Inspection on 30/06/05 for Southwood Gardens

This inspection was carried out on 30th June 2005.

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

Southwood Gardens 12/09/06

Southwood Gardens 02/11/05

Southwood Gardens 18/05/04

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 Southwood Gardens 2 Southwood Gardens Ilford Essex IG2 6VF Lead Inspector Harina Morzeria Unannounced Inspection 30 June 2005 09:30 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 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 Stationary 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. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Southwood Gardens Address 2 Southwood Gardens, Ilford, Essex IG2 6VF Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8551 8497 Norwood Ravenswood East Ms Roberta Lynn Devitt CRH Care Home 6 Category(ies) of LD Learning Disability (6) registration, with number of places Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The number of persons for whom residential accommodation with both board and personal care is provided at any one time shall not exceed six. Date of last inspection .18 May 2004 Brief Description of the Service: Southwood Gardens is a registered care home for six younger adults with learning disabilities run by Norwood, a not for profit, Jewish organisation. It is situated in Barkingside, in the London Borough of Redbridge, close to a small local shopping area and other amenities. The house is divided into two selfcontained three-bedroom flats. The aim of the scheme is to offer a smallscale, family style environment which encourages maximum independence for the service users. All service users have their own bedrooms which are well furnished and decorated. One bedroom in each flat has an ensuite bathroom. Shower rooms are shared between the other two service users in each flat. Office and staff sleeping in accommodation is separate. There is a spacious well maintained garden at the side and rear of the house. Appropriate communal space is provided. The manager and staff support service users to maintain and develop independent living skills, attend college for various courses, as well as accessing community facilities locally and at the Leonard Steiner Centre (Jewish community centre) in Barkingside. Staff who have experience and skills to cope with these needs are employed in the home. Extensive training is provided organisationally to all the staff as part of their induction training, with ongoing training being provided as identified jointly by the staff and the manager. Personal care is provided on a 24-hour basis, and health care needs are met by staff supporting service users to attend appointments with health professionals. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, starting at 9:15 a.m. and lasted for approximately 5 hours. The inspector spoke to four service users during the course of the day, who were well able to express their views and three staff members were interviewed. A senior staff member was present during the visit. A sample of service users’ files were examined and a tour of the premises took place. What the service does well: What has improved since the last inspection? Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 6 There was a recruitment drive following the previous inspection, which resulted in the appointment of a staff member. This has resulted in providing a consistent and stable staff team which has improved the morale of the service users and the staff team within the home. Interaction between the staff and the service users was observed to be easygoing and supportive. Staff said that they receive good training from the organisation, as well as support and encouragement from the manager and co- team members. The medication policy and procedure has been updated by the organisation, and a new system of recording, monitoring and induction has been implemented. The staff have been notified through staff meetings and by letter regarding their responsibility and accountability for adhering to the medication procedure. 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. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 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 standard(s) 2, 3, 4 and 5 Prospective service users’ individual needs are assessed and they know that these will be met within the home they are accommodated in. New service users are given an opportunity to visit the home and stay there for a trial period, before they decide if they want to live there permanently. Service users must have individual written contracts or a statement of terms and conditions with the home, so that they are clearly aware of the services that the home states they will provide. EVIDENCE: An organizational policy and procedure regarding the admission of new service users is in place which is fully implemented to ensure that prospective service users have the information they need to make an informed choice about where to live and whether their needs and aspirations will be met by the home they enter. New service users would only be admitted on the basis of a full assessment undertaken by people who are trained to carry out assessments. Their family members and representatives are also involved in this process. New service users are informed that they would only be offered a place in a home that can meet their needs. There have been no new admissions to this home since it opened. All the service users at Southwood Gardens have transferred from another home when the provision was relocated. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 9 However the inspector was satisfied that this procedure would be followed should a vacancy arise in the home for a new admission. There was evidence on the service user files that the service users’ needs are reassessed regularly and care plans are updated if their needs change. The inspector was informed that although each service user has an individual written contract or statement of terms and conditions with the home, these are yet to be discussed with them and they are waiting for an advocate to discuss these with the service users before being signed by them. See requirement to number 1. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8 and 9 Each service user has an individual care plan called - Individual Person Plan. This outlines the service users’ needs and personal goals. Service users are consulted about their likes and dislikes and are encouraged to make independent decisions as far as possible. Appropriate risk assessments are in place for activities undertaken by the service users in order to promote their independence. EVIDENCE: As stated above, each service user has an individual person plan, which outlines their individual needs and how these will be met. The inspector looked at the individual person plans for three service users living in the home and noted that each plan outlines the service user’s individual needs and how these are to be met by staff. Service users spoken to said that they are given choices and are supported by staff to do the activities that they choose. There are risk assessments in place. These identified risks for the service users and indicate ways in which the risks can be reduced so that staff can ensure that the service users’ needs are met as safely as possible. These are regularly reviewed and updated. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 11 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 standard(s) 11, 12, 13, 14, 15, 16, 17 Service users have opportunities for personal development and are able to take part in age, peer and culturally appropriate activities. Service users are encouraged to engage in appropriate leisure activities within the local community, which are also culturally appropriate. Service users are supported to keep in contact with their relatives. Staff respect service users’ rights and their responsibilities are recognised in their daily lives. Service users are given meals that they like and that meet their needs and individual preferences. Culturally appropriate diets are catered for, for example, a kosher diet. EVIDENCE: The daily routine is a set by the activities that the service users are engaged in which are outlined in their daily activity plans. The service users confirmed that they do activities that were listed on their activity plans. On the day of the inspection, a member of staff took three of the service users to a music session at a nearby adult education centre as planned. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 12 The service users are encouraged to develop their independence skills and each person contributes to the tasks in the home in as far as they are able to. This may mean to help clear the table, wash up, tidy their bedrooms and help prepare meals. Staff spoken to said that the service users are encouraged to do as much as they are able and are offered a choice of meals, where to go, when to go out and what to wear. Most of the service users need support from the staff team when they go out. They visit local pubs, leisure facilities, shops and cinemas. They also have access to activities provided at the Leonard Steiner Centre in Barkingside. A holiday has also been planned in July to Scotland which the service users are looking forward to. Service users are encouraged and supported to keep in contact with friends and relatives. Most of the service users’ parents and siblings visit them on a weekly basis and two of them also regularly go home for weekend stays. One of the service users’ father was admitted into hospital. She was continually being reassured by the senior as well as other staff on duty, trying to make contact with her mother and arrange a time to take her to see him at hospital. The service users and staff usually eat together. The service users are involved in choosing what they eat and often help prepare the meals. A menu is prepared during their weekly residents’ meeting. One service user has diabetes and the staff team support him to have an appropriate diet. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 13 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 standard(s) 18, 19 and 20 Service users receive personal care in a way that meets their individual needs and preferences. The staff team support the service users to get the health care that they need. Medication is appropriately administered by staff who have been trained to do this. EVIDENCE: The service users require support with their personal care at different levels, and details of the help that they need and how they prefer to be supported are in their care plans. Through case tracking and inspection of daily records as well as discussion with staff and the service users, the inspector was satisfied that the service users’ health needs are adequately monitored and any problems identified are dealt with quickly. Each service user has a key worker who ensures that they receive the support and advice they need promptly. Staff take service users to all of their medical appointments and these show that the service users have checks from the optician, dentist and other health specialists. Records are kept of all the visits, any action to be taken and any follow-up visits. Service users’ files contain details of their health care issues and that they have regular access to healthcare professionals when required. One service user was recently admitted to hospital due to an abdominal complaint. A series of tests were carried out at the hospital to establish the cause of the complaint. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 14 Records show that his care plan, was updated upon discharge and all the staff are aware of how to meet his health needs and monitor his condition on an ongoing basis. All the service users except one are assisted with medication and the staff have received medication training. All the staff spoken to confirmed that they have received medication training as a part of their induction, however this was further updated recently following the review of the organisations medication policy and procedures. Medication administration records were checked and found to be appropriately completed and signed by two staff members according to the procedure. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 15 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 standard(s) 22 and 23 The complaints procedure is in a pictorial format to help service users understand how to complain. Staff are aware of issues of adult protection and the need to protect service users from abuse. EVIDENCE: The home adopts the organisational complaints procedure, which is also available in picture format for the service users. The service users said that they would be able to talk to their key worker or the manager if they had any problems. There is a written policy and procedure in place for the protection of vulnerable adults and all newly recruited care staff receive abuse awareness training during their induction and refresher training is done every three years. The staff spoken to, as part of the inspection process confirmed that they have received training regarding this and were clear as to their responsibilities to report any potential abuse and what the reporting lines should be. This is in order to ensure a proper response for reporting any suspected or witnessed abuse. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 16 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 standard(s) 24, 25, 26, 27, 28, 29 and 30 Service users live in a homely and comfortable environment. Bedrooms and communal areas are spacious, meet their needs and promote their independence. Toilets and bathrooms provide sufficient privacy. Shared spaces are spacious and sufficient space is available for the numbers of people living in both the flats. The home is clean and hygienic. EVIDENCE: The house is in keeping with other properties on the street and a tour of both the flats, showed that they are decorated and furnished in a homely manner. A new settee has been purchased for the lounges. The kitchen and dining area are combined. There is a large well maintained garden to the side of the house that is used well by service users, part of it is also used by some of the service users as part of a gardening project activity growing herbs, tomatoes, runner beans etc. A separate office and staff sleeping in room is also available. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 17 All of the service users occupy single rooms which are suitably furnished and personalised by the service users. All the service uses spoken to said that they like their rooms and were comfortable and safe in them. There is a separate utility room with laundry facilities where the service users can do their laundry independently. The bathing and toilet facilities are sufficient to meet all the service users’ needs. The flats appear to be comfortable and homely and suitable for the needs of the service users. All parts of the house and garden seen were clean and hygienic. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, and 36 The organisation have a staff recruitment policy and procedure which is followed when new staff are recruited ensuring that service users are protected by robust checks being carried out. All the staff have job descriptions which clearly outline their roles and responsibilities, ensuring that they understand the tasks required of them and can protect and promote the well being of service users. Staff are competent and trained to acquire sufficient skills and experience to carry out their tasks. Staffing levels are satisfactory although peak time staffing levels need to be monitored in order to ensure that sufficient staff are on duty to meet the individual assessed needs of the service users. Staff receive appropriate training, supervision and support to carry out their tasks efficiently in order to meet the needs of the service users. EVIDENCE: The staff team have experience of working with people with learning disabilities. They have also been provided with the necessary training to understand the Jewish faith and culture so that this can be incorporated into Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 19 their daily practice when working with the service users and maintain the ethos of the home. The home now has a relatively stable staff group following a recent recruitment drive. The senior staff member present during the inspection, informed the inspector that following the recruitment of one new staff member, the team is complete and is able to consistently deliver the type of care required by the service users living in the home. At the time of inspection there was also a student from the Philippines present, who was on a 20 hour placement at the home and was being supported by the staff team to learn about the job. This has resulted in the service users being happy and an improvement in team morale. There is only occasional use of peripatetic staff who are familiar with the service users in the home and therefore are aware of their needs and how to meet these. Discussions with staff confirmed that following recruitment, they are required to attend the organisations induction training, after which certificates showed that staff are continually encouraged to attend training. They told the inspector that they receive good support and supervision from the management as well as the staff team, enabling them to carry out their jobs efficiently. A number of staff in the home have achieved their NVQ level 2 and level 3 qualifications. In discussion with staff, it was evident that they fully support the main aims and values of the home. They are able to understand, meet and review the needs of the service users and update the care plans as required. Service users said that the staff are kind and caring towards them and know what they need. Additional staff to be recruited to provide extra cover during peak hours to provide support to the service users who have been assessed as requiring additional support as well as considering staffing levels when outings and activities have been planned during the daytime and evening. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39 and 42 Appropriate management arrangements are in place to ensure that a good quality of service is provided to the service users. A safe environment is provided for the service users. Appropriate quality monitoring systems must be in place to ensure continuous review and development by the home. EVIDENCE: The current manager has been in post in this home since the home first opened and has the qualifications and experience required to run the home efficiently. The service users are provided with a safe environment and the manager makes sure that the health, safety and welfare of the service users are met by the staff working in the home. Staff spoken to said that they receive a lot of support and encouragement from the manager, as well as the rest of the staff team, which helps them to carry out their jobs competently. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 21 The inspector spoke to two members of staff both of whom were satisfied with the level of support they receive, with one member concerned about her contract of employment who was advised to contact the organisations HR department. The inspector was satisfied that there is a good level of monitoring being carried out informally by lay monitors working within the organisation, who regularly undertake visits to the home and who are representatives of the relatives of the Parry Group (a group of parent representatives). A rabbi also visits the home in order to assess if the home operates within the Jewish laws. An auditor appointed by the organisation also carries out regular financial audits. The organisation is required to implement a formal quality assurance and monitoring system based on seeking the views of service users, to measure success in achieving the aims and objectives of the home. The views of the service users’ family, friends and advocates must also be sought on how the home is achieving goals for service users. See requirement number 2. The inspector remains concerned that the monthly Regulation 26 visits are not being carried out by the Responsible Individual. Although the frequency of the visits to the home has improved, these visits are still not being carried out monthly. This requirement has been repeated over the previous inspections and must be fully complied with, otherwise enforcement action may be taken by the Commission for Social Care Inspection to secure compliance. These reports are necessary to demonstrate that the registered providers have in place satisfactory systems for monitoring the welfare and safety of service users and to ensure that the service is operating in accordance with the home’s aims and objectives and legal requirements. See requirement number 3. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Southwood Gardens Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 2 x G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 23 No 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 5 Regulation 5 Requirement The registered person must provide each service user with a written and costed contract/ statement of terms and conditions between the home and the service user. The registered person to ensure that an organizational formal quality monitoring system is in place and implemented to measure success in achieving the homes aims, objectives and Statement of Purpose. The registered person must ensure that monthly monitoring visits are being carried out as is required by regulation and the report forwarded to the CSCI promptly. Previous timescale of 31/07/05 not met. Timescale for action 31/09/05 2. 39 17/18 31/09/05 3. 39 26 31/09/05 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. Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 24 Refer to Standard Good Practice Recommendations Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Ferguson House 113 Cranbrook Road Ilford Essex IG1 4PU 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 Southwood Gardens G55_S0000028454_Southwood Gardens_V236161_300605_Stage 4.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!