Inspection on 01/12/06 for Quaker House

This inspection was carried out on 1st December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Quaker House 04/12/07

Quaker House 16/02/06

Quaker House 02/08/05

Quaker House 26/10/04

Quaker House 14/06/04

Quaker House 24/02/04

Quaker House 30/06/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Quaker House 40-44 Barton Court Road New Milton Hampshire BH25 6NR Lead Inspector Mrs Michelle Presdee Unannounced Inspection 1st December 2006 09:30 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 Quaker House DS0000012160.V320232.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. Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Quaker House Address 40-44 Barton Court Road New Milton Hampshire BH25 6NR 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) 01425 617656 New Milton Quaker Housing Association Limited Mr Paul John Abbott Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2006 Brief Description of the Service: Quaker House is set in a residential area on the outskirts of the town centre of New Milton. It provides residential care for up to 40 elderly residents. Many of the residents require a very limited degree of personal care and the support provided is more akin to that within warden controlled accommodation. All forty bedrooms are single and all of these have an en-suite toilet. There are three communal bathrooms and a shower on the ground floor and three communal bathrooms, two of which have toilets and a separate shower on the first floor. There are gardens to the front and rear of the property, which include a patio and water feature. The fees for the home range from £1010 to £1044 per month. Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced inspection, the Manager Mr. Abbott assisted the inspector. A tour of the home was undertaken and several bedrooms were viewed. Paperwork including assessments, care plans, policies and procedures and staff records were viewed on the day. The paperwork of the last three service users to enter the home was looked at in more detail and the inspector spent a longer time talking to two of these service users. Whilst walking around the home the inspector spoke briefly to other service users. Staff were also spoken with. All comments received were of a very positive nature. The majority of service users in the home are independent and manage most of their own care and historically the home has only ever had five residents “in care”. However the manager and staff were aware service users were now coming into the home more dependent and service users in the home needed more care. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service users guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: A good range of activities is offered in the home, with service users having the freedom to join in as they wish. A large percentage of service users are able to access services in the community on an independent basis. Service users are encouraged to be as independent as possible; some service users manage their own medication, some change their own bed linen and some residents do some of their own washing. Training for staff members is promoted in the home, with a large percentage of staff achieving a national vocational qualification level 2. Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 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. 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. Quaker House DS0000012160.V320232.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 Quaker House DS0000012160.V320232.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, 2, 3, 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are given adequate information to assess if the service is right for them. All service users had contracts and knew about the fees they were paying. Assessments do not identify service users needs prior to admission, which does not ensure the home can meet their needs. EVIDENCE: The inspector was advised all potential service users are sent or given a brochure when they make an enquiry to the home and an information pack when they come and stay at the home. The brochure and information pack form the information as defined in the service user guide. Two service users Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 9 spoken to confirmed they had received this information, but no longer had it, as they felt it was unnecessary. The inspector looked at the contracts of the last three service users who moved into the home. Two were available and had been signed by the service users and the home. One could not be found but the manager felt it was in the system somewhere. One service user spoken to confirmed she had signed a contract and was aware of how much she was paying; her daughter kept the contract as the service user had limited vision. The second service user whose contract could not be found confirmed she had seen the contract and knew how much she was paying but was awaiting her contract. The inspector was advised when fees are increased service users are advised at meetings in the home verbally and then by a letter, but contracts are not changed. A service user in the home, who had been in the home for some time, confirmed this. The assessments of the last three service users to be admitted to Quaker House were looked at. The inspector was advised all potential service users are invited to come and have a look around the home. Service users are then invited to come and have a two-week trial period to see how they like the home and to see if they fit into the home. Service users spoken with confirmed this is what happened with them and they were aware of the process. One service user had become permanent straight after the two-week trial period. One gentleman who came into the home on the day of the inspection as a permanent resident had been home for two and a half months after his twoweek trial stay to get his affairs in order. The pre-admission assessments and assessments looked at were very basic and for one service user hardly any information had been recorded except basic information including date of birth, next of kin and doctor. Discussions were held on the need to ensure an assessment has been completed to ensure the home can meet the service user’s needs. The manager was aware of the shortfall and had begun to work on new paperwork for the assessments. Discussions were held on the need to have a clear picture of a service users needs before they enter the home. Risk assessments must be included where necessary, for example one service user in the home currently smokes and there are certain risks with this practice. The home does not provide intermediate care. Quaker House DS0000012160.V320232.