Inspection on 26/09/06 for St Aiden`s Cottage

This inspection was carried out on 26th September 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 no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Aiden`s Cottage 05/12/07

Similar services:

The Highlands

Blenheim House

1 Lanark Close

Beaconsfield Court Care Home

Ann Charlton Lodge

The Gardens Care Home

Westmoor View Nursing Home

Ashlea Mews Residential Home

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

CARE HOME ADULTS 18-65 St Aiden`s Cottage St Aiden`s Cottage Auton Style Bearpark Durahm DH7 7AA Lead Inspector Ms Kathy Bell Unannounced Inspection 26th September 2006 10:00 St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Aiden`s Cottage Address St Aiden`s Cottage Auton Style Bearpark Durahm DH7 7AA 0191 373 1124 0191 373 3659 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) Durham Careline Ltd Mrs Geeta Sharma Care Home 10 Category(ies) of Physical disability (10) registration, with number of places St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Bedroom 9 will not be occupied by any resident whose mobility is restricted to a wheelchair. First inspection Date of last inspection Brief Description of the Service: St Aidens Cottage is a purpose-built home, which is registered to provide care for 10 people aged between 18 and 65 years who have physical disabilities. It does not provide nursing care. The home opened earlier this year and at the time of the inspection four residents were living there. The building has two floors, with bedrooms and living space on both floors. It was built to meet the needs of people with physical disabilities and the facilities include adapted bathrooms and toilets and a kitchen which can be used by residents. The bedrooms are large, all single, and each has its own toilet. St Aidens Cottage is in the village of Bearpark, on the outskirts of the city of Durham. There are local shops, pubs etc and a bus service to Durham. Specialist transport can also be arranged by the home. The home charges £700-900 a week. This information was provided to CSCI in October 2006. St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during one day in September 2006. During the visit, the Inspector, Kathy Bell, met residents, though not all of them wanted to talk in-depth about the home at that time. She also talked to four staff. She spoke with three care managers who had placed residents in the home. She looked around the first floor of the building, although not in every bedroom, and at records in the home. The manager was on holiday at the time but the manager of the adjoining home, run by the same organisation, has been providing some oversight in her absence. She stood in for the manager for the purposes of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home must develop care plans which explain to staff exactly what they must do for each person to meet their needs and wishes. The home must do more to provide stimulating and enjoyable activities for residents. It is already working towards this by providing extra staff hours and the providers intend to employ an activities coordinator. More care must be taken in administering and recording medication: the manager must make sure that care staff are doing this correctly. The new staff have had limited time to undertake the training they need but they must have training in the protection of vulnerable adults, fire safety and food hygiene as soon as possible. The owners of the home need to develop their systems for making sure the home is run well. They must carry out the monthly visits required by Care St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 6 Home Regulation 26 and set up a system to find out the views of residents, care managers etc. The bedroom doors which close automatically have been fitted with magnetic catches so that residents can keep the doors of their rooms open if they want to. Unfortunately these have been fitted so that it was difficult (and impossible for a wheelchair user) to reach the catch to let the door shut. The magnetic catches must be put in a place where people can reach them. 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. St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home makes sure it will be able to meet peoples needs by obtaining full information about them before they are admitted. EVIDENCE: Each residents records included an assessment of their needs, done by a care manager. As well as this, each person was assessed by an organisation run by the same people who own the home. The care manager of the resident who had respite care confirmed that the manager and owner had visited the resident, in his own home, to assess him and gain information from relatives. His first stay in the home had to be postponed, and they visited again before he was admitted to make sure nothing had changed. St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 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 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents did not have an individual plan which explained the detail of how staff needed to look after them. Despite this, residents seemed to be receiving the care they wanted and needed. Residents were making decisions about their daily lives and living as they wanted to. Staff respect residents rights to take risks but try and help them stay safe. EVIDENCE: The initial assessment explains each residents needs in general and goals for the future and this did contain some of the details needed to guide staff. But there was not a detailed plan for each person which would have told staff exactly what they needed to do for them. This plan should have included details such as the persons individual preferences, any help they needed with personal care, equipment which should be used and how many staff were needed to help them. Staff explained that the manager had told them what to do and the home benefits from employing two physiotherapists and three St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 10 nurses who have their own experience to guide them in providing good care. As a result, people have been receiving the care they need. One resident confirmed that staff knew how to help him move and a care manager confirmed that staff had known what to do for her resident. Records kept of the care of a very dependent resident showed that staff understood what they needed to do. But staff records showed one occasion when some staff thought another had not been following guidelines for moving and handling someone correctly. Without a written detailed care plan there are more risks that staff will not know what to do and particularly as more residents are admitted, it will not be safe to rely on them remembering verbal instructions. One resident confirmed that he can make choices about his daily life, like when he gets up in the morning. He said that he could go out when he wants to. A care manager confirmed that staff do distract one resident from a particular choice which those responsible for his welfare have agreed would be harmful for him. In these circumstances, this is acceptable. Records showed that at times, residents make choices which staff would prefer they didnt, because these involve risks . But staff showed they understood that people had the right to make decisions. They had offered help to reduce the risk of harm and had made sure that people were given advice about the consequences of their decisions. A care manager confirmed that the home had discussed with her, as they should, whether the resident has the capacity to make decisions for himself. St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 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 adequate. This judgement has been made using available evidence including a visit to this service. The home needs to develop how it helps residents take part in appropriate activities .But it is taking steps to make this possible, by providing extra staff on some shifts. Staff have been able to help residents enjoy activities they choose within the home. Residents can use local facilities in the village. Where possible, they have been able to keep up contact with their families. Staff respect residents rights to make choices about their daily lives. Although the meals provided have been adequate and one resident thought they were good, choice and variety have been limited at times. But the home has done well in meeting some individual needs for special meals. EVIDENCE: It was difficult to judge how successful the home will be in meeting residents leisure needs because three of the residents have only been living there since August and September. Residents can enjoy everyday activities such as TV and music in the home and go out independently if they can. Staff knew that St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 12 one resident needed their help to start an activity he enjoyed. One care manager confirmed that staff played music to suit the cultural background of one resident. The individual plan for each person (see Standard 6) should include information about the activities they need to make their lives enjoyable or rewarding and how the home will make these possible. On some shifts, an extra member of staff will be on duty in the future so that staff can take people out on their own more easily to take part in activities they choose. At the moment, staff can sometimes take people out individually. The home intends to employ an activities coordinator which should help residents enjoy a more varied and enjoyable lifestyle. One resident goes out to local shops and there is a community centre and club nearby which would be available for residents if they chose. Again, because most residents are so new to the area, they have not yet had the opportunity to become part of the local community. Residents can receive visitors in their rooms and maintain contact with their families where this is possible. One resident confirmed that he can make choices about his daily life, like when he gets up in the morning. He said that he can go out when he wants to. A care manager confirmed that staff do distract one resident from a particular choice which those responsible for his welfare have agreed would be harmful for him. In these circumstances, this is acceptable. The staff said that they had been taught about residents rights to make their own decisions etc during their induction training. One resident who commented said that the meals were good, and another thought they were ok. At the time of the inspection, because there were only four residents, the home did not employ a separate cook. One of the care assistants on duty prepared the meals. Although the diet seemed adequate, there did seem some lack of variety at times. However, the home did well in meeting the particular needs of a resident who came in for respite care and needed building up and provided food which respected his culture and religion. The inspector agreed with the home during this visit that they could provide meals for these four residents from the kitchen of the adjoining home. This will provide them with a choice of two main meals and greater variety. St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 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. Residents receive the personal care they need in the way they want it. Staff make sure that residents receive medical attention when they need it and look after their physical health. Although residents were receiving the medication they were prescribed, more care needs to be taken to prevent any mistakes happening. EVIDENCE: Detailed records were kept when this was necessary, for a resident who needed a lot of support for his personal care and to keep him well. These showed that staff knew what they needed to do for him and were able to provide the level of intensive support he needed. They were successful in providing the support he needed to allow the pressure sores , which he had when he came in, to heal . Staff said that communication was good in the home, with handovers at every shift change, so that they were up-to-date with any changes. Another resident said that the care was spot on. A care manager confirmed that she found the staff were aware of what they needed to do for her resident. She thought care was absolutely excellent. Where possible, residents can maintain their independence by, for example, showering themselves. St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 14 Satisfactory records were kept of when people saw the doctor and the advice which was given. A care manager confirmed that the home obtained specialist advice when needed. The home is arranging for routine care, such as eyesight checkups. The procedures for storing and administering medication are generally satisfactory. Staff who handle medicines have done training in this. But there were some errors in how staff were recording medication prescribed and given out. They were not signing as soon as each person had been given their medication as they should, but completing the chart when they had finished giving out all the medication. At the moment, they are only giving medication to four people and may feel confident that they would remember if anyone had not taken their medication. But correct procedures should be followed to avoid any chance of error. In one case, rectal diazepam was listed on the medication record although staff had not received any training on how to administer this. The manager providing oversight to the home told the Inspector that this was not actually for use by the home (only by paramedics in an emergency) and should have been clearly marked on the record as not to be given by care staff. One resident had come from hospital with medication marked to be taken as required but the written information from hospital had not said it was as required medication. Staff were giving it to the resident when required although they had not written this on the record of administration. Where information from a hospital is not clear, staff must always query this to make sure that they have correct information. St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 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 adequate. This judgement has been made using available evidence including a visit to this service. The home has satisfactory system for responding to complaints although this has not been used yet. The home has worked well with care managers to protect