CARE HOMES FOR OLDER PEOPLE
Sharnbrook Lodge 17a Park Road North Houghton Regis Bedfordshire LU5 5LD Lead Inspector
Lesley Richardson Unannounced Inspection 31st January 2008 11:10 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 Sharnbrook Lodge DS0000014966.V359052.R02.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. Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Sharnbrook Lodge Address 17a Park Road North Houghton Regis Bedfordshire LU5 5LD 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) 01582 866708 miriam.philips@bt.com Mr John Philips Mrs Miriam Philips Mrs Jean Flanagan Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (OP) 24 Both of places Dementia - over 65 years of age (DE(E)) 24 Both Physical disability over 65 years of age (PE(E)) 24 Both Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1 The number of service users the home can accommodate at any time must not exceed 24 14th September 2007 Date of last inspection Brief Description of the Service: Sharnbrook Lodge is a privately owned residential care home. The service provides accommodation for twenty-four older people who may also have dementia and/or physical disabilities. The building is a detached property, situated on a main thoroughfare that gives direct access from Luton, Dunstable and Houghton Regis. The home is close proximity to local shops and other amenities. There is parking for several cars at the front of the premises and a large garden at the back of the building that is accessible to people who live in the home. Communal facilities consist of two large lounge/dining areas and additional seating in alcoves on both floors of the home. Bedrooms are located on both floors of the home and can be accessed by stairs or by a passenger lift. Fees for accommodation are between £443.75 and £510. Commission for Social Care Inspection reports are available in the managers office for those people wishing to read them. Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes.
This was a key inspection of this service and it took place over 6 hours and 50 minutes as an unannounced visit to the premises. It was spent talking to the manager and staff working in the home, talking to people who live there and observing the interaction between them and the staff, and examining records and documents. Two requirements from the last inspection have not been met. There has been one further requirements and no recommendations made as a result of this inspection. Information from a random inspection carried out in September 2007 has also been used in this report. What the service does well: What has improved since the last inspection?
The home provides care and accommodation for up to 24 older people. People who live at the home say they like living there. The home is pleasant, nicely decorated and there are no offensive smells. There has been an improvement in the way care plans are written, although staff need to keep working on these so they continue to improve. This is talked about in the next section as well. Each person is registered with a GP and they can see other health care professionals, such as dieticians, specialist nurses or opticians, if they need to. Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 6 The way medication is stored, administered and the records that are kept have also improved since the last inspection. This means that there is less chance there will be a mistake and it is easy to see the reason medication may not have been given or how much has been given if it is a variable dose. We saw that people have activities they enjoy and that the staff members help them do this. This information needs to be recorded in care plans, so that staff can look at whether the person is still getting enjoyment out of the activity and whether there are any difficulties with the person taking part. The meals provided at the home are a good quality and people like them. There is some choice, but this is still not offered as a choice, but as an alternative if something is not liked. Menu planning has begun and the chef is going to ask people who live at the home what they would like included. Staffing levels are still at an acceptable level and this means that people are able to get individual attention when they need it during busy periods, like lunchtime. Staff members receive required health and safety training and have refresher courses when this is due. They attend training courses on other issues that are relevant to the work they do, like dementia care and medication, and they obtain National Vocational Qualifications (NVQ) in Care. The manager also completes this training and she has started a NVQ in management. Checks that must be completed to make sure equipment and systems in the home is safe are carried out as needed. Changes to fire doors to make them properly fire retardant had been made at the random inspection. What they could do better:
Although most of the storage facilities for medication has improved, including the fridge, changes must be made to the fridge to make sure the temperature can be accurately taken and read. Care plans must have more detailed information in them, so that staff know what to do and how to do it. The checks that are required when new staff members start working at the home must be completed before the staff member starts work. This is so that everything possible is done to make sure it is safe for that person to work with vulnerable people. This was also a requirement at the random inspection in September 2007 and must be met by the timescale. Legal advice is being sought. Quality assurance is another area that was found at the key inspection in August 2007 to have not been properly looked at. We found that although a survey has been carried out, that appears to be as far as it was taken. People living at the home said they have not heard the results of the survey or what action has been taken to improve or develop the home. There are no meetings for people to talk about what they would like. The owner of the home visits
Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 7 often and this complies with one of the Care Homes Regulations, but a report of the findings is not available at the home. This means it is difficult to take action on what may have been found as there is no point of reference. During the inspection we saw two staff members helping someone several times to transfer to a chair using an outdated and dangerous manoeuvre. The home was told this practice must stop immediately. 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. Sharnbrook Lodge DS0000014966.V359052.R02.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 Sharnbrook Lodge DS0000014966.V359052.R02.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): 3 and 6 Quality in this outcome area is good. The home has enough information about people before they live there, which means they can make a decision about whether the person can be cared for before they move into the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Assessments are completed before people move into the home and assessments by health and social care teams are also obtained to provide more information. We looked at the care records of one person who had moved into the home in the last 6 months. Although the homes own assessment had been completed there was some information that should have been looked at in more detail. This means the home is able to say whether it has the staff with the skills and experience to care for someone before they move in, but may not know everything about that person. The home does not provide accommodation specifically for intermediate care or for rehabilitation purposes.
Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. Care is provided in a person centred way that makes sure people are able to say what they want. Further work needs to be done to make sure care records give staff enough guidance to be able to meet all needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person in the home has their own set of care plans that guide staff members in how to care for them. Care plans for three people were looked at as part of this inspection. They show that each person has a plan that gives staff members information about what they need to do to meet most of the identified needs. Risk assessments, for things like falls and moving and handling, are completed and reviewed regularly. Although care plans gave staff information, they do not give advice about what staff should do in the event something might happen and they are not updated to show when things do happen. For example, one person’s records were looked at because we also looked at her pre-admission records and these said
Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 11 she may have challenging behaviour. There is no care plan telling staff about this possibility or what they should do if it happens. Another person’s plan gave staff members no guidance about when to give painkilling medication, even though a communication plan shows this person cannot always make her needs known verbally. However, we talked to a staff member who showed a good understanding of why the medication is given to this person and how staff know when it is needed. Even though this shows staff members know details about people there should be more information written in care plans. This would mean all staff would have access to information about what and how they should carry out tasks, what people can do for themselves or how they like things to be done. Care plans are reviewed every month, although these are only a statement of no change, rather than a review of the care given and whether it has been effective. Risk assessments are completed for moving and handling, falls and continence, although these are not always dated to show when the first assessment or review was completed. There is information in care records to show health care professionals, such as specialist nurses, opticians and chiropodists, are contacted for advice and treatment. Medication records, storage and administration was looked at in detail because of the requirements made at the random inspection in September 2007. We found that most of the requirements have been met and the way medication is stored, given out and recorded has improved. Records are kept to show medication has been given and there are clear explanations to show why a medication has not been taken or has not been given. At the last inspection the home was told they had to provide refrigerated storage with a guaranteed temperature range of 2-8oc. A fridge for the exclusive use of medication has been obtained, although the thermometer used had been externally attached and could not therefore guarantee the temperature. The plastic strip stopping the battery from working had not been removed and neither had the plastic film showing example temperatures on the LED display. No instructions could be found to show staff how to use the thermometer and when the plastic film and strip had been removed the thermometer setting could not be changed from 54oc. This must be changed. Dosage times of some of the medications are a little too close together for there to be a therapeutic level throughout the 24 hour period. The manager said this was because medication charts are pre-printed with the times by the pharmacy. We discussed this during the inspection and the manager said dosage times will be adjusted if needed. Staff members are polite, and they speak to people with respect. People said staff are nice, they usually do everything they need to look after them and they do things like knock on doors before going into the room. Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Most people live the life they want to and it meets their expectations, although they should be more involved in planning to make sure they have choice and control over their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We sat in both lounges with people who live at the home during the inspection. People in both lounges were engaged with activities of their choice and very few of them were withdrawn or asleep. It was obvious from the way staff members interact with people who live at the home, that they know what people like to do and their interests. One lounge room has the television on in the afternoon and the group of people in this room spend their time watching quiz programmes like Countdown. A staff member sat with one person who had trouble remembering the rules of the quiz, and encouraged this person to join in and try to make words out of letters available on the screen. Other people in the room were also doing this and it was good to see the television being used for stimulation and interaction, rather than background noise. Before these programmes started a staff member had sat down and played a board game with 3 people with few interruptions, so the flow of the game had been carried through to the end.
Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 13 People in the other lounge had more ‘hands on’ activities and music to listen to. Staff members were helping two people with a craft project and another person got colouring books and pens out of a drawer, where they are always kept. People were also able to tell us about a trip they had made to visit Woburn Safari Park. However, this type of information was not recorded in care plans, although the manager said records were kept of activities that people had taken part in. Only one of the three care records we looked at had a care plan to show staff how social needs should be met, and this was included as part of a communication plan. This person is the same person that uses colouring books; a review of the plan mentions this activity but the plan has not been updated with the information. Although staff have time to spend helping people keep skills they have, this needs to be recorded in care plans so that it can be evaluated and all staff have access to this information. Visitors are welcome at the home, although the manager said this is discouraged at mealtimes. People living at the home said they can have visitors and there are no restrictions on where visits take place. One person said she has visits from her son and daughter and they take her out. People said they are able to do what they want. They can get up when they want, go to bed when they want and wear what they want. One person said she often goes to lie down in the afternoon in her room and is able to decide when she does this. Meals are served in the dining areas of the two combined dining/lounge areas. Tables are set and there is a saltcellar on tables, although there are no napkins or serviettes, or jugs of drink. People sitting at the dining table said they thought there was no pepper because not many people would use it. Staff members sit with those people who need help to eat. This may be physically helping them or by simply giving them encouragement and reminding them what to do. The staff member that we saw doing this was attentive to what she was doing and didn’t become distracted by other people or rush the person she was helping. We sat with people in one dining area for lunch, which was served already plated, with no choice of main meal. There was a choice of dessert only when the dessert offered was declined, although this was a verbal choice rather than people being able to choose a piece of fruit. There is an alternative meal available if the main meal is not liked. The meal looked and tasted appetising and contained a good variety of food groups. The cook said a menu is being set up and there are plans to talk to people living at the home about it, but one person at lunchtime said she didn’t know about plans to develop menus or about choices available at mealtimes. It is important that people are involved with menu planned so they can enjoy food they prefer and like, and so that the menu caters for different cultural and dietary needs. Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 14 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Complaints and safeguarding procedures are in place so that people living in the home are able to raise concerns and to safe guard them from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has policies and procedures for complaints and safeguarding adults (adult protection), which give staff guidance on dealing with these issues and other people advice on how to report concerns. There are few complaints made to the home and people living there know who to talk to if they’re not happy and how to make a complaint. Staff are given training in safeguarding adults. Those staff members that have not yet received this training or need a refresher course have been scheduled to complete this in March 2008. Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 15 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. The standard of the home provides a safe and homely place for people to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is clean, tidy and a comfortable place to live. There are two lounge and dining areas, and people are able to spend time in the garden or in their own rooms if they wish. Carpets in individual rooms were clean, and a carpet in one room identified at the last key inspection had been steam cleaned, although this was not able to completely remove darker marks from the cream carpet. There were some rooms on the first floor in the older part of the building where the carpet is beginning to become worn. Beds in individual rooms are made and the bed linen seen was clean. However, sheets on one person’s bed
Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 16 were thin and the fitted sheet was too small and could not be fully pulled over the mattress. Sheets like this should be replaced. There are soap and paper towel dispensers in communal areas in the home, although these were not available in this toilet during the inspection. It is important that hand washing designed not to spread infection are available throughout the home. This was discussed with the manager, who was aware and had made arrangements for the dispensers to be replaced. Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 17 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. Staffing levels ensure people are not kept waiting for help when they need it, but recruitment checks are not always completed properly, which may put people at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff members are given induction training when they start working at the home. This includes mandatory health and safety training, and updates to this training are also given when needed. Training records show nearly staff have also completed food hygiene training, safeguarding (protection from abuse) training and 8 staff members have completed a course in dementia care. About two thirds of staff have a national vocational qualification at level 2 or 3 in care. A requirement was made at the key inspection in August 2007 about low staffing levels, and this had been met when we visited to do a random inspection in September 2007. We found at this inspection that staffing levels were still at an acceptable level. There was enough staff on duty to give people individual attention during activities in the afternoon and at the busy period during lunch. During the random inspection in September 2007 a requirement was made about recruitment checks, because not all of these had been done before new
Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 18 staff members started working at the home. We looked at the files for two staff members who have started working at the home since that inspection. Most of the required checks and information have been obtained, although gaps in employment history are still not looked at. The reason for people leaving a care position is also not looked at and there was no reference from a previous employer where the person had worked in a care position. These checks must be made so the home can be sure it has done everything to make sure people employed by the care home are safe to work with vulnerable people. Legal advice is being sought about this. Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 19 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. The home obtains the views of people living in the home, but further work needs to be done to show how this is developing and improving the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been in the position for a number of years and has been registered with the Commission as manager since May 2005. She has completed a 12 week dementia course and is currently completing a Registered Managers Award. A quality assurance survey was last carried out in September 2007 and people at the home said they remember completing a questionnaire. However, the manager said a report has not been written about the surveys or how these
Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 20 will help improve and develop the home. One person who remembers completing a questionnaire said, “you never do hear what happens”. Meetings for people living at the home and their relatives have not yet been started and the manager said this is still to be set up. The provider completes an unannounced visit every month to comply with Regulation 26 of the Care Homes Regulations 2001, but copies of these reports or the findings are not available in the home. A report from the last quality assurance survey must be provided to the Commission and reports of visits carried out under Regulation 26 must be given to the manager. The report from the survey should also be made available to people living in the home. The home does not look after money on behalf of people who live there. Relatives or others acting on behalf of people are invoiced directly for fees for hairdressing, chiropody and other services. People who do wish to keep their own money have lockable facilities in their rooms. Regular checks are carried out to make sure servicing and maintenance of equipment is completed when needed. A requirement made at the key inspection in August 2007 about fire safety doors was met at the random inspection in September 2007. However, during this inspection we saw four instances where staff members used a moving and handling technique that is not safe and should no longer be used. We told the manager this must stop straight away as it puts people at risk of injury. An inspection by the environmental health officer was also carried out on the same day as this inspection. That inspector has requested any changes to the kitchen area that need to be made. Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X 3 X X 2 Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 22 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 OP29 Regulation 19(1) Requirement Timescale for action 15/05/08 2 OP33 12(1)(a) 24,26. 3 OP38 13(5) All the required checks, documents and information must be obtained before new staff members start working at the home. This is to make sure they are safe to work with vulnerable people. (The previous timescale of 31/10/07 has not been met) 15/05/08 A report must be produced to show how quality assurance systems are taking into consideration the views of people living at the home. A report must be produced for visits made under Regulation 26 of the Care Homes Regulations and a copy must be kept at the home. These are so that action can be taken to improve the quality of the service provided. (The previous timescale of 31/10/07 has not been met) Outdated moving and handling 31/01/08 techniques must not be used, so that people living at the home are not put at risk. Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 23 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 Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Inspection Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Sharnbrook Lodge DS0000014966.V359052.R02.S.doc Version 5.2 Page 25 - 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!
