Inspection on 12/01/06 for Southlawns

This inspection was carried out on 12th January 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Southlawns 26/02/09

Southlawns 23/01/07

Southlawns 01/09/05

Southlawns 26/01/05

Southlawns 20/08/04

Southlawns 26/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Southlawns Highfield Road Street Somerset BA16 0JJ Lead Inspector Judith Roper Announced Inspection 12th January 2006 10:00 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 Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Southlawns Address Highfield Road Street Somerset BA16 0JJ 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) 01458 443635 01458 448860 Somerset Care Limited Mrs Vera Margaret Fellows Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 2005 Brief Description of the Service: Southlawns is a care home providing up to 40 places for older people. It is owned by Somerset Care Ltd, a Somerset based company with 25 care homes and a domiciliary care service. The home is based in a residential area in Street, close to the High Street where there are shops and other amenities. The home is in two floors and the first floor is accessible by a through-floor lift. All bedrooms are single, with either en-suite facilities or with wash hand basins. The home has undergone extensive upgrade over the last two years, considerably improving the whole physical environment. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out by one inspector and took place over one day between the hours of 9.50 am – 3.30 pm. Thirty nine residents were living the home on the day of the inspection, (including two residents who were in hospital). Day care provision is also provided at the home. There is one vacancy at the home. The inspector was able to interact with nine residents and see most others. The inspector also had received written feedback cards about the quality of the service from thirty one residents, two relatives and two associated community health care professional prior to the announced visit. The inspector was able to speak with one relative and one visiting community health care professional during the inspection. Staff on duty were able to give time to assist the inspector with her visit by answering questions about the service provision. The registered manager Mrs. Fellows and he deputy Mrs. Reeves were available for comment during the inspection. The inspector would like to thank the staff for their time and hospitality shown to the inspector during her visit. The atmosphere at the home was relaxed and informal. Staff carried out their duties in a friendly and professional manner. The inspector’s aim on this inspection visit was to follow-up compliance against the requirement made at the previous unannounced inspection in September 2005 and to inspect any Standards not assessed at that unannounced visit. Some core Standards were also inspected on this announced visit. Records examined during the inspection were one resident care and support plans, medication records and accident records. The home completed a preinspection questionnaire on request by the CSCI, which has also contributed to the evidence findings of this inspection. Included in the pre-inspection questionnaire is information about staffing, resident admissions and discharges, staff training, equipment servicing, facilities, policies and procedures, complaints, accidents and arrangement with accessing community health care professional support. What the service does well: Residents and visitor feedback was positive reflecting views that the home is managed well with kind attentive staff. Activities are plentiful and varied. Meals are nutritionally balanced, give a range of alternative options from the main dish and are presented attractively. Records are clear and accurate. The home maintains good and supportive community health professional relationships in order to meet resident health needs. The home has a welcoming and friendly atmosphere. The environment is clean and facilities Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 6 are good. Training for staff is managed well and most staff hold at least an NVQ level 2 in their job related discipline. 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. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5, 6. Information about the home in a Statement of Purpose and Service User’s Guide is available for prospective residents along with the most recent inspection report. This provides residents with comprehensive details about the home to enable them to make an informed choice about the suitability of the home. Pre-admission visits and a trail visit are encouraged, without obligation. Staff training is good and is focused to meet the range of resident needs in the home. The home provides a rehabilitation ‘step-down’ service following hospital discharge. The management works hard to maintain this service in a manner of supporting people who have recently had a hospital stay to recover sufficiently and return home. EVIDENCE: The Statement of Purpose and Service User’s Guide are available in the foyer at the home. New residents receive an individual ‘Welcome pack’, further describing the routines and facilities at the home. The home also produces its own brochure giving a brief overview of the service. Residents are reassessed when their dependency level rises in conjunction with social workers and the community nursing team to determine continued appropriateness of the placement. The home accepts both respite and ‘Step Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 