CARE HOME ADULTS 18-65
Parkcare Homes (No 2) Ltd (Roseneath Avenue) 15 Roseneath Avenue Winchmore Hill London N21 3NE Lead Inspector
Wendy Heal Unannounced Inspection 16 January 2006 11:00
Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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 Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Parkcare Homes (No 2) Ltd (Roseneath Avenue) Address 15 Roseneath Avenue Winchmore Hill London N21 3NE 020 8292 2715 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) Craegmoor Homes Ltd Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 27th June 2005 Brief Description of the Service: The service provides twelve places for people with learning disability. The age range of the nine service users that live in the home is mid twenties to mid fifties. There are four female and five male service users. There is an ethnic mix of service users in the home. All service users have complex behavioural needs. Roseneath Avenue is located in a quiet residential street in Winchmore Hill. The home is a house converted into three flats each with its own bathroom, kitchen, and lounge/dining area. All service users have their own bedrooms. The home has an office and small meeting room on the ground floor. There is an enclosed garden accessed by all the flats. There is also a communal laundry external to the home within the garden area. Only female staff supports the female service users living in the ground floor flat. All staff rotate the support they provide to service users. The stated aims of the service is to treat service users as individuals and to promote independence and ensure that privacy and dignity is maintained. The service promotes a holistic approach to care where physical, social and psychological needs are given equal importance and appropriate care plans and interventions are put into place. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took approximately 5 hours. The manager, Mr Steven Monaghan and his deputy assisted the inspector throughout the day. The inspector undertook a tour of the building, interviewed two service users and observed the interaction between the service users (who are mainly non-verbal) and the staff. Further information was obtained by an inspection of the documentation kept in the home, including Care Plans, finance systems, and health and safety documentation. The inspector would like to thank the service users present during the inspection, the staff and manager for their openness and participation. Due to some previous difficulties in relation to the home the decision was made to leave three places vacant. Only nine service uses live in Roseneath Avenue. The plan is to fill the vacancies in the future as the home has the capacity to provide places to 12 service users. What the service does well: What has improved since the last inspection?
The suggested way the service users weight is recorded on weight charts and regularly monitored has been met. This was a requirement made at the previous inspection. The service users guide has been updated in a pictorial form, which is very service user friendly. This was a requirement that was made at the previous inspection, which has now been met. The whistle blowing policy is updated and has been circulated to all staff. This was a requirement made at the previous inspection, which has been met. The money owing to service uses in respect of DLA has been calculated and paid into Service users accounts. This was a requirement made at the previous inspection and has
Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 6 been met. The ground floor toilet has been redecorated. This was a requirement made at the previous inspection and has now been met. The inspectors saw no evidence of staff propping open fire exits and fire extinguishers were on the wall brackets. This was a requirement made at the previous inspection and has been met. The last two inspection reports have shown that the standard of care within the home has improved. 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. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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 Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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): 1,2,3,5 Service users are given the information they need to make an informed choice about whether the service is suitable for them and their needs are agreed prior to them receiving the service. EVIDENCE: Since the previous inspection there have been no new admissions to the home. The inspector looked at the statement of purpose, which has been updated. The service has a service user guide, which has been updated and takes into consideration the needs of service users and the document is very service user-friendly and it is in a pictorial form. The homes Service User agreement clearly specifies the terms and conditions of the home including details of the notice period. Service users Care plans are being reviewed on a regular basis. The manager and staff interviewed showed they had a good understanding of individual service uses needs and can talk in detail in relation to their role. Service users spoke positively in relation to staff and the support they receive from them. As there are four Service users in the home with varying degrees of autism and individual communication needs, it is important that staff have an understanding of this condition. At the time of the inspection staff confirmed that training in relation to autism and Makaton had taken place although certificates had not been provided to the staff by the organisation. The manager has agreed to forward these certificates onto the inspector when they become available. The need for the staff to receive training was a requirement made at the previous inspection, which has been met. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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): 6,7,9,10 The home has made progress in meeting the care needs of service users. The care plans and actions are recorded in detail. Service users can expect a positive approach from staff. Staff are able to monitor the progress of service users and service users have the opportunity to achieve their stated goals. EVIDENCE: Service user care plans were inspected. They were clear to read. The manager is endeavouring to keep them up-to-date. The care plans of all service users evaluate all aspects of living in the home. The needs are identified, as well as the aims to achieve a care intervention and the evaluation. The plan specifies the area in which service users make decisions about their lives with assistance. There is evidence that care plans are being reviewed on a monthly basis. The risk assessments to show potential risks for service users are being reviewed; the areas covered include community facilities, public transport and lack of privacy. The decisions made in relation
Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 10 to the service users risk assessment are agreed and signed by family members or professionals. The risk assessments are being reviewed January 06, these will be looked at further at the next inspection. Service user information is handled appropriately. The main files are kept in the office and information stored on computer is accessed by a password. The inspector observed the level of confidentiality in the home and is satisfied that the staff working at Roseneath keep all information regarding service users secure. At the time of the inspection the computer had suffered a power surge and the hard drive had burnt out. Therefore not all information was available to the inspector during the inspection. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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): 11,12,13,14,15,16,17 Service user plans include areas in relation to personal development. Access to the community is encouraged. Service users enjoy the freedom to make choices about their daily lives and relationships where appropriate. EVIDENCE: At Roseneath Avenue all of the service user activity records were inspected. The care plans reflect how the service users are supported to develop their independent living skills, are specific to the service users and are kept up to date. Service users undertake day care activities ranging from two days per week to five days per week. Care plans are organised and are being reviewed on a monthly basis. The inspector observed the interaction between staff and service users that do not use formal language as their main form of communication but interact using gestures, body language and sign. The staff interaction was sensitive and seen as appropriate. Two of the service users are verbal and the inspector had the opportunity to speak with the two of them.
Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 12 One service user made her preferences known and wanted to speak with the inspector in the staff office. The second service user chose to speak with the inspector in his own bedroom. Both service users told the inspector that they liked the staff. One service user in particular discussed how she was offered assistance in relation to her personal care. She discussed the fact that she has a boyfriend who also lives with her. She explained that they go to the cinema and on outings using, public transport, and that she particularly likes the train. The home has its own transport. Staff accompany Service users on outings. The second service user spoken with discussed his love of cars, which he had displayed in his bedroom. Service users are able to take part in age, peer and culturally appropriate activities such as attending church. A number of service users who are both Catholic and Christian attend each weekend with staff to enjoy a service at their local church. Service users who have relatives see them regularly and a service user goes home at weekends, this is recorded in the individual care plan and evidence was seen of some family members participation in reviews. The manager confirmed that there is no restriction in relation to service users contact with their relatives. On the day of the inspection all of the kitchens in the individual units were clean and tidy. The menu of food available, which was inspected at Roseneath Avenue, was wholesome and nutritious. The fridges were inspected and all open food within the fridge was properly labelled. There was evidence that service users can choose the food they wish to eat as a menu book is kept which shows service users choice of different meals to that shown on the menu. The inspector saw evidence of service users care plans and health needs being meet in relation to their dietary needs. Their was guidance displayed in the kitchen of information in relation to the use of semi skimmed milk and half fat cheese and specific information regarding caffeine in relation to service users needs. Service users benefit from a mixed staff team who bring a range of different ideas to the home in terms of food preparation. This means that service users have access to different types of foods than they may otherwise experience. The manager informed the inspector that service users go shopping with staff to local shops to obtain their food as part of their independent living skills, and service users spoken with confirmed this. Staff interacted with service users and there was a warm and friendly atmosphere in the home. Service users privacy is respected an example of this was that service users have keys to their rooms and the manager also asked the service uses permission before the inspector entered their individual bedrooms. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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): 19,20,21 The health needs of service users are met. The medication at Roseneath Avenue is well managed, promoting the good health of service users. EVIDENCE: Service users all have access to primary and specialist health care appointments. Service user care plans indicated that service users have access to GPs, dentist, opticians and other healthcare professionals. The medication cabinets were inspected and all medication and doses were found to be in order. The temperature of the Cabinet was satisfactory. The inspector looked at the medication records, which were found to be in order. The inspector looked at the weight charts of service users. The inspector noted that there is now a record with the weight chart that suggests there is a weight programme in operation and this gives the typical weight of for example, a female and what their target weight should be in terms of weight and height. This can be used as a comparison in relation to expected weight in relation to service users. This means that any weight loss programme can be recorded to ensure that service users do not fall below their healthy weight. This was a requirement made at the last inspection and has been met. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 14 All service users were appropriately dressed at the time of the unannounced inspection. The wishes in the event of a service users death are recorded on the service users file. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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 Service users can be confident that their views are listened to and acted upon since the recording of complaints and action taken is adequate. Service users are protected from abuse, neglect and self-harm. EVIDENCE: At the time of the unannounced inspection the inspector looked at the complaints file and found no new complaints since the previous inspection. The inspector looked at the company policy on whistle blowing. This has been amended and now shows how the CSCI should be contacted. The staff at the home have attended an adult abuse and protection of vulnerable adults training. However, the certificates have not been sent to the home via the company offices. Records show that finances are now in order. Financial records no longer show service uses having negative personal finances. The inspector was shown documented evidence to this effect by the manager. This was a requirement made at a previous inspection, which is now met. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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): 24,25,27,28,30 Service users are not consistently provided with adequate bathing facilities. Park Care Homes Ltd is not providing service users with a safe environment. This must be addressed to improve the experience of those service users who use these facilities on a daily basis for personal care. EVIDENCE: Roseneath Avenue is located in a quiet residential area near to local shops and public transport. During the tour of the building the inspector was able to look at the service users bedrooms. The service users had given their permission for the inspector to enter their bedrooms. The service users bedrooms were furnished to suit their needs however they could be personalised further. On the day of the inspection the inspector was shown a list of items that were going to be obtained on the day of the inspection, the staff having sought the wishes of the individual service users. One service user had a large display of cars in a cabinet in his room. The service users bedrooms have lockable drawers in their room. The service users can lock the bedroom doors if they wish. The toilet facilities on the first and second floors are satisfactory. However, the bath accessed from the ground floor is too high to climb into,
Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 17 particularly as the bath is used for a service user with visual impairment. A shower must be fitted, as this would be better suited to meet the needs of the particular service user, as they need assistance in relation to continence management. This was a requirement made at the previous inspection and is an immediate requirement at this inspection. There is still inadequate hot water in the ground floor bathroom. The registered manager must ensure there is adequate hot water in the ground floor bathroom as this was a requirement made at the last two inspections. The Manager informed the inspector that the boiler and a pump are in the process of being replaced. A requirement has been made in relation to this. An identified service user has moved into bedroom three. The current carpet is not acceptable and needs to be replaced. A requirement has been made in relation to this. The toilet on the ground floor has been redecorated. This was a requirement made at the previous inspection, which is now met. The sofa on the ground floor flat needs to be replaced. The lino in the top floor kitchen must be replaced. Requirements have been made in relation to these. The tour of the building showed a good standard of cleanliness within the home. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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): 31,34,36 Park Care Homes Ltd are not fully meeting the needs of their service users and staff are not being adequately trained in relation to their National vocational qualifications. EVIDENCE: The manager informed the inspector that all staff are undertaking their NVQ. However, they have not been able to complete their course due to the fact that they have not had access to assessors. A requirement has been made in relation to this. Staff were observed to have a clear understanding of the roles and responsibilities, from the conversation the inspector had with them. Supervision records were inspected and all staff are receiving regular supervision which is signed by all parties. Staff had not undertaken their appraisal, which is due to the new supervision format that has been introduced. When the supervision record is fully complete staff appraisals, would then take place. Staff appraisals will be looked at as part of the next inspection. Regular staff meetings are taking place. On the day of the inspection the inspector was informed that identified staff have not been attending their place of work and the manager was not informed of their wish to leave. The manager is in the process of advertising
Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 19 these vacancies. The staff rota was not available for inspection as the computer was not in operation and the manager could not access all of the information required. This will be inspected during the next inspection. The inspector observed a motivated staff team working to develop themselves and support service users. The staff files were inspected and contained all the necessary criminal records bureau checks, staff references, and the required staff identification records. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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): 42 All health and safety records kept in the home are in order. EVIDENCE: During the tour of the building, the inspector noted that all fire doors were closed. This was a requirement made at the previous inspection. The electrical certificate was seen and is up-to-date. The portable appliance testing had been completed. The water testing has also been completed and documentation seen. However, on the day of the inspection the responsible person from the company carrying out the water testing has advised that enclosed water tanks should be exposed to allow access. The manager is going to seek advice in relation to this and has agreed to keep the inspector up-to-date with the situation. The fire drills, fire alarm tests and the fire alarm systems are allocated to a member of staff to test and complete. These records were seen and were in order. All fire exits were clear and free from any obstruction. The fire safety notices contained the relevant information. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 21 Roseneath Avenues service user quality assurance questionnaire could not be seen due to the breakdown of the computer. This must be available in the future for the purpose of inspection. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 2 3 X 1 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 X X 3 1 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 3 Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 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 2 3 4 Standard YA24 YA24 YA24 YA27 Regulation 23, (b) 23, (b) 23,(b) 16, (2) Requirement The carpet in room three must be replaced. The sofa in the ground floor lounge must be replaced. The kitchen lino on the top floor must be replaced. The Registered Person must ensure that the bathroom on the ground floor is replaced. A shower must be installed to manage service users incontinence and ensure health and safety requirements are met. Immediate Requirement. The Registered Person must ensure that there is adequate hot water in the ground floor bathroom. This requirement is restated. Timescales of 30/09/04 not met. The Registered Person must ensure that staff at Roseneath Avenue are supported to commence their NVQ and evidence of this must be sent to the inspector. Timescale for action 15/03/06 30/03/06 30/03/06 16/02/06 5 YA27 16, (2) 16/02/06 6 YA35 18(1) 30/03/06 Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 24 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 Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V261295.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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