Inspection on 28/10/05 for Roland Care Home (North Circular Road)

This inspection was carried out on 28th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Roland Care Home (North Circular... 26/09/07

Roland Care Home (North Circular... 06/02/07

Roland Care Home (North Circular... 01/12/04

Roland Care Home (North Circular... 10/05/04

Roland Care Home (North Circular... 06/01/04

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

CARE HOME ADULTS 18-65 Roland Care Home (North Circular Road) 231 North Circular Road London N13 5JH Lead Inspector Julie Schofield Unannounced Inspection 28th October 2005 12:25 Roland Care Home (North Circular Road) DS0000010621.V259106.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 Roland Care Home (North Circular Road) DS0000010621.V259106.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. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Roland Care Home (North Circular Road) Address 231 North Circular Road London N13 5JH 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) 020 8886 0755 020 8211 4539 Mr Dushmanthe Srikanthe Ranetunge Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may continue to accommodate a specific service user who is physically disabled. This condition will be reviewed should the care needs of the service user increase to a point where the home is unable to meet them. The home may only accommodate service users in the 2 bedrooms located in the loft extension after they have been subject to an assessment by a competent person representing the service user and nominated by the placing authority. In the case of a service user who is self funding, the assessment must be undertaken by a competent person who is independent of the home. This assessment must clearly that the service user is able to escape from their room in the event of a fire, without the assistance to staff. A copy of this assessment must be retained in the home and be available for inspection. Any such assessments held by the home, must be subject to regular external review in accordance with the changing needs, abilities or condition of the service user. Temporary variation agreed for one named individual JH aged 65 years for the duration of his stay. 1st December 2004 4. Date of last inspection Brief Description of the Service: 231 North Circular Road is a care home registered to provide accommodation and personal care for a maximum of 6 adults with mental disorders. At the time of the inspection there was one vacancy. The home was opened in 1990 and is one of three care homes, owned by Mr D Ranetunge. The home’s brochure states that the aim of the home is that service users will be provided with individual programmes of care, regularly reviewed to maximise stability and preserve independence. The home is a two-storey terrace house with a loft extension. On the ground floor there is an open plan lounge/dining and kitchen area, a communal toilet (which is wheelchair accessible) and two single bedrooms (one of which has a shower cubicle which is wheelchair accessible). On the first floor there are two single bedrooms, a bathroom and separate toilet and a combined office/sleeping in room. In the loft there are two single bedrooms (each with an ensuite toilet facility) and a bathroom. Service users are accommodated on the second floor subject to a risk assessment, which is part of the pre-admission procedure. At the front of the house there is a paved area for parking and at the rear of the house there is a garden which is partly paved and is accessible to service users. The home is situated within half a mile of shops, restaurants, transport and other community facilities located Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 5 along Green Lanes in Palmer’s Green. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a Friday afternoon in October 2005. It started at 12.25 pm and finished at 3.50 pm. During the inspection a partial site visit, examination of records and discussions with acting manager, staff and residents took place. The Inspector would like to thank everyone who took part in the inspection. What the service does well: What has improved since the last inspection? There were few statutory requirements identified during the last inspection. However the home now ensures that when residents are weighed on a monthly basis care is taken that the weighing scales are placed on a flat surface and that any significant weight gains or losses are rechecked. Appointments for residents to see the optician were arranged and contact will be made with the optician before the next check up falls due. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 7 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. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 8 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 Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 9 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): 2, 4 Carrying out an assessment of the resident prior to their admission ensures that the needs of the resident can be met within the home and a record of this assessment must be kept on file. Residents are involved in the process of choosing a care home that can meet their needs and make their decision after an introductory visit(s) to the home. EVIDENCE: The case files of 2 residents who had been admitted to the home since the last inspection were examined. Both files included an assessment by the placing authority and various reports e.g. by the psychiatrist, by the accommodation team, by the O.T. etc. There was evidence that the wishes of the prospective resident had been considered. The acting manager said that it is the policy that 2 managers visit the prospective resident prior to admission to carry out an assessment of their needs to confirm that the home is able to provide a service to meet these. Although this had been carried out a copy of the assessment form was not on file. There was evidence on both files of a comprehensive pre-admission programme of visits to the home. There was a record of this programme on each file and it included the dates of a trial day, a trial night and a 3 day trial visit. The record included comments from the staff on duty and comments from the existing residents. One of the residents who had recently been admitted to the home said that he had visited the home and seen the room Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 10 that he would be occupying. He also said that he had met the staff and the residents already living in the home. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 11 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, 9 Evaluating care plans on a regular basis ensures that changes in the needs of residents are identified and can be addressed. Staff support residents to take responsible risks so that residents can enjoy an independent lifestyle. EVIDENCE: The case files of 2 residents who had been admitted to the home since the last inspection were examined. Both files contained a comprehensive care plan that identified personal, health and social care needs. They were signed by the resident. The files contained copies of the minutes of review meetings and CPA meetings. Any restrictions on choice and freedom were documented e.g. the provision of an escort when a resident was outside the home. Residents were involved in the care plan assessment and attended their review meetings. The files contained risk assessments prepared by the home and agreed with the resident. They were tailored to meet the individual needs of service users. Risk assessments were in respect of self-harm, aggressive behaviour, epileptic fits, the provision or non-provision of the numbers to operate the keypad system attached to the front door. There was evidence that risk assessments were reviewed on a regular basis with the resident, CPN or Social Worker etc. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 12 The risk assessments in respect of residents occupying rooms on the second floor and needing to evacuate the home safely in the event of an emergency were also subject to regular review. This is a condition of registration. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Residents have access to day centres and drop in sessions, which provide an opportunity to develop their social and communication skills. Taking part in activities and using community facilities gives residents the opportunity to become more independent and to enjoy an interesting and stimulating lifestyle. The support of staff enables residents to maintain family contact. EVIDENCE: Each of the residents has a weekly programme of activities and this includes day centre/drop in sessions. One resident attends a day centre for 5 days per week although the other residents attend either once or twice a week. The acting manager said that the home has requested additional visits for some residents but this has to be assessed and agreed by the centre. If necessary the home will assist residents with benefit/finance problems. Residents use public transport, taxis and dial a ride to access community facilities. Residents received polling cards to vote at recent elections but the acting manager said that residents declined to vote. Although most residents do not require support in the community one of the residents has an escort Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 14 and staffing levels are sufficient to enable this. Also some activities take place in the community with residents on a 1 to 1 basis. Residents confirmed that they used community facilities including the local library, restaurants, pubs, cinema, shops and leisure centres. One resident said that they enjoyed going swimming on a weekly basis. Residents said that they had enjoyed a holiday arrange by the company for the residents of the company’s 3 care homes. Outings are also arranged in the home and residents have been to a wild life park, Kenwood and to restaurants etc. Residents said that they visited relatives and sometimes stayed with their relatives overnight. They also said that their relatives visited them at the home. They confirmed that visits made to the home either took place in the lounge or in their own room. They said that the members of staff on duty at the time made their visitors welcome. Two of the residents have made friends with residents in other Roland care homes and said that they visited them. One of the residents was about to go to visit their friend at the end of the inspection. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 15 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 Residents are supported by staff to take their medication, at the times directed and in the doses prescribed by their GP, in order to promote their general health. Residents’ health care needs are met through access to health care services in the community. EVIDENCE: Two case files were inspected and there was a section of the file that contained evidence of access to health care facilities in the community. There was evidence of access to routine health screening e.g. blood tests etc and that they were given the opportunity of having a flu vaccination. Residents said that they have had appointments with the dentist, optician and chiropodist. Records were kept of visits to the GP. Staff have supported residents at out patient appointments and records were kept of appointments with the psychiatrist. The acting manager said that the medication policy had been amended so that medication was administered to the resident in the office, on an individual basis. This was to give residents more privacy and also gave the resident an opportunity to discuss anything that could be worrying them, on a 1 to 1 basis. Two residents are unable to come to the office on the first floor and they receive medication in the privacy of their own room, on the ground floor. The designated person in charge on each shift gives medication. Each member of Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 16 staff who carries out this role has undertaken a 6 week training course organised by a local college. The storage of medication was inspected and it was safe and secure. The home uses a system of blister packs. These were inspected and the medication had been appropriately removed, prior to the inspection. Records were inspected and were complete and up to date. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 17 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 Residents are aware of their right to complain if the care that they receive is not satisfactory and said that they were confident to do so, if the need arose. An adult protection policy, familiarity with the interagency guidelines and protection of vulnerable adults training for staff contribute towards the safety of residents. EVIDENCE: The complaints book was available for inspection. It was noted that 1 complaint had been recorded. The complaint had been made by one resident about another resident. It had been resolved. A copy of the complaints procedure is available in the office and there is a copy in the folder in the lounge, for residents to refer to. The action manager also said that residents are provided with a copy during the admission process. The complaints procedure includes timescales for each stage of the process and details of the complainants right to contact other agencies e.g. the regulatory authority. Residents said that if they had any concerns or complaints they would be able to talk to some one in the home. The home has a Protection of Vulnerable Adults policy in the event of an allegation or incident of abuse. No allegations or incidents of abuse have been recorded since the last inspection. The home has a copy of local authority’s interagency guidelines in the event of abuse. Ms Ranetunge has undertaken training in the role of investigating officer. The acting manager said that staff have received training in respect of vulnerable adults and that part of the induction training given to staff included an understanding of physical and verbal aggression on the part of service users. There is a policy in respect of Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 18 staff supporting service users with challenging behaviour and a policy on restraint and these are discussed as part of the induction training process. The acting manager said that restraint is not practiced in the home. There is a policy in respect of the handling of service users’ monies etc. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 19 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, 27 Residents were satisfied that the home provided comfortable and “homely” accommodation. Some minor redecoration is needed. Residents’ rights to privacy must be respected at all times and a review of the options for bathing facilities for one of the residents needs is required. EVIDENCE: A partial site inspection took place and it was noted that the paintwork in the lounge needed some redecoration. In the hallway there were wheelchair marks on the doors and corners of walls. Communal areas were comfortably furnished and decorated and provided a “homely” environment for residents. Residents said that they were satisfied with their rooms. There is a garden at the back of the house where residents go to smoke and it was noted that an old commode had been stored there. A resident who occupies a bedroom on the ground floor has a risk assessment in respect of using bathing facilities. There are no communal bathing facilities on the ground floor and it is preferable that the resident does not use the bathroom on the first floor. Another resident with a ground floor bedroom has an ensuite shower and this resident has given permission for the shower to be used, on the days that he is at day centre, by the resident who does not have a room with ensuite facilities. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 20 Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 The home continues to support staff undertaking NVQ training. Staff also have access to training that enables them to work with residents who have mental health problems. The rota demonstrated that there were sufficient staff on duty to work with the residents and to meet their needs. The welfare of residents is promoted and protected by a recruitment process, which includes checks on the integrity and suitability of applicants. EVIDENCE: Staff work for the company and may work shifts in more than one of the Roland care homes. Across the company 10 support staff are currently undertaking NVQ training and 6 of these are studying for their NVQ level 3 qualification. In addition to the company’s programme of NVQ training there have also been opportunities for staff to undertake training in infection control, manual handling, medication, epilepsy, schizophrenia and personality disorders etc. During the inspection it was noted that staff had a good rapport with residents and showed interest and commitment to their work. Residents said that the staff were “good”, “kind” and “supportive” and a resident said that the acting manager was “lovely”. The rota was inspected and the home is maintaining the agreed minimum staffing levels. At the time of the inspection the acting manager was on duty and there were 3 support staff working with residents. One staff member was out with a resident, who wanted to do some shopping, for part of the Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 22 inspection. Staffing levels were sufficient to support residents inside and outside the home and to support residents on a 1 to 1 basis, if required. At night there is a member of staff asleep but on call in the home. The staff team consists of both male and female support workers. The rota also provided information about the on call management system. Staff confirmed that staff meetings took place every 2 months and that individual supervision sessions also took place on a 2 monthly basis. This support was in addition to the dayto-day supervision of staff. Three staff files were inspected. They each contained evidence of a satisfactory enhanced CRB disclosure. As part of the recruitment procedure the home had also taken references, checked the ability to work if the member of staff did not hold a UK or EU passport and had seen proof of identity. Files also contained copies of staff appraisals. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 A registered manager oversees the smooth running of a care home and ensures that the quality of the service provided is maintained to a good standard. An application for the registration of the acting manager, by the CSCI, is required. The home has quality assurance systems, which identify satisfaction with current services and changes in the needs and expectations of residents. EVIDENCE: The post of registered manager is vacant. The annual Quality Assurance forms that had been completed between June and October 2005 were available for inspection. These had been sent to relatives, GP’s and professional visitors to the home. The form included questions about the conduct of staff; the conduct of the manager, the quality of care, the cultural and religious needs of residents, the environment, activities etc. All the responses were positive about the service provided by the home. Four forms had been completed by residents who commented that they enjoyed outings, that their key-worker was helpful and that they had a Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 24 good relationship with the manager who is kind and helpful. Feedback from residents is also obtained on a one to one basis or during residents’ meetings. Staff have the opportunity to give feedback during staff meetings and during supervision sessions. The proprietors visit the home on a regular basis and residents said that they were able to talk to them. The policies and procedure manual was reviewed in April 2005 and amendments had been made to certain policies e.g. the medication policy. Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 25 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 X 2 X 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X 2 X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score N/A X 3 X X X X Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 26 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA2 Regulation 14.1 Requirement That a copy of the assessment form, completed by the manager of the home during the preadmission process, is kept on file. That the paintwork in the lounge is redecorated and that the areas in the hallway that have been affected by wheelchair marks are redecorated. That the home explores other options for bathing facilities for the resident in the ground floor bedroom, without an ensuite. That 50 of staff achieve an NVQ level 2 or 3 qualification. That the acting manager submits an application for registration by the CSCI as the registered manager of the home. Timescale for action 01/01/06 2 YA24 23.2 01/04/06 3 YA27 23.2 01/04/06 4 5 YA32 YA37 18.1 8.1 31/12/05 01/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000010621.V259106.R01.S.doc Version 5.0 Page 27 Roland Care Home (North Circular Road) Standard Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Roland Care Home (North Circular Road) DS0000010621.V259106.R01.S.doc Version 5.0 Page 29 - 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!