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Inspection on 13/12/06 for Princess House

Also see our care home review for Princess House for more information

This inspection was carried out on 13th December 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 but made no statutory requirements on the home.

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

What the care home does well

The home have a good staff team that are friendly and caring and some service users made the following comments about the home: `The staff are brilliant` `We are fed very well` `The girls talk to us nice` `Nothing to worry about, no worries here` `The staff are very kind and always helpful` The home provides a good range of activities that are widely advertised and they give lots of choice for service users to be involved in both in a group setting and individually. The home has good medication systems and staff are trained to make sure that service users are given their medication safely.Relatives completing the questionnaires and some visiting on the day of the visit had the following to say about the home: `We are very satisfied with the care ` `We have immense praise for all of the staff team` `Great gratitude for the care and kindness staff show to the residents` `Friendly staff very approachable and supportive` `A lovely home with staff who care`

What has improved since the last inspection?

The home has made a lot of changes to improve the service in the last year. Staff are now fully involved and this is shown in the care planning as staff are now completing the care plans and a key working system has been introduced. The medication system has improved that ensures the records can be crosschecked to make it safer for service users. Several new records have been introduced such as a building audit and risk assessment that is completed on a monthly basis. The Managers office now has a computer that allows information to be stored and updated regularly. Service users meetings and staff meetings are held more frequently and an annual meeting is held between service users, staff and families.

What the care home could do better:

The mealtime arrangements need to be looked at. Service users needing assistance at mealtimes must be given help in a dignified manner. The care plans have improved significantly, however a system of monitoring and evaluating them must be in place to ensure that they are up to date. The staff must have further moving and handling training to ensure that service users are transferred in a safe manner and fire records must be completed as it is written in the fire logbook guidelines.

