Inspection on 07/02/07 for Royston Nursing Home

This inspection was carried out on 7th February 2007.

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.

Other inspections for this house

Royston Nursing Home 10/02/10

Royston Nursing Home 11/12/09

Royston Nursing Home 10/08/09

Royston Nursing Home 11/08/08

Royston Nursing Home 17/07/07

Royston Nursing Home 24/05/06

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Royston Nursing Home Brighton Road Clayton Hassocks West Sussex BN6 9NH Lead Inspector Mrs J Hough Key Unannounced Inspection 7th February 2007 10:10 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 Royston Nursing Home DS0000065926.V324523.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. Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Royston Nursing Home Address Brighton Road Clayton Hassocks West Sussex BN6 9NH 01273 845603 01273 842018 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) Care Reminiscence Limited *** Post Vacant *** Care Home with Nursing 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A Maximum of 17 service users may be accommodated. Date of last inspection 3rd October 2006 Brief Description of the Service: Royston is a care home, which is registered to accommodate up to seventeen residents in the category (OP) old age, not falling within any other category. It provides personal and nursing care. Royston is a detached three-storey property, which provides accommodation in single, and double bedrooms located on the ground, first and second floors. There are also two lounges, which are located on the ground floor. A vertical passenger lift provides access to all floors. The property is located in the village of Clayton, approximately half a mile from Hassocks. The registered provider of this service is Care Reminiscence Ltd, who has appointed Mr Ramprakash Beeharry as the responsible individual to supervise the management of the care home. The home has appointed a new manager Mr Rajkumarsingh Gunowa who is responsible for the day- to -day running of the home. Mr Gunowa has yet to register with the Commission of Social Care Inspection (CSCI) to become the registered manager. Current fees are from £577.50 to £656.25 per week. Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection was undertaken by one inspector June Hough on the 7th February from 10:00am to 4:30pm. The registered person had completed a pre-inspection questionnaire and information from this plus evidence from previous inspections has been used for the planning of the inspection. Further evidence for this inspection report was gained during the inspection visit. A tour of the premises was made and records were examined in relation to resident’s care plans and assessments, medication procedures and practice, staff records, complaints and accidents, activities, staff training and staff rosters. Six residents and four members of staff were spoken with during the inspection to gain their views on what it was like to live or work in the home. The new manager for the home was on holiday on the day of the inspection and the nurse in charge and Mr Beeharry the responsible individual provided the inspector with the information required. What the service does well: Residents spoken with liked the home saying it was comfortable and homely and said the staff were kind and looked after them very well. Residents are able to have visitors at any reasonable times. There are sufficient numbers of staff on duty to provide the care needed by residents currently living in the home. Residents liked the food and said there was plenty to eat. Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? The manager carries out pre-admission assessments for prospective residents prior to any agreement being made for admission to the home. Resident’s care plans and assessments were detailed in identifying the needs of residents and the level of assistance required. Evidence was available that relatives have been consulted in the completion of some of the resident’s care plans. A new manager has been appointed who is responsible for the day- to -day running of the home. Recruitment procedures for the home include the necessary checks and protect residents from harm. A structured induction programme is now in place that includes staff working through the Skills for Care workbooks. Improvements have made to the premises that include:The two doors that contained clear glass in a resident’s bedroom have been replaced to maintain the resident’s privacy and dignity. All doorways have been widened to allow access to wheelchairs. The Parker bath on the first floor bathroom has been raised to allow the use of a hoist. The sluice has been moved and a new washbasin fitted. On the third floor a new toilet and washbasin has been fitted. A new double washbasin has been fitted in the kitchen. The boiler room has been cleaned and the door replaced. Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 7 The laundry room has a new tiled floor and shelving painted. The door to the laundry that previously gave access outside or via the domestic kitchen has been moved giving access to the laundry via the corridor. On the top floor some of the resident’s bedrooms and a toilet have been decorated. Landing and corridors have new carpets fitted and been fitted and the ground floor is in the process of having new carpets fitted throughout. 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. Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. (excellent, good, adequate or poor). This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and Service User Guide does not provide prospective residents with information about room sizes and the communal space available to residents. Residents are admitted to the home following a needs assessment being carried out. Assessments do not give evidence that the personal safety of residents and the environmental risks have been considered prior to admission. The home does not provide intermediate care. EVIDENCE: Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 10 The Statement of Purpose and Service User Guide does not inform prospective residents with detailed information about the accommodation with regard to the size of some of the bedrooms and the lack of a separate dining area in the home. The home has only had one new resident admitted to the home since the last inspection. The records showed that the manager had visited the resident in hospital and carried out a full needs assessment before any agreement was made for admission. Due to some of the room dimensions being small and therefore not suitable for residents requiring the use of special equipment, there was no evidence on assessments to confirm that personal safety and environmental risks had been considered prior to admission. Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. (excellent, good, adequate or poor). This judgement has been made using available evidence including a visit to this service. All residents have a care plan in place that gives clear direction to staff of their individual care needs and the level of assistance required. Residents are protected by the home’s medication policies and procedures and safe practice in the administration, storage and disposal of medicines. There was evidence to confirm that residents are treated with respect and their right to privacy upheld. EVIDENCE: Three resident’s care plans and assessments were read and generally found to be clear and detailed in setting out resident’s individual needs and the level of assistance required. Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 12 All care plans were reviewed in January 2007 and recorded on a review sheet. However, changes noted in the reviews were not in all cases reflected and changed on care plans. Daily records were maintained with regard to monitoring fluid and food intake, for those residents with a poor appetite or weight loss. Residents are routinely weighed monthly or more frequently if some weight loss has occurred. Records were maintained of all visits of health care professionals and it was noted that advice and support is sought from health professionals when required. Moving and handling risk assessments were completed and included the risk presented by the environment. The medication administration records were clear and detailed. Medicines given when required are monitored and reviewed and any changes noted are referred to the GP. The medicines are supplied from the pharmacist in blister packs, and no medication is given to residents without the consent from the GP. Registered nurses administer the medicines to residents, and none of the present residents are able to administer their own medicines. All medicines for disposal are recorded in a book and signed by the registered nurse. The inspector noted that the home was not storing or administering any Controlled Drugs. The home has a supply of pressure relieving cushions and mattresses, and where a more complex mattress is required an assessment from the district nurse is requested. The home had taken the necessary actions to ensure that the resident’s privacy and dignity is respected. A fire exit and bedroom door had been replaced and a bathroom doorway had been widened and bath raised, to allow the bathroom door to be closed when in use. Resident’s bedroom doors do not have locks unless the resident expresses a wish to have one fitted. Written evidence that residents did not want a lock on their bedroom door was evidenced on individual care plans. Shared accommodation is agreed prior to admission as prospective residents or relatives visit the home and are shown vacant rooms. When a shared place becomes vacant the remaining resident has the choice to move to a single room when one is available. Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. (excellent, good, adequate or poor). This judgement has been made using available evidence including a visit to this service. Activities are arranged but not always on a regular basis and in line with resident’s interests. Arrangements are in place to ensure residents maintain contact with family and friends. Residents are offered a well-balanced and varied diet and menus are developed taking into account resident’s likes and dislikes in food. EVIDENCE: Activities provided include chair exercises and skittles twice a month, and musical entertainment once a month. It is the responsibility of a member of the care staff to provide and arrange activities at other times. Activities are recorded in an activity book, when they take place and the residents that participate. It was noted that there were several days where no Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 14 activities took place. Resident’s interests and hobbies are not recorded on care plans so it was not possible to know whether or not activities are arranged to meet resident’s needs. There were no activities taking place on the day of the inspection. On speaking with some of the residents about activities, some were happy with what was on offer, others did not choose to participate and others wished there was more going on. Menus were examined for a six week period and offered residents a varied well-balanced diet, although on week two it was noted that pastry was on