Inspection on 08/08/07 for Steeton Court

This inspection was carried out on 8th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Steeton Court 10/08/06

Steeton Court 12/01/06

Steeton Court 19/07/05

Steeton Court 15/12/04

Steeton Court 10/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Steeton Court Steeton Hall Gardens Steeton Keighley West Yorkshire BD20 6SW Lead Inspector Mary Bentley Unannounced Inspection 8 August 2007 09: 10 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 Steeton Court DS0000019890.V344906.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. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Steeton Court Address Steeton Hall Gardens Steeton Keighley West Yorkshire BD20 6SW 01535 656124 01535 658436 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) Mr A Spellman Mrs Jill Gartland Care Home 71 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (61), of places Physical disability (5), Terminally ill (5), Terminally ill over 65 years of age (5) Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That three of the places under the category of PD are for named individuals 10th August 2006 Date of last inspection Brief Description of the Service: Steeton Court is a purpose built property located in a residential area of Steeton close to local amenities and public transport routes. The home is registered to provide care to a total of 71 people. Steeton Court is registered to provide nursing care and has a 10-bed dementia care unit. The home is built on two floors with access to the first floor by means of two passenger lifts and stair lift. One of the passenger lifts can accommodate stretchers. There are 3 double rooms; the remainder are singles and with the exception of one room all have en-suite facilities. There is ample provision of communal space throughout the home; this includes lounges, dining rooms, conservatories, and small quiet lounges. The conservatory on the dementia unit has direct access to an enclosed outside area. This means that people are free to walk outside without being at risk by wandering away from the home. The home has well-maintained gardens that are accessible to wheelchair users. Car parking is provided at the front of the building. In August 2007 the weekly fees ranged from £483.00 to £892.00. Services such as chiropody, private dentistry, and newspapers are not included in the fees. There is also an additional charge for some outings such as visits to theatres. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. I did this unannounced inspection in one day and spent approximately 8 hours in the home. The purpose of this visit was to assess how the home is meeting the needs of the people who live there. During the visit I spoke to people living in the home, staff and management. I observed staff caring for people in the communal rooms; I looked at various records relating to care, staff, and maintenance and looked at some parts of the building. The manager was on holiday and the deputy manager helped with the inspection. Before the visit we sent a number of comment cards to people living in the home, relatives and health care professionals who visit the home. Comment cards give people the opportunity to share their views of the service with us. The information we get is shared with the home without identifying who has provided it. In total 13 cards were returned. Before the visit the home provided us with a completed quality assurance selfassessment form. We have used some of that information as well as the information from the surveys in this report. What the service does well: These are some of the comments made by people using the service: “ Very pleasant surroundings in and outside home, this must be of benefit to residents’ health” “Cleaning people are helpful and willing to do other little tasks like closing windows” “We are very satisfied that ----- is well cared for and happy at Steeton Court. Should we have any minor concern this is always dealt with promptly and pleasantly” “Look after my mother on a day to day basis and all her needs are taken care of” “My mother is kept nice and clean, warm and tidy. The carers are lovely and do care and inform me of anything she may need that I am unaware of and tell me what she has done and said.” Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 6 The home has been awarded a 5 star rating (the maximum) by Environmental Health for its standards of food safety and hygiene. The home is well equipped to meet the needs of people with physical disabilities, there is good access and wide corridors make it easy to move around inside. There are disabled access toilets and bath/shower rooms throughout the home. The home achieved the Investors in People award last year. This is a nationally recognised award given to organisations that can demonstrate an ongoing commitment to improving the quality of their service through staff training and development. What has improved since the last inspection? What they could do better: The home is always looking at ways to improve and welcomes suggestions from everyone involved with the service. We asked people what they thought the home could do better and these are some of the comments we received: “I feel that the care my mother receives is the best she can have considering her illness” “Service (at mealtimes) is not good; we seem to sit for ages to be served” “Hard to say, perhaps an extra staff member at busy times” One person said they would like the home to make it easier to contact people by telephone when people do not have a private phone in their rooms. The home has already identified the kitchen as an area where further improvements can be made and is addressing this. The home must make sure that the recruitment procedures are always followed so that people are not put at risk. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 8 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 Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 5. Standard 6 does not apply to this service. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are given good information about the service and every effort is made to make sure that the home will be able to meet their needs before they move in. EVIDENCE: People told us they were given enough information about the home before they or their relatives moved in. Two people said they had been to look at the home, and other homes, before deciding that Steeton Court was the right place for their relatives. They said they were happy that they had made the right choice. Another person said, “I think the standards are high at Steeton Court and that we chose well when looking for a home for -------------“ Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 10 The records showed that the home carries out detailed pre admission assessments. They visit people and get information from relatives and other professionals to help them decide if they will be able to meet people’s needs before a place is offered. People said they had contracts, (terms and conditions), and copies of contracts were seen in the files. