Inspection on 17/10/06 for Stoneacre Lodge

This inspection was carried out on 17th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stoneacre Lodge 11/02/09

Stoneacre Lodge 05/05/05

Stoneacre Lodge 18/01/05

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Snydale Care Home

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The Grove Waltham

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Stoneacre Lodge High Street Dunsville Doncaster DN7 4BS Lead Inspector Ramchand Samachetty Key Unannounced Inspection 17th October 2006 10:00 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 Stoneacre Lodge DS0000062320.V309381.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. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stoneacre Lodge Address High Street Dunsville Doncaster DN7 4BS 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) 01302 882148 01302 882178 NONE NONE Seth Homes Ltd Linda England Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: Stoneacre Lodge is registered to provide accommodation and care for up to 31 service users. The home is owned by Seth Homes Ltd, and it is managed by Mrs. L. England. It is situated in the village of Dunsville, which is approximately 5 miles from Doncaster town centre. The building consists of a large detached house that has been extended. The accommodation is provided on two floors and there is a stair lift to facilitate access between the floors. The communal areas are located on the ground floor and consist of 3 lounges, one of which is a sun lounge and a dining room. The kitchen, laundry facilities and office are also on the ground floor. There is car parking to the front and a garden at the rear of the building. The information about fees and charges was provided on 25 August 2006, and was as follows: £375.00 weekly. Additional charges: Private chiropody and hairdressing. For further information about fees and charges, please contact the home. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection of Stoneacre Lodge was carried out on the 17th. October 2006, starting at 10.00 hours and finished at 18.00 hours. The inspection included a tour of the premises; conversations with five service users, four visiting relatives, four care staff and a healthcare worker. The inspector checked care documentation and other records. These included individual service users’ care files and care plans, staff files, maintenance records and medicines administration records sheets. Information was also obtained from the pre-inspection questionnaire that the manager submitted for this inspection visit. A service user survey was also used to seek the views of a sample of service users. Information was also obtained from reports of the provider’ s visits and notifications of incidents and events. There have been no concerns and complaints since the last inspection. The inspector was also able to observe some aspects of care on the day of the inspection. What the service does well: What has improved since the last inspection? The Home is currently undergoing refurbishment work to improve both staff and service users’ facilities. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 6 Some progress has been made in improving care documentation, which in turn, has allowed for better care recording. The care staff team has been made stronger by setting up a new role of senior care assistant. There were now 8 senior care assistants to support the Home manager. 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. Stoneacre Lodge DS0000062320.V309381.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 Stoneacre Lodge DS0000062320.V309381.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 and 3. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. Service users and their relatives were given adequate information in order to help them choose the care home. However, the statement of purpose still lacked some information in order to meet fully meet the relevant regulations. The needs of service users were usually assessed before their admission, but such assessments were not undertaken consistently. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 9 EVIDENCE: The relatives of two service users, who had been admitted to the home in the last few months stated that they had enough information to help them choose the Home. They had visited the home and had been shown the home ‘s statement of purpose and service user guide. They had met some care staff and residents. One relative stated that she had found the Home “very cosy” and that “it was alright for her mother”. Another relative said that she found staff to be “friendly and caring” and her mother was happy to move in. The statement of purpose was checked, although it outlined the aims and objectives and facilities of the Home, it did not give enough information, for example, about arrangements in place to meet service objectives. It could also be further improved to meet the guidance within the relevant National Minimum standards and the Care Homes Regulations. The care files of three service users were checked. Full assessments were usually undertaken by placing social workers and by staff from the home. This ensured that identified needs of service users could be met. However, in the case of a recent admission, a full assessment was only carried out six weeks after admission, on the basis that the service user had been on respite care at the home previously. Stoneacre Lodge DS0000062320.V309381.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care plans were in place to address the assessed needs of service users. However, care interventions laid out in care plans were not always specific enough to guide staff in giving the appropriate care. The management of medicines at the home was satisfactory. EVIDENCE: A sample of care plans was checked. Care plans were developed on the basis of identified needs and in general, outlined action that was required by staff to ensure that the health and personal care needs of individual service users were met. However, actions laid out to meet needs were often not specific or clear enough to guide staff sufficiently. Records of care given also appeared to be generalised and lacked information that could assist in care reviews. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 11 Service users who spoke to the inspector said that they had good access to GPs and district nurses. They could see a dentist, optician and chiropodist as and when they had a need to do so. Staff explained that in some instances, they would request help from specialist healthcare workers, like the community psychiatric nurses, in order to meet needs of service users. A district nurse, visiting on the day, said, “the staff work well with us and residents are happy”. A senior care staff assisted the inspector with checking the management of medicines at the Home. Medicines administration records (MAR) sheets were checked. They were found to be satisfactorily maintained. Items of medicines for external use were found stored with those for internal use. It was noted that structural alterations are being made to the building, which will contribute in improving the storage of medicines. Staff who administer medicines have all received accredited training to do so. A senior carer stated that she had the responsibility of carrying out a fortnightly audit on medicines. The audit appeared to focus more on the receipt of medicines at the home, and not always on details of medicines’ handling and administration. Service users and relatives, who spoke to the inspector, expressed their appreciation for the staff team. They commented that staff approach to care was based on respect for the individual. They confirmed that the issue of privacy and dignity was always adhered to and promoted. Care staff described how they respected the privacy and dignity of service users. They cited examples like; knocking on bedroom doors and waiting for a reply before entering and by ensuring service users in their care, were in good attire at the start of the day. Stoneacre Lodge DS0000062320.V309381.