Inspection on 24/08/06 for Springfields

This inspection was carried out on 24th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 but made no statutory requirements on the home.

Other inspections for this house

Springfields 31/05/07

Springfields 20/01/06

Springfields 25/05/05

Springfields 17/11/04

Springfields 15/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Springfields Easthorpe Road Copford Green Colchester Essex CO6 1DH Lead Inspector Diana Green Unannounced Inspection 24th August 2006 12:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Springfields DS0000017935.V309934.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfields Address Easthorpe Road Copford Green Colchester Essex CO6 1DH 01206 212261 01206 213238 springfieldsmail@btconnect.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Springfields Residential Homes Limited Mrs Patricia Ann Green Care Home 16 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (1), Old age, of places not falling within any other category (16) Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 16 persons) One service user aged 65 years and over with a mental disorder whose name was made known to the Commission on 14/03/06 The total number of service users accommodated in the home must not exceed 16 persons 20th January 2006 Date of last inspection Brief Description of the Service: Springfields is a residential home providing care for up to 16 older people. The home is located in the village of Copford, close to Marks Tey where there are shops, a train station and access to the A12.Springfields is a three storey building previously a house. It has 16 single en-suite rooms. On the ground floor are communal rooms two lounges and a dining area. There is a passenger lift to reach the upper floors. The home has extensive, landscaped gardens to the rear of the property and ample visitor parking at the front of the house. This unit does not accommodate wheelchair users. Adjacent to the home is a nursing home managed and owned by the same company. Laundry and catering facilities are shared between the two establishments. The fees range from £375.00-£520.00 weekly. Additional costs apply for chiropody, toiletries, sundries, hairdressing and newspapers. This information was provided to the CSCI on 06/09/06. Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that took place on the 24/08/06, lasting 4 hours. The inspection process included: discussions with the administrator, four staff, six residents, feedback from residents, relatives and health and social work professionals; a tour of the premises including a sample of residents’ rooms, bathrooms, communal areas, and the laundry; and inspection of a sample of policies and records (including any records of notifications or complaints sent to the CSCI since the last inspection). Twentyfive standards were inspected, ten requirements, including one repeat requirement and one recommendation made. The administrator and care staff were welcoming and helpful throughout the inspection. Typical comments received from residents and relatives were: “Springfields has a wonderful family atmosphere with discreet efficiency operating at all times”; “it is spotlessly clean”; “some meals lack imagination”; “the meals are well cooked and served”. “both management and staff do a wonderful job…I cannot praise them enough”; “the staff here are excellent in every way”; “I find everyone so helpful”; “cannot praise the staff sufficiently. I think they are wonderful”; “it has lived up to my hopes and plans”. What the service does well: What has improved since the last inspection? There had been no residents admitted for which the home was not registered. Residents were regularly reviewed and referred to social workers and health professional where changing needs were evident. Care plans included all social Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 6 care needs but further detail was required both in terms of the assessment and experiences of residents. 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. Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Assessments were undertaken on admission and included all care needs but details were brief. This home does not provide intermediate care. EVIDENCE: The home had a statement of purpose and a service user guide for the home that was a combined document and was made available to prospective residents and their representatives. A copy was also provided in each resident’s room. Four service user files were sampled. All had an assessment of needs undertaken by the manager/deputy manager on admission. From discussion with residents and feedback from relatives it was evident that their needs were discussed with them prior to their admission. Whilst assessments included all elements as detailed under this standard the content was brief. Residents were mainly funded privately rather than through the local authority. This home does not provide intermediate care. Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 9 Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Residents’ personal and healthcare needs were generally well met but this was despite care plans not providing clear instruction to staff. Residents were not fully involved in their development. Residents were assured that their privacy and dignity would be upheld by skilled, professional staff. The standards for receipt, administration, recording and disposal of medication were good, but temperature storage needs to be closely monitored to ensure it is within safe limits. EVIDENCE: Residents said they were well cared for and staff couldn’t do enough for them. However none were aware of their care plan. Four care plans were reviewed during the site visit. Those inspected were muddled and did not provide clear instruction for care staff. One risk assessment form was completed for several risks with insufficient detail on how risks were to be minimised. The form was not dated and included several individual risks as well as mobility. One resident said they were at risk of falls, but no risk assessment had been recorded. A separate nutritional risk assessment form had been completed for all those Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 11 inspected. Residents were regularly weighed and weights recorded. However one resident had lost 7lbs in three months and there was no evidence in the records of any action taken. Discussion with the manager following the inspection did however confirm that appropriate action had been taken in consultation with the GP. Care plans reviews were undertaken regularly but were inadequate, detailing the date of review and comments such as ‘no change’; ‘as above’. Daily records were inconsistent: some provided good detail of how the resident had spent their day, how they were, what they had told staff about how they felt and any action taken in. However others were merely records of what the resident had done and provided no evidence that care needs were being monitored. Residents said they received the right level of assistance with personal care and staff were very good. The records did provide evidence