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s care needs are met in a way that respects their privacy and dignity and their needs are set out in individualised plans of care. EVIDENCE: I looked at the care records of 3 people. The care plans are based on a detailed needs assessment and show how people’s personal, health, and social care needs will be dealt with. The care plans show that people living in the home and/or their representatives are consulted about how care needs will be met. The care plans have information on people’s preferences and abilities; this helps to make sure that people are supported in maintaining their independence and individuality. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 12 On the dementia unit the care plans include information on the Mental Capacity Act, which explain how and when decisions can be made in people’s best interests if they are unable to make the decision for themselves. Relatives of people living in the home said they are kept well informed. Generally people were happy with the care, these are some of the comments people made: • “We are very well cared for here” • “Satisfied with all aspects of care at Steeton Court” • “Care is best she could have”. • “Care standards are very high as is admin and management”. One person said they thought more attention should be given to making sure that people’s drinks were left within reach and that staff on the dementia unit should be aware that people did not always know what to do with drinks even when they could reach them. The appropriate risk assessments are in place for example relating to pressure area care, nutrition, and falls and where necessary there are care plans showing how the risk will be managed. People living in the home have access to the full range of NHS services. Identified members of staff have specific areas of responsibility for example for dementia care, palliative care, nutrition, infection control, continence management and medicines. Their role is to link with specialist services within the local community and PCT (Primary Care Trust), to keep up to date with changes to practice and support staff in meeting people’s needs in these areas. Medicines are managed safely. The home has introduced the Liverpool care pathway when providing palliative care for people. This is a recognised model of good practice for palliative care and helps to make sure that the needs of the dying person and their family are dealt with in a sensitive and consistent way. The deputy manager said it has improved the standard of palliative care provided. Staff were seen to be pleasant, kind and respectful in the way they interacted with people. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home offers an excellent range of activities and tries very hard to meet individual needs. People are encouraged to exercise choice and control over their lives and are supported in maintaining contact with their family and friends. EVIDENCE: These are some of the comments we received about activities: • • “We are well catered for with activities and I enjoy them very much” “Not always able to take part in e.g. trips full day, quite a good selection of activities I do take part in.” The home offers a varied programme of activities and there are regular outings. The monthly newsletter contains information on events that have taken place as well of details of planned activities. Among the activities Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 14 planned for August are skittles, chair exercises, bowls, a concert, a Hawaiian evening, arts and crafts, four outings and a pamper afternoon. People are encouraged to get involved in activities however it is recognised that group activities are not for everyone and people are free to choose whether or not they want to take part. Family and friends are invited to get involved and this helps to make it a more social occasion for everyone. People are free to visit the home at any reasonable time. Tea and coffee making facilities are provided so that people can help themselves to a drink whenever they want. Some people have private telephones installed in their rooms. The home has a portable pay phone that can be plugged in at various points throughout the home and used in people’s rooms. One person said this was difficult when they wanted to contact people living in the home, they have to contact the home, ask for the portable phone to be taken to the room and then ring back on that number. The majority of people living in the home are of the Christian faith. Songs of praise and communion services are held regularly for anyone who wants to attend. The care plans for people with dementia identify any particular religious needs for example some people like to listen to hymns or read religious pamphlets. People said they usually enjoyed the food. Through their own quality monitoring systems the home has identified that catering is an area where some further improvements are needed. The home has recently appointed a new catering manager but staffing problems in the kitchen have meant that progress on implementing planned improvements has been slow. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Complaints are taken seriously and acted on. There is a high level of awareness of people’s rights and people are protected from abuse. EVIDENCE: Most people said they know how to make a complaint if they need to. One person said “I have no cause to complain thus far” and other people made similar comments. Generally people said the staff listened to them and took notice of what they said. One person said, “Most of them [staff] are nice, kindly people”. Most people said the home responded appropriately when concerns were raised. One person felt that issues were not always followed up after the initial concern had been raised; this was discussed during the visit without identifying who had made the comment. The home has had one complaint since the last inspection and this was dealt with appropriately. We received two anonymous complaints about the home; they were sent to the provider and fully investigated. The approach to care is very much focused on recognising and promoting people’s rights. For example a lot of work has been done to make people Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 16 living in the home, their relatives and staff aware of the Mental Capacity Act and its implications. The manager is trained to deliver training on adult protection, (safeguarding), and all staff have to attend this training and have an update once a year. When incidents have occurred or suspicions have been reported the appropriate referrals have been made to external agencies such as the Social Service Adult Protection co-ordinator or the police. Staff were able to give examples of how people’s rights could be abused by poor care practices and they know how to report any concerns they might have. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24 & 26 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home provides a pleasant, comfortable, and clean place for people to live. It is safe and is suitably equipped to meet the needs of the people living there. EVIDENCE: Accommodation is provided on the ground and first floors and is arranged in 4 units. Heathcliffe, the dementia unit, has restricted access by means of a security device. All the remaining units allow free access for people throughout the building. The wide corridors make it easy for people in wheelchairs to move around. The home is decorated and furnished to a good standard. An ongoing programme of refurbishment and maintenance ensures that this standard is maintained. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 18 People said the home is usually clean and never has any unpleasant smells. There are plenty of communal rooms on both floors, these include small quiet lounges where people can see their visitors if they do not want to use their bedrooms. The improvements to the dementia unit discussed at the last inspection have been completed. A new dining room, conservatory, and enclosed patio have been provided. The patio allows people to walk outside without being at risk of wandering away from the home. Staff said the additional communal space has made a big improvement to the quality of life experienced by people living in the unit. To comply with the new laws on smoking the home has implemented a no smoking policy that covers the building and grounds. Special provision has been made for two people so that they can continue to smoke in their bedrooms. The baths are being removed from the en-suite bathrooms; the extra space this is creating is making it a lot easier for people to get access to their ensuite toilets. Assisted bathrooms and shower rooms are located throughout the home close to people’s bedrooms. Bedrooms are suitably equipped to meet people’s needs and specialist equipment is provided as needed. One person has a remote control device that is activated by head movements. This enables them to have some independence for example by being able to change TV channels or switch to the video or music system. People are encouraged to bring some personal belongings with them when they move in and evidence of this was seen throughout the building. The laundry is suitably equipped to meet residents’ needs and there are good systems in place to reduce the risk of cross infection. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are generally enough staff on duty to meet the needs of people living in the home. All the required checks are not always completed before new staff start work and this could put people at risk. Staff are supported in developing the skills and knowledge they need to meet people’s needs. EVIDENCE: In addition to nursing and care staff the home employs separate staff for housekeeping, laundry, catering, maintenance and administration. There are also two activities organisers. The manager is supernumerary and when she is on leave the deputy manager covers her hours. Duty rotas are available for all grades of staff. The numbers of staff on duty vary and are adjusted to take account of the needs of people living in the home. Generally there are 3 nurses on duty during the day and 2 overnight. Each unit has a team of senior care assistants and care assistants. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 20 For the most part people were satisfied that staff were available when they needed help. One person said the time they were most likely to have to wait for help was just after meals. Most people said they feel the staff have the skills and knowledge they need to care for people properly. All new staff have detailed induction training and there is an expectation that new care staff will start NVQ (National Vocational Qualification) training as soon as they have finished their induction. 80 of care staff have achieved an NVQ at level 2 or above. The files of two newly appointed staff were looked at. One person had started work before the PoVA (Protection of Vulnerable Adults) First check had been returned. The other had started work before a second written reference had been obtained. Although both were working under supervision the minimum requirement is that 2 written references and a PoVA First are obtained before new people start work. The home provides a lot of training opportunities for staff. There is a monthly training programme, a variety of subjects are covered such as adult protection, continence management and communication skills. Training on safe working practices such as fire safety, moving and handling and infection control is kept up to date. Some of the staff on the dementia unit are studying for a certificate in dementia care. There is an individual training record for each member of staff. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 37 & 38 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well managed. People are given the opportunity to put forward their views on the running of the home and the quality of the services provided. EVIDENCE: The registered manager is a nurse and has many years experience in the care of older people. She has completed the course work for the Registered Managers Award and is waiting for it to be assessed. The management structure is clearly defined. Each unit has a dedicated staff team and most of the time staff work within their allocated teams. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 22 The manager and deputy manger carry out regular audits of various aspects of the service and take action to deal with any shortfalls. The owner takes an active part in the running of the home and provides us with regular reports on the conduct of the home. There are regular staff meetings and opportunities for staff to talk to the manager, the deputy manager and/or the owner when they need to. The home holds meetings for residents and relatives about twice a year. The most recent was in May. The topics discussed included activities, catering, the Mental Capacity Act, and the forthcoming changes to the laws on smoking in public places. The manager uses a microphone when holding these meetings to make sure that everyone is able to hear what is going on. Questionnaires are sent to people living in the home and their relatives approximately twice a year. A questionnaire relating specifically to catering was sent out in July this year. A staff survey was done in June 2007. The responses are analysed and actions taken to address any issues that are identified. People are consulted on an individual basis about how their care needs will be met, there was evidence of this in the care records. Most relatives said they are kept well informed by the home. The home does not get involved with people’s personal finances. Small amounts of spending money are kept for some people. The money is held securely and there are records of all transactions. In most cases additional services are arranged by the home and added to the monthly invoice. All the required records were available and were up to date. The home has systems in place to make sure that installations and equipment are maintained in good working order so that the health and safety of people living and working in the home is safeguarded. Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 3 3 X 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 4 18 4 4 4 4 3 X 4 X 4 STAFFING Standard No Score 27 3 28 4 29 2 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X 3 X 3 4 Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP29 Regulation 19 Requirement All the required checks must be completed and all information specified in Schedule 2 must be available before new staff start work in the home to make sure that people are protected. Timescale for action 28/09/07 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 Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Steeton Court DS0000019890.V344906.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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