Inspection on 03/05/05 for Park View

This inspection was carried out on 3rd May 2005.

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

Park View 10/04/07

Park View 13/12/05

Park View 12/10/04

Park View 17/06/04

Park View 16/12/03

Park View 20/05/03

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

CARE HOMES FOR OLDER PEOPLE Park View 7-10 Church Circle Farnborough Hampshire GU14 6QH Lead Inspector Isolina Reilly Unannounced 03/05/05 09.30am 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 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. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park View Address 7-10 Church Circle, Farnborough, Hampshire, GU14 6QH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01252 547 882 Mr Lawrence Alexandra Mrs Sharon Ann Botting CRH 32 Category(ies) of DE (E) Dementia over the age of 65 years. registration, with number MD Mental Disorder. of places MD (E) Mental Disorder over the age of 65 years. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1- Service users in the category MD referred to above are not admitted under the age of 55 years old. Date of last inspection 12-10-2004 Brief Description of the Service: Park View provides care for up to thirty-two male and female service users over the age of 65 with mental health and dementia care needs. The home may also admit male and female service users from the age of 55 years with mental health care type needs. Mr and Mrs Alexander own the home and Mrs Sharon Botting is the registered manager employed by the home. Mr And Mrs Alexander own the ‘Park Group’ of services that consist of Park View, Park Way and Park Avenue homes and an ‘Outreach service’. Park View is located in a quiet residential part of Farnborough and within a short distance from local shops and facilities. The home has an accessible mini bus that is regularly used for transport for outings and weekly shopping trips into Farnborough and Camberley. The home consists of two separate, sixteen bedded, three-storey Victorian style houses that are linked by a secure garden and patio area. Park View comprises of four single rooms and fourteen large double rooms. The home’s communal space comprises of four open plan lounges, two dining rooms, and a quiet conservatory. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The manager, staff and some of the service users spoken with preferred to be identified as clients rather than service users. This unannounced inspection took place over one day as part of the normal regulation and inspection programme, and to follow up on progress made in meeting previous requirements. The opportunity was taken to look around the home, view records, procedures and talk with clients and staff. The inspector also had the opportunity to observe the lunch period, and interaction between residents and staff. Nineteen residents and three relatives and four members of staff were spoken with who stated that they though the home is a good home. What the service does well: The home has good process for admitting new clients with clear information regarding the service. The clients feel they are well looked after and respected by staff that seem to know what they are doing, are caring and helpful. They also all feel safe and comfortable at the home. The home has clear records that help staff to look after the clients as they wish to be looked after. The clients are also supported to use local health care services. The home encourages the clients to go out into the community and use local facilities like the library and provides transport for them to use if they wish to go shopping in town or further a field. Clients attend local churches or can meet the Clergy who visit the home. The staff team is well trained and able to meet the needs of the clients. The real strength of the home is in the relationships that the staff have built with clients, their visitors and management. The home invests much time and money to ensure the staff have all the necessary knowledge and tools to provide the best care possible for the clients. The clients all stated that the meals in this home are very good with choice available if they don’t like what is on the menu for that meal and variety in a pleasant setting. The home is able to cater for different dietary needs. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Park View H54 S12061 Park View V224367 030505.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6 The admission process is well managed and residents are given clear information regarding the service. The home does not provide ‘Intermediate Care’. EVIDENCE: The manager confirmed that the home is in the process of reviewing and updating the Statement of Purpose and Service User Guide. A relative spoken with confirmed that she had been given an informative pamphlet that includes these two documents. Within the four client records sampled of signed contracts for each client were seen. The contracts were informative and contained all the necessary information and the Clients spoken with confirmed that the contracts had been explained to then or their family when they first came to the home. The clients explained to the inspector that they were able to visit the home before making the decision to stay here and were interviewed by the manager and Mr Lawrence the owner who undertakes clinical assessments for all clients Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 10 admitted to the Park Group Homes. Within the individual client files sampled a full admission assessment was recoded and reflected the care needs identified within the Community Mental Health Team assessments and ‘Care Plan Approach’. The relatives spoken with said that the home asked many questions and looks after them very well. The manager confirmed that the home does not provide ‘intermediate care’ rehabilitative short-term type care for Social Services. