Inspection on 12/07/07 for Swillbrook House

This inspection was carried out on 12th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Swillbrook House 23/06/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Swillbrook House Rosemary Lane Bartle Preston Lancashire PR4 0HB Lead Inspector Phil McConnell Unannounced Inspection 12th July 2007 10:30 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 Swillbrook House DS0000066401.V341739.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. Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swillbrook House Address Rosemary Lane Bartle Preston Lancashire PR4 0HB 01772 690317 F/P 01772 690317 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) Swillbrook Care Homes Ltd Mrs Susan Ann McWilliams Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 23 service users in the category OP (older persons 65 and over) 23rd June 2006 Date of last inspection Brief Description of the Service: Swillbrook Care Homes Ltd owns Swllillbrook House. The Home is registered with the Commission for Social Care Inspection to provide care to older people of both sexes over the age of 65. Swillbrook House is located in the rural area of Bartle, Preston. The property is a large converted farmhouse with extensive gardens and outdoor space, with ample parking being available. The home is registered to care for 23 older people on both a permanent or respite basis. Due to the homes rural position most of the staff are from the local area. The home has 3 double bedrooms and 17 single bedrooms. A total of 15 bedrooms have toilet en suite facilities. There are 2 lounges, a dining room and a quiet area. A passenger lift is in place, which allows residents to move throughout the home independently. Appropriate aids and adaptations are provided to meet service users’ individual needs. Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Various information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes for older people, including: the Annual Quality Assurance Assessment, (AQAA) which is a self assessment document completed by the registered manager, an unannounced inspection visit to the service on the 12th of July 2007, which lasted approximately 6 hrs and some questionnaires returned to the commission for social care inspection (CSCI) from service users and relatives. The registered manager (Susan McWilliams) was available during the inspection visit. During the visit to the home 4 service users’ files were examined, including the most recent person to go and live at Swillbrook House and discussions took place with some of the service users throughout the day. All of the files were well organised with all relevant documentation being in place. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Six staff files were also examined, including the last person to be employed at Swillbrook House, with all documentation being found correct. Throughout the visit there was the opportunity to have conversations with other staff members and some visitors to the home. The homes policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: There is a calm and relaxed atmosphere within the home. The mealtime routines are flexible, giving the service users a freedom of choice. There is evidence of good relationships with health professionals. The home is well managed and organised, with a committed staff team who provide a good level of care Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 6 The quality assurance monitoring, both externally and internally are good. Staff training is satisfactorily provided, helping to ensure that quality trained and skilled staff provide a good level of care. It is apparent that good relationships exist between service users and staff and that relatives have confidence in the level of care being provided. 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. Swillbrook House DS0000066401.V341739.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 Swillbrook House DS0000066401.V341739.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 N/A. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a thorough and comprehensive pre admission process in place, including detailed assessment documentation, helping to ensure that peoples’ needs are accurately identified and provided for. EVIDENCE: The homes admission policy and procedures were examined and they were found to be thorough and up to date. Most of the homes policies were reviewed in February 2007. Four of the service users’ files were examined including the last person to be admitted to Swillbrook House. The files contained all of the relevant assessment documentation including: admission assessments and medical Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 9 assessments, contracts, full care plans with informative personal profiles, social services assessments, up to date daily record sheets, risk assessments and medication profiles. In conversation with some of the people in the home and in the comments written in the questionnaires, it was apparent the people were issued with pre admission information and that visiting the home prior to going to stay on a more permanent basis is the normal practice. Some of the comments were, “my mum was referred by the Social Services Department and the social worker carried out an assessment. Mum came in for 4 days and then returned home to me for a couple of days and then came to live here on a permanent basis” “I keep in touch with the social worker who is excellent and was wonderful when my Father was ill before going to live in Swillbrook House” and “they have been really good to mum, she’s well looked after and comfortable”. One member of staff said, “I wouldn’t have any problems with any relative of mine coming to live here”. The returned questionnaires were all positive with regards to receiving enough information with regards going to live at Swillbrook House. Swillbrook House DS0000066401.V341739.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. 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 this service. Care plans are adequately detailed, with specific health care needs clearly identified. It is evident that peoples’ assessed needs are being appropriately provided and people are treated with respect and dignity. EVIDENCE: Four service users’ care plans were examined and they were found to be welldetailed and up to date with evidence that they are regularly (monthly) reviewed and containing relevant information with guidance on how to provide individuals’ care needs. It was evident that care plans were developed from the initial assessment and there were individual risk assessments in place, which are regularly monitored and adjusted if needed. Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 11 Individual information was available with regard to service users’ specific health needs with a ‘professional visitors sheet’ being available for observation, with detailed information regarding visits from GP’S, district nurses, chiropodists and other health professionals. There was also evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out, helping to demonstrate that people’s health needs are monitored and treated correctly when necessary. Peoples’ files also contained specific documentation including, patients optical prescription forms and water flow pressure sore assessment. During the inspection visit a lady was discharged from hospital. Throughout the day the manager was kept informed of this persons development. The staff were apparently pleased that this person had returned home and the feedback was that the lady was rapidly improving. This person’ relative visited during the afternoon and commented, “I am so pleased she has returned home, everything here is marvellous”. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. Records were examined to ensure that all medicines received and administered were maintained. Medicines were kept in a secure locked cupboard, which was very well organised and tidy, with provision being made for the correct storage of any controlled drugs that may be required. (None at the present time). The staff that administer medication have received training from ‘Boots’ and 5 members of staff have attended a more in depth training course entitled, ‘management and safe handling of medication’, provided by ‘Protocol Training’. The manager said, “The medication course was excellent”. The medicine administration records (MAR) were observed and found to be accurate with medication being correctly administered. If people are unable to self-administer their medication, there are signed ‘medication declaration forms’ in their personal files delegating the responsibility of administering their medication to the staff. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with people responding positively and it was evident that good relationships existed between the service users and the care staff. Some of the comments were, “I feel my father could not receive any better care than he does at Swillbrook and my father is better than he has been or would have been if he had not been living in Swillbrook” and “they look after my mother very well”. Swillbrook House DS0000066401.V341739.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. 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 this service. There is still a need to provide more varied and meaningful activities and recreational pursuits, in order to motivate and stimulate people. EVIDENCE: The previous report highlighted the need for the introduction of a more detailed programme of activities. Since the last inspection there has been a slight increase in available activities within the home; however there are still insufficient organised events and activities to clearly determine if people are appropriately motivated and stimulated. There needs to be a proactive move to ensure that individuals’ interests are catered for and everything possible is done to provide motivation and stimulation, in order to promote peoples’ wellbeing. Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 13 There are regular religious services in the home, which are carried out by local churches. There is an open house policy at the home and in discussion with some visitors, they were able to confirm that they can visit whenever they wish and they are able to see their relative in the privacy of their own room. One person wrote, “I visit my father quite a lot so I notice how well the people are looked after” and “mums hair gets done every week, it always looks nice”. During the inspection it was observed that there was a good rapport between staff and visiting relatives. It was observed during a tour of the premises that people had brought into the home their own personal belongings. This helped to demonstrate people’s own choices and individuality. Regarding the meals in the home some of the comments were, “it’s good proper home cooking” “the food is very good here, we do have a choice” and a member of staff said, “people are consulted on menus, there is always an alternative, not much comes back”. The manager said, “we have flexible routines at mealtimes and meals can be served in the residents room if they wish it” and “feedback at mealtimes is usually positive about the food served”. Swillbrook House DS0000066401.V341739.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. 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 this service. Satisfactory policies and procedures are in place, helping to demonstrate that vulnerable people are protected and safeguarded from abuse. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. There have been no complaints received by the commission for social care inspection (CSCI) since the last inspection visit. Questionnaires received indicated that people are aware of the complaints procedure and how to complain if needed. One relative wrote, “any slight problems have been sorted out satisfactorily” and a person living at Swillbrook House said, “It’s a grand place, I have no concerns at all”. People who were spoken to knew whom they could speak to in the home if they had a complaint. They were also aware that the inspector for CSCI could be contacted if they chose to do so. There was a thorough policy in place to deal with a suspicion or allegation of abuse. One member of staff said,” we have had good training with regards to Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 15 ‘The protection of vulnerable adults’ and this was in line with ‘No secrets in Lancashire’”. ‘No secrets’ is a safeguarding adults guidance document provided by the Government. The person was fully aware of the procedures to follow if there was a suspicion or allegation of abuse, highlighting that staff had been trained in the protection of vulnerable people. Swillbrook House DS0000066401.V341739.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The renovation work appears to have come to a standstill. There is a need to positively address the outstanding issues with the environment, in order to ensure that people live and work in a safe and well-maintained home. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a reasonably good standard, it was clean, homely, fresh smelling and comfortable with an adequately equipped kitchen. The laundry was adequately equipped to cater for peoples’ needs. Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 17 There is a well-decorated modern TV lounge, a more traditional quiet lounge and a smaller quiet area, which is known as the ‘Aga room’. The home was found to be generally well decorated, with service users’ bedrooms demonstrating their own personality, containing individual’s own personal possessions, including photographs, ornaments and items of furniture, helping to demonstrate that people are encouraged to bring their own belongings into the home, helping to maintain familiarity and identity. It would be beneficial for peoples’ rooms to have their names or numbers on the doors, some did have their names on ‘scraps’ of paper, which is not entirely appropriate. It was noticed that the home has a problem with flies and relatives and visitors to the home have raised this previously. Some consideration needs to be given on how to address this issue. There has been some redecoration and renovation to some parts of the home, inside and outside, however there is a need to ensure that the remaining renovation work/programme is carried out without too much delay. This will help ensure that people live and work in a more comfortable, safe and pleasant environment. Some of the outstanding issues concerning the environment include, the ongoing problem of carpets needing to be replaced, mainly because of trip hazards, the lighting throughout the home is very poor. It was suggested to the manager and the proprietor that the present ‘energy saving’ bulbs throughout the home provide inadequate lighting, especially with people who have visibility problems. An assurance was given that this will be addressed. Swillbrook House DS0000066401.V341739.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team have been correctly recruited and have the necessary skills and experience to provide a good standard of care to vulnerable people. EVIDENCE: The staffing levels were examined and were generally found to be adequate and satisfactory. It is planned to recruit another member of staff, in order to enable the manager to focus more on managerial duties. As already mentioned the staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. A letter recently sent to the proprietor regarding a relatives mother who had lived at the home said, “she was cared for by all members of staff to a very high standard in a sensitive professional manner, which always addressed her needs as an individual”. There is a thorough recruitment process in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 19 staff are only employed on the satisfactory completion of these checks (previous requirement) with two independent satisfactory references being obtained, thereby helping to ensure that service users are protected and safeguarded by having a robust recruitment and selection process. Staff files contained information with regards to the experience, skills and training that staff have received with a full and thorough induction programme in place. The manager commented, “we are beginning to use the ‘common induction standards’ tutor pack from the Skills for care organisation, it is very thorough and comprehensive”. One person said, “I have completed the NVQ (national vocational qualification) level 3 course and I am enrolling on level 4”. The manager said, “we continue to work towards all staff achieving at least NVQ level 2”. All staff have recently completed an in depth accredited infection control course, provided by Protocol training. “It was really good and very informative” and all staff have attended a one-day course for ‘dementia awareness’. “A more comprehensive course is soon to be provided by the Lancashire training association”. It is clear that the provider is committed to providing relevant and appropriate training to all staff, in order to help ensure that people are cared for and supported by well-trained staff. Swillbrook House DS0000066401.V341739.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. 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 this service. The home is well managed and organised, ensuring as much as possible that service users receive a good quality service. EVIDENCE: The registered manager has many years of experience in the care profession and has been the manager at Swillbrook House for the past 5 years. She is adequately qualified and has recently completed the Registered manager’s award and has kept up to date with other relevant courses including, the management and safe handling of medication and an infection control course, both at level 2. Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 21 In discussion with some of the staff members, there was a general opinion that the manager is approachable and fair. Some of the comments received from staff were, “the manager is good and very understanding” and “the manager is approachable, she trusts me and lets me use my own initiative”. Some comments from relatives were, “the manager is always available and easy to talk to” “we have a good manager, she has created a good atmosphere within the home” and a letter recently sent to the proprietor, “your manager, is to be commended for leading this person centred practice”. The home’s policies and procedures were examined and they were found to be up to date and satisfactory. The providers monthly visit reports (Regulation 26) have not been sent to the commission since January 2007 and they were not available for inspection during the inspection visit, (See could do better section). The home has maintained the investors in people award, which is an external quality-monitoring organisation. An internal quality assurance document has been sent to relatives and staff asking what people have thought about the changes that have taken place since the new owners took over and what do you think needs changing over the next 6 months? This demonstrates that the provider is committed to obtaining peoples’ opinions and ideas, with regards to improving the quality of care for the people who live at Swillbrook House. There was an up to date health and safety policy, promoting the health, safety and independence of service users. All inspection certificates were in place and up to date, including: electric check certificate, fire extinguisher checks and fire drills are carried out regularly, lifting hoists certificate, PAT portable appliance testing, emergency lighting certificates and a inspection service certificate for the homes lift. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. Swillbrook House DS0000066401.V341739.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP12 Regulation 16(m) (n) Requirement The leisure and recreational activities for service users need to be improved. (Previous requirement) All areas of the home must be maintained and decorated to an acceptable standard. This also includes improved lighting in the home. (Ongoing refurbishment programme) The worn carpets must be replaced (Previous timescales of April 2005, October 2005 and September 2006 not met) Timescale for action 30/09/07 2. OP19 23 (2) (d) (p). 30/11/07 3. OP19 13 (4) (a) (c). 30/11/07 Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 24 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 Swillbrook House DS0000066401.V341739.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Swillbrook House DS0000066401.V341739.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. 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!