residents in one particular case but staff need to have training in adult protection so that they are fully aware of what is considered as abuse and what to do about it. EVIDENCE: The home has a procedure for dealing with complaints and one resident confirmed that he had been given information on how to complain. No complaints have been recorded yet. None of the care staff have had training in adult protection. The home appears to have taken proper steps to safeguard other residents from one resident who might have harmed them. St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 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 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a pleasant and safe place to live which meets peoples needs and helps them be independent. There are systems to make sure that the home is kept clean and hygienic. EVIDENCE: The home was built with the needs of people with physical disabilities in mind. All the bedrooms are singles and all are large with their own ensuite toilet. There is a dining room/lounge on each floor and adapted bathrooms. There is a small kitchen where residents can prepare snacks if they wish. The building is bright and spacious. It was decorated and furnished to a good standard for its opening in April this year. The home seemed clean on the day of inspection. Staff sign a cleaning schedule to confirm that they have carried out regular cleaning tasks, which should make sure that nothing is missed. The staff said that they had enough supplies of gloves etc to prevent the spread of infection and had received basic instruction on how to use them . St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A number of staff have higher skills and qualifications than are expected for care workers but the manager needs to make sure they have had key training in areas such as fire safety. There are enough staff on duty to provide people with the care they need. The home does all it can to make sure that only people suitable to work with vulnerable adults are employed. EVIDENCE: Seven care staff are employed and of these, three are qualified nurses and two are physiotherapists. The two others have the National Vocational Qualification in care at level 2 which is the recommended minimum qualification for care assistants. Staff described how they had been given basic training in key areas such as fire safety and infection control as part of their induction. They have all completed training in first aid and moving and handling and five have had training in the safe handling of medicines. Some of the staff have not had training in the key areas of food hygiene, fire safety and protection of vulnerable adults. But the inspector took into account that most of the staff have only been employed since this August and have had limited time to do all the required training. St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 18 Two care staff are on duty through the day (though also take responsibility for cooking and cleaning) and this seems enough at the moment to meet the care needs for the four current residents. For a home this size it is considered reasonable for a manager to spend part of her hours on direct care and some extra shifts are to be provided to help staff take residents out individually for leisure activities etc. At night there is one person awake on duty and one sleeping in but this was increased to two awake when a respite care resident needed help during the night. As numbers and needs of residents change the manager will have to vary staffing levels to make sure residents needs are met. Records showed that the home had carried out Criminal Records Bureau/protection of vulnerable adults list checks for staff and obtained references for them before they started work. For the nurses who were hired through an agency the home had to rely upon the agency carrying out the required checks. St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 19 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 adequate. This judgement has been made using available evidence including a visit to this service. Although the owners of the home are in very regular contact with it they have not set up a formal system to check on the quality of care. The home is generally a safe place to live and work. EVIDENCE: The owners of the home are closely involved with the running of it. But they have not done the formal monthly inspections required by Regulation 26. They have not set up a way of finding out the views of residents, care managers etc which should be part of how they check if they are providing good quality care in the way people want. The home is a new building and was designed to provide a safe place to live. The temperature of radiators and hot water is controlled. It has a fire safety system approved by the Fire Officer and staff carry out regular checks to make sure everything is working properly. But some residents prefer to have their bedroom doors open which means that the doors will not close automatically if there is a fire. The home had responded to this promptly by fitting magnetic St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 20 catches which would allow the doors to be kept open but release them if the fire alarm went off. Unfortunately these had been fitted in a place which could not be easily reached by staff and would be impossible for wheelchair users. St Aiden`s Cottage DS0000067579.V310176.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 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 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 1 X X 3 X St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 22 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 YA6 Regulation 15 Requirement The home must produce an individual care plan for each resident which explains what their needs are and how the home is going to meet them. It must include the information specified in Schedule 3 (l,m,n and q) and should include the information specified in Standard 2 of the National Minimum Standards. The home must assess each residents needs and wishes for leisure activities and consider how best to meet these. This information should be part of the care plan. The manager must monitor how staff administer medication and check that records are kept properly. Staff must receive training in fire safety, food hygiene and protection of vulnerable adults. The owners of the home must carry out the monthly inspection DS0000067579.V310176.R01.S.doc Timescale for action 15/11/06 2 YA14 16 30/11/06 3 YA20 13 15/11/06 4 YA35 18 31/01/07 5 YA39 24 & 26 30/11/06 St Aiden`s Cottage Version 5.2 Page 23 required by Regulation 26. They must set up a system to check on the quality of care provided and this must include consultation with residents and other people involved with their care. 6 YA42 13 Releases for magnetic catches on 15/11/06 fire doors must be within the reach of all staff and the resident who uses the room . 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 St Aiden`s Cottage DS0000067579.V310176.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 St Aiden`s Cottage DS0000067579.V310176.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. 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