Inspection on 20/06/06 for Southview Close

This inspection was carried out on 20th June 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Southview Close 28/11/05

Southview Close 17/05/05

Southview Close 04/10/04

Southview Close 13/05/04

Southview Close 15/01/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Southview Close 1 Southview Close Rectory Lane Tooting London SW17 9TU Lead Inspector Davina McLaverty Unannounced Inspection 20th June 2006 10:00 Southview Close DS0000010226.V300549.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 Southview Close DS0000010226.V300549.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. Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southview Close Address 1 Southview Close Rectory Lane Tooting London SW17 9TU 020 8682 3312 020 8682 3422 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) www.macintyrecharity.org MacIntyre Care Miss Vivienne Zoe Donald Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (3), Physical disability (12), of places Physical disability over 65 years of age (2) Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can accommodate one named service user who has a mental disorder under 65 years of age. 13th December 05 Date of last inspection Brief Description of the Service: Southview Close is a home for twelve adults with learning disabilities, some of whom also have a physical disability. The property is purpose built and has been adapted for use by service users with wheelchairs. The home is on two floors and is divided into four flats, each with their own kitchen /dining room, lounge, toilet and bathroom. All bedrooms are single occupancy, with four bedrooms having ensuite facilities. Shared facilities include the garden. The home is situated in a quiet residential area near Amen Corner, Tooting and is within easy reach of shops and community facilities. The area is well served by public transport and the home has the use of an adapted minibus, The home has five allocated parking spaces. Street parking is restricted. Further information concerning the service can be found on the organisations website at www.macintyre-care.org. At the time of this inspection the manager of the home reported that the fees per year range from £54,000 – £58,000. Additional charges are made for some outings and holidays. Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 20th June 2006, and was conducted by one regulation inspector. The inspector met seven of the twelve residents, the manager and five support staff. A number of records were examined, which included residents care plans, medication records, staff and residents meeting minutes, health and safety and staff records. A tour of the premises took place. Verbal communication with the majority of the residents was difficult due to the level of their learning disability. However, the inspector spoke at some length with one resident who stated that, ‘they liked living in the home”, that the staff are friendly”, and “help her to do some things”. All residents seen appeared appropriately dressed, relaxed and at home. Prior to the inspection taking place, questionnaires were sent out by the Commission to seventeen health and social care professionals, twelve relatives. Eighteen questionnaires were returned, seven from relatives and eleven from health care professionals. The majority of the comments were very positive and are reflected throughout the report. What the service does well: What has improved since the last inspection? Since the last inspection of the home a number of areas has been redecorated and new settees purchased in two of the four units. Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 6 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. Southview Close DS0000010226.V300549.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 Southview Close DS0000010226.V300549.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 4 & 5 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. Prospective resident representatives will have information they need to make an informed choice about the home and its suitability for a prospective resident. An organisational assessment procedure is in place. Details of assessments were seen on resident’s files. EVIDENCE: The manager had updated the Statement of Purpose and the Service User Guide. The home currently has one vacancy. Adequate information is available to assist a resident’s representative to make an informed choice as to whether the home can meet the prospective residents needs. The manager said that all residents had been given a Service User Guide. Currently, the guide is largely in a pictorial format, which better meet the needs of the residents. Revised copies of both documents have been submitted to the Commission. Several of the residents have lived in the home for many years; original assessment documentation was seen on three files examined. Recent reviews had taken place updating and identifying new needs. Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 9 Macintyre has an organisational admission procedure, which includes visits to the home for the prospective resident and their representatives. The manager is aware of her role in the assessment when a vacancy arises and is currently involved in the assessment of a prospective resident. This resident has visited the home and an overnight stay will be encouraged before any decisions are made. Contracts were seen to be in place in the three files examined. Southview Close DS0000010226.V300549.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. Care plans and monthly summaries are in place. The Care planning system is person centered and aims to ensure that individual needs are being met. Risk taking is acknowledged by staff as part of developing an independent life and individual assessments are carried out to support this. EVIDENCE: Three care plans were examined. Care plans are well maintained and supported with monthly summaries, which detailed changes in health medication, contact with family and activities involved with. The standard of recording is good. Staff try to involve residents as much as possible in their care plans but due to the level of learning disability of the residents, particularly those on the ground floor, it is very difficult for them to be involved in their care plan. Care plans are supplemented with a person centred plan, which are mainly pictorial and detailed a goal, which the home and resident are aiming to achieve. Goals identified for residents were sometimes practical, such as going swimming or, to go to Disneyworld on holiday. Changes in need were well documented in the care plans following reviews. Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 11 General and individual risk assessments were also in place in the files seen and were up to date. The home operates a key worker system, which endeavours to promote continuity of care. The resident spoken with was aware of who their key worker was and staff spoken to had good knowledge of their key resident. Southview Close DS0000010226.V300549.