CARE HOMES FOR OLDER PEOPLE Princess House 19 Cliffe Park Seaburn Sunderland SR6 9NS Lead Inspector Mrs Eileen Hulse Unannounced Inspection 13th December 2006 and 23 January 2007 9:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Princess House Address 19 Cliffe Park Seaburn Sunderland SR6 9NS 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) 0191 548 3723 0191 548 4198 Mr J Young Mrs J Young Lynne Harbottle Care Home 19 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (19) of places Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13th December 2005 Brief Description of the Service: Princess House is a detached house standing in its own grounds and overlooking the seafront at Seaburn. Some people have described it as a landmark as it stands adjacent to the area, which is used to host the yearly Sunderland Air show. Though it is a three-storey building, only the ground and first floor are used for residential accommodation. The top floor is used for administrative purposes and can also be utilised for staff training. Most of the bedrooms are single occupancy and many of the rooms have a sea-view. It is only a short walk from a busy shopping parade in Fulwell as well as being close to facilities in Seaburn. In addition to this, a local bus service offers easy access to Sunderland City centre. The home as its own garden which offers disabled access and also a patio area to the side of the building as well as a conservatory, which offers sweeping views of the coastline. The home provides a service to older people over the age of 65 years and is registered to provide personal care for a maximum of 19 people that includes four people who may have needs related to dementia. It is not registered for people who have a physical disability. The home does not provide nursing care but individual service users can access services provided by the Community Health team and their own GP. The weekly fees are £385:00 to £385:00 per week depending upon care needs. Additional charges are made for Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and took 8hrs to complete over two visits to the home and was carried out as part of the annual inspection programme. The Registered Manager was present for all of the visits and some time was spent with the Manager reviewing the progress of the service. Time was also spent talking with service users, their visitors and members of staff to get their views of the service. How care staff support the service users was observed throughout the visit and a lunchtime meal was shared with service users. Information about the quality of life and care received by service users was collected using a system called ‘case tracking’. This involves following the care and experience of a group of service users by looking at care plans, talking with people, sampling records such as accident and fire records, medication taken by service users and the records. The requirements made in previous inspection reports were discussed with the Manager and discussions took place with other staff members who were on duty at various times throughout the visit. The judgements made are based on the evidence made available during the visit to the home and from information obtained from the home before the visit was made, which included the pre inspection questionnaire that was provided by the home Manager. This gave up to date information about the home to include within the report. Questionnaires completed by service users and their families also gave some insight on what it is like to live in the home. What the service does well: The home have a good staff team that are friendly and caring and some service users made the following comments about the home: ‘The staff are brilliant’ ‘We are fed very well’ ‘The girls talk to us nice’ ‘Nothing to worry about, no worries here’ ‘The staff are very kind and always helpful’ The home provides a good range of activities that are widely advertised and they give lots of choice for service users to be involved in both in a group setting and individually. The home has good medication systems and staff are trained to make sure that service users are given their medication safely. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 6 Relatives completing the questionnaires and some visiting on the day of the visit had the following to say about the home: ‘We are very satisfied with the care ’ ‘We have immense praise for all of the staff team’ ‘Great gratitude for the care and kindness staff show to the residents’ ‘Friendly staff very approachable and supportive’ ‘A lovely home with staff who care’ 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good assessments are included within the plans of care for all service users that help to form the basis of their care plan, this ensures that before admission, the home is able to know if the care needs can be met by them. The home does not provide intermediate care. EVIDENCE: Records examined confirmed that the assessment process is carried out before anyone is admitted into the home, this helps to ensure the care needs can be met. Records evidenced that the nominated Care Manager carries out the initial assessment, a copy of the assessment and care plan is given to the home and a date is agreed for the service user to visit the home. In some cases a number of visits will take place before an admission date is decided upon, the assessment process is continued with the homes own assessment Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 9 record completed following a home visit by the Manager and Deputy Manager of the home to the prospective service user. Following admission, each service user has a care plan developed from the assessment information so that, when followed by staff it helps the care needs to be met on a daily basis. The assessments cover the individual needs of the service user and they are recorded under various sections that include personal needs, mobility, and personal hygiene and health issues. The service user lives in the home for 6 wks to see if they like living there and for the home to ensure they can meet the needs. A review meeting is then held between representatives of the home, service user, family and care manager. In discussions with visiting families, they confirmed that they had been involved in the assessments of their relatives. No service user is admitted until the home has received the care managers care plan. The home does not accept emergency admissions Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans are well written and contain detailed information on the care needed by service users, this gives staff the guidance they need to ensure the care needs are met. However, the care plans are not regularly monitored or evaluated and therefore do not inform staff of any changes that may be necessary to the care plans. The healthcare needs of the service users are met and therefore service users are protected with efficient practice in place. EVIDENCE: The care plans are divided into sections with a front index so that information is accessed easily to both service users and staff. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 11 Each care plan has a contents page with a photo of the service user, a personal information page, a physical health page that details the physical and health needs and strengths of the service user and gives information regarding allergies, diet likes and dislikes etc. There is also a section on Mental health that has a risk assessment included and details the service users own perception of their mental health, forgetfulness or worry over confusion etc. The care plan includes a pen picture of the service users life history that gives detail about the service user before moving into a care home and how they chose to live their lives, this information forms the basis of the care plan. The social interests section informs staff what they like to do and states past interests, activities of daily living and what the service user can do independently. There is also a monthly care plan check so that staff can check the care plans are up to date and fully completed to enable the care needs to be met, however, these documents were not fully completed and one was left blank. Each area of the care plan details the identified need, the goal to achieve and the action that is to be taken by staff to achieve the goal and all the care plans examined evidenced they signed and dated by the service user or their family or representative. No monitoring or evaluation sheets are used to monitor the care plans, (name) care plan was last evaluated on the 25/6/06, and therefore, staff cannot be sure the information is up to date. Nomad medication system is used and only staff that have completed the ‘Safer handling of medication’ training is allowed to administer medication. A medication round was witnessed following the midday meal. There were no issues and the medicines were given to service users safely. The records were completed and signed by the ass manager as each medication was given out. When service users need the services of healthcare professionals, the home uses the rapid response team and the urgent care team. Every call made to them is assessed by both nurses and paramedics to ensure the right person is allocated and the correct treatment is carried out. The district nurse also works in close contact with the home in both training and in treatment of the service users and service users have a choice of GP when they are admitted into the home. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good range of social activities and outings made available to service users and they are supported to maintain personal relationships and friendships and to maintain contact with their families. This makes sure that service users are given the opportunity to choose how they would like to spend their leisure time and who with. Service users are offered varied and nutritious meals with good choices for everyone. EVIDENCE: Activities for the day included a quiz in afternoon, the hairdresser was available and a visit to the customs house at South Shields in the evening was taking place. On arrival to the home, some service users had chosen to get up late in the morning. Activities were on the notice board up on the wall. Service users can view what is going on in the home and they are able to choose from a programme the activities they wish to be involved with. The deputy manager is responsible for organising activities on a daily basis with the help of the staff team. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 13 The home receives support from the Rotary club who supply transport for outings in the summer. The local school recently put on a show for the service users and provided a lunch. Service users stated that a number of outings to the theatre are arranged regularly. The home also link up with another home in the area for visits and joint social activities. One relative stated ‘The staff take my relative out to the Theatre which is good’. Whilst observing staff practice throughout the day, staff were observed to ask service users what they wanted for their meals and if they wanted the music playing during their meal and if they wanted extra tea. This evidenced that service users have a say on the daily routines of the home. A meal was shared with the service users and it was observed staff were very helpful and attentive to service users throughout the meal. The dinner was hot, tasty and well presented and consisted of steak & dumpling, potatoes swede and cabbage. Tables were set with necessary condiments, tablecloths, place settings and cloth serviettes and hot and cold drinks were served throughout the meal. However, during the meal, one service user requiring help to eat their meal was given assistance from a member of staff by standing at the side of the service user. A large communal teapot was used to serve tea to the service users, a discussion with the Manager on the use of individual teapots on the tables took place during the feedback to the Manager. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A clear and easy to understand complaints procedure is available to service users and their relatives. This provides the opportunity for service users and their relatives to make a complaint should they have any concerns about the service. Staff are aware of the Protection of Vulnerable Adults procedures and some staff have received training in this area that will ensure service users are protected from abuse. However, further training for the staff needs to be accessed from the Local Authority. EVIDENCE: The home have a complaints policy and procedure that is available to anyone who has a concern about the home. The procedure which is accessible to service users in large print to make it easier to read and in a language that is clearly understood. Records showed that any complaints made to the home are recorded and acted upon satisfactorily. The complaint book details the date, the name of the person making the complaint, the outcome of the investigation and the name of the member of staff receiving the complaint. One relative commented ‘If we have any concerns they are dealt with immediately’ Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 15 ‘If I have to complain I go to the boss’ In discussions with service users about the complaints procedure, it was evident they all know how to make a complaint and who to make the complaint to. The MAPPVA (Multi Agency Protection Procedure for Vulnerable Adults) procedures are in the home and accessible to the staff. Some of the staff team have received protection of vulnerable adults training within the NVQ programme but have not received training from the Local Authority. A rolling programme of adult protection training from the Local Authority has commenced. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of furnishings, fittings and decoration throughout the home present a comfortable and homely place for service users to live in. The home provides a good standard of accommodation and this offers service users a comfortable, homely and safe place to live. However all service users do not have lockable space within their bedrooms. The home have good procedures in place regarding infection control that helps to keep service users healthy and safe. EVIDENCE: The home employ a maintenance worker who is employed Monday to Friday and at weekends if there is a problem. Any repairs needing to be attended to are recorded within a book that is dated and signed when the work has been checked. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 17 The home seeks advice from environmental health with any queries they have in relation to infection control. Advice is given verbally and followed up in writing, records evidenced when the home have sought advice. Clinical waste is stored in a secure area outside of the home and this is collected on a weekly basis. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good staffing levels that help to meet the needs of the service users and they are protected and safe by a good recruitment policy and procedure. On the day of the visit there were sufficient numbers of staff on duty and duty rotas reflected constant staffing levels. The staff receive receive good levels of training that provides staff with the knowledge and skills to do the job. EVIDENCE: On the day of the visit, there were seven care assistants on duty throughout the day between the hours of 7am and 10pm. Duty rotas showed that staffing levels are always maintained. The home has a policy and procedure on staff recruitment that is used when recruiting prospective staff. The Manager was able to explain in detail the process that is used from sending out an application form to the letter that tells prospective staff if they have been successful in gaining employment. Staff do not commence employment until a criminal records bureau check has been completed. During interview prospective staff are informed if they are successful they must be prepared to complete NVQ training. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 19 A staff induction pack is used for all new staff commencing employment. Some training makes up the induction training such as moving and handling, first aid and the proprietor does provide some training that includes food handling. A training budget has been provided by the proprietor to ensure that all staff are given the training they need and training that has been identified within their personal supervision. The staff team have recently completed the twelve week ‘Dementia Awareness’ course at South Tyneside College and four staff have completed the ‘Diabetes Awareness’ course. Currently the home have 90 of the staff team with an NVQ qualification. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed by a person who is appropriately qualified to competently manage the home. A detailed audit has been completed in preparation for the quality assurance system to be put into place. Service users personal financial accounts are well managed to ensure their best interests are protected. However, the accident book is non compliant with data protection and fire precaution records are not up to date. Although staff have received moving and handling training, they were observed to be moving service users using banned practice manoeuvres. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 21 EVIDENCE: The Manager worked at the home for four years as assistant Manager prior to being registered as Manager of the home in October 2006. She has obtained the Registered Managers Award and NVQ levels 2/3. Prior to working in a care setting, she attended university and obtained an HNC in business studies and is currently updating her knowledge by completing NVQ Level 4 in care. Both the Manager and the proprietor have recently completed a nutrition course provided by Sunderland Health Authority. Comments from relatives included: ‘The Manager is very informative and answers any questions that I have’ Although records show that all staff working at the home have received moving and handling training, staff were observed to be using banned practice when moving service users in and out of wheelchairs during the mealtime period. This issue was discussed with the Manager to be addressed with the staff team. Completed accident forms have not been removed out of the book and placed on service users personal files. Fire records were checked and the last monthly test of the emergency lighting was carried out in October 2006. Fire instruction to staff and drills are not entered into the fire logbook. The last entry recorded was on the 10 April 2005. To evidence that instruction and drills are carried out. Any other records should be cross referenced with the fire log book. Fire fighting equipment and the fire alarm system were all recorded in the fire logbook. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP7 OP15 OP19 OP38 Regulation 15 12 23 17 (2) Requirement Care plans must be monitored and evaluated on a regular basis The dining arrangements need to be reviewed. All service users must have lockable space within their bedrooms A record of every fire drill and fire instruction carried out with staff must be cross referenced in the fire logbook. (Previous timescale of 31/12/05 not met) Moving and Handling training must be accessed for the staff team Timescale for action 31/05/07 31/05/07 31/05/07 31/12/07 5. OP38 13 31/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 24 No. Refer to Standard Good Practice Recommendations Princess House DS0000015714.V323790.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Princess House DS0000015714.V323790.R01.S.doc Version 5.2 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!