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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The daily routines within the home were flexible and promoted service users’ independence and choice. Social, religious and recreational activities were organised, but such activities did not appear accessible to or as the preferred ones for the majority of service users. Service users were satisfied with the meals service, although the facilities for some service users to partake their meals could be improved. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 13 EVIDENCE: Service users were observed spending time in the lounges, watching television, listening to the radio, reading or engaged in conversations. Service users, who spoke to the inspector, said that they felt routines at the home were flexible. They could, for example, choose when to get up and go to bed, what to wear and to some extent, how to spend their daytime. Staff explained that both indoor and outdoor activities were held at the home. Records of activities showed that some trips and outings had taken place almost on a monthly basis and that around 15 service users had been able to take part in them. Staff explained that service users were able to observe their faith as required. A catholic priest attends the home fortnightly and a church choir performs once a month. Some service users were able, with assistance of staff or their own relatives, to visit local facilities. Relatives confirmed that they were always welcomed at the home. However, service users and relatives who spoke to the inspector felt that there was not enough recreational activities or social stimulation on a day-to-day basis. This view was also confirmed in service users’ questionnaires, which were received for the inspection. Service users and their relatives stated that the meals prepared and served at the Home were always ‘good and tasty’. Service users were given good choices for breakfast, lunch and dinner, each day. The lunchtime meal, which was the main meal of the day, was observed. It consisted of pork steaks and lamb chops served with vegetables and a choice of deserts and beverages. Meals were served in the dining room, but a small number of service users chose to eat in their own rooms. However, a couple of service users, who had their meals in their own rooms, were noted to partake their meals from trays placed on a stool or on their laps. One of the two service users said that he preferred to eat from a table. Some service users were also served their lunch, in what appeared to be ‘cereal bowls’. Service users said they enjoyed their meals, including the beverages served. Stoneacre Lodge DS0000062320.V309381.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. Service users and their relatives were aware of the complaints’ procedure and felt confident that any concerns they may have, would be appropriately dealt with. There was an adult protection policy in place. EVIDENCE: There was a complaint procedure and copies of it have been provided to service users and their representatives. Service users stated that they were aware that they could complain if they wanted to. Both service users and relatives said they were confident that staff would handle any concern in an appropriate manner. There had been no complaints since the previous inspection. An adult protection policy was in place to promote the safety and welfare of service users from harm and abuse. Staff stated that they had access to the procedures. In discussions, senior staff showed an understanding of the local Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 15 adult protection procedures. It was also noted that some care staff had not received training on adult protection issues. The deputy manager stated that training was being organised for care staff, on this subject. In the meantime, care staff were receiving guidance as necessary from the manager. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 16 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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users were satisfied with the standard of accommodation provided to them. Work was in progress to further improve the physical environment and the facilities. The Home was clean and tidy and adequately decorated. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 17 EVIDENCE: The inspector undertook a tour of the premises, in the company of the deputy manager. The Home has wheelchair access to the front and side of the building. There is a stair lift to facilitate access between the ground and first floor of the building. Building works were in progress at the time of this inspection, to improve office and medication storage facilities. One of the bathrooms was out of use in order to provide temporary storage space for equipment from the office. The communal and service users’ s private accommodation appeared adequately maintained in terms of their upkeep and decoration. A sample of service users’ bedrooms was checked, with their permission. The carpet in one bedroom was worn out and torn in the middle. In a shared bedroom, it was noted that there were no separate light switches or lighting and staff call systems for each of the two service users. There was also only one chair in that bedroom. The arrangements for sharing this bedroom were not adequate and did not promote the rights and independence of the service users involved. Service users said that they were happy with their accommodation and found the Home “warm and comfortable”. The Home was clean and tidy. Laundry facilities were provided and bedding could be washed at the required temperature to reduce the risk of infection. The external premises were also tidy and clean. Sufficient domestic and maintenance staff are employed to ensure the cleanliness and good repair of the home. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 18 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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The numbers and skill mix of staff deployed at the home were satisfactory. The recruitment and selection policy and procedures were not adequately implemented and this could potentially put service users at risk. Staff training and development were being progressed but not adequately prioritised. EVIDENCE: Service users and relatives said they felt that there were always enough staff around, although they were busy. On the day of this inspection, there were four care workers and the deputy manager on duty. There were 29 service users in the Home. The deputy manager stated that the level of care staffing took into account both the occupancy and dependency levels of service users. Service users and relatives said that they found the staff team to be “very caring, very polite and pleasant”. Care staff were observed during some of their interactions with service users. They were unhurried in some aspects of care giving and had time to talk to service users on a one to one basis. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 19 Some members of the staff team have worked at the home for a number of years and were experienced in the care of the elderly. Information submitted by the home, for this inspection, indicated that it had achieved the target of 50 of its care staff being qualified to National Vocational Qualification (NVQ) in Care level 2. Some staff files were checked. One new care worker had been recruited since the last inspection (January 2006). Records showed that pre-employment checks for this new staff member were not adequately undertaken. Previous employment history was not checked and interview notes were not kept. The new care worker was provided with appropriate induction. In discussion with care staff, it was noted that most of the training was focussed on achieving NVQ in Care. Three care workers stated that they had undertaken training on subjects like “moving and handling, food hygiene, first aid and health and safety” , probably two or three years ago. They felt they needed refresher courses on these subjects. One of the care workers stated that she was undertaking training on the “safe handling of medicines”. It was noted that most of the care workers had not received training on adult protection issues. However, information submitted by the home for this inspection indicated that training was being organised for care workers on first aid, safe handling of medicines, adult protection and fire precautions. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 20 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. Service users, relatives and staff were satisfied with the running of the home. The registered provider was contributing to the continued development of the home, in an effort to provide the best of the service. The health, safety and welfare of service users were being safeguarded and promoted. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 21 EVIDENCE: Service users, relatives and staff stated that the home was well run and so ensured the wellbeing of the service users. The registered manager had achieved the ‘Registered Manager’s Award’ (Care Management). The registered provider has carried out the monthly monitoring visits to the home and submitted his reports to the CSCI. Both the manager and her deputy were providing supervision for care staff and this contributed to good team working. There was no quality monitoring system for the service, in place. However, care staff stated that they regularly sought feedback from service users and their relatives. They added that the registered provider was developing some quality assurance tools for use at the home. Twenty-three service users were receiving assistance from the home with their personal allowances. There were appropriate records of accounts and evidence of expenditure incurred, with receipts. Two service users’ accounts were checked. They were found to be in balance and were satisfactorily kept. However, service users’ money was not kept at the Home. The money for individual service users was, instead kept by the manager. The deputy manager explained that arrangements had not yet been made for the money to be kept safely at the home. The need for such arrangements was highlighted at the last inspection (January 2006). The deputy manager also pointed out that the office was currently being refurbished and that after completion of the work, arrangements for the safe keeping of service users’ money would be finalised. In the meantime, staff had access to petty cash amounting to £250.00. The registered manager had submitted, in a pre-inspection questionnaire, a list of appliances and equipment that required servicing. It included the central heating system, the electrical wiring and equipment, emergency lighting and the passenger lift. These appliances and installations had been duly serviced and maintained. Appropriate health and safety measures were in place whilst the structural works in the building were being carried out. The deputy manager confirmed that the provider had already arranged fire lectures for all staff to take place in the following month. Staff also stated that the fire alarm was checked on a weekly basis and that they were aware of fire evacuation procedures for the home. Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 22 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 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 24 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 OP1 Regulation 3, 4 Requirement The statement of purpose must be further improved in line with the guidance and relevant regulations. A full assessment of needs must be undertaken for service users, prior to their admission to the home. Care plans must be further improved to include clear and specific actions that are required to meet identified needs. A programme of social and recreational activities based on needs, capabilities and preferences of service users, must be developed and implemented in a way to ensure that there is sufficient social stimulation for all service users, on a day-to day basis. An appropriate table must be provided to residents who choose to have their meals in their own rooms. Sufficient and appropriate crockery must be provided for service users. All staff must be provided with training on adult protection issues. Timescale for action 12/02/07 2. OP3 12 & 14 12/02/07 3. OP7 12, 15 12/02/07 4. OP12 12, 16 12/02/07 5. OP15 12, 16 12/02/07 6. OP18 12, 12/02/07 Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 25 7 8. 9. OP19 OP9 OP19 12, 23 13 12, 23 10. OP29 12, The floor covering in a service user’ s bedroom, as identified, must be replaced. The audit of medicines must focus more on their handling and administration. The arrangements for light, light switches and call facility must be improved to observe the rights and independence of service users who share bedrooms. The staff recruitment and selection procedures must be improved to ensure that all preemployment checks are carried out before staff start their employment at the Home. Appropriate records of interviews must also be made and kept. Appropriate quality assurance tools must be developed for use at the home. The management and safekeeping arrangements of service users’ money must be improved. (Previous timescale 22/03/06) 26/01/07 12/02/07 26/02/07 15/01/07 11. 12. OP33 OP35 24 12,17 & 23 12/02/07 10/01/07 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 Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Stoneacre Lodge DS0000062320.V309381.R01.S.doc Version 5.2 Page 27 - 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!