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. This home continues to maintain good links with the community, which enriches resident’s lives. The home provides a very good environment for them to develop their social skills as far as they are able. Staff continue to encourage and support residents to be as independent as possible. EVIDENCE: Each flat has its own television and music equipment. Several residents also have their own televisions and radios in their rooms. The majority of residents attend a day centre although some of the residents choose not to go and instead, receive one to one support. Local shops are located close by and residents are supported to visit them. A mini - bus is available for trips further afield. At weekends, some residents stay with family members on a regular basis. Others receive visits from their family. Relatives confirmed that they are welcomed at the home and one said, ‘that staff are very hospitable’. Another said, ‘ they invite me to dinner at Christmas and provide me with lunch when I Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 13 visit my son’. Relatives in their questionnaires were very positive about the care in the home. One relative wrote “Having cared for my son for 59 years with no help, I was very concerned about him going into care, but can say he is very well looked after, fitted in very well and am very pleased with the result. There is a nice family feeling at the home; all staff gets on well with each other and the residents. They also show concern about my well-being and phone me to discuss anything about my son. I think that the new manager is doing a very good job in running the home and is very hands on with the residents”.’ Another said “my son is very happy and looked after very well so that makes me feel good” also “ the staff are so dedicated it is a huge worry off our minds. Pity we couldn’t see the future when our daughter was very young it would have lifted all the worries we went through” and “My sister seems to be very happy and I think she is very relaxed and has a variety in her life”. Throughout the day, staff were observed to treat residents with respect. For example, staff were seen to get down to eye level to talk to one resident, and was seen to be very patient with residents with more severe communication difficulties. The home users the service of an aromotherapists for some residents and some residents attend an art club weekly. Comments from both were positive, although one escort, who assists residents to travel to and from the club, reported that communication between the home and the escorts could be better, as sometimes staff are unclear as to who is going to the club that evening. In response to this the manager said that she has reviewed the system and has tried to make it clearer and eradicate errors occurring. The menu showed that residents are offered a good range of foods. Staff reported that most meals are prepared from fresh. One relative in their questionnaire raised concerns about the amount of pre-prepared food offered but this was not found to be the case. The resident spoken with stated how much they enjoyed the food. Special diets can be catered for and currently, one resident, who is muslin, receives halal meat, which is stored and cooked separately. Southview Close DS0000010226.V300549.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. Residents receive personal support, which meets their physical and emotional needs. EVIDENCE: As previously mentioned the majority of residents are non-verbal or find it difficult to discuss their needs in detail. As already stated, questionnaires received from relatives were all positive about the care in the home, with one stating ‘the staff are so dedicated it is a huge worry off our minds’. Daily records are kept on each resident, and these were seen to be filled in appropriately and gave a clear picture of each person’s day. The medication policy was detailed and of a good standard. Medication records were seen in two of the four units. A staff signature list is contained within the medication file and signatures relating to administration of medication in the Medication Administration Records (MAR) were fully completed. The allergy section on MAR sheets were also completed. Medication was seen to be appropriately stored. All medication was labelled with clear instructions as to its administration with the exception of one PRN medication on the ground Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 15 floor. A written protocol from the doctor must be obtained as to when this medication should be given to the resident and must include signs and symptoms. All staff receive medication training prior to being allowed to administer medication to residents. Southview Close DS0000010226.V300549.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. An appropriate written procedure is available, as well as a pictorial one, which is displayed on notice boards in the various units. Organisational policies and procedures are in place to protect residents from abuse. EVIDENCE: The manager stated that there had been no formal complaints received since the last inspection. Relatives said that they would speak to staff or to the manager if they had concerns or complaints regarding the home. No issues were raised regarding the home, staff and care received at the home by residents. A pictorial flow chart is displayed in all four units informing residents who to talk to if they are sad or unhappy. Policies and procedures are in place for the protection of vulnerable adults. A copy of the local authority procedure is available in the home. Two staff spoken to were aware of the Protection of Vulnerable Adults Procedures as well as whistle blowing. Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25 26, 27 28 29 & 30 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. The home was seen to be well maintained. Communal areas in all units are adequate and comfortably furnished. The home was found to be clean on the day of the inspection. EVIDENCE: The home is divided into four units, two on each floor, all have their own kitchens lounges and laundry rooms. All four units are quite different but were found to be homely (particularly flats C and D) in appearance, taking into account resident’s individual needs. Since the last inspection all four laundry areas had been redecorated. The manager stated that the communal areas in Flat D is due to be redecorated. Hallway in Flats A and B had been decorated. Bedrooms seen varied in the degree of personalisation, due primarily to residents needs. Flats C and D were more personalised with residents personal possessions. Several residents had their own televisions and radios in their rooms. Lounges all had shared television and music equipment. In - house activities included board games and toys. One resident, who showed the inspector their room, said that they Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 18 had everything they wanted in their room. This resident said that their privacy is respected in that she could go to her room when she chooses. She could also lock her door. She said that staff always knocked and waited to be invited in before entering. Specialist equipment was seen in some of the en - suite bathrooms, which were appropriate for residents. Raised toilet seats were also seen in the home. All bathrooms had paper towel dispensers and liquid soap, with the exception of one of the bathrooms on the ground floor, which is because of the resident’s needs. A large garden is available at the back which the manager said was due to be landscaped next week, which will best meet residents needs. A patio area is planned which is more appropriate for residents who use a wheelchair. Consideration will also be given to purchasing out door furniture as well as a swing for residents use. A garden party is being planned to mark the gardens opening. The home was seen to be clean on the day of the inspection. Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33, 34 35 & 36 Quality in this area is adequate. This judgement had been made using available evidence including a visit to this service. The training provided helps to ensure that a well-informed staff group supports residents. Recruitment checks seen did not evidence that all the required checks had been carried out, thereby, placing residents at risk. Staff supervision is carried out regularly. EVIDENCE: The manager stated that the home had 1.5 vacant posts. The home operates with three staff in Unit C and D and the same downstairs in Unit A & B. One resident receives 1 to 1 support for 56 hours a week. The manager stated that in her view staffing levels were adequate. Three senior staff supports the manager. Recruitment is on–going. The inspector spoke to five support staff who varied in length of service within the home. All were very positive about the support and care given to residents. They all stated that they worked well together and all spoke with genuine fondness of the residents seeing them as an extension of their family. One relative said in their questionnaire “There is a nice family feeling at the home; all staff get on well with each other and the residents”. Another said, “If I go to the home, even if I haven’t met the staff before. There is a nice atmosphere there and my daughter is very happy; and if she is, we are too.” Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 20 Full staff records were not available in the home. The inspector saw a proforma, which confirmed CRB checks had been carried out, however, details must be available which evidences that the person is in good health and references has been obtained. The manager was in the process of updating all staff core training and records were available to evidence this. Staff spoken to were all positive about training. The majority of staff had completed their NVQ in Care Qualification and all staff spoke positively of the training offered by the organisation. Staff meetings and individual supervision takes place regularly with appropriate records being maintained. There is an organisational staff appraisal system in place, which the manager was in the process of undertaking with staff. Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42. Quality in this area is good. This judgement had been made using available evidence including a visit to this service. A quality assurance system is in place. Systems are in place to ensure the health and safety of residents and staff. EVIDENCE: The manager has been in post since February 2006, and has been approved as the Registered Manager by the Commission. She is currently undertaking her NVQ level 4. All staff spoke positively of her management style, stating that she was approachable, hands on and involves the staff in decision-making, which they all said they welcomed as it made them feel valued. Some staff reported difficulties in adjusting to the home now being one home, instead of two, and were finding it difficult adjusting to working across the home instead of across two units. The manager was aware of this and this area is discussed regularly at monthly house meetings. The manager also reported that since her appointment she feels supported by the organisation. Regulation 26 visits are being carried out, however, copies of Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 22 these reports following the visits were not available in the home or being forwarded to the Commission, which must be adhered to. A quality assurance system is in place, which seeks the views of residents, relatives and other stakeholders. Questionnaires are sent out annually on return, collated and necessary changes made. A copy of the inspection report is displayed in foyer areas of the home. The manager welcomes the inspection in that she recognises the importance of an external organisation checking that systems are in place. She stated that any requirements would be adhered to within the given timescale. Records showed that staff make regular checks on the building and equipment in the home and that the health, safety and welfare of residents are promoted and protected. COSHH assessments were in place. Sample records seen included the fire system, water temperatures, fridge and freezer temperature, Landlord gas record as well as the portable appliance tests. All records seen were in order. Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 23 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 3 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 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 2 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 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Requirement The Registered Persons must ensure that written protocols are in place where PRN medication is being administered. The Registered Person must ensure that details of checks carried out on staff (with dates) are available in the home to evidence the information required in Schedule 2 of the Care Home Regulations 2002. Previous timescale of the 30/7/05 not fully met) The Registered Persons must ensure that the there is a staff induction /training and development programme which meets the standards set out in Skills for Care and Development. The Registered Persons must ensure that the Commission is notified of all staff misconduct under Regulation 37 The Registered Persons must ensure that copies of the Regulation 26 Reports are sent to the Commission and that copies of the report are available in the home. Timescale for action 30/08/06 2. YA34 17(2) Sch2&4 30/07/06 3 YA35 18 (c) 30/09/06 4 YA35 27 (1) 30/07/06 5 YA39 26 30/07/06 Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 YA23 Refer to Standard Good Practice Recommendations The Registered Persons should give consideration to the home having one telephone number or an intercom system being installed to allow access to staff within the home. Southview Close DS0000010226.V300549.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Southview Close DS0000010226.V300549.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. 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. 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