9 Down’ placements as well as permanent admissions. Southlawns also has a ‘block contract’ with the Primary Care Trust for fifteen of its beds. Day care provision is provided for an average of six –seven persons per day. Due to staffing pressures a bath is not offered for new day care clients so that staff can concentrate resources on permanent residents in the home. The two current ‘Step Down’ beds are for rehabilitative treatment over a maximum of six weeks. There is also one respite bed at the home for short stays. The manager or deputy manager completes a pre-admission assessment of a new resident prior to admission along with requesting a community care plan from the placement authority. Trial periods are offered and reviewed after four weeks. Residents and relatives spoken to during the inspection and in comments received in feedback cards expressed in the vast majority of cases satisfaction with all aspects of the service. Of the written comments, views expressed were such as, “staff are excellent”, and “I get the help that I need”. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. Care plans reflect individual’s health care, social and emotional needs. Care needs are reviewed monthly in writing and by a verbal daily shift handover. Residents and visitors during the inspection reported satisfaction with the standard of care delivered at the home. Medication is now managed well. The home cares for residents who need palliative or terminal care sensitively and in good communication with family members. EVIDENCE: One care plan of a resident receiving palliative and terminal care was inspected. Four care plans were inspected in detail at the previous inspection in September 2005. The care plans inspected contained good information about health needs and recorded clearly where community health care professionals had been sought for advice or had carried out treatments. The community nurses attend to nursing needs and keep notes at the home, available to staff. Residents receive nutritional screening assessments and professional dietetic advice is sought if a resident is at risk of poor or under-nutrition. The home uses two local GP practices and evidence was seen in care plans of regular GP consultation over resident changing needs. Two comment cards from local GP surgeries were received giving a positive view of the care for residents at Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 11 Southlawns. A community psychiatric nurse was also visiting the home on an arranged appointment on the day of the inspection. She described the management and care at the home as “excellent”. The medications management systems in the home were inspected. The home also received a community pharmacist inspection on the 28th of September 2005. This September inspection report recommendations made to the home have been acted upon. The record keeping of medicines administered has improved since the last CSCI inspection and was well maintained. Medicine storage, management of controlled medicines and a risk assessment for a resident who self-medicate was all inspected and was in good order. The inspector met the resident who manages their own medicines and discussed how this is supported by the home. Residents spoken with said that staff are respectful and that they feel safe at the home. Residents may carry the key to their rooms. All but one of the residents spoken with said that staff knock before entering rooms. One person said that not all staff wait for a command to enter the room following knocking on the door. This was relayed back to the manager who said that she would remind staff to wait for a reply before entering a room to ensure the privacy of residents is respected. Residents said that the home was friendly. There are several lounges and private outdoor spaces at the home for residents to use. There is an enclosed phone booth for residents to make calls in peace and privacy. There is a treatment room offering privacy when a community health care professional visits for a resident individual consultation. The manager has flexibility within her staffing budget to allow for additional staffing for residents with higher needs during acute or terminal illnesses. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15. There is a relaxed atmosphere at the home where resident’s choices are respected and encouraged. Residents spoken with said that they felt safe at Southlawns. The home is situated in Street with good short walking access to many shops and amenities, which many residents use. The menus at the home reflect good nutritional practices with a choices of meals offered throughout the day. The dining area is attractive and conducive to enjoying a meal and socialising with other residents. EVIDENCE: There is a part-time activities coordinator employed at the home. The schedule of monthly activities, day-by-day, is displayed in the home. The activities for December included in-house group sessions such as bingo or quizzes, a monthly holy communion, shopping for Christmas, a Carol Service, Christmas draw, Christmas party, card making and visits by local schools. In January there is a planned Hawaiian themed party for the coming Wednesday. Several residents are also able to arrange their own activities such a days out with families or lunch trips to the local pub or shopping in Street. Key worker care staff also have 1:1 allocated time to spend with their residents in order to do in-house activities or time for a chat. There is a small shop at the home and during the inspection a volunteer was taking a mobile trolley with items for sale around the home and to residents choosing to spend time in their bedrooms. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 13 Visitors/relative feedback responses was that the staff and management at the home are very welcoming, offering refreshments to visits and keeping them informed of changing needs of their loved ones. Southlawns revised its menu system in 2005. The management consulted extensively with a dietician in the menu choices. This is good practice. The daily menu reflects fresh seasonal produce. The Company, Somerset Care has an internal meal planning group, of which the manager Vera Fellow is part of. Lunch was observed at the home. The dining room is attractive and spacious. Choices were available for the lunch menu, which is displayed on each dining table. Residents can serve their own vegetables from the tables. The meal appeared to be enjoyed by residents and feedback to the inspector following the meal about the food at the home was positive. The home stopped providing community meals in 2005 in order in order to concentrate on meal provision for the home only. Two residents in conversation with the inspector said that they would welcome the option of a cooked breakfast from time-totime. These comments were passed to the manager for her to consider, which she said she would. At lunchtime staff on their lunch break sit with residents to eat their meals. This seems to add to the relaxed social informality of the occasion. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17. There have been two complaints received by the home since the last inspection. Both were investigated appropriately by the home with the complainants expressing satisfaction with the way the complaint was handled. The number of complaints generated at the home is low. Residents and visitors confirm that staff and managers at the home are approachable and listen to concerns raised. Resident’s legal rights are protected and residents were supported to vote in the summer local and general elections. EVIDENCE: The home received two complaints since the last inspection. The complaints procedure is in the ‘Seeking Your Views’ policy in the Statement of Purpose, Service User’s Guide and Welcome pack. The name and contact details of the regulatory authority (CSCI) is reflected in the home’s literature. The complaint’s file was inspected to examine how complaints raised are investigated. Some residents confirmed that they choose to vote in the May elections. Residents said that staff respect their personal choices. The home advertises the contact details for the advocacy services of Age Concern. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24, 25, 26. The environment at Southlawns is attractive and maintained well. There are appropriate facilities for disabled residents. The home is clean and the staff team adheres to infection control measures. Communal space is plentiful, offering a range of lounges for residents. Resident’s bedrooms are personalised reflecting individual personalities and choices. EVIDENCE: The premises at the home are modern in design and are adapted to the needs of disabled people. The community nursing team advises the home when equipment is needed such as for pressure relieving purposes. Somerset Care also employs an occupational therapist who can advise on mobility aids. There are a number of small quiet lounges at the home in addition to a large central communal lounge that is situated off from the dining room. Recent redecoration to small lounges and corridors has made the home more light and attractive. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 16 There is a treatment room for consultations, office space, staff room and hairdressing room. The outside grounds are maintained well and there is level access around the perimeter for wheelchair users. All bedrooms are for single occupancy and rooms are routinely decorated when a room vacancy occurs. Bedrooms are personalised by residents. Somerset Care has a programme of increasing the percentage of en-suite facilities at the home as part of scheduled maintenance works. There are three communal bathrooms at the home. Two are adapted for disabled use. There are other sufficient numbers of toilet facilities at the home. The number of bathrooms falls below the National Minimum Standards requirement but as day care bathing has been phased out this means that the bathing facilities at the home can meet needs of current residents. There are robust infection control measures in place at the home. There has been a recent outbreak of diarrhoea and vomiting in the community, which affected the home. This was contained and managed appropriately by the home in consulting the necessary health agencies for advice. Visitors are requested to use alcohol gel on their hands that is provided in the foyer when entering and leaving the home. There are liquid soap, paper hand towels and flip top bins provided in bathrooms, toilets and bedrooms where personal care is provided. Staff wear gloves and aprons when attending to personal care tasks. The laundry is equipped sufficiently to manage cross infection and infection control in the home. There are two sluices with bedpan washers for managing commode hygiene. Staff receive statutory training in the Control of Substances Hazardous to Health (COSHH). The home is warm with radiators protected to prevent burning injuries. Hot water is controlled at source to prevent scalding injuries to residents in bathrooms and the home has a maintenance contract to monitor Legionellas detection. The standard of domestic cleanliness on the day of the announced inspection was good. Residents and visitors said that the home maintains a high level of cleanliness and that there is no malodour at the home. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 30. The numbers of staff rostered for each shift are sufficient to meet current resident need requirements. Waking night staff are employed. Staff training is planned well and the percentage of staff holding a professional qualification in their job role is reassuringly high. EVIDENCE: There is a staffing structure of management, administrator, care supervisors, care staff, care support and ancillary workers. The management is supported by an area manager, who conducts at least a monthly visit, where a report is generated for the home and Company (Regulation 26 report). Copies of four weeks staffing rosters were supplied as part of the pre-inspection questionnaire. One relative feedback card thought that there had been some shortness of staffing levels recently. The management reported that they had been covering vacant over the last few weeks. This was recorded on the staffing rosters. The staff rosters take into account day care provision at the home in addition to permanent resident numbers. There is rarely the need to use agency staff at the home. The vacant posts at the home were reported by the management to have been filled, awaiting references and police checks for new staff before they commence induction shifts. More than 50 of the care team hold the NVQ level 2 award in care. Supervisory staff go on to complete level 3. Kitchen staff and other ancillary workers are also supported to achieve NVQ awards in their job disciplines. There are NVQ care assessors as part of the staff team. There are manual Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 18 handling trainers on the staff team and supervisory staff are given specific role training such as for health and safety or infection control to enable them to advise staff or complete health and safety or infection control risk assessments for the home. Both the manager and deputy manager are studying to obtain the NVQ level 4 awards in care and management. The home has an annual staff training plan, covering both statutory and staff training suited to the clinical needs of residents. Induction is linked to Skills for Care industry specific induction standards. This is good practice. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 37, 38. The home is managed well with residents and visitors reporting that the managers are approachable, listen to concerns and lead by good example. Thus gives residents and relatives confidence in the service. Formal quality assurance processes are adhered to in order to critically assess the quality performance of the service for further improvements that could be made at the home. Records are maintained clearly and those inspected were up to date and organised well. Resident’s safety is risk assessed and this is reviewed to ensure that resident’s exposure to hazards or injury is appropriately controlled. Health and safety systems are audited systematically to ensure the safety of residents, staff and visitors. EVIDENCE: The home has a full-time manager and deputy manager, both of whom have worked together for sufficient time to establish managerial specific responsibilities for the home. Residents and relative spoken with during the inspection said that the managers were friendly, approachable and set good examples of positive leadership for staff. The managers often work alongside Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 20 care staff for shift cover. This can be either day or night duty. This allows mangers to have hands on knowledge of resident’s needs and staffing pressures, if any. The home holds regular staff meetings and relatives and resident meetings. All have minutes produced. The home produces an annual internal quality assurance questionnaire for residents and relatives. This was distributed at the end of September 2005. The home was Quality Rated by Somerset County Council in 2001 and Somerset Care achieved the Investors In People award in 2003. There had been significant investment in the structure and environment at the home over the last two years and occupancy levels are maintained at a high level. Records in the home were stored in a way that respected resident confidentiality and confidentiality is addressed at induction for all new staff. Risk assessments for residents are completed and were reviewed following the previous unannounced inspection in September 2005. Accident records were inspected and the manager audits accidents for trends or further risk assessment review. Chemicals used in the home were locked away appropriately. Care supervisory staff receive first aid training. There is a care supervisor rostered for each shift. The emergency lighting has been replaced since the last inspection and equipment servicing records are up to date. Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 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 3 X 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 4 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 3 X X X 3 3 Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 22 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. Standard Regulation Requirement Timescale for action 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 Southlawns DS0000016004.V271455.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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