Inspection on 20/07/06 for Spring Grove Road, 231

This inspection was carried out on 20th July 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

Spring Grove Road, 231 09/12/05

Spring Grove Road, 231 24/05/05

Spring Grove Road, 231 13/09/04

Spring Grove Road, 231 27/04/04

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 Spring Grove Road, 231 Isleworth Middlesex TW7 4AF Lead Inspector Mrs Clare Henderson Roe Unannounced Inspection 20th July 2006 11:35 Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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 Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Spring Grove Road, 231 Address Isleworth Middlesex TW7 4AF 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) 0208 758 2966 londonroad@tiscali.co.uk Milbury Care Services Limited Teresa Franze Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate one named service user who is over the age of 65 years old as agreed by the Commission of Social Care Inspection (CSCI) on the 27th July 2004. The service user may remain resident until such time when the home is unable to meet the service user’s assessed needs and care plan. The establishment must inform CSCI when the service user no longer resides at the home. Home registered from a Three Bedded Unit to a Two Bedded Unit as agreed by the Commission for Social Care Inspection, on the 31st December 2004. 9th December 2005 2. Date of last inspection Brief Description of the Service: 231 Spring Grove Road is a home for two service users with learning disabilities, one of whom is over 65 years old. It is a detached three bedroomed house, situated on a busy road in Isleworth, and close to public transport to Hounslow Town Centre and Brentford. There are local shops within walking distance and the day centre and college are also close by. The home is owned and managed by Milbury Care Services. The communal areas consist of a lounge, with a separate kitchen/dining room. The office, laundry room and staff toilet are located in an outbuilding located in the small back garden. There is a bathroom on the first floor, with a bath and separate shower cubicle, and a separate toilet. The third bedroom is used as the staff sleeping in room. The neighbouring house, at 233 Spring Grove Road, is a home for three service users and the Registered Manager is registered for both homes. The Deputy Managers post also covers both homes. There is a separate Senior Support Worker and a team of Support Workers for each house. They provide support with personal care, practical tasks, leisure and social activities. There are two staff on duty at all times, with one sleeping in staff at night. Both service users use the Milbury Day Centre and West Thames College, which are local. There is a house car available. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of 6 hours was spent on the inspection process. The Inspector carried out a tour of the home, and service user plans, medication records, financial records, management records, administration records, staff training records, maintenance and servicing records were viewed. Both service users and 4 staff were spoken with as part of the inspection process. There were no visitors present on the days of inspection. What the service does well: What has improved since the last inspection? Signed contracts between the service users and Milbury Care Services Limited are now in place. The requirements in respect of medications made at the last inspection have been met, and medications are now being well managed at the home. Up to date policies and procedures are available in the home, and staff have read these and are working within them. Redecoration and refurbishment has taken place, and the home was clean and being well maintained with evidence of ongoing redecoration work. Repairs to equipment are requested and carried out promptly. The Inspector for 233 Spring Grove Road checked staff employment records at a recent inspection and those viewed were found to be in order. The Registered Manager manages both 231 and 233 Spring Grove Road, and maintains the staff employment files for both. Clear training records are now kept, and evidence ongoing training in topics relevant to the needs of the service users, plus the required health & safety training and updates. The Registered Manager is very aware of the need for ongoing review and audit for quality assurance purposes, and the systems in place are Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 6 comprehensive. Health and safety is being well managed in the home, thus protecting service users, staff and visitors. 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. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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 Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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): 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The current service users have lived in the home for several years. Therefore standard 2 was not assessed. There is a signed contract with terms and conditions in place for both service users, providing a clear agreement between the home and the service user. EVIDENCE: Since the last inspection, copies of the homes contract/terms and conditions have been signed by each service user and witnessed by a staff member, and these were available in the service user plans. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 9 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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user plans provide a clear picture of service users needs, thus providing staff with accurate information when caring for the service user. Service users choices are respected, thus maintaining their dignity and as much independence as is possible. Risk assessments have been carried out, thus identifying and minimising risks to service users. EVIDENCE: The Inspector viewed both service user plans. These were comprehensive and gave a good picture of the service users needs and how these are to be met. Full reviews are carried out annually and the service user plans are reviewed every 1-2 months. There is evidence of input from healthcare professionals. From viewing the service users records, plus discussion with service users and staff it is clear that service users choices are respected and they are encouraged to be as independent as they are able, with good support provided by staff. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 10 Risk assessments had been formulated for each area of risk identified. These are up to date and specific to each service user and their environment. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ have active, fulfilling daily routines, keeping them active and stimulated. The home is part of the local community, and service users are encouraged to be part of that community with staff support. Visiting is encouraged and this enhances the service users lives and keeps them in touch with friends. Staff are courteous to service users, thus respecting their dignity. The meal provision is good, and service users are involved in the meal choices, thus respecting their individual wishes. EVIDENCE: Service users attend a day centre and also local college courses, and a full timetable for each service user is on display in the staff office, plus information is available in the service user plans. It was clear from speaking with the service users that they enjoy their daily activities and lead full and interesting lives. Arrangements for the transporting of service users from the home to the day centre and/or college are made and staff are clear about this. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 12 The service users regularly go out shopping, to the bank and to local places of interest, and staff accompany them on trips out. The service users also visit other Milbury Homes to meet with other service users. The service users are encouraged to be part of the local community and have lived at the home for several years and are known in the local area. One service user has made lots of friends at the local church they attend regularly. The service users go on holiday each year and obviously enjoy this. Photographs of trips out to places of interest are displayed in the kitchen, and show the service users enjoying themselves. The home has an open visiting policy and visiting is encouraged. The service users friendships with each other and friends outside the home are respected. Staff had received training to enable them to care sensitively and appropriately for service users who wish to develop personal relationships. Staff were heard conversing with service users in a polite and respectful manner, and staff maintain good professional relationships with the service users. It was clear from speaking with staff that they enjoy caring for and working with the service users. Service users are encouraged to carry out household tasks and were happily helping with the lunchtime meal by laying the table and helping clear up afterwards, thus working on maintaining their independence skills. Service users are consulted about their wishes in respect of their accommodation. For example, the service users are involved in any decisions regarding the redecoration and refurbishment of the home, to include choosing their own furnishings. Service users can choose where they would like to sit and socialise, and the sitting room has a TV, a video player and a DVD player. The home has a menu on display. Service users are involved in the formulation of the menus and staff take the service users healthcare needs into consideration also. Meals are sociable occasions for service users to enjoy and chat with staff about the happenings of the day. Drinks and snacks are available throughout the 24 hour period. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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 the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are courteous to service users and assistance or supervision for any care needs is provided in a manner to respect the service users privacy and dignity. Service users healthcare needs are identified and met, thus striving to maintain service users in optimum health. Medications are being well managed at the home, thus safeguarding service users. EVIDENCE: Service users independence is respected, and they are encouraged to carry out as much of their personal care as they are able, with staff available to assist if required. Moving & handling assessments are in place, plus records for all areas of need identified. Service users were seen dressed appropriately and their dress reflected individuality. Comprehensive records of the service users healthcare needs and input are maintained. These include information about each service users healthcare needs, and show evidence of GP input, hospital appointments and input from other healthcare professionals. Staff accompany service users on any healthcare visits. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 14 The Inspector viewed the medication records. The medication administration record charts were fully completed, with all receipts and administration of medication signed for. Returns of any medications to pharmacy are recorded and carried out promptly. Medications are securely stored. The policies and procedures for the management of medications were up to date. The requirements for this standard from the last inspection had been addressed and medications were being well managed in the home. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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 the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear procedures for complaints and for adult protection are in place, thus safeguarding service users. EVIDENCE: Service users are encouraged to express any concerns they may have, and there is a simple complaints procedure in picture form on display in the kitchen. The Registered Manager is a trainer in Adult Protection for Milbury, and also keeps up to date with the Adult Protection procedures within the local Borough. A simple document entitled ‘Speaking Up’ was displayed in the kitchen, and encourages service users to tell staff if there have any concerns. Staff had received training in the protection of vulnerable adults (POVA), and clear procedures are on display in the staff office. Staff had undergone training in ‘non-violent crisis intervention’, with annual refresher sessions in this topic, plus information for this is contained in the homes policy for restraint. Procedures for the management of service users monies are in place and being followed by staff. Each service user has their own bank account and staff accompany them to the bank when they wish to go. Clear records of service users monies are maintained, to include all income and expenditure. Individual monies are held securely in the home, and at each shift change two staff check and sign for the service users monies to ensure the records are accurate and up to date. The Operations Manager for the area carries out a monthly audit of the service users monies, and signs to evidence this audit. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being well maintained with evidence of ongoing work, thus providing service users with a clean, safe, personalised and homely environment to live in. The home is clean and infection control procedures are followed thus safeguarding service users. EVIDENCE: The Inspector carried out a tour of the home. Several areas internally and externally had been redecorated and it was clear that the home is being well maintained. The Registered Manager has copies of all memos in respect of any redecoration, refurbishment or maintenance carried out at the home. On the second inspection visit a new front fence and gate were being installed. The Registered Manager said that the main redecoration and refurbishment programme is held at Head Office. Each service user showed the Inspector their bedroom. These were personalised and the service users are involved in the choosing of colour schemes and furnishings for their rooms. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 17 There are 2 service users accommodated at the home. Since the last inspection a pedestal wash hand basin has been installed in the larger bedroom. There is a shower and bathroom, plus a separate toilet facility. The home has a sitting room and a kitchen/diner, both of which are spacious rooms. These have been furnished to meet the needs of the service users and to allow for staff to sit and socialise with service users. There is a rear garden area with outdoor furniture for service users to use. The home was clean and tidy. Laundry facilities are situated in the utility room by the staff office, and the washing machine has appropriate programmes to ensure all laundry is washed at the required temperatures. Protective gloves were available at the home. The requirements from the last inspection report had been met and equipment was being maintained in good working order. Infection control policies and procedures are in place in the home. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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 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, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was appropriately staffed to meet the needs of the service users. Systems for vetting and recruitment practices are in place and protect service users. The training provision is good, providing staff with the skills to meet the needs of service users, to include specialist care needs. EVIDENCE: It was clear that staff had received training to enable them to care for the service users appropriately and to meet their needs. Staff spoken with said that they receive good training input in topics relevant to the service user group accommodated at the home. The home was staffed to meet the needs of the service users, with two staff on during the day and one staff member sleeping in at night. Staff were seen caring for service users in a polite and professional way, and there is a stable staff team at the home, who have got to know the service users and to understand their needs. One member of staff is nearing completion of NVQ level 3 in care, and three more staff are part-way through this training. The staff records for staff employed at 231 and at 233 Spring Grove Road are maintained by the Registered Manager and stored at 233 Spring Grove Road. The Inspector for 233 Spring Grove Road had recently carried out an unannounced inspection there, and had sampled staff employment records. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 19 These contained the information required under the Care Homes Regulations 2001. Therefore these were not viewed at this inspection. Two staff had completed Learning Disability Award Framework-accredited training. The Registered Manager is a mentor for induction and foundation training and is clear of the training to be undertaken by any new member of staff. Staff had undertaken training in topics such as adult protection, nonviolent crisis intervention, medication management, non-verbal communication techniques, person-centred planning and other topics relevant to the needs of the service users. It was clear from speaking with staff that they are encouraged to undergo training on a regular basis, and that appropriate training is available to keep them up to date with relevant changes in regulations and best practices. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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 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 outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager has the experience to manage the home and is completing the required qualifications for this. Robust systems for quality assurance are in place, thus providing an ongoing process of practice review within the home. Systems for the management of health and safety throughout the home are good, thus safeguarding service users, staff and visitors. EVIDENCE: The Registered Manager has completed the NVQ level 3 in care and was nearing completion of the NVQ level 4 managers training. She is also a POVA Trainer for Milbury. Staff spoken with said that the Registered Manager is very supportive and that she works alongside her staff team. On the first day of inspection the Registered Manager was on leave, and the staff team on duty were knowledgeable about managing the home and were able to complete the majority of the inspection with the Inspector. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 21 The home has systems in place for Quality Assurance. The home has an Annual Service Review, last carried out in November 2005. This includes service user satisfaction questionnaires and the outcomes from these. This is comprehensive and the Registered Manager said that this would be arranged for the autumn. In addition the Operations Manager carries out a monthly audit of the home. There was evidence of regular staff team meetings, service user meetings and external management meetings. Regulation 26 unannounced visits to the home are carried out and copies of the reports forwarded to CSCI. The Team Meeting minutes viewed evidenced that areas of practice are discussed and reviewed. The Milbury Policies and Procedures have been updated in 2006, and the Registered Manager said that this was done to include any changes in legislation. Staff spoken with said that they do read and understand the policies and procedures, and these are discussed as part of the staff supervision process. Servicing and maintenance records were sampled and those viewed were up to date. Log sheets are kept at the home to evidence all maintenance and servicing visits to the home. Health & safety audits and inspections are carried out for some areas weekly and for others monthly and clear records are maintained. COSHH assessments and safety data sheets are available for all products in use in the home. Kitchen records to include daily fridge & freezer temperature recordings were up to date. Risk assessments are in place for all areas of safe working practices. Health & safety training records for staff evidenced training to include health & safety at work, fire safety, moving & handling, food hygiene and emergency first aid. The fire training records evidence regular fire drills taking place. The fire risk assessment was viewed. The Registered Manager explained that this is reviewed every 3 months and also whenever a fire drill takes place. Health & safety within the home is being well managed. Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 N/A 3 X 4 X 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 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 3 X 3 X 3 X X 3 X Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 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. 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 Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection West London Area Office 11th Floor West Wing 26-28 Hammersmith Grove Hammersmith London W6 7SE 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 Spring Grove Road, 231 DS0000022906.V288601.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!