Inspection on 06/08/08 for Silverdale Residential Home

This inspection was carried out on 6th August 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Silverdale Residential Home 08/08/07

Silverdale Residential Home 31/05/06

Silverdale Residential Home 09/12/05

Silverdale Residential Home 01/06/05

Silverdale Residential Home 01/12/04

Silverdale Residential Home 30/06/04

Silverdale Residential Home 30/10/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOME ADULTS 18-65 Silverdale Residential Home 8 Buregate Road Felixstowe Suffolk IP11 2DE Lead Inspector John Goodship Unannounced Inspection 6th August 2008 14:30 Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 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 Silverdale Residential Home DS0000024488.V369726.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 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. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silverdale Residential Home Address 8 Buregate Road Felixstowe Suffolk IP11 2DE 01394 278424 01394 278424 silverdalecarehome@hotmail.com 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) Mr David Austin Mr David Austin Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2007 Brief Description of the Service: Silverdale is a privately owned care home registered to provide personal care and accommodation to up to 8 service users with a learning disability, some of whom are over the age of 65. It is owned and managed by Mr & Mrs Austin, who operate with a family ethos and whose son is the deputy manager and is involved in the administration and maintenance of the home. The home is situated in a residential area of Felixstowe town, close to the sea front and the town centre, where there are amenities such as shops, pubs and churches. The building is a three-storey Victorian terrace with a small front and back garden and on- street parking. Only 1 bedroom has an en suite toilet and shower facility. Stair lifts give access to all three floors. All bedrooms are single rooms. The range of fees at the time of this inspection was £450.00 to £600.00 per week. Silverdale Residential Home DS0000024488.V369726.R01.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 unannounced inspection. It focused on the outcomes for the residents, using the national minimum standards and the Care Homes Regulations. This report includes evidence gathered during the visit together with information already held by the Commission. This inspection took place on a weekday during the afternoon and early evening. It lasted four and a half hours. Mrs Austin was in charge and assisted us during the inspection. Mr Austin returned during our visit from taking some residents out for a trip. We were able to speak to three residents, and two staff, we toured the home, and we examined staff files, care plans, and health and safety records. We sent out survey questionnaires to the manager for residents, relatives and staff. Three surveys were returned from residents which had been completed with staff assistance, and one from a relative. Their answers to the questions have been included in appropriate sections of this report. We also required the manager to complete an Annual Quality Assurance Assessment (AQAA) which was returned two months after the required date. Information from this document has also been incorporated into this report. Care plans give full information about each resident, with their likes and dislikes recorded. These plans, which are agreed with each person, are reviewed regularly. This is especially important for the older residents whose needs for personal care are increasing. What the service does well: This home is run by a family with well trained staff, and the family atmosphere is observable in the way staff and residents interact. The residents we spoke to were all comfortable and content, with easy and friendly communication with staff. Staff offered support by encouragement and prompting to maintain the independence and daily living skills of residents where appropriate. Care plans give full information about each resident, with their likes and dislikes recorded. These plans, which are agreed with each person, are reviewed regularly. This is especially important for the older residents whose needs for personal care are increasing. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 7 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 Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4. Quality in this outcome area is good. New residents can be assured that they will only be admitted to the home if it can meet their needs, and they will have sufficient information to assess for themselves if the home will be suitable for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were seven service users in residence at the time of our inspection. One person had been admitted in the previous twelve months. The owner told us about a prospective resident who had visited the home but had decided it was not right for them. When we arrived, a community nurse was talking to a resident who had been placed in the home initially as an emergency admission. They were checking whether the resident was still happy to continue living in the home. The deputy manager did the pre-admission assessments. We looked at two residents’ files which showed that the home’s admission procedures had been followed, with comprehensive assessments being gathered by the home from previous care providers and the deputy manager’s own assessment. Visits had Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 9 been made to the home accompanied by their then carers, to meet the staff and the other residents. Two staff from Silverdale had visited the prospective admission in their home or care home. The Statement of Purpose and a Service Users’ Guide were available. Fee information was included explaining the range of fees and what they covered. The main factor determining the fee level was whether the home was required to provide a full day care service, or if this was provided by an external provider usually the local authority. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. Residents can expect to be fully involved in deciding how to live their lives. They can participate as much as they wish or are able in the day to day running of the home. They will be encouraged to become as independent and responsible as they are able within a risk-assessed plan. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We examined two care plans, One resident was frail and spent a significant part of the day in bed. The other resident was fully mobile and with good communication skills. Both plans showed that that they were regularly reviewed, usually monthly but in one case more frequently because of changing needs. Following the changes in the behaviour of one resident, they had been referred to the intensive support team of the local NHS Trust and had spent some time Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 11 in specialist treatment accommodation. There was now a programme for reintroducing them into the home, with day visits, the sleep-overs. Currently the person was spending four days at Silverdale. The staff were recording all instances of unusual behaviour which would be discussed at a review meeting. Care plans showed evidence that resident had been involved in the review of them. There was also evidence of the choices which residents could make about their lives. We discussed these with two residents who told us about themselves and their daily routines. They told us about choosing the décor of their rooms, what time they got up, what they did each day, what they had for their meals, and who they chose to be friends with. They also helped to decide what evening and weekend activities all or some of them would go on. On the day of our visit, several residents were preparing to go out to the local pub for a meal. They told us what they intended to choose from the menu. Care plans included a range of risk assessments depending on each person’s needs and abilities. Crossing the road on their own, going to leisure activities, going to the pub, being hoisted, and causing unintentional harm to themselves. We observed how residents were supported to use the kitchen facilities safely. Some of them could also use the washing machines, which had been re-sited to make it easier for them to operate. Residents were observed talking to staff about aspects of their lives, either in communal areas, or in private rooms such as the office. They appeared at ease with all the staff. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17. Quality in this outcome area is good. Residents can expect to have opportunities for leisure and social activities to suit their choice and abilities. Residents are supported to take part in a variety of activities within the local community. They are helped to maintain family links, and their wishes are respected. Residents are supported to eat well both inside and outside the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA told us that the home had arranged for one resident to be taken to church each Sunday and the resident confirmed this. This person told us that they went to the local pub on their own some evenings, as they liked the karaoke. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 13 On the day of our visit, four residents had gone out with the manager on a trip to the Shotley Peninsula. Three remained in the home, one to see the nurse. One person was heard being supported to make a hairdressing appointment. This resident also did their own laundry and could do some cooking. Some residents helped with domestic tasks in the house, especially in keeping their own rooms clean and tidy. Two residents attended day centres on two or three days each week. The home was responsible for helping the other residents to find activities and clubs they would like to join. The oldest resident did not have a regular programme of outside day care or other activities outside the home, because of their frailty and lack of mobility. . They were encouraged to do suitable activities with staff support, such as craft work, and staff took them out in wheelchairs when the weather, and their health, were suitable. One resident was able, with some support, to cross the road, to go out by themselves, and liked to walk along the promenade. A risk assessment for this activity was filed in the care plan. Meals were prepared by the staff who had all taken the local council Food Hygiene certificate. The kitchen had been refurbished within the last three years and was clean and hygienic. Sometimes residents could assist staff under their supervision. The main meal was in the evening during the week. Two staff planned the menus by asking residents for suggestions. When we asked residents for their favourite food, the replies were varied. Staff were aware of the preferences of the residents. All food in the fridges was dated if opened, and daily temperature checks were recorded. A relative told us in their survey that the home met the needs of their relative. “X is happy and content”. They were sure that the home would let them know of any important issues. “I’m made welcome each visit”. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. Residents can expect that their healthcare needs will be met, and that they will be protected by the home’s medication policy and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of the person who was frail included comprehensive daily records with two to three entries a day. These recorded what they had eaten, bowel movements and care of red areas. Visits by NHS professionals were listed as well as attention from the hairdresser and nail care. Bed changes both full changes and partial changes were recorded. Risk assessments showed evidence that staff were alert to new or changed risks. This resident’s bed had been fitted with bed rails for their safety. Consent to this had been given by the next of kin. Reference has been made under ‘Individual Needs and Choices’ about the way in which the home addressed, and was monitoring, a resident’s behaviour changes. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 15 The home was visited by a chiropodist, and the continence adviser came when asked. All appointments at GP surgeries and the hospital were recorded. The home used a monitored dosage system with the tablets in blister packs. The current stock was checked against two blister packs and the medication administration record (MAR) sheets. The amount of medication remaining was correct, and the MAR sheets were complete and signed. Each resident’s MAR chart was in a separate folder. No controlled drugs were kept by the home and none were currently prescribed. Records showed that staff had either been trained by the pharmacy supplier in the safe administration of medicines or in-house by one of the owners. We spoke to a member of staff who confirmed that they had received the training. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. Residents can be assured that they are protected from abuse, with staff aware of the Inter-agency policy, and proper accounting procedures for residents’ monies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had received no recorded complaints in the last year. One resident’s actions against another resident and other matters had caused the home to make a referral through the protection of vulnerable adults process. The outcome was that the incidents were accepted as part of the resident’s clinical condition which was subsequently treated. The home had a protection policy. We suggested that it should include some more contact details for reporting allegations. Training for staff was included in their induction programme, and staff whom we interviewed were aware of abuse issues and able to state correctly the action they would take if they suspected any abuse. A relative told us: ‘I can talk to people at the home but I have never had to complain’. Two residents said that they knew who to speak to if they were not happy. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 17 We examined the procedures for the safe handling of residents’ finances. One of the owners was the co-signatory for the bank accounts of two residents, but we were told that they never took any money out of them. Another resident had just opened a bank account and the owner was co-signatory for this account too. Two residents could sign when taken to the bank but both normally just used their personal allowances. These were collected weekly from the post office by the owner. We checked the cash held for one resident. The cash book detailed purchases with receipts. The cash in the wallet tallied with the amount balance in the cash book. The owner was trying to find an appropriate independent advice service for residents to choose how their money was invested. Some of them were building up significant balances in their bank accounts. He was also trying to explain to residents the reasons why they should make a will. He recognised that independent advice would be needed to for this too. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30. Quality in this outcome area is good. Residents can be assured that they live in a safe and well-maintained home, and that they will be encouraged to personalise their rooms as much as they wish. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We toured the home and saw the two new rooms which had been created within the existing building, partly by making one resident’s room smaller. This was done with their permission and remained within the dimensions set out in the national minimum standards. The old office and staff sleep-in room had also been re-used. These new rooms did not increase the total number of places in the home. It did however allow the two shared rooms to become single rooms. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 19 Some rooms had been recarpeted and had new curtains. The residents had chosen the colours. A walk-in shower had been installed in the bathroom. The home had two washing machines and two tumbler driers. One set was for the use of residents, with the support of staff. An extension had been built on the ground floor at the rear providing a secure office and record storage area. This room also contained the medication cabinets. This had also allowed the washing machines to be rearranged for easier access. Rooms were highly personalised by décor and equipment. Residents were supported to keep their rooms clean, and as tidy as they wished. There was a stair lift to both upper floors, and a variable height bed was in use to meet the care needs of the older resident. All the surveys reported that the was home was always fresh and clean. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36. Quality in this outcome area is good. Residents can be assured that staff are properly and safely recruited, and supervised. Residents can be assured that they will be cared for by suitably trained and competent staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As well as the three family members, the AQAA told us that there were six care staff employed, including one male. Two staff had left in the previous twelve months, one for family reasons, one to start nurse training. One vacancy for a night carer was about to be filled, as was a vacancy for a part-time carer. We examined the file for a staff member recruited in February 2008. Two references had been received. The POVA First check had been received before employment, and the full Criminal records Bureau certificate had been received shortly after employment. The file also held the induction checklist. Another staff member confirmed that they had been supervised until their CRB certificate had been received. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 21 We saw the records of supervision sessions for two staff members. These recorded training needs and were signed by the staff members. Another staff member confirmed that these sessions were held every two months. The AQAA told us that all staff were trained in fire procedures, health and safety, food hygiene and medication. Two staff held NVQ 2 or above, and two were studying for Level 2. There was no record that the member of staff recruited in February 2008 had followed the Common Induction Standards set out by Skill for Care. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42,43. Quality in this outcome area is adequate. Residents benefit from the homely and family feel of the home, with the close involvement of the owners in meeting their needs. The residents are protected by the health and safety procedures of the home. They cannot be sure that the home is run in a competent way which meets its legal requirements. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The family who owned the home gave a significant commitment to the running of the home and the care of its residents. The registered manager was spending less time in direct management of the home. This was being taken on by his wife managing the care, and his son managing the administration of the Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 23 home. The latter had now completed his NVQ Level 4 in Care and Management and was designated deputy manager. The hot water temperatures were checked monthly and the record was up-todate. Bath temperatures were checked at each time of usage, and these records were up-to-date. It was clear that, at all times, residents felt able to speak to staff about any aspect of their lives, either in groups or individually. Staff meetings were also held although not regularly. One was to be held the week after our visit. The AQAA told us that all residents were invited to attend staff meetings. This had led to changes in menus, cleaning rota and the general operation of the house. We examined the accident book and noted that there were few accidents with no pattern of type of accident or related to a particular resident. At the time of writing this report, the Commission for Social Care Inspection was seeking a county court judgement against the owner for non-payment of the annual registration fee. This judgement was obtained after this report had been drafted. However a cheque for the required amount was received and no further legal action was taken. Non-payment of fees is an offence under section 14(1)(d) of the Care Standards Act. Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 1 Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA43 Regulation Para 16(3) Care Standards Act 25(2) and (3) Requirement The registered person must pay the annual fee when required by Regulation to do so. The registered provider must supply a copy of the annual accounts for the home to the Commission. Timescale for action 29/08/08 2. YA43 01/10/08 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 Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact 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 Silverdale Residential Home DS0000024488.V369726.R01.S.doc Version 5.2 Page 27 - 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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