the menu for three days during that week. Menus did not give an alternative choice of food although residents are offered an alternative when needed. Menus are completed with the manager and cook taking into account resident’s likes and dislikes in food. A record is maintained of resident’s daily food intake and special diets are catered for. Resident’s spoken with said the food was good and there was plenty to eat. The home does not have a separate dining area so residents eat their meals in the lounge areas on small tables or in their bedrooms. A new cook started last week and is in the process of applying to do the food hygiene course. The kitchen was clean and tidy and fridge/freezer temperatures and food temperatures are recorded daily. Mr Beeharry confirmed that the recommendations made at the environmental health inspection in September 2006 have been met. Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. (excellent, good, adequate or poor). This judgement has been made using available evidence including a visit to this service. The home has a clear complaints procedure in place that is available for residents and relatives informing them of the process for making a complaint. Current procedures and practices ensure residents are protected from harm. Staff understand their responsibilities in reporting any incidents or allegations of abuse. EVIDENCE: The home has a clear complaints procedure displayed in the front hallway, and each resident is given a copy on admission to the home. The complaints log showed that there had been two complaints recorded since the last inspection both of which had been satisfactorily resolved. Complaints recorded included the nature of the complaint, the investigations and the actions and outcomes for residents. Residents spoken with said they would speak with the manager should they have any worries or concerns. The pre-inspection questionnaire showed that staff have undergone training in the Protection of Vulnerable Adults in the past twelve months. Staff spoken with demonstrated they understood the different types of abuse and their individual responsibilities in reporting such incidents. Royston Nursing Home DS0000065926.V324523.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): Quality in this outcome area is adequate (excellent, good, adequate or poor). This judgement has been made using available evidence including a visit to this service. Residents live in a well- maintained and comfortable environment following the continuing improvements made to the premises. Residents do not have sufficient and suitable bathing facilities at present, although plans are in place to fit a new bathroom and shower room. The registered person must ensure that the environment meets the needs of any future residents accommodated in the smaller rooms. The home was clean and hygienic. EVIDENCE: Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 17 At the last inspection it was noted that when Mr Beeharry applied to be the registered provider it was advised that some of the bedrooms within Royston were too small with regard to the provision of nursing care, to allow for staff and equipment to be used both sides of the bed when required. Also concerns were raised to the suitability of some of the beds when using a hoist. The issue of the small rooms was again raised with Mr Beeharry to ensure that the environment meets the needs of any future residents accommodated in these rooms. The home has five beds that are adjustable height and suitable as nursing beds. Following the random inspection in October 2006 the proprietor Mr Beeharry has worked hard to ensure improvements have been made to the environment of the home. The improvements made are given in the summary of this report. At present the home has limited bathing facilities for residents, as only one bathroom is practical for use. Mr Beeharry confirmed that work is in progress to refurbish the ground floor bathroom and the separate shower room. Following the recommendation made at the last key inspection in May 2006 Mr Beeharry confirmed that the premises had been assessed by a suitably qualified Occupational Therapist. However evidence of this assessment and outcomes were not available on the day of the inspection. Mr Beeharry confirmed that the recommendations made at the last environmental health inspection and fire safety assessment are met. However during the inspection it was confirmed that some fire door closures need replacing to meet current fire regulations. The home was clean and fresh on the day of the inspection. A cleaner has been employed in the last month and the residents said the cleanliness of the home had improved. Royston Nursing Home DS0000065926.V324523.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): Quality in this outcome area is good. (excellent, good, adequate or poor). This judgement has been made using available evidence including a visit to this service. The home provides adequate staffing levels to ensure resident’s needs are fully met. Residents are protected from harm by the home’s recruitment procedures that ensure staff do not start working alone in the home until all the necessary checks are completed. Staff are provided with the training necessary to ensure they are competent to do their work and meet the needs of the residents. EVIDENCE: On the day of the inspection fourteen residents were accommodated. Staffing rosters showed that a registered nurse and three care assistants work in the mornings and one registered nurse plus two care assistants in the afternoon. At night there is one registered nurse plus one care assistant. Staff and