House 388 Burton Stone Lane York North Yorkshire YO30 6EZ Lead Inspector Donna Burnett Key Unannounced Inspection 26th September 2006 09:15 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 Morrell House - City of York Council DS0000034894.V312935.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. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Morrell House - City of York Council Address Morrell House 388 Burton Stone Lane York North Yorkshire YO30 6EZ 01904 658 998 01904 627723 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) City of York Council Mrs Elaine Pollard Care Home 29 Category(ies) of Dementia - over 65 years of age (29), Old age, registration, with number not falling within any other category (4) of places Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Category OP applies specifically to named service users already resident in the home. No further service users are to be admitted in this category. 10th January 2006 Date of last inspection Brief Description of the Service: Morrell House is a care home run by City of York Council to provide a service for 29 older people of either gender aged over 65 years with dementia care needs. It is also registered to care for 4 older people of either gender over 65 who do not have any specialist requirements. Morrell House was purpose-built approximately 30 years ago and is located on the outskirts of a residential area on Burton Stone Lane. It has undergone much refurbishment over the past few years. The accommodation is provided in single rooms on two floors. The upper floor is accessible via an internal staircases and a passenger lift. Service users are financially assessed for their contribution towards the cost of their care. The current full charge for the service is £426.92 per week. Hairdressing, newspapers and magazines are subject to an additional cost. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is as a result of a key, unannounced inspection of the service. Four hours were spent preparing for the visit and gathering information about the service. One inspector spent six hours on the premises. The deputy manager was available throughout the inspection, which included a tour of the premises. Time was spent talking to service users, staff and visitors to the home. A number of service users and staff files were inspected and a selection of records looked at. Prior to the site visit, information about the service was provided by the registered manager and is included in the main body of the report where relevant. Written comments were received from 21 relatives of people living at Morrell House, 6 General Practitioners and 1 Social Services Care Manager. Feedback was given to the deputy manager at the end of the inspection. What the service does well: The home is well run and its staff are welcoming and cheery. The environment is bright, clean and well maintained. Service users or their representatives are given enough information about the home before they move in. Someone from the home visits them prior to admission and they are offered the opportunity to visit the home for a look around and to ask questions about how the service is delivered. This enables prospective service users to make an informed decision as to whether the home is the right place for them to live. Comprehensive assessments are done from which a clear, easy to understand care plan is developed. Staff work well with other agencies and professionals to ensure that health needs are met. Staff are kind and helpful and make an effort to provide the service in the manner that service users want. The home benefits from low staff turnover, which allows for continuity of care for people living there. There are various outings and in house activities on offer, which allow service users contact with the wider community and provide stimulation. Visitors are encouraged and made welcome. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 6 One relative states that it is a ‘very well run home’ and ‘care is excellent’. All 21 relatives who returned comment cards said that they are satisfied with the overall care provided at the home. A family member said that they are ‘very happy with the way our relative is cared for’. Another relative described the service as ‘exceptionally good in all aspects’. People living at the home look very well cared for. 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. Morrell House - City of York Council DS0000034894.V312935.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 Morrell House - City of York Council DS0000034894.V312935.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6. Quality in this outcome area is Excellent. A comprehensive needs assessment ensures that the diverse needs of service users are identified and planned for before admission. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The deputy manager of the home visits prospective service users at home or in hospital and undertakes a comprehensive assessment of their care needs. Relatives and other relevant people, such as Care Managers, are involved where possible to find out more information that the service user may not be able to provide themselves. Admissions only take place if the home is confident that the staff have the skills to meet individual care needs. Discussions with staff members available during the inspection confirmed that people requiring care beyond their level of expertise are not admitted to the home. The six GP’s who made comment felt that the staff had a good understanding of the needs of the people living in the home. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 9 The home occasionally admits people at short notice and in an emergency. This provides a valuable resource for families who may be at crisis point and could prevent an inappropriate hospital admission. In these circumstances, a written copy of the Care Managers assessment is obtained before an admission will be agreed. This is so that staff will have sufficient information to be able to give the care required. A further assessment is then carried out by the home during the course of the short stay. Prospective service users and their families are offered the opportunity to visit and spend time at the home prior to moving in so that they can make up their own mind about whether or not to live at Morrell House. Admission documents looked at provide good information and include a copy of the care management assessment. The diverse needs of service users are identified. The information is available to staff to enable them to understand the social, personal and emotional needs of people who use the service. The home does not provide intermediate care. Morrell House - City of York Council DS0000034894.V312935.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is Excellent. Service users receive a service that meets their needs. Systems have been established to ensure that the storage and administration of medication protects service users from the risk of error. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The service user plans looked at during the inspection were detailed and explained what care and help was required. They were plainly written and easy for new/relief members of staff to understand. Service users choose how and when their personal care is delivered and are encouraged to exercise their right to have choice. All of the relatives who returned comment cards said that they are consulted with. Service users wishing to maintain independence are supported to do so safely. There was evidence that the plans were regularly looked at and updated to reflect changes in need. Health care needs were identified in the service user plans looked at and feedback from the six GP’s who were surveyed was positive. They felt that ‘staff deal well with very challenging people in a very appropriate way’. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 11 One GP, on behalf of their practice, stated that they ‘continue to have great confidence in the staff and standards of care at Morrell House’. The home has a good relationship with health care professionals who are consulted with and contacted as and when service users health care needs change. Relatives consulted with had no concerns about the ability of staff to deliver a good standard of care. One family member commented that her relative was ‘wellcared for with great kindness’. Another had ‘no worries about the care’ and felt that their relative was ‘happy and content’. Service users themselves said they ‘wouldn’t want to go anywhere else’ and were ‘very happy’. Medication prescribed for individual service users is stored safely and securely. Staff responsible for the administration of medication are trained and assessed as competent to do so. Records are kept of medication received, administered and disposed of. Medication charts looked at showed who had been given which medication, at what time, and by whom. There is a named, suitably trained member of staff who takes responsibility for the ordering and stock control of medicines. It was evident that this role is taken seriously and the risk of errors occurring are minimal. The home has a good relationship with the local pharmacist who offers valuable support and advice thus reducing further, the risk of errors. The layout of the home allows service users to meet their visitors in private. There are several small lounges and an enclosed, private rear garden. A payphone is available and allows for privacy. Mail was seen being handed to service users unopened. Bedrooms are kept locked when not in use to allow for the safety and security of personal possessions. All of the relatives who returned comment cards confirmed that they are able to visit in private and always feel welcome. Staff spoken to were knowledgeable about the needs of the people who use the service. They were observed providing support in a kind and helpful manner. Service users looked clean and very well cared for as did their clothing. Assistance was being given in order to maintain dignity and many of the ladies were wearing jewellery and nail varnish. Communication between service users and staff was appropriate and respectful. Morrell House - City of York Council DS0000034894.V312935.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is Excellent. People living at Morrell House are offered a variety of stimulating and interesting activities. They enjoy meals which are nutritious and varied. This judgement has been made using available evidence including a visit to the service. EVIDENCE: A qualified Occupational Therapist is employed as the activities co-ordinator for the home. A wide range of social activities and stimulation are on offer. Each service user has a personal profile, which they themselves and family members have contributed to. Information about previous hobbies and interests are recorded and allows activities to be arranged which are both appropriate and specific. The activities co-ordinator is motivated, enthusiastic and has a genuine interest in working with people with dementia. The budget allows money to be used to allow service users to enjoy the greenhouse, gardening and days out in small groups. Visitors says they are made welcome and this was seen to be the case during the inspection. Service users are assisted to pursue leisure interests, which involve the wider community. Coffee mornings, fund raising events and visits from schools help maintain good links with the community. Religious needs are met according to specific religion; communion is currently brought in for two people living at the home. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 13 Rooms looked in were personalised and there was evidence throughout the inspection that service users were being given choice about matters important to them. The kitchen is clean and well organised and the cook caters for specific likes and dislikes. There was a good supply of fresh fruit and home baked cakes. Food is delivered from York District Hospital part of the week and reheated on the premises. This process is done under strict guidelines in order to maintain safe food hygiene. There are no outstanding requirements from the last Environmental Health kitchen inspection. It was evident that food is stored, prepared and presented in such a way so as to minimise the risk of cross contamination and food poisoning. Service users spoken to were complimentary of the food and were observed being offered a choice at mealtimes. Morrell House - City of York Council DS0000034894.V312935.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. Service users are protected from harm. A clear, robust complaints procedure ensures that complaints are dealt with and responded to effectively. This judgement has been made using available evidence including a visit to the service. EVIDENCE: No complaints have been made since the last inspection, either to the home or to the Commission for Social Care Inspection. Feedback from relative’s surveys confirmed that they are aware of the complaints procedure and know who to talk to if they are not happy. The complaints record showed that earlier complaints had been dealt with appropriately and to a satisfactory outcome; the relative who had made the complaint verified this. The council has its own, clear complaints procedure. All service users and visitors spoken to during the inspection stated that they had ‘nothing to complain about’. Staff are well trained and those spoken to had good awareness of adult protection issues. When talking to the staff on duty it was clear that they knew what to do and who to tell if they suspected abuse or poor practice. Training in the prevention of abuse is included in the induction training and refreshed regularly. There was no evidence to suggest that service users were being treated in an inappropriate way, and relatives who commented felt that people were in safe hands. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 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 & 26. Quality in this outcome area is excellent. Service users live in clean, pleasant surroundings. This judgement has been made using available evidence including a visit to the home. EVIDENCE: The home is well maintained and provides a safe environment for people living there. The building is secure and systems are in place so that the staff know who is in the building at all times. The layout of the building allows service users to move freely and safely around the home. Bathrooms have assisted bathing facilities to allow service users with restricted movement/disabilities to still access the bath. There are several sitting areas around the home where service users can get away from others without having to go to their bedrooms. Dining areas are small and not institutionalised. The rear garden is enclosed and spacious, allowing for gentle exercise and physical activity. Potentially hazardous area of the home are inaccessible to service users in order to maintain their safety. The deputy manager stated that requirements made by the fire officer following the last fire inspection have been met. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 16 There were no issues arising from the environmental health officer’s report of the kitchen following its refurbishment last year. Relative spoke of a ‘very caring environment’ and of being ‘impressed with the facilities’. The home was being constantly cleaned during the inspection and one relative spoken to commented on how clean the home was kept. Where problems had been identified with a soiled carpet, this was being addressed and alternative methods of floor covering were being looked into further. There was evidence of protective gloves, aprons and disinfectant hand scrub throughout the home. Soiled clothing and incontinence pads were dealt with appropriately so as to avoid the risk of infection. The laundry was observed to be well-organised and non-intrusive to service users. Systems were in place to avoid the spread of infection. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 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, 28, 29 & 30. Quality in this outcome area is good. Staff are properly vetted and trained and in sufficient numbers to ensure a good standard of service delivery. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Staffing levels allow the needs of the service users to be met. Relatives who were consulted felt that there was usually sufficient staff on duty. GP’s and the Care Manager who returned comment cards said there was always a senior member of staff on duty to talk to. A care leader runs each shift and supports care staff and general assistants. The manager and deputy manager oversee the running of the home and are contactable out of hours and when off duty themselves. The staff team have a good range of skills relevant to the needs of the people living at the home. One GP’s comment was that all the doctors in that particular surgery had ‘great confidence in the staff’. The GP also felt that ‘staff deal well with very challenging people in a very appropriate way’. Some comments from relatives who returned comment cards were ‘all the staff are excellent, very caring and friendly’. It was also commented that ‘carers are very devoted’ and ‘go out of their way to help both relatives and residents’. Many of the staff have worked at the home for a long time and consequently know the service users very well. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 18 A bank of relief staff is being established which would ensure more continuity of care for service users. One relative commented on the ‘willingness on the part of staff to cover any shifts as needed.’ Agency staff are sometimes used although in the first instance existing members of staff cover shifts if at all possible. The home has a contract with a care agency, which provides carers with the suitable knowledge and skills to be able to meet the needs of people living at Morrell House. The agency has a responsibility to make sure the carers they employ are appropriately recruited and vetted in order to protect and safeguard the well being of service users. Staff files examined showed a satisfactory recruitment process, which endeavours to make sure that only suitable people are employed. There is an induction programme that ensures new staff members are given the right information to be able to do their jobs well. Mandatory training includes lifting and handling, food hygiene, and health and safety. Specialist training includes dementia care, promotion of independence, falls prevention and medication. A high percentage of staff have achieved National Vocational Qualifications level 2 or above. Staff spoken to confirmed that the on going training programme is good, providing them with the skills and knowledge to meet service users needs. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 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, 33, 35 & 38. Quality in this outcome area is good. The home is managed in a manner that promotes good service delivery in the best interests of service users. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Comments from relatives include ‘excellent management’. The home is well managed and the management structure is clear. Staff and families know who to got to if there is a problem and relatives consulted with are very happy with the way in which the home is run. The registered manager was unavailable during the inspection but the deputy manager is clearly competent, organised and able to effectively run the home in the absence of the manager. Both the manager and the deputy manager have management qualifications and are up to date with mandatory training. They have the skills and expertise to lead and support a dedicated staff team. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 20 The home is subject to detailed internal audits but has yet to be formally reviewed by the council following the changes to the service, which occurred last year. One relative ‘would like to thank and compliment the staff on the level of care and thought that goes into the daily activities of looking after my relative’. Many positive comments were received as a result of surveys sent out to relatives by the Commission for Social Care Inspection. The home keeps a record of commendations and compliments received. A formal system needs to be established in order for the home to be effective in monitoring the service it provides. Whilst the care is clearly good and the staff committed, the views of service users, families and relevant others are not actively sought. Areas where improvements may need to be made either now or in the future may go unnoticed. A dedicated member of staff takes responsibility for the safe management of service users money left at the home for safekeeping. Accurate records of all transactions are kept to prevent the risk of financial irregularities. Service users can have access to their money at any time. One service user spoken to was assisted to look after a small amount of money safely thus maintaining some independence. Several people were observed wearing items of jewellery which helped to maintain individuality and allow personal expression. Safe working practices were observed during the inspection and staff had received essential training in moving and handling, fire safety, first aid, food hygiene and infection control. Staff spoken to said that there was lots of training; training records verified this. The environment is kept safe by restricting service users access to potentially hazardous areas of the home. Window restrictors prevent accidents through open windows and there was no evidence of trip hazards. A selection of safety certificates and maintenance records were looked at which showed compliance with health and safety legislation. Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 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 4 X 3 X 4 X X 3 Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Morrell House - City of York Council DS0000034894.V312935.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!