Inspection on 10/09/07 for Storrington

This inspection was carried out on 10th September 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Storrington 29/06/06

Storrington 25/11/05

Storrington 10/05/05

Storrington 21/10/04

Storrington 15/06/04

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Insight - Eastchurch

Southfields

Thorndene

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

CARE HOME ADULTS 18-65 Storrington Storrington Hill Road Beacon Hill Hindhead Surrey GU26 6BG Lead Inspector Mavis Clahar Unannounced Inspection 10th September 2007 10:05 Storrington DS0000013804.V344564.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 Storrington DS0000013804.V344564.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. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Storrington Address 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) Storrington Hill Road Beacon Hill Hindhead Surrey GU26 6BG 01428 607606 Robinia Care Limited Ms Lydia Bukowski Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 18-50 YEARS 29th June 2006 Date of last inspection Brief Description of the Service: Storrington is a detached home situated in the centre of Beacon Hill Village, with easy access to the local community and shopping area. There is good access to the home with plenty of parking spaces available outside the home and within a public parking area provided for shopping. The Home is owned and run by Robinia Care Group plc. Accommodation is provided for five young adults between the ages of 18-50 years that have complex care needs. Each resident has their own bedroom and the home has a communal lounge and a large communal conservatory. Residents also have access to a wellmaintained garden and patio area. The fees at the home range from £888.22 to £1068.35 per week. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit, which forms part of the key inspection to be undertaken by the Commission for Social Care Inspection, was undertaken by Mrs Mavis Clahar on the 10th September 2007 and lasted for five hours, commencing at 10:05 hours and concluding at 15:15 hours. The review of the Surrey Homes owned and managed by Robinia Care Group plc as part of a protection of vulnerable adults concern is now concluded. The first part of the inspection was spent talking to the two service users and their carers who were present at the home. The other service users were out doing their agreed activities. This was followed by discussion with the manager about the changes to the inspection processes under inspecting for better lives CSCI has implemented. An outline of how this visit would be conducted was discussed and agreed. A tour of the home and gardens was conducted. Each service user bedroom is personalised by the service user to suit their likes and taste. Generally the home is clean and tidy. The home has a good size garden, with easy access by the service users. The second part of the visit was spent reviewing service users care notes and sampling carer workers records, which were all up to date. The information contained in this report is gathered mainly from, service users notes and records kept by the home, feedback from relative and visiting professional, along with observations of the interactions of the two service users and their carers, discussions with one service user and with care workers present on the day of the visit. The final part of the visit was spent giving feedback to the manager about the findings of the visit. The inspector would like to thank the service user, relative and visiting professional who completed the questionnaire; service user and staff who spent time speaking with the inspector. What the service does well: The home continues to provide a good service to the service users living at the home. Contact with family and friends are encouraged and service users are able to entertain their visitors in the privacy of their bedroom if they so wish. The registered manager complies with given requirements under the Care Homes Regulations 2001 within the given timescales. Service user spoken to indicate she was happy at the home and liked her activities. All service users at this home enjoy a full active lifestyle. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 6 The documentation of individual care plans are easy to read, gives the reader a full picture of the services users likes and dislikes, communication needs and risk assessments. The questionnaires returned to CSCI by service user, relative and visiting professional revealed the high level of care and support offered to service users. The home has demonstrated that the care needs of the current service users living at the home are well catered for and met. Observations of care staff interaction with service users indicated that service users are treated with dignity and respect. It was also observed that great care was taken in respect of the service users personal belongings and standard of cleanliness in bedrooms ensured service users lived in a wellmaintained environment. The home has demonstrated its capability to cater for service users from ethnic minority whose assessed needs are identified, documented and met. The home has an Equality and Diversity policy, which the staff reassured us they use in their daily work with service users. They also have an equal opportunities policy, which they use in selecting inducting and preparing carers from overseas to work within the British culture. The manager had a good grasp of Equality and Diversity and said she uses it in her daily work with the staff and service users. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Storrington DS0000013804.V344564.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 Storrington DS0000013804.V344564.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their relatives have the information needed to choose a home, which will meet their needs. Admissions to the home are not made until a full needs assessment has been undertaken to ensure the home can meet the needs of the service user. The assessment is conducted professionally and sensitively and involves the service user and their family or representative where appropriate, and the psychologist, and the occupational therapist. Where the assessment is undertaken by social services, the home obtains a copy and a copy of the care plans also. EVIDENCE: Review of service users files demonstrated that the home has established a good process of assessing service users needs. This has been enhanced by the joint development of service users care plans with service users. The assessment contains the documented evidence of the psychiatrist, psychologist and occupational therapist. The home uses the Person centred approach to care, and this is documented using the “widget” method, which is a method of communication suitable for persons with learning disabilities. It was noted that no two service users assessment of needs were identical. The manager said the service users are more involved in their assessment and so are able to make decision with support about their care and leisure pursuits. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 9 The home has not admitted any new service user since it was opened, but in discussion with the manager we were told she would follow the company’s full admission policy, which includes a pre assessment of all prospective service users. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 679 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their relatives are involved in the review of their care, and agreed changes are documented in their care plans, thereby ensuring all care workers have access to this new information. The home encourages service users to make decisions about their daily lives, and to take risks as part of their independent lifestyles, with assistance from the key worker when necessary. EVIDENCE: The randomly selected care plans were clear and easy to read, identifying potential and actual risks to residents with risk assessments completed as required. The daily work sheet along with discussion with care workers demonstrated that residents’ care needs are fully met. Care Plans reviewed demonstrated that residents care needs are identified and are being met. This was further supported in the Annual Quality Assurance Assessment (AQAA) which stated,” staff records accurate information on daily recording sheets, care plans are reviewed by key workers and Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 11 relevant risk assessments are in place and these are reviewed regularly. We ensure all service users have a person centred plan”. It was not possible to gain service users opinion on decision making which affects their lives as due to their mental health and speech impediment they were unable to vocalise. However, one relative responded to the pre inspection questionnaire that they were very happy with the care provided by the home and their involvement in the home. Only two service users were at home on the day of the visit, and the manager gave us tips on communicating with both of them. Questions such as “Enjoyed lunch? Comfortable? (This service user was being massaged to get her to relax on her exercise mat) like your home? were answered with squeals and laughter. We formed the opinion that they were happy in their home, and the manager had demonstrated that she is using equality and diversity issues to ensure all service users received optimum care. All service users at this home are encouraged and supported to participate in activities suitable for their age group. Some activities are stretching and suitable risk assessments are in place to support the service user in their choice of daily living activities. The manager told us they are in the process of developing a personal passport for each service user and this will contain amongst their things a list of their likes and dislikes. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has a strong commitment to enabling service users to develop their skills, including social, emotional, educational, cultural communication and independent living skills. Service users are encouraged and supported to identify their goals, and aspirations and work to achieve them Service users are able to make choices in accordance with their abilities and are provided with balanced diet in pleasant surroundings and in an unhurried way. EVIDENCE: The observed relationship between care workers and service users was relaxed and friendly creating a warm and friendly homely feeling. Service users are encouraged to live a full life and to partake in age related activities such as going to the pub, having meals out attending the company’s educational centre of further education, going to the theatre, the sea side and to the cinema. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 13 Their religious beliefs are acknowledged and encouraged. Two service users in particular have shown an interest in cooking and this is encouraged. They attend cookery lessons every Monday. Review of service users records and in discussion with care workers it was documented that Service users are encouraged to make friends outside of the home and to keep in touch with their friends and families as they wish. We were told that for those service users with relatives overseas, videos are made of the service user and posted to their families. The manager told us that as far as possible the home is run on the basis that it is a family home and one relative in the pre inspection questionnaire supported this, who wrote, “they provide a caring, relaxed atmosphere and avoid institutionalization”. The care workers aided by the service users provide catering service for all at the home. Two service users are interested in cooking and their contributions are always acknowledged. On the day of the visit both service users were booked to go out to lunch at the local pub. We noted a good amount of dry, frozen and fresh food in the home. The manager informed us that at their weekly menu-planning meeting they discuss the advantages of healthy diet. They discuss foods rich in carbohydrates, fats, proteins minerals etc and how these foods are necessary for body building and keeping the body healthy. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 14 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. 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. Carers understand the principles of giving personal care and support and are responsive to varied and individual requirements of the service users. They recognise that the delivery of personal care is highly flexible, consistent and reliable ensuring that service users receive personal care and support in the way they prefer; and that their emotional and health needs are met. None of the service users at this home are assessed as capable to selfadminister their medication. Medication is administered by staff trained to do so, thereby being protected by the home’s policies and procedures on administration of medication. EVIDENCE: Discussions with Manager and care workers and review of care plans indicated each service user received the agreed personal care and support as directed in the care plans. Physical and emotional needs identified in the care plans are also met. The care plans are reviewed on a regular basis, visits to the doctor, opticians, dentist, and dietician are carried out on a as required basis. Daily care notes are documented dated and signed by the key worker or other care worker as necessary. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 15 Review of randomly selected service user files revealed that no service user at the home is risk assessed as capable to self-administer their medication. A review of the medication records demonstrated that medication is being administered within the home’s policy and guidelines of administration of medicines. This observation and discussion was supported by the entry in the AQAA, which stated “Our service users attend annual health reviews with their GP, have yearly check-ups and are seen by an optician every other year. We involve a speech and language therapist to complete an eating and drinking assessment for all our service users in October 2006. Staff records all choices made by the service user in the care plans. Any health issues/appointments are recorded on care notes; staff ensure a full hand over is given to on-coming shift”. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home operates in a manner that supports service users to air their views and concerns, which are acted upon before they can become complaints. Robust safeguarding policies are in place to protect the service users from abuse neglect and self-harm. EVIDENCE: CSCI office has not received any complaints about this home since the last inspection. Included in the service users information pack kept in their bedroom is the homes’ complaints policy and service users’ guide, developed in pictorial and widget symbol format. The manager informed the inspector that issues raised by service users are dealt with instantly before they can become complaints. One relative in their reply in the pre inspection questionnaire said they knew how to complain and have never had cause to do so. Random sample of care workers files and in discussion with care workers it was evidenced that care workers are being trained to recognise and report any act or suspicion of abuse to service users. The manager supported this by the production of the staff training record. The manager and all staff have had documented proof that they have attended the Safeguarding Adults course. In discussion with the manager she was knowledgeable about the Surrey Multi Agency Policy a copy of which she produced. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 17 The Commission for Social Care Inspection reviewed the Surrey Homes owned and managed by the Robinia Care Group as part of a Safeguarding Adults concern, with satisfactory results. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical layout of the home enables service users to live in a safe, wellmaintained and comfortable environment, which encourages independence. EVIDENCE: The home has a well-maintained environment, and service users are encouraged and enabled to personalise their bedrooms. The home presents as a safe place to live with each service users’ bedroom decorated to suit their personality. There are also a good and varied range of sensory equipment, soft toys and family photographs in their bedrooms. It was noted that two service users had double beds in their bedrooms. The home has a good infection control policy and they seek advice from external specialists, e.g. infection control, and encourage their own staff to work to the home’s policy and procedures to reduce the risks of infection. It was noted in care workers file that they attend regular training sessions on Health and Safety issues. Care workers spoken to were knowledgeable about suitable storage and disposal of waste. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 19 The home presents as comfortable with attractive gardens which is easily accessible to service users, but is made secure by the installation of two gates one to the rear and one to the side of the property. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care workers in the home are trained, skilled and in sufficient numbers to support the service users who live at the home, and to support the smooth running of the home. The homes’ recruitment policy and the training given to care workers ensure suitably selected and qualified staff meets service users needs. EVIDENCE: Review of service users care plans indicated their named key worker supports service users. Review of care workers training files indicated the manager encourages and enables carers to undertake external qualifications beyond the basic requirements to enable staff to assist the service users achieve the agreed care and social needs. In discussion with care workers, and supported by the manager it was revealed that staff training is high on the agenda for the home. Review of the staff rota indicated that adequate numbers/skill mix of care workers are on duty over any twenty-four hour period to meet the needs of the service users. Two carers cover night duty. In discussion with care workers it was verified that the home provided training and regular updates for them. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 21 The home has a good recruitment policy and procedure, based on their equal opportunities policy that has the needs of the service users at its core, which is adhered to. It was noted that all members of staff were recorded as having had an application to the Criminal Record Bureau (CRB). Review of staff files demonstrated Schedule 2 of the Care Homes Regulations 2001 (Amended) was being observed by the home. Evidence obtained from the AQAA stated, “All staff receive monthly supervision, annual appraisals and attend monthly team meetings. Two members of staff have completed the National Vocational Qualification (NVQ) at Level 3 (L3) in Care, whilst another two are in the process of completing their NVQ L3. All staff receive updates on essential training annually and attend other relevant training to further their personal development”. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems to ensure service users views are obtained and acted upon. The manager ensures that care workers follow the policies and procedures to maintain the health, safety and welfare of the service users. EVIDENCE: The home has a manager who is registered with the Commission for Social Care Inspectorate, and has attained the Registered managers Award. During discussion it was evident she had many years experience in caring for and managing care needs of people with a learning disability. It was evidenced that the manager displays a strong ethos of being open and transparent in all aspects of the running of the home. The manager is service user focused and leads and supports a strong staff team who have been recruited and trained to a high standard. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 23 Some time was spent with the two service users present at the home, and whilst one was very quiet and seemed uninterested, the other was very vocal and focused on the inspector. It was difficult to measure how confident service users were that their views underpin all self-monitoring, review and development by the home. Documented evidence from service users/care workers meetings were available, and in discussion with the two care workers and in observation of their interactions with the service users, it was apparent they knew the service users very well and were able to communicate with them. Service users are encouraged and supported to make choices even when these choices might involve some degree of risks, for which appropriate risk assessment is completed. Each service user is registered with the local GP practice, which they access as required. Chiropody service and dental service is also accessed as required. Service users have access to the wider primary health care services and the manager said she is aware of whom to contact if the need arises. The manager ensures that at all times the health, welfare and safety of the service user and care staff are promoted and protected by having suitable numbers of trained care workers on duty at all times to meet the assessed needs of the service users. Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 24 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 3 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Storrington DS0000013804.V344564.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Storrington DS0000013804.V344564.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. 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