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Inspection on 10/07/08 for Notintone House Care Home

Also see our care home review for Notintone House Care Home for more information

This inspection was carried out on 10th July 2008.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Notintone House has a pleasant, homely and welcoming atmosphere, is wellmaintained and people are satisfied with their rooms. "I am very satisfied with my room, it has everything I need," said one person.Relatives expressed their satisfaction with care and staff, one said, "the staff are very caring and go the extra mile for my mother." Food is wholesome, appetising and served in pleasant surroundings and people using the service said they enjoyed the food and there were always choices. People using the service said they were very happy with the activities organised within the home and one said, "the organiser is so bubbly and cheerful and she doesn`t talk about the war."

What has improved since the last inspection?

The statement of purpose, service user guide, copy of the last inspection report and complaints procedures were all displayed prominently in the entrance area of the home, available, to provide information for people who may be considering using the service. Assessment documentation has improved and is thorough, with evidence of risk assessments carried out to support the people using the service to take risks and make choices. Facilities in the bathroom, which is also used as a hairdressing area, have been improved, including the installation of a mixer tap making it easier to protect people who use the area to have their hair washed, from the risk of water being too hot. Procedures for administration, storage and recording of medication have been improved reducing risks from error, helping meet the health and welfare needs of people using the service.

What the care home could do better:

The statement of purpose must be amended to include the home`s recent registration to care for people with dementia to provide people with sufficient information about the home`s facilities to help them make an informed decision about whether the service can meet their individual care needs. Care plans developed from the thorough assessments and risk assessment documentation must include the actions required to deal with the identified care needs in a way which promotes the well-being of people using the service. People using the service must have opportunities to pursue activities outside the home. One person said, "I like to go shopping, but can`t get out on my own now and there`s no-one to go with me."One relative spoken with emphasised that the only thing they really miss is "going outside the home." "They don`t have trips even to ride around the town. They are not bothered about the seaside, just want to get away from the home for a while."