that residents were seen regularly by a GP, district nurse and community psychiatric nurse as relevant. Chiropody treatment was provided regularly and residents said they had their eyes tested annually, visited the dentist and attended outpatients as needed. Residents with diabetes had a specialist diet and daily blood glucose monitoring. Staff undertaking this procedure needed to have their competencies reassessed by a district nurse and recorded in their training file. The home had a policy and procedures for the safe administration and recording of medication. A copy of the guidance for care homes published by the Royal Pharmaceutical Society of Great Britain was also available. The manager, deputy manager and care staff had received training from the local providing pharmacist who was also available for support and advice. Medication was stored in a trolley secured to the wall of the office and in a cupboard on the first floor of the home. There was no drug refrigerator and medication was stored in the kitchen fridge as required. Daily monitoring and recording of the cupboard temperatures was undertaken and recorded but there was no temperature monitoring recorded of the office. The temperature was recorded at 23.4°Centigrade but is known to frequently exceed that in warmer weather. Records inspected had a photograph of the resident and a medication profile on each individual record. Records sampled were well recorded. Medication reviews were regularly undertaken and recorded. Three residents were self-medicating and risk assessments recorded. However one had not been reviewed since May 2001. Ordering, receipt and return of medication was undertaken by the manager who received prescriptions to ensure the correct medication was provided. Staff were observed to knock before entering residents’ rooms and to be respectful towards them. Residents spoken with said that staff were friendly but respected them, and addressed them by their preferred name. There were no shared rooms. All residents’ rooms were single and treatment was therefore provided in their room ensuring their privacy was respected. Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to the service. The social and therapeutic activities offered at the home met residents’ cultural needs and expectations and enhanced their daily lives. Visitors were warmly welcomed into the home. The home provided residents with a well-balanced and nutritious diet. EVIDENCE: Residents’ lifestyle preferences and spiritual needs were discussed on admission and recorded in their care record. There was no programme of regular social activities on display. Newspapers were delivered daily, a mobile library regularly visited the home and music to movement was provided weekly. Residents were in the main independent and preferred to spend time in their rooms listening to music, watching television and reading. When weather allowed most residents said they liked to spent time in the welltended gardens. Some residents went out with their families for lunch and other outings. Residents said that they sometimes took part in quizzes and crosswords but would like more talks on interesting subjects such as one given recently by a wild life enthusiast. Several stayed in the lounge following lunch, listening to music. Care staff said that some entertainment was provided and during the festive season children from local schools visited for carol singing. A mobile van was available for outings but residents said they had not been on Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 13 any outings for some time. The activity records were brief in detail and did not include the outcome of each activity undertaken by residents. One activity coordinator discussed some positive outcomes for residents.. Monthly communion services were held at the home, and representatives of different faiths attended on request. Residents said they could receive visitors at anytime their relatives were welcomed to the home and refreshments provided. Residents said they could get up and go to bed when they chose and could choose to take part in activities or not. Care staff said that residents were served breakfast in their own rooms but were encouraged to join the other residents for coffee in the lounge and for lunch and supper in the dining room. Residents’ rooms were personalised with family photographs, pictures and items of furniture as they had chosen to bring in with them. There was no information on advocacy service displayed for information of residents and their representatives. Most residents spoken with said they found the meals enjoyable but too much was sometimes served on their plate. Feedback was received from some residents that they found the meals lacked interest. The lunchtime meal of pork steak with cabbage and mixed vegetables or curry with rice was observed, followed by pineapple or apple meringue. The meal was nicely presented and appeared nutritious. Residents spoken with said they enjoyed the meal on the day. Specialist diabetic diets were provided as required. Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to the service. Residents had access to a robust, effective complaints procedure and are protected from abuse through the home’s practices but updated guidance and training had not been provided. EVIDENCE: The home had a complaints procedure that included the timescales within which complainants can expect a response and advised them of their right to refer to the CSCI at any stage. The procedure was included in the statement of purpose/service user guide. The administrator said there had been no complaints made since the previous inspection and this was also recorded on the pre-inspection questionnaire. Feedback from residents and their representatives indicated most knew of the complaints’ procedure and all knew whom to complain to if they had an issue. The home had a protection of vulnerable adults policy and procedures and a whistle blowing policy. Care staff said they had received training in protection of vulnerable adults as part of their NVQ training. Those spoken with were not clear of the procedures to be followed in the event of an allegation but said would refer to the manager or proprietor. New guidance on procedures for safeguarding adults was not available. Updated training is therefore required. There had been no allegations of abuse since the last inspection. Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Springfields was decorated and maintained to a high standard and had a homely environment. Residents’ rooms were individually furnished and equipped for their safety, comfort and privacy. The home was clean and hygienic throughout. EVIDENCE: A partial inspection of the premises was made that included communal areas, several bathrooms, a number of residents’ rooms, the kitchen and the laundry. The home was well decorated and maintenance for safety equipment (electrical, gas etc.) was current. Records provided evidence that the building complied with the requirements of the local fire and environmental health department. The premises were observed to be cleaned to a high standard. Residents said their rooms were cleaned daily and to their satisfaction and their clothing was well laundered and returned in good condition to them. Appropriate hand washing facilities (liquid soap and paper towels) were provided. The laundry Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 16 was large and equipped with four washing machines, three tumble driers, a rotary and hand iron. The room was clean well organised with separate routes for clean and dirty laundry and shelving and hanging rails to enable clothes to be sorted. Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to the service. The staffing levels were compromised as no cover had been provided for the manager. Staff records were not available for inspection and it could not be confirmed if recruitment checks had been obtained to protect service users. EVIDENCE: There were 14 residents, the majority assessed as low dependency. The agreed staffing levels were: AM: 3 care staff PM 2 care staff: NIGHT 2 care staff (1 awake) Staffing levels were not adequate as the manager and deputy manager were on leave and no replacement had been provided. Several residents said that they received the appropriate assistance but felt there were too few staff on duty. Staff were observed to work well as a team, to be caring and professional in their approach, but had little time for interaction with residents. The home had seven staff who had NVQ level 2 training. The manager had NVQ level 4. There were plans for two care staff to undertaking NVQ level 2 in September, which would bring the percentage of staff with NVQ level 2 training to 50 . One care assistant was also planning to undertake NVQ level 4 training. The training records were not available for inspection. However the preinspection questionnaire received following the inspection confirmed that staff Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 18 had not received updated training in fire safety or manual handling in the last year. Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to the service. Springfields is generally well managed but more robust management arrangements are needed during the manager’s absence. Policies and procedures need to be developed and updated training provided to ensure residents and staff are safeguarded. The financial interests of residents are protected by the robust systems that are well adhered to. EVIDENCE: The registered manager had been employed at the home for several years and had completed NVQ level 4. Neither the manager or deputy manager were on duty and no replacement had been arranged. Residents spoken with said they found the manager very approachable. Feedback was also received that indicated the manager was patient and always listened. Information provided in the pre-inspection questionnaire indicated that policies and/or procedures Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 20 were not available for physical intervention/restraint; pressure relief; sexuality and relationships; clinical procedures; continence promotion and aggression towards staff. Service user questionnaires had been distributed prior to the previous inspection and collated but there was no report available on the outcome or action taken as a result. The pre-inspection questionnaire indicated that no annual plan had been produced. Discussion with the manager following the inspection indicated that additional training in quality assurance was required. The proprietor was based in offices located between the residential and nursing home and was frequently in attendance but was not available during the inspection. There were no reports (as required under regulation 26) available for inspection. The home did not manage any residents’ monies. Some residents managed their own finances and all others had a representative/advocate to manage them on their behalf. As there was no safe in the home, residents were discouraged from holding large amounts of cash. All expenditure/sundries were invoiced directly to residents or their representatives. All records held by the home were secure and stored in accordance with the Data Protection Act 1998 but were not all available for inspection. Records inspected at this inspection included: Maintenance of building and equipment; fire safety; care plans; medicines administration records; activities records. The home had a health and safety policy statement and appropriate procedures in place and in the main these were adhered to. However staff training in manual handling and fire safety had not been provided in the last year. Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 x x 3 x x x 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 1 x 3 x 3 2 Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? yes 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 OP3 OP7 Regulation 15(1) Requirement The registered person must ensure that residents’ assessments and care plans are recorded in detail and provide clear instruction for care staff. Residents and or their representatives must be fully involved in the process. The registered person must ensure that risk assessments clearly demonstrate how risks are to be minimised. The registered person must ensure that medication room storage temperatures are monitored and recorded to ensure it is below 25°Centigrade The registered person must ensure that updated local authority guidance is obtained on the protection of vulnerable adults and the home’s policies and procedures updated. The registered person must ensure that staff receive updated training on the protection of vulnerable adults. The registered person must ensure that appropriate cover is DS0000017935.V309934.R01.S.doc Timescale for action 30/09/06 2 OP7 13(4) 30/09/06 3 OP9 13(2) 30/09/06 4 OP18 13(6) 31/10/06 5 OP18 13(6) 30/11/06 6 OP27 18(1) 30/09/06 Springfields Version 5.2 Page 23 7 OP29 7, 9, 19 Schedule 2 8 OP30 OP38 23(4)(d) & 13(5) 24(1) 9 OP33 10 OP33 26(4) provided in the absence of the manager so that care staff are not taken from care duties. The registered person must ensure that The registered person must ensure that all the required checks including identification and a satisfactory Criminal Records Bureau Disclosure are obtained and held on file. This requirement is repeated as the records were not available for inspection. The registered person must ensure that staff receive updated training in fire safety and manual handling. The registered person must ensure that a robust quality assurance programme is developed and an annual plan developed for the home. The registered person must ensure that visits made by the registered provider are undertaken monthly and reports are available at inspection. 30/09/06 31/10/06 30/11/06 30/10/06 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 Refer to Standard OP12 Good Practice Recommendations The registered person should ensure that there is a regular programme of social activities developed. Springfields DS0000017935.V309934.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Springfields DS0000017935.V309934.R01.S.doc Version 5.2 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!