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, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans do not provide adequate information to care staff to enable them to meet a service users needs. Health care needs are well met with a range of services available to meet service users needs. Medication procedures are well managed in the home; risk assessments need to be completed for those who self medicate to ensure all practices offer protection for service users. The core values of privacy and choice are promoted in the home. EVIDENCE: Two of the three service users records looked at, had care plans; one did not. The inspector was advised some service user’s in the home were self-caring and needed very little care. In discussions with one member of care staff regarding care plans, she described a service users care in great detail, which it was agreed if had been written down would have formed an excellent care plan. One care plan gave a reasonable account of the service users needs, but discussions were held on the need to ensure sufficient detail is given to care Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 11 staff to enable them to care for service users. The second care plan seen was more basic and did not give carers adequate information on how to care for the service user. On one care plan, evidence was seen that the service user had been involved in the care plan and the review; the service user had signed the care plan and review. A range of health care needs are provided for in the home. The home has access to dentists, opticians and chiropodists. Doctors and district nurses will call into the home when requested. The inspector was advised most service users are able to arrange their own health appointments but assistance is given if requested. Health care needs are recorded and visits by health professional are recorded. The home has a policy and procedure regarding medication. The inspector was advised only care staff that have been on a course are involved with the medication. The home uses a monitored dosage system, which is delivered once a month. The inspector was advised all medication is checked when it enters the home. All medication is kept in a locked cupboard in the office. At times of administration, the inspector was advised medication is taken to each service user and then the record is signed. The inspector looked in the drugs cupboard and checked the medical administration records. The inspector found all but one record to be accurate, the carer had signed to say the administration had been administered but it was still left in the cassette. The home is aware of the need to record and store controlled medication. It was noted temazapam is being stored in the cassettes; it was agreed it would be good practice for this to be stored as a controlled medication. Currently approximately five to six service users manage their own medication. Discussions were held on the need to ensure this is recorded in their care plan and to ensure risk assessments have been completed. From discussions with service users and from observations it was clear their privacy is upheld and they are treated in a dignified manner. All service users spoken to confirmed they had a key to their door. Service users reported they could always see their visitor in private and all health consultations were done in the service user’s bedroom. Staff were observed and heard to speak and assist service users in a respectful manner. Quaker House DS0000012160.V320232.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, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of social activities is arranged in the home with service users having the freedom to join in or not. Visitors are made welcome to the home and they can see service users in private. A varied menu is available and good quality food is served to service users. EVIDENCE: Service users spoken to on the day felt the home matched their expectations. Most service users spoken to felt the home was “perfect” and “could not be bettered”. The majority of service users spoken to enjoyed the freedom of the home and were able to come and go, as long as they signed in and out. One service user explained she was “too busy” to join in the homes activities, but was aware the home offered a wide range of activities. These included a weekly yoga class, poetry reading, books from the library and arts and crafts. Service users spoken to enjoyed the range of activities and enjoyed the freedom of being able to choose to join in or not. Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 13 Service users spoke of their enjoyment of being able to go out and access activities in the community. One service user spoken to had recently been to a musical evening. Service users confirmed visitors could visit at any time and they could see their visitors in private. The home as a room where visitors can stay, which has to be booked and arrangements can be made for visitors to have meals with service users. The home has a four-week rotating menu, which demonstrated a well balanced and varied diet is provided. The menu is displayed in the dining room, where all meals are served. Service users spoken enjoyed the meals and confirmed a choice is available at all meal times. One service user stated, “the cook deserves a medal, all the meals are splendid”. The cook records all meals eaten by each service user. The cook reported there was no restriction on the budget for food and good quality food was provided. The fridge, freezers and cupboards were well stocked with a selection of fresh fruit and vegetable available. Quaker House DS0000012160.V320232.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, 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure, but this was not available in paper form on the day, however service users felt they would be able to complain. Staff do not have adequate knowledge on the procedures to follow when dealing with suspected abuse EVIDENCE: All service users spoken to were aware of the home’s complaint procedure, but none knew where it was. Service users all stated they would speak to the manager if they had a problem and felt confident it would be resolved by him. The inspector was advised all service users are given a copy of the complaints procedure when they enter the home in the information booklet. When the inspector looked in the brochure and the information booklet no reference could be found to the complaints procedure. The manager later found a copy of the complaints procedure on the computer, which did include the necessary information, except the timescales involved. It was agreed this would be updated and enclosed in the home’s brochure or information booklet. No complaints have been received since the last inspection. The staff have had no training on protecting service users from abuse or on the relevant procedures. The manager was aware of the need for this training and is hoping to arrange it in the future; he was aware of the relevant procedures. Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 15 No staff have been referred to the Protection of Vulnerable Adults (POVA) list and there have been no allegations of abuse. Staff spoken to were aware of some types of abuse, but all staff reported they would report to their manager if abuse was suspected. They were unsure who they would inform if the manager was absent from the home or suspected in the abuse. Quaker House DS0000012160.V320232.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, 20, 23, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean, safe, pleasant and well-maintained environment for the enjoyment of service users. EVIDENCE: All areas of the home seen on the day were clean and decorated to a good standard. No unpleasant odours were detected whilst walking around the home. All toilets had soap and towels. No hazards were noticed in the home, radiators were covered; window restrictors had been fitted where necessary and all cleaning materials were kept locked. The home has a lot of communal space for service users to enjoy. There are two large lounges, two smaller lounges and a large dining room. The home has attractive gardens, which service users enjoy sitting in, in the summer months. Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 17 All service users have to furnish their rooms when they move into the home. This includes the carpets, curtains, beds, bed linen and towels. The inspector spoke to two service users in their bedrooms, both had furnished their rooms to a high standard and were aware they had to furnish their rooms before they moved in. One service user had a kettle in her room to enable her to make her own hot drinks when she wants. The inspector was advised most service users have kettles in their rooms. Two kitchenette areas are available in the home for service users to make tea and coffee. Quaker House DS0000012160.V320232.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, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has good staffing levels ensuring service users needs can be met. Training in the core areas has been arranged to ensure staff members have the knowledge and skills to improve their practice. The lack of good recruitment procedures could put service users at risk. EVIDENCE: The home has a written duty rota, which clearly shows who works on which shifts. From discussions with service users it was clear they felt there was always adequate staff on duty to meet their needs. Service users spoken to praised the staff and said they were “wonderful” and “nothing was too much trouble”. Care staff spoken to felt staffing levels were adequate at the present time, but there was concern if service users needs increase, it would be necessary to increase staffing levels between 5.30pm and 8.30pm. The home has three members of care staff including a warden who is in charge of delegating responsibilities on the floor from 8.00am until 2.00pm. The manager, cook, kitchen assistant, domestic staff and laundry assistant are also on duty during this time. Care staffing levels remain consistent until 5.30pm, when care staffing level drops to two carers with a cook to prepare tea. Two waking staff covers the night duties. Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 19 The home has a good training programme and encourages staff to undertake training. All new staff undertakes an induction training programme, which covers all the core skills. Sixty-nine percent of staff have completed a National Vocational Qualification (N.V.Q.) level two and three staff are currently undertaking N.V.Q. level three. The inspector was advised all staff have in-date training in first aid, manual handling, basic food hygiene and a twelve week course on infection control is currently being arranged. The staffing records of the last two members of staff to join the home were examined. It was found for one member of staff nearly all steps had been completed, but no written references were on file. For the second member of staff the application form, interview notes and one written reference was available. However no identification was available, no criminal record bureau check had been undertaken and only one written reference was available. In discussion with the manager it was clear he was aware of the necessary procedures before a member of staff could work in the home and was unsure why the information was unavailable. Quaker House DS0000012160.V320232.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, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is working towards implementing the deficiencies identified in this report. Service user views are always considered when decisions are made in the home. Health and safety procedures in the home ensure service users are protected. EVIDENCE: The manager is working towards the Registered Managers Award and has many years experience. All service users had praise for the manager stating he was a very approachable and a patient man. The areas, which were identified as having shortfalls during this inspection, were agreed by the manager, who Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 21 stated he was already aware of most of them and was taking the necessary action to remedy them. It was clear from the ethos and the feel of the home that it is run in the best interests of service users. Service users have monthly meetings, which are chaired by residents and will make suggestions to the manager and the board of how and what needs to be changed, which the manager explained if they can they would take this on board. A suggestion box is also available in the home. The manager is hoping to consult service users and visitors in a more formal way in the form of a questionnaire as part of the work for his Registered Managers Award. The home manages the personal allowance for several service users. The inspector looked at the records and monies held for two service users. For both service users the total matched the cash held. Discussions were held on making the written records more accurate as it was not always possible to establish when money had been paid into the account and on what date. It was also agreed where possible service users would sign the record when cash is given to them. No immediate obvious hazards to health and safety were observed in the home. Staff are provided with plastic gloves and aprons, which were worn appropriately on the day and were available around the home. Coshh (Control of Substances Harmful to Health) assessments have been carried out and were available in the office. Cleaning fluids were kept locked away. A range of policies and procedures were in the home, which were available to staff. The fire logbook was seen, which demonstrated the necessary tests were being carried out in the agreed timescales. Staff were receiving adequate sessions in fire issues in a twelve-month period. Servicing records were available demonstrating all the necessary equipment had been regularly serviced. The kitchen area was clean and well equipped. Fridge and freezer temperatures were maintained. All food in the fridge was appropriately stored being covered and dated. The cupboards were well stocked, it was noted in one cupboard some spices and condiments were out of date; these were thrown out. The home has a laundry room, which is equipped with domestic washing machines and dryers. Quaker House DS0000012160.V320232.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 3 3 2 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 3 X X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 X X 3 Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14 Requirement Assessments of the same standard must be completed for all service users detailing all their needs and risks before they move into the home. Service user plans must be completed for all service users, detailing all their needs in sufficient detail to enable care staff to meet their needs. The complaints procedure needs to include all relevant information, including timescales and be made available to all service users. Staff must receive training to prevent service users being at risk of abuse and to train staff on the relevant policies and procedures. The registered persons must ensure that all checks as per Schedule 2 including written references, CRB and POVA checks are undertaken for all care staff, prior to employment. A record of these checks must be available for inspection at all times. DS0000012160.V320232.R01.S.doc Timescale for action 01/02/07 2 OP7 15 01/02/07 3 OP16 22 01/02/07 4 OP18 13 (6) 01/02/07 5 OP29 19 01/02/07 Quaker House Version 5.2 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 Quaker House DS0000012160.V320232.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Quaker House DS0000012160.V320232.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. 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