Inspection on 23/06/06 for New House

This inspection was carried out on 23rd June 2006.

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

New House 08/03/06

New House 14/12/05

New House 13/01/05

New House 17/08/04

New House 28/01/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 New House Behoes Lane Woodcote Reading RG8 0PP Lead Inspector Nancy Gates Unannounced Inspection 23rd June 2006 13:30 New House DS0000013117.V295640.R01.S.doc Version 5.2 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 New House DS0000013117.V295640.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 Adults 18-65. 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. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service New House Address Behoes Lane Woodcote Reading RG8 0PP 01491 681874 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) stephenrees@milburycare.com londonroad@tiscali.co.uk Milbury Care Services Limited Tina Greenaway Care Home 8 Category(ies) of Learning disability (8) registration, with number of places New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2006 Brief Description of the Service: New House is a detached home in the small Oxfordshire village of Woodcote near Reading. The home provides support to seven people who have a learning disability. Each person has a variety of needs; some individuals needing support for mobility issues. Residents are supported on a 24-hour basis by a staff team who are employed by Milbury Care Services who are part of the Paragon Group. The current range of fees for this service is £968.65 to £1295.81 per week. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. From the 1st April 2006 the Commission for Social Care Inspection (CSCI) has developed the way it undertakes the inspection of care services. The inspection of the service was an unannounced ‘key inspection’. The inspector arrived at the service at 1.30 pm and was in the home for 5 hours. The time spent at the home allowed for a thorough look at how well the service is doing. The inspection took into account information provided by the service manager inclusive of information that CSCI has received about the service since the last inspection. The inspector asked for the views of the people who use the service. The inspector also asked the views of others who support the needs of the people who use the service via a questionnaire that the CSCI sent out. Residents were in the home at various times during the inspection visit. There were seven staff members on duty including the manager. Residents and staff members were friendly and welcoming. The inspector looked around all of the building, including residents’ bedrooms. A number of records were inspected including the personal records of service users. Two staff members and the manager were spoken with. No visitors were available to speak with. What the service does well: Residents are supported to make decisions about their lives with guidance and support from staff members. Residents’ decisions and wishes are respected. Guidance is also provided from appropriate professionals allowing for support to relate to needs and wishes. Staff are attentive and respectful to residents. Residents are also supported to make lifestyle choices, which recognise individuality and communication needs allowing individuals to take risks within these choices. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. Residents’ personal and healthcare needs are appropriately supported, any changes in health status are recognised and acted upon. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 6 Access to additional support from health care professionals including members of the Community team for People with Learning Disabilities (CTLD) is consistent and meets residents’ health needs. The storage and administration of medication are appropriately monitored. Staff skills have been reviewed and updated to ensure the safety of residents when medication is being administered. A clear complaints process is available to residents and their representatives and the protection of residents is assured by the availability of adult protection guidance. The qualifications to be attained by staff e.g. NVQs and the Learning Disability Award Framework (LDAF) underpin the support needs of residents. Increased regular contact with the home and continued quality monitoring has ensured that the service is now monitored effectively. What has improved since the last inspection? The care and support records held for residents have continued to be updated and reviewed resulting in a significant improvement in the quality of information available to support residents. The inspector welcomes the commitment to ensuring that plans continue to reflect who people are as individuals. Significant changes and ongoing refurbishment are improving the comfort and cleanliness of the home. Milbury have committed a large amount of money to ensure that the standard of accommodation is improved significantly recognising that it is the residents’ home. Issues of environmental health and safety, bars at a bedroom window, risk assessment, kitchen cleanliness, fire exit restriction, infection control within the bathrooms and radiator covers have or are being addressed. A registered manager now has the responsibility for all aspects of care ensuring that the health and safety of residents can be monitored on a regular basis. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 7 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. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. No admissions have been made to the home, although the assessments completed for current residents provide adequate information for admission. EVIDENCE: No admissions have been made to the home since the previous inspection. Information for prospective service users accurately describes what the home has to offer. The assessments completed for current residents provide adequate information for admission. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care plans detail the needs of individuals and how they like to be supported. Residents are supported to make decisions about their lives with guidance and support from staff members. Guidance is also provided from appropriate professionals allowing for support to relate to needs and wishes. Residents’ decisions and wishes are respected. EVIDENCE: The care/support plans for three residents were viewed. A significant amount of time and effort has been made to improve the quality of information relating to residents’ needs. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 11 The documents now provide clear information as to how each person likes to be supported and it is clear that the individuals had contributed throughout the process of re-writing and reviewing of the plans. Each plan has been divided into sections. ‘About me, Daily notes, Communication, Important people in my life, My good news, My action planning meeting/review notes, Keyworker, Health and Statement of Purpose/service user agreement/Service User Guide. The plans are consistent in relation to clear description and recognition of who people are as individuals and now contribute to establishing trusting and supportive relationships with new members of staff. The plans now give opportunity for personal likes and wishes to be prioritised in order of individual personal preference. Communication passports, using lots of photographs of individuals provide insight into communication needs, identifying and guiding staff in the interpretation of sound and gesture for some individuals. Continued consultation with the Speech and Language Therapist from the Community Team for People with Learning Disabilities has resulted in a recognised communication system being used for a number of residents. ‘Objects of Reference’ focuses on recognisable objects relating to an activity or daily tasks for people to touch and make a decision about what they want to do. There is also concentration to ensure that people are enabled to communicate through smell and touch. Staff members have continued to express a clear commitment to undertake training in ‘Intensive Interaction’ to ensure the sounds and gestures of individuals are acknowledged and understood as far as possible. The review of information is gathered from staff on a regular basis, keyworker having the responsibility to complete a summary with an individual to ensure information is accurate and up to date. Risk assessments have been reviewed and updated acknowledging behavioural support needs to support household members appropriately. The needs of two residents who share a bedroom with limited privacy continue to be acknowledged and reviewed. Options for the future are being considered in discussion with the individuals, care managers, advocates and the staff team. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported to make lifestyle choices, which recognise individuality and individual communication needs allowing individuals to take risks within these choices. Mealtimes are offered, as a social activity whilst recognising the behavioural support needs of individuals. EVIDENCE: A large activity chart using pictures has been produced, each picture representing activities for individuals throughout each day. Planning continues to use pictures that will be related to objects of reference allowing staff to make clear links to an individual’s communication needs and for individuals to make a clear choice about participating or choosing to do something different. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 13 Comments received from residents included, “ I can do what I want to do…if one of the carers can drive I go out shopping, or to the pub for a meal or to a restaurant or for a drive or by the river.” “Sometimes people do not understand me but staff always do their best to find out what I want.” The specific needs of one resident have been acknowledged, additional support has been provided once a week, a clear attempt to recognise individuality. Changes in a day service for one resident has made a significant change in reducing recorded challenging incidents. “The changes have allowed X to have peace with the world…X now goes shopping and will join group activities which is a real change.” The inclusion of residents’ families continues. Families, advocates and members of the local community have been invited to a garden party; further social activities are planned for the remainder of the year. Comments received by the CSCI from families were positive regarding support offered, “This is an excellent home. I have always been delighted with the care and attention my relative receives.” Residents are being supported to make holiday plans. It is clear that staff are ensuring individuals are making lifestyle choices with support. New height adjustable dining furniture has been purchased. Mealtimes are offered, as a social activity whilst recognising the behavioural support needs of individuals. All household members are involved in the planning of weekly menus, a varied selection of food options is available, drinks were offered on a regular basis to residents. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ personal and healthcare needs are appropriately supported. Changes in health status are recognised and acted upon appropriately. Access to additional support from health care professionals is consistent and meets residents’ health needs. The storage and administration of medication ensures the protection of residents. EVIDENCE: Support plans detail clear guidance of how residents wish their personal and healthcare needs to be supported. The manager and staff have made a clear commitment to ensuring that the plans are reviewed on a regular basis. The manager has continued to develop links with the local Community Team for People with Learning Disabilities and is using every opportunity to ensure that residents are receiving appropriate health care support when required. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 15 Residents are appropriately supported to access health services and are registered with a local doctor. Medication reviews are conducted with the doctors on a regular basis. Medication storage and administration records (MARs) were viewed. A lockable cabinet ensures the safe storage of medication. No omissions were noted; records were accurate and up to date. Specialist training has been provided by a community nurse to ensure that staff knowledge and competency is up to date and protects residents. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A clear complaints process is available to residents and their representatives. Protection of residents is assured by the availability of adult protection guidance. EVIDENCE: No complaints have been received at the home since the last inspection. A complaints policy, procedure and information for residents are available at the home. Residents commented that they are able to vocalise their wishes if they’re not happy. Staff members confirmed that they have been made aware of the whistle blowing policy. Milbury policy guidance regarding the protection of vulnerable adults is available to staff. No information concerning complaints, concerns or allegations has been received by the Commission since the last inspection. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Significant improvements have been made to the standard of accommodation and facilities offered to residents. Residents are provided with accommodation of a good quality that is clean and homely. EVIDENCE: Significant improvements have been made to the internal and external appearance of the home. A previous inspection highlighted a number of issues that needed to be addressed. It is clear that the manager and proprietor have committed a large amount of time and money to improve the comfort of all spaces for residents. The home has been re-decorated, offering a clean appearance throughout. Service users’ bedrooms continue to reflect individual tastes, containing personal effects that suggest that individuality is recognised. The issues identified from a tour of the home during a previous inspection have been addressed. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 18 • • • • • • Lounge: The lounge has been redecorated. A new suite of furniture has been ordered which includes a chair that specifically meets the needs of one resident. Dining area: A large height adjustable table with a number of chairs are available. Ground floor bathroom: The bathroom contains a specialist bath that is due for replacement. The manager stated that a replacement has been found and will be installed in the near future. The cleanliness of the bathroom has improved significantly; tiles are due to be replaced. The ceiling track hoist has been repaired. Kitchen: A new kitchen with new appliances has been fitted. A height adjustable kitchen surface has been installed providing better access for residents. The kitchen was clean in all areas. Fridge and freezer temperatures are recorded appropriately. Stair well: Two large sheets of hardboard, which have now been painted, are attached to the first floor and top stairwell handrail. The manager stated that the boards have remained for the safety of a resident. Risk assessment and guidelines are available. Upstairs bedrooms: The concertina bars have been removed from one resident’s bedroom, alternative safety measures have been used, presenting a positive view of the person to the wider community. Radiator covers are being fitted throughout the home. A shared bedroom has an en-suite bathroom. Two people who have very different physical support needs share the room. A ceiling track hoist is available for one individual who has mobility support needs. The en-suite bathroom has been converted to a wet room, which meets the needs of both individuals who use the en-suite. Staff commented that the wet room has made a huge difference to one resident who is now requesting to have a shower in the en-suite instead of the downstairs bathroom. The curtains used at the entrance to the en-suite remain but are due to be replaced. A screen continues to be used in the middle of the room in an attempt to provide privacy. The manager acknowledges that the use of the screen, whilst blocking the view, cannot provide complete privacy when personal care and support are being provided. This will hopefully be addressed within the continuing review of the shared room. • Fire exit: The pathway leading from the fire exit closest to the kitchen has been cleared of leaves. The branches of a large tree, from a neighbour’s property which obstructed the exit down the ramp have also been cut back to ensure a clear exit. Patio slabs at the bottom of the ramp remain loose and unstable in areas. The manager stated that this would be addressed in the near future. DS0000013117.V295640.R01.S.doc Version 5.2 Page 19 New House • • Window frames: The wooden window frames are in the process of being re-stained/varnished. Garden & garden furniture: The garden has been tidied and offers a large space. Staff stated that a ‘wish list’ has been submitted for projects for the garden. A quotation has been obtained for a pathway that will allow access for all residents. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff were attentive and respectful to residents. The qualifications to be attained by staff underpin the support needs of residents. Training opportunities provide staff with the knowledge required to support residents’ needs. Staff are supervised appropriately. Staff records indicate that the recruitment process is adhered to and that residents are protected. EVIDENCE: Interaction with residents was positive and respectful. Staff are committed to supporting the needs of residents. Interviews were being conducted on the day of the inspection visit in order to fill the remaining full time support worker job at the home. Two staff have recently been recruited and are waiting for all recruitment checks to be completed. This is welcomed, as permanent staff should offer consistency in supporting residents. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 21 The manager is aware that staff are expected to complete an NVQ qualification to support their skills. Three members of staff have completed an NVQ. Remaining staff members are waiting to start the award. An expectation remains that staff will complete an NVQ qualification linked to the Learning Disability Award Framework (LDAF), again in order to support skills. Staff recruitment records are held at the home and contain the relevant information for the protection of all house members. The manager confirmed that Criminal Records Bureau (CRB) checks are undertaken and disclosure numbers are recorded. As the inspector was unable to see the CRB checks, the inspector reminded the manager that documents must be held in staff files until inspected. CRB checks are held at Milbury Head Office in Henley. The training programme offered by Milbury underpins the knowledge required to support residents. Staff confirmed that supervision is provided regularly alongside the offer of regular staff meetings. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The registered manager and staff have made significant improvements to the quality of support offered to residents. Regular contact with the home and continued quality monitoring has ensured that the service continues to be monitored effectively. EVIDENCE: The registered manager and staff team have made significant improvements to the quality of the support offered to residents. The consistency of support has improved; the individuality of residents has been acknowledged and respected. The Operations Manager of Milbury care visits the home every month to gain the views of residents and staff regarding the quality of support offered. A report of the visit is produced and provided to the manager. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 23 The Regional Director and Operations Manager have continued to visit or contact the home on a regular basis following the issues identified during a previous inspection, ensuring that the manager feels supported and can highlight any further issues to be addressed. A local residents forum ‘The sky’s the limit’ offers a resident and a member of staff from each service the opportunity to discuss issues about the service offered by Milbury. An objective of the forum is to eventually look at the policies and procedures of the organisation and contribute to their review. A staff member taking responsibility for carrying out regular checks assures the health and safety of household members. Records viewed were accurate and up to date. New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? 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 New House DS0000013117.V295640.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South, Cowley Oxford OX4 2SU 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. 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