CARE HOMES FOR OLDER PEOPLE Notintone House Care Home Sneinton Road Sneinton Nottingham NG2 4QL Lead Inspector Lee West Unannounced Inspection 10th July 2008 12:15p 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 Notintone House Care Home DS0000002213.V368487.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. Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Notintone House Care Home Address Sneinton Road Sneinton Nottingham NG2 4QL 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) 0115 950 3788 0115 959 8604 william.robins@salvationarmy.org.uk Salvation Army Mr William Robins Care Home 40 Category(ies) of Dementia (40), Old age, not falling within any registration, with number other category (40) of places Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 40 7th August 2007 2. Date of last inspection Brief Description of the Service: Notintone House, run by the Salvation Army, is a purpose built care home for older people, accommodates 40 people, recently registered to admit people with a diagnosis of dementia, it is situated within the William Booth Memorial complex. This complex includes a day centre, which the home provides with hot meals from the refurbished kitchen. The Salvation Army is a Christian organisation and has at the heart of its mission statement care for people regardless of race, colour, creed gender or age. The home is situated close to the city centre, with easy access to local community facilities. People are accommodated in single rooms on four floors, accessible by a passenger lift, with other aids and adaptations available to promote independence. There are car parking spaces at the rear of the property. The current weekly fee range is £329.83 to £437.22. Being a charity there is no profit element and there are no additional costs as the level of care increases. A copy of the last inspection report, the service user guide and statement of purpose were all readily available on a table in the home’s foyer and the current certificate of registration was prominently displayed in the foyer. Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means people who use this service experience good quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for people and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection was unannounced and involved one inspector. The main method of inspection used is “case tracking”, which involves selecting three people and looking at the quality of the care they receive by speaking with them, observation, reading their records, and asking staff about their needs. Three members of staff were also interviewed and their records checked to make sure the service carries out robust recruitment procedures to protect vulnerable people. Due to the complex needs of some of the people, time was spent with them in the lounge and dining areas observing their interactions with staff and each other, as well as communicating directly with them. Documents, including care plans and medication administration records were inspected to help form an opinion about the health, safety and welfare of people at the home. Information supplied to the commission by the manager, including the Annual Quality Assessment, with information received by the Commission about the home, since the last inspection, were also considered, and helped the decision of which areas to focus on. What the service does well: Notintone House has a pleasant, homely and welcoming atmosphere, is wellmaintained and people are satisfied with their rooms. “I am very satisfied with my room, it has everything I need,” said one person. Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 6 Relatives expressed their satisfaction with care and staff, one said, “the staff are very caring and go the extra mile for my mother.” Food is wholesome, appetising and served in pleasant surroundings and people using the service said they enjoyed the food and there were always choices. People using the service said they were very happy with the activities organised within the home and one said, “the organiser is so bubbly and cheerful and she doesn’t talk about the war.” What has improved since the last inspection? What they could do better: The statement of purpose must be amended to include the home’s recent registration to care for people with dementia to provide people with sufficient information about the home’s facilities to help them make an informed decision about whether the service can meet their individual care needs. Care plans developed from the thorough assessments and risk assessment documentation must include the actions required to deal with the identified care needs in a way which promotes the well-being of people using the service. People using the service must have opportunities to pursue activities outside the home. One person said, “I like to go shopping, but can’t get out on my own now and there’s no-one to go with me.” Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 7 One relative spoken with emphasised that the only thing they really miss is “going outside the home.” “They don’t have trips even to ride around the town. They are not bothered about the seaside, just want to get away from the home for a while.” 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. Notintone House Care Home DS0000002213.V368487.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 Notintone House Care Home DS0000002213.V368487.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): 1, 2, 3, 6, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People have a pre-admission assessment, but the statement of purpose needs updating to include the registration for dementia, to help people make up their minds whether the home is suitable for their personal care needs. EVIDENCE: People’s individual aspirations and needs are assessed prior to moving to the home, and set out in the care plan documentation. There are opportunities for people thinking of using the service, their relatives and friends to visit the home. One relative spoken with said, “My relative was able to visit and stay for a while, before choosing the come into the home and it was the way we were treated during the visit which helped us make up our minds that this was the right place.” Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 10 The statement of purpose has not been updated to include information about facilities available for people with a diagnosis of dementia, following the service’s registration to provide care for people suffering from dementia. Notintone House takes people for short-term care and assessments were seen which supported people to maintain their independence, ready to return home. Notintone House Care Home DS0000002213.V368487.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 good This judgement has been made using available evidence including a visit to this service. There are thorough assessment and risk assessment documents, but some of the care plans do not identify the actions needed to address problems, which could lead to people’s care needs not being fully met. EVIDENCE: One person’s care assessments identify broken skin and double incontinence, but there is no corresponding care plan, or any actions identified to deal with either of these problems. Another states, “a person using the service has a tendency to get aggressive when approached about certain aspects of his daily living arrangements,” but doesn’t say what they are, or what actions are necessary to calm any aggression. One of the people using the service said, “The staff treat me well and I am well taken care of. They help me whenever I need help.” Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 12 Staff spoken with are knowledgeable about people individually and explain how they meet their individual needs and their strategies for helping people who are sometimes aggressive. One staff member said, “I like to use distraction and change the subject to something I know they like to talk about, sometimes people get distressed because they aren’t being listened to and I like to spend some time listening to people to discover what they need me to do.” Administration of lunchtime medication was observed. Storage, administration and recording is done in accordance with polices and procedures. The person administering always asking people if they require their medication and encouraging them to take it. The Medicines Administration Records are accurately completed, only signed when the person had taken the medication and the trolley is locked each time the carer moved away to administer medication. The records show evidence of being audited by senior staff for any omissions and none were seen during this visit. The trolleys are clean, well stocked with a system in place for unwanted medication storage and return to the pharmacists. At present there is no one administering their own medication, but the service has procedures in place to enable people to do this if they wish. Notintone House Care Home DS0000002213.V368487.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 good This judgement has been made using available evidence including a visit to this service. People’s lifestyle generally matches their expectations and they have choices, but the opportunities for activities outside the home are limited, reducing their control. The wholesome, balanced diet is served in pleasant surroundings, with people choosing what they like to eat. EVIDENCE: An activities co-ordinator has been appointed and she showed me her records of activities organised and who attends. The activities co-ordinator is enthusiastic and has introduced a number of different activities for people to try. People using the service said, “I can’t get out now, and can’t just go out and I like shopping and needs a new pair of shoes, but there isn’t anyone free to go with me. I’m a keen gardener and really miss being outside. I prefer my own company more than group activities, but would enjoy trips out.” Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 14 One relative spoken with said, “Mum enjoys the activities provided now, but would like to go out.” Another relative said, “the only thing they really miss is “going outside the home.” They don’t have trips even to ride around the town. They are not bothered about the seaside, they just want to get away from the home for a while.” Staff spoken with said trips were difficult now as the transport had been changed and there were now only 5 seats available, making it impossible to take groups of people out at the same time. People spoken with said they are very happy with the way the carers help them to make decisions and treat them with dignity whenever they do help. Staff were observed supporting people with their choices of activities with their individual preferences. An example of this was when one of the people using the service wanted to watch a religious film, whilst other people in the room were reading, carrying out craft work, or sitting and talking to each other. The rapport between staff and people using the service is positive helping with their well being. There is a lot of chatter and banter between people using the service as well as between them and staff. The lunchtime meal was observed. The meals served by one person with three members of staff assisting others to eat. Being carried out in a positive way, taking their time, only helping one person at a time and not rushing the person. Meals were of differing sizes, and soft and liquidised food is also served in an appetising way. I observed the person serving the meals to check the list for each individual’s chosen meal. One person said, “the food here is lovely and if I want something different, I can have it.” Notintone House Care Home DS0000002213.V368487.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. People are aware of how to make complaints, which are taken seriously. Safeguarding practices have been updated and staff are being trained to ensure protection of people using the service. EVIDENCE: Notintone House has a complaints book, recording all complaints and outcomes, with copies of the complaints procedure available in the foyer area, with the published last inspection report and service user guide. The complaints procedure is also set out in the service user guide. Complaints are taken seriously and outcomes are recorded, and since the last inspection there have been no complaints received. One family spoken with said they were satisfied Major Robins and all the staff were very supportive and if they had any complaints they would be dealt with. All residents monies and financial affairs are handled, monitored and protected to ensure accuracy, openess and security is maintained. Legal rights are maintained with postal voting and personal voting offered and encouraged. Staff are attending training in safeguarding adults and records viewed showed training had been undertaken. Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 16 One person spoken with said, “I’ve got a copy of what I need to do if I want to complain, but I haven’t got anything to complain about and if I had a worry I would speak to any member of staff, who would help me.” Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 17 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, 23, 24, 25, 26, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The atmosphere in the home is very welcoming and homely and all areas are clean and well-maintained positively enhancing the well-being of people using the service. EVIDENCE: A team of housekeepers ensure the home is kept clean and odour free and to control and prevent the spread of infections and people spoken with said they were very satisfied with the work this team does within their own rooms, as well as in the shared areas. They all said they were very happy with the home and their rooms and said they have their personal possessions around them. The fish in the fish tank, in the entrance area, look healthy and water is clean. Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 18 The laundry room is tidy and there is a quiet room available. The wheelchair store has been devised with “slotted blinds” which pull back to reveal the chairs, but encloses the area outside the lounge. Bathrooms and toilets are all clean and hygienic and the bathroom, which is used by the hairdresser, now has a mixer tap. Information sent to the commission before the inspection visit provides dates when health and safety and mandatory checks have been made and recorded to make sure people are living in safe and secure surroundings. All the rooms visited are clean and comfortable, with residents having their own things about them. Each door is lockable should they wish to lock their rooms. One of the people spoken with said, “I love this room, I can see the windmill from my window and the people going out and about.” One family spoken with said their relative’s room is “It’s lovely bright room and with the photographs on the wall it reminds mum of her family.” Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 19 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. People are supported and protected by carers who are recruited following the home’s procedures, and are competent, with sufficient working to help people when needed. EVIDENCE: There are sufficient staff working with people during this visit and the duty rota shows sufficient staff on other shifts to meet people’s needs. People spoken with said they are satisfied with the number of people working and one said, “they help me whenever I need it, I don’t have to wait too long.” At lunchtime, one staff member was serving meals, whilst four others were assisting people to eat and were observed helping them in a calm and reassuring manner, giving each person time to eat at their preferred pace. An activities co-ordinator is now in post and works 4 hours a day. 10.00 – 2.30pm but changes hours if the activity requires this. Staff records contain evidence of training undertaken and also records of supervision. Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 20 Staff spoken with said they had had training, some had National Vocational Qualifications, and are aware of their role in safeguarding adults. Records are also available of the training organised, but not yet carried out, including training about the Mental Capacity Act. One staff member said, “I have my National Vocational Qualification 2 and done hoist training, but not done mental capacity, and Janet does supervision and appraisal.” Another said, “I’ve had training for medication, first aid, handling and moving, but not yet done dementia training.” Staff files inspected contain relevant information to support the protection of people using the service and confirming the staff suitability and competence, including Criminal Records Bureau checks and professional references. Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 21 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. Management of Notintone House is open and people’s financial interests are safeguarded by the home’s procedures. Health and Safety are protected and people using the service are central to the running of the service, with their input being used within the service’s quality monitoring system. EVIDENCE: People spoken with said they were happy with the management of the home, and, one said, “I have spoken to William about help I need to go out and he has already promised to do something about this, he always tries to help.” Records are maintained of resident meetings and these are displayed and used within the quality monitoring system. Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 22 Service user and relative surveys are being developed, were seen, and will be used in the near future. Notintone has a robust administrative system and maintains accurate records of people’s finances. Receipts for amounts spent, with money kept individually and all actions logged and signed were seen to support this. Information supplied to the Commission within the Annual Quality Assurance Assessment record, provides dates of mandatory health and safety testing and regular maintenance and records for these are kept at the home. People using the service are satisfied with the way the home is run and are happy with the management. One said, “My wife has a lot of difficulties, but everyone is so helpful and if I have any concerns William, with the other staff are always willing to help.” Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 23 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 2 3 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 x x x 3 3 3 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 3 X 3 X X 3 Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4(1) Requirement Timescale for action 01/10/08 2. OP7 15(1) 3. OP13 16(2)m The statement of purpose must be amended to include the home’s recent registration to care for people with dementia to provide people with sufficient information about the home’s facilities to help them make an informed decision about whether the service can meet their individual care needs Care plans must be developed 01/10/08 from the thorough assessments and risk assessment documentation and include the actions required to deal with the identified care needs in a way which promotes the well-being of people using the service People using the service must 01/10/08 have opportunities to pursue activities outside the home to visit and maintain their contact with the local community to be able to and to improve their well-being and reduce isolation. Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 25 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 Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Notintone House Care Home DS0000002213.V368487.R01.S.doc Version 5.2 Page 27 - 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!