residents spoken with felt the staffing numbers were sufficient to provide for the current needs of residents accommodated. The staff file was examined for the one new member of staff employed since the last inspection. Prior to employment two satisfactory references and a Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 19 Protection of Vulnerable Adults (POVA) check had been carried out. A Criminal Records Bureau check was obtained a month after employment. However it was confirmed that new staff commence an induction programme that includes working under supervision until checks are complete. Mr Beeharry confirmed that all staff have been given workbooks from Skills for Care that are in the process of completing. In future new members of staff will routinely have a workbook to complete as part of the induction training. The pre-inspection questionnaire shows that there are five care assistants who have achieved the National Vocational Qualification in Care and staff have had training in administration of medicines, fire safety, supervision, employment law, food hygiene, catheter care, adult protection, and manual handling. A continuous audit is carried out of training requirements of staff and training courses arranged to address the needs. Royston Nursing Home DS0000065926.V324523.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): Quality in this outcome area is adequate. (excellent, good, adequate or poor). This judgement has been made using available evidence including a visit to this service. The newly appointed manager for the home is not yet registered with the Commission of Social Care Inspection. The registered provider must ensure that the environment is suitable to meet the individual needs of residents with regard to their private accommodation, to ensure the health and safety and welfare of residents and staff is protected at all times. Residents and relatives views of the home are obtained via annual surveys and monthly visits carried out by the provider. There was no evidence available that feedback from surveys was published and made available to residents, relatives and other interested parties. Royston Nursing Home DS0000065926.V324523.R01.S.doc Version 5.2 Page 21 EVIDENCE: Since the last inspection a new manager Mr Gunowa has been appointed following the resignation of the former manager. Mr Gunowa has yet to apply to the Commission of Social Care Inspection (CSCI) to become the registered manager. Mr Gunowa was not present on the day of the inspection due to being on annual leave. The home has a quality monitoring system in place that includes annual surveys to residents, relatives and other health professionals. Mr Beeharry confirmed that surveys for 2007 had recently been sent out. Results from surveys in 2006 were not available for inspection and feedback on surveys was not published and made available to current residents and relatives. The views of residents and relatives are also obtained as part of the monthly Regulation 26 visits carried out by the provider. Policies and procedures for the home were reviewed in December 2006. All equipment and systems in the home are maintained and serviced within appropriate timescales. Staff confirmed that formal staff supervision has commenced since the appointment of the new manager. Accident, incidents and injuries are recorded and reported to the appropriate authorities. The accident book showed there have been seven minor accidents recorded since the last inspection in May 2006. The issue of the health and safety and welfare of residents and staff was mentioned earlier in this report with regard to the size of some of the resident’s rooms and the suitability of some of the beds where a hoist is needed. Royston Nursing Home DS0000065926.V324523.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 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X 3 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 X 3 X 2 Royston Nursing Home DS0000065926.V324523.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. Standard OP12 Regulation 16(2)(m) Requirement The registered person shall having regard to the size of the care home and the number and needs of service users consult service users about their social interests, and make arrangements to enable them to engage in local, social and communal activities. Previous timescale for action 20/07/06 2. OP19 23(1) Subject to regulation 4(3), the registered person shall not use premises for the purposes of the care home unless the premises are suitable for the purpose of achieving the aims and objectives set out in the statement of purpose. Previous timescale for action 20/07/06 3. OP19 23(2)(f) The registered person shall have regard to the number and needs of the service users ensure that the size and layout of rooms occupied or used by service DS0000065926.V324523.R01.S.doc Timescale for action 31/03/07 28/02/07 28/02/07 Royston Nursing Home Version 5.2 Page 24 users are suitable for their needs. Previous timescale for action 20/07/06 4. OP3 14(1)(d) The registered person shall not provide accommodation to a service user at the care home unless it has been confirmed in writing to the service user that having regard to the assessment the care home is suitable for the purpose of meeting the service user’s needs in respect of his health and welfare. 28/02/07 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 Royston Nursing Home DS0000065926.V324523.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 Royston Nursing Home DS0000065926.V324523.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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