Inspection on 04/01/06 for Oaklands Road, 82

This inspection was carried out on 4th January 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oaklands Road, 82 05/09/07

Oaklands Road, 82 10/01/07

Oaklands Road, 82 09/08/05

Oaklands Road, 82 01/02/05

Oaklands Road, 82 09/09/04

Oaklands Road, 82 24/02/04

Oaklands Road, 82 15/07/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Oaklands Road, 82 Hanwell London W7 2DU Lead Inspector Sarah Middleton Unannounced Inspection 4th January 2006 10:05 Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 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 Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 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. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oaklands Road, 82 Address Hanwell London W7 2DU 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) 0208 840 5996 000000000 82oakland@ealing.org.uk Ealing Consortium Limited Allyson Clancy Care Home 3 Category(ies) of Learning disability (0), Learning disability over registration, with number 65 years of age (0), Mental disorder, excluding of places learning disability or dementia (0), Mental Disorder, excluding learning disability or dementia - over 65 years of age (0) Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: 82 Oaklands Road is a registered home for three people with learning disabilities and/or mental health needs. The home is registered to take service users over sixty-five years old if their needs can be met. There is currently one service user over sixty five years old. The home is managed by Ealing Consortium and owned by Ealing Family Housing Association. It is located in a terraced house in a quiet residential road. It is close to local amenities, including shops in Boston Manor Road. There are transport links on the Uxbridge Road in Hanwell which lead to larger towns such as Ealing Broadway. There are leisure facilities available in the local area. There are three single bedrooms, one on the ground floor and two on the first floor. There is one lounge, a dining room with adjacent kitchen and a small laundry area on the ground floor. The first floor has a bathroom/toilet and separate toilet with an office/sleeping in room. There is a garden to the rear, where there is decking leading off from the kitchen and a patio area with gravel, plants and shrubs. There is a small garden to the front and parking is on the street. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of almost four hours, 10.05am-1.50pm, was spent on the inspection. The Inspector carried out a tour of the home and inspected service user plans, staff files and maintenance records. Two members of staff were spoken with as part of the inspection process. One service user was out at a day centre during the inspection. It must be noted that it is sometimes difficult to ascertain the views of service users who have learning and communication difficulties. What the service does well: What has improved since the last inspection? The home now records meals when service users are eating out in the community to enable staff to monitor the food service users are eating. Staff have received training in the protection of vulnerable adults to safeguard service users. The kitchen floor has now been replaced with more suitable flooring that is safe for staff, service users and visitors to walk on. Staff employment files now contain medical declaration forms to ensure the staff employed in the home have stated they are physically fit to work. Systems are in place to review and monitor the quality of care offered in the home. Service users opinions are sought and the Registered Manager carries out monthly audits to ensure the home continues to meet the needs of the service users. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 6 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. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 7 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 Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 8 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): 1&5 Service users are provided with information about the home. This enables current service users and their relatives and any prospective service users the opportunity to view details on the home and make an informed choice. All service users have a written agreement/terms and conditions regarding living in the home. EVIDENCE: Service users, their relatives and representatives are provided with information regarding the home in the form of a Service Users Guide and Statement Of Purpose. These are informative and outline the services provided, details of the staff and the training they receive in order to meet the needs of the service users. There have been no new service users admitted into the home. Service users receive a house agreement and terms and conditions for living in the home. However these documents were not available in a format that the service users could comprehend or make sense of the details regarding a house agreement. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 9 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, 8 & 9 The health and personal care needs of service users had been identified and were being met. Daily records on individual service users must contain details of any incidents and action taken by staff, to ensure staff are aware of the current needs of service users. Where possible, the home encourages service users to participate in aspects of the home. Risk assessments are in place and reflect current potential risks and how to minimise those risks for service users. These risk assessments encourage service users to make choices and have a certain degree of independence. EVIDENCE: Individual service user plans were available and samples were viewed. These were detailed and outlined how service users identified health, personal and social care needs would be met. Monthly summaries had been completed to ensure staff are aware of any changes or incidents that might have occurred. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 10 Recent reviews on individual care plans were viewed. These included, where appropriate, additional reports from professionals, such as Drama therapists. Samples of daily records were seen and on one occasion it had been noted that a service user had fallen whilst out in the community, however there was no further reference made as to the how the service user was following this fall, for example were there any marks or injuries sustained. Neither was it noted if there was any action taken by staff to monitor the service user. Appropriate documentation regarding completing accident forms, body charts and leaving details in the main message book had been completed. However the daily records must record details of incidents and action taken afterwards, such as the care the service user might have required. This is to ensure all staff can clearly monitor any significant changes. Discussions took place with one of the staff members who had been with the service user when this incident occurred and the Registered Manager regarding the importance of clearly documenting relevant information in daily records. This is a requirement. Where possible service users are involved in certain aspects of the home. Recently there had been a service user satisfaction survey carried out to ascertain if service users had any comments about their home. Due to the service users level of learning difficulties, it is difficult to develop policies and procedures that would be understood by the service users. Although the home does use objects of reference when planning meals for the home and staff are aware of when to use pictures/objects to assist service users to make informed choices. Samples of risk assessments were viewed and overall were comprehensive. They covered individual needs, such as being in the community, being in the kitchen or using a bath chair. These had been reviewed and staff monitor risks to ensure the assessments reflect the current needs of service users. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 11 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, 14, 15, 16 & 17 Social activities are provided and staff support service users to have a varied life, incorporating activities that are both in the home and out in the community. Visiting is encouraged for service users to maintain contact with family and friends. Meal provision offers service users a healthy and varied diet that recognises individual preferences. EVIDENCE: Social activities are in place and service users have individual daily routines and activities to suit their preferences. Two service users attend day centres a few times a week. Some service users have aromatherapy massages and drama therapy, whilst others prefer to go for walks, visit the local cinema or restaurant. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 12 Often due to the small size of the home and number of staff working in the home during the day, service users might receive one to one support with a member of staff. Service users usually have two holidays a year and individual needs and abilities are considered when planning holidays. Day trips are also planned to various places of interest. The Inspector viewed procedures and guidelines for holidays and a member of staff confirmed that risk assessments regarding holidays are completed. All service users have family members and contact with family is encouraged. Some family members visit the home, whilst at other times staff escort service users to visit their relatives. Staff were seen to interact positively with service users and a member of staff was seen to knock before entering a service users bedroom. Staff respect service users preferences and recognise when they wish to be alone and not join in an activity. Meals are recorded, including when service users eat out in the community with staff. Where possible, staff plan the weekly menus with service users, showing them pictures of food, in order to promote choices within the home. Staff are aware of the foods service users prefer and aim to incorporate these meals into the menus. Menus viewed indicated that fresh produce is used to make meals and fresh fruit and vegetables were seen on the day of the inspection. Service users assist with food shopping, however most meals are prepared and cooked by the members of staff. Meals are taken in the kitchen/dining area, which encourages the meal preparation and mealtimes to be a social activity, with service users observing and interacting with staff. The kitchen was clean and tidy at the time of the inspection and fridge temperatures had been taken daily and were within an appropriate range. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 13 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 Service users receive personal support in a respectful and sensitive manner. Staff acknowledge individual choices and daily routines and follow these to ensure service users are content and comfortable. Service users health needs are addressed through everyday support from staff. Specialist conditions are monitored by the appropriate health professional. Medication systems were in place and were being followed to safeguard service users. Liquid medication must be dated when opened to ensure out of date stock is not used as this could jeopardise the health and safety of service users. EVIDENCE: Staff provide personal care in private and times for getting up/going to bed are flexible. During the inspection, one older service user had chosen to remain in bed until late morning. Staff were seen to ask this service user, several times, if they would like a bath. The service users decision was respected as they did not rise and have a bath until they were ready to do so. Staff described how this particular service user enjoyed wearing earrings and accessories as part of their daily routine of dressing and preparing for the day. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 14 The health needs of the service users are met with the support of staff. Various health professionals are accessed and any appointments are recorded. Service users are weighed on a regular basis to ensure they are at a healthy weight. Samples of the medication administration records were viewed and had been correctly completed. Most of the liquid medication had dates of opening written on them, however one bottle did not. This is a requirement. Staff receive training on the safe administration of medicines. One staff member described how they had attended a course recently regarding learning disabilities and mental health. This had also included information on particular aspects of medication. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 15 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 The home has a clear complaints procedure, although some of the service users might require support to make a formal complaint. Systems were in place for the protection of vulnerable adults. EVIDENCE: There have been no complaints recorded since the last inspection. The CSCI has not directly received any complaints. It is difficult to ascertain if the service users living in the home would be able to make a clear complaint, however staff are aware if there is a change in a service users mood or behaviour. These changes could indicate they are not happy with something and staff might then be able to investigate further and identify if the service user wishes or needs to make a complaint. Two service users are on the waiting list for an independent advocate to support them. This might prove an effective way of encouraging service users to make comments or complaints about the home to an independent person, so long as they can communicate with the service user. All staff working in the home recently attended training on the protection of vulnerable adults, (POVA). Staff spoken with were aware of how to respond in the event of a POVA incident and would report any concerns to the Registered Manager. There have been no POVA investigations in the home. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 16 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 & 26 The home offers a pleasant and welcoming environment for service users and visitors. The bathroom needs work, as in its current state it does not offer a clean and inviting appearance for service users to use. Service users have spacious individual bedrooms that offer privacy and time alone when they so desire. EVIDENCE: The Inspector carried out a tour of the home and viewed a sample of rooms. Overall the home was clean, bright and tidy. Several rooms had recently been decorated and offered a homely environment. The kitchen floor, that had previously been hazardous to both service users and staff, had been replaced with safer more suitable flooring. Staff stated the kitchen, that had been fitted, was not of a high standard, although it was functional. This room was viewed and currently is satisfactory. The bathroom was in poor condition. Some of the tiles were cracked and the bath and bath panel needed replacing/ or made good. Discussions took place with the Registered Manager, who was aware this room needed attention. This is a requirement. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 17 One service user showed the Inspector their bedroom. This room had been recently decorated and was bright and spacious. Personal items were in the room, such as photographs and there was sufficient furniture to provide storage. This bedroom offered a private space for the service user to relax in. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 18 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, 33, 34, 35 & 36 Service users are supported by a competent and qualified staff team who work together to offer continuity of care. Members of staff work in order to meet the individual needs of service users. Overall the systems for the recruitment of staff were robust and safeguarded service users. The provision of in house training is regular and of a high standard. This is to ensure staff are equipped with the necessary skills and knowledge to understand and care for the service users. Staff are supported through receiving regular supervision and time to reflect on their practice and how this impacts on the service users they support. EVIDENCE: Staff have the opportunity to study the NVQ courses and the majority of the staff team have gained an NVQ level 3. The newest member of staff has completed the induction programme and the Learning and Disability Award Framework and is aiming to study the NVQ course later in the year. Staff spoken with are committed to understanding service users needs and enhancing their lives. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 19 Staff gain insight into the specialist needs of service users through experience through supporting them in every day life and by receiving additional training. The staff team is small and has worked together for several years, excluding the latest addition to the team. Overall staff stated the team works well together and any issues are addressed in a professional way. Recently the team had a team-building day and has set itself aims and objectives to meet. The team meet on a regular basis and overall communication is good between staff members. Staff spoken with felt there are sufficient numbers of staff working in the home to meet the needs of the service users. One staff employment file viewed contained two references, Criminal Record Bureau check disclosure number, medical declaration but no history of employment had been recorded on their application form. This employee had worked for the organisation for seven years. Discussions took place with the Registered Manager regarding the importance of knowing an applicants full employment history prior to offering them a position. There have been no problems or issues with regards to this employee. There are now more robust systems in place regarding new employees, as a staff file regarding a new member of staff was viewed and this contained required documentation, including a full employment history. This member of staff was waiting for their Criminal Record Bureau check, therefore the home did not allow them to work alone with service users or offer personal care to them. Overall the Inspector was satisfied the organisation and Registered Manager would not employ an applicant without receiving the appropriate required information necessary to protect service users. Individual training files were viewed. These indicated that staff receive mandatory and refresher training on an ongoing basis. All staff receive training and information on subjects such as first aid, moving and handling and health and safety. Staff spoken with felt the training opportunities were good and were overall of a high quality. The new member of staff confirmed they had received a detailed and structured induction. Staff spoken with confirmed they received regular one to one supervision with the Registered Manager and that this was a useful opportunity to discuss any issues and seek support where necessary. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 20 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 The home is well managed with a Registered Manager maintaining a visible presence in the home. Systems are in place to monitor and review the quality of care offered in the home for the benefit of service users. Maintenance records were up to date and systems were in place in order to safeguard service users health and safety. EVIDENCE: The Registered Manager is currently studying the NVQ level 4. Staff spoken with stated the Registered Manager is open, flexible and approachable. They work on shifts along with members of staff to support service users and work as part of the team. Therefore the Registered Manager is able to maintain a visible presence in the home on a regular basis. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 21 The home monitors the quality of care offered, through carrying out service user satisfaction surveys and monthly Regulation 26 visits. In addition the Registered Manager carries out a monthly audit of particular aspects of the home such as care plans and staffing. These reports and the results from the survey were viewed by the Inspector and overall were satisfactory and gave an indication of areas that work well in the home and areas needing attention. Samples of maintenance records were viewed. Portable Appliance Testing, Gas Safety and the testing for Legionella were all up to date. Fire call points had been tested on a regular basis and fire alarms/practices had been held at different times and with different members of staff. The home had also carried out environmental risks of the home. Water temperatures are taken weekly of all areas of the home where service users have access. Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 22 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 3 2 x 3 x 4 x 5 3 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 2 25 x 26 3 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 x 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 3 x Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 23 YES 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. 1. Standard YA6 Regulation Schedule 3 Requirement Timescale for action 04/01/06 2. YA20 3. YA24 Daily records must be detailed to incorporate details of incidents, action taken and any treatment needed following the incident. 13(2) Liquid medicines must have the date of opening written on them. (Previous timescale 10/08/05 not met). 23(2)(b)(d) The bathroom must be made good or replaced. This is in relation to the cracked tiles and the bath panel is of poor quality & the bath enamel has been chipped in several places on the bath. 04/01/06 28/04/06 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 Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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 Oaklands Road, 82 DS0000027737.V274235.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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