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 The clients are well looked after in respect of their personal, emotional and health care needs in such a way as to promote privacy and dignity. There is a clear and consistent care planning system in place providing staff with the information they need to meet clients’ needs. Links with the community are good and enrich residents’ social and cultural opportunities both within the home environment and external. The systems for the administration of medication are good with clear and comprehensive arrangements being in place to ensure service users medication needs are met. EVIDENCE: The residents spoken with were all very complimentary of the care provided by the home. Stating that staff are very helpful, polite, appear to know what they are doing and look after them well. They also said that the staff are always respectful and mindful of their privacy and dignity. The two hairdressers spoken with also confirmed this. The inspector observed the staff interacting with the residents and found them to be attentive and professional. There were staff around most of the time in the communal areas. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 12 The three client files were discussed with them and one with the client and daughter confirmed that they recognised the records and the staff have discussed their care with them. The care plans contained written risk assessments and instructions to staff on how to look after the individual clients. The records also included names of relatives, friends, health care professionals and social services care managers who are involved in supporting the client. A resent photograph was seen on all the files. There were also records of doctor and nurse visits and information on outpatient, dental, optician and chiropractic appointments. Various clients stated that they had undergone recent dental treatment and the corresponding medical notes were present in the file. One client explained that she goes to her Opticians in town to have her eyes checked regularly, although she only needs glasses for reading. The staff are good at following instruction and there is an ethos of training and encouragement for staff to use the care plans as a daily working tool. The staff were observed administering medication appropriately and the good medication administration practices are reflected in the home’s policy and procedures that were briefly sampled. The home uses a ‘Nomad’ system from the local chemist and stores medication that is currently in use within an appropriate cupboard in each building. A copy of the Royal Pharmaceutical Guidelines for residential care was available. The receipt, administration and disposal records of medication were seen by the inspector and found to be satisfactory. The manager showed the inspector the home’s main medication storage cupboard within the carer’s office and it was clean with medication stored correctly in date and in sufficient quantities. The manager discussed with the inspector the recent problem of receiving large volume of stock that is returned immediately to the pharmacist. The staff are being advised to double check prescriptions for quantity and ensure that unnecessary items are not being prescribed. The care staff spoken with all informed the inspector that they have undertaken training in the safe handling of medication some have attended an external course and others have received training from trained and experienced senior staff within the Park Group. It was noted that the home has samples of some staff signatures and initials. This was discussed with the manager who agreed that as good practice she would ensure that each house has a copy of all staff signatures and initials. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 The clients experience a stimulating and varied life at the home with visitors encouraged, various formal and informal structured activities are made available including outings. The individual and group activities issues and discussions are held at monthly client meetings. The home is able to meet the cultural and religious needs on an individual preference. The meals in this home are good offering both choice on request and variety, catering for special dietary needs in pleasant surroundings. EVIDENCE: The inspector observed several residents reading large print books, the bible and daily newspapers. Each house has two lounge areas on quiet and the other has a television. There is a large fish tank with fish and a cat that belongs to the home. The clients explained that they take part in several organised activities but enjoy the weekly trips to town and into Camberley shopping. On the morning of the visit the home’s minibus was going to town with several service users. One client is going regularly to visit his father in a nearby nursing home and liked spending time at the library. On the day of the visit staff were massaging clients hands and nail painting and in the afternoon a Priest visited to give communion to several clients. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 14 Another client stated that she attends the local church on Sundays. Several of the service users had confirmed that they have received their postal votes and one client is intending to attend the local poling station to vote in the Country’s general election. In each of the two dining rooms there is a pin board with information leaflets including the full rota for the five-week menus, complaints procedure, announcement of the next client meeting and various other community events. Several clients said that they enjoy going out for walks. The relatives spoken with feel the clients are very well cared for and that they are made very welcome and part of the home. The inspector observed that all the relatives visiting that day had been offered refreshments. All the clients stated that the day routine is flexible and a meal can be put aside should they wish. One client’s meal was observed being put to one side for later because the individual did not feel hungry at the time. Another client explained that she preferred to have her main meal in the evening and staff would do this for her. The cook spoken with explained that they are in the process of asking and recording all the clients dislikes with a view to offering choice on a one to one basis when the main meal is not to their liking. The cooks have developed a matrix for easy identification of foods not liked by individuals. Most of the clients felt the food was excellent, with generous portions, varied and choices are available if they do not like what is on the menu. However, one client felt that there was limited choice having become accustom to menu choices within a large hospital complex, although he was aware that he could ask for an alternative should he wish to. The client also felt that meals are rushed with staff eager to collect plates after the meal. Other clients asked were very happy with the lunchtime experience and felt they were not rushed. This was discussed with the manager who agreed to monitor the situation and provide chalkboards to advertise the main meal for the day in each dining room. The meal was observed by the inspector and found to be relaxed, unhurried and the food attractively presented. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home has a satisfactory complaints procedure that clients are able to use. The staff have an understanding of Adult Protection issues that protects service users from abuse. The home has an open and positive approach to listening to client views and improving. EVIDENCE: All the clients spoken with stated that they would go straight to the manager if they had a concern or complaint. They all stated that the staff are very good and always listen to individuals concerns. The relatives also felt that the staff were patient, caring and always willing to listen. The home’s complaint procedure included the address for the Commission and that all complaints will be dealt with promptly within 28 days. The home’s has received no complaint to date. There is a system for logging complaints should they arise and the manager showed the inspector a file with correspondence from relatives and clients complimenting and thanking the home for the care received. All the clients spoken with stated that they always felt safe at the home. The relatives spoken to also confirmed this. The staff spoken with confirmed that they have received some instruction and are aware of the protection of abuse of vulnerable adults. They have attended Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 16 training on recognising and reporting of concerns or suspicions. There has been no allegation of abuse at this home since the last inspection. The home has a copy of the Hampshire County Council ‘Protection of Vulnerable Adults’ policy and procedure and it’s own policy and procedure reflects the guidelines from Hampshire County council’s own policy. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home presents as a clean, homely, comfortable and suitable environment for the clients. The standard of the décor within the home is good with evidence of on-going maintenance and improvements. EVIDENCE: The service users stated that the home is always clean, warm and no offensive odours were detected. They also confirmed that there has been on going decorating including hallways, some ceilings replacement of bedroom carpets, furniture and lampshades. Since the last inspection the home has covered all radiators and pipe work ensuring that all potential hot surfaces are kept to low temperature. The boilers that were free standing in each of the two dining rooms have also been decoratively covered and made safe. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 18 The home is in the process up grading an existing double bedroom into a single bedroom with en-suite and shower facilities. The manager confirmed that there is a replacement programme for communal chairs and on-going plan for redecoration. There is also a programme for up grading a large communal toilet and shower into an assisted walk in bath. The home is also looking at the feasibility of converting the communal toilet and shower in the second house into an assisted bathroom. Most of the bedrooms where seen on a tour around the home and were found to be clean, bright and warm, furnished to the individuals taste and many had been personalise. However, there was one bedroom were a client was sleeping so the inspector choose not to disturb them and did not view the room. All clients’ spoken with felt there were enough toilets and bathrooms or showers. During the tour of the home the inspector noticed that all the communal hand sinks have liquid soap for washing hands and disposable paper towels. There were gloves and plastic aprons available in the laundry rooms, toilets and bathrooms. The clients stated that they see the staff using them, Since the last inspection, the home has installed a hand-washing sink in the communal upstairs toilet. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 The staff at the home are well trained, supported and employed in sufficient numbers to meet the clients needs. The home has an excellent ethos towards developing staff as individuals and this is reflected in the service users feeling safe and comfortable at the home. There are good recruitment procedures that are fully implemented ensure clients are not put at risk. EVIDENCE: The clients spoken with described the staff as ‘caring, friendly, helpful and there when they are needed.’ All the clients and relatives spoken with said there was sufficient staff around and that the staff know what they are doing. A couple of client felt that sometimes there appeared to be too many staff around. The rotas showed that a minimum of two care staff in each house making a total of four care staff on duty each day shift and two waking night staff each night (one in each house). The home also employs one full time and one part time cooks and cleaners. The staff spoken with felt that the recruitment process within the home is thorough. The inspector was able to sample three different staff records and found that they were detailed with the necessary checks taken to ensure staff are fit to work at the home. The staff spoken with stated that he induction programme run by the home was useful and very detailed. The files sampled held records of the individual staff home’s own induction’ training covering the key areas with the signatures Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 20 of the staff member and trainer and evidence of each staff having completed a Skills for Care Council induction programme as well. The staff spoken with confirmed that the home continues to provide and support staff to achieve qualifications in care to National Vocational Qualification (NVQ) level 2 and 3. It was calculated from the training records that currently the home has over 43 of the care staff with a care qualification and within the next few months this will increase to 86 . There are only two staff left awaiting enrolment onto an NVQ course. The full time cook is in the process of achieving an NVQ in catering and hospitality and the part time cook is waiting to start her NVQ. The manager has just completed her AI NVQ assessor’s award. The home’s training records show that the home undertakes training through staff and management with specialist skills and qualifications, and also various external training courses. The staff confirmed that they undertake training regularly. The inspector was able to sample training certificates and other records of instruction undertaken by the staff. The home has a positive supportive ethos and staff training with a programme of one to one supervisions six weekly, six-monthly appraisals and monthly staff meeting s that are minuted. The training records also show that staff receive training in relevant health and safety subjects including food hygiene, moving and handling, fire safety, first aid and medication. Other subjects covered include care planning, record keeping, managing challenging behaviour, mental health and risk assessments. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 38 The home provides a safe and auditable recording system for managing and monitoring clients’ moneys. The clients’ health, safety and welfare are well promoted by the home with systems that ensure everyone is protected within the home. EVIDENCE: The clients stated that the home help them to look after their money safely and it is always available to them when they wish. The manager of the home showed the inspector the record system for recording monies in, out receipts and balances for the clients. A random record was chosen for assessment and the manager counted the money out in front of the inspector. The balance was found to be accurate. The manager explained that she was not an appointee for any client. All the staff, clients and relatives spoken with found the manager very pleasant Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 22 supportive and approachable. One Staff member stated that she was not likely to find such a good boss to work for if she went elsewhere. Six monthly risk assessments are undertaken and recorded to ensure that the safety within the home is maintained at a high level across all areas. The clients commented on the comings and goings of the home’s maintenance men. Records were sampled of maintenance undertaken on all equipment within the home including gas appliances, fire safety equipment and servicing of hoists. All the clients and relatives spoken with stated that they felt safe at the home and many confirmed that the fire alarms are regularly tested. One client described the evacuation procedure had been tested recently, although she felt that it was a cold day and these drills should only be done in summer. The manager explained that she tries to undertake evacuation practice when the weather is reasonable and can often end up postponing potential practices because it starts to rain. All the clients spoken with were very clear on where they had to evacuate. The visual checks of all fire safety equipment has been record and undertaken at appropriate intervals to ensure the safety of the clients. The home has received a letter from Hampshire Fire And Rescue Service announcing a visit to assess fire safety within the home in May 2005 as part of their normal regulation and inspection process. The home keeps daily records of foods served and temperatures of hot probed meals and freezers and fridges are kept by the cooks and found to be satisfactory. The Environmental Health Officer last visited in January 2005 and report stated that no requirements or recommendations were issued on this visit. The home also has an informative and current file on the control of substances hazardous to health (COSHH) including risk assessments and data information for the chemicals used at the home. Park View H54 S12061 Park View V224367 030505.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 x x 3 Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 24 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. 1. 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. 1. Refer to Standard Good Practice Recommendations Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 25 Commission for Social Care Inspection 4th Floor - Overline House Blechynden Terrace Southampton Hampshire 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 Park View H54 S12061 Park View V224367 030505.doc Version 1.30 Page 26 - 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!