Inspection on 17/01/07 for Swiss Cottage

This inspection was carried out on 17th January 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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Swiss Cottage 25/01/06

Swiss Cottage 23/08/05

Swiss Cottage 14/02/05

Swiss Cottage 12/08/04

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOME ADULTS 18-65 Swiss Cottage 130 Roman Road Winklebury Basingstoke Hampshire RG23 8HF Lead Inspector Tracey Box Unannounced Inspection 17th January 2007 08:30 Swiss Cottage DS0000012309.V323627.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 Swiss Cottage DS0000012309.V323627.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. Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swiss Cottage Address 130 Roman Road Winklebury Basingstoke Hampshire RG23 8HF 01256 324 828 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) swisscottage@together-uk.org Together Mrs S Ingleby Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: Swiss Cottage is a detached property set back from a busy main road in Basingstoke. It is within easy reach of the local shops and a bus ride away from the local college and the main town centre. MACA is the registered provider and Mrs Sue Ingleby is the registered manager. The home is registered to provide care and accommodation to six service users who have mental health issues. The home comprises of six single rooms, two sitting rooms, a dining room, a kitchen and laundry facilities. The garden is well maintained, providing additional recreational space. The staff at Swiss Cottage encourage service users to retain their own privacy and endeavours to support them in reaching their own personal goals. Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The opportunity was taken to look around the home, view records and procedures. Due to the specific needs of the service users it was difficult to talk to everyone living at the home, but observation enabled the inspector to gain a better understanding of how the needs of service users were being met. The staff on duty during this visit felt they were supported to do their job. The inspector received a pre inspection questionnaire from the responsible individual prior to this visit, which provided further evidence of how the service is meeting the Key National Minimum Standards (NMS). The manager confirmed the home charges a standard tariff, which is £808.00 per week. What the service does well: There is a good attitude towards service user’s personal development, their expressing their own opinions and participating in activities as well as accessing the local community. The staff are caring, respectful and are mindful of peoples need for privacy and dignity. They encourage individuality and independence within the limits dictated by the Service user’s needs. The staff support individuals to make decisions about their lives. Service users are offered a variety of foods, fresh fruit and vegetables and lots of choice to enable a balanced, varied and healthy diet. All of the meals are freshly prepared. The home has a logical and detailed process for recruiting new staff. There are good systems in place for making sure that the service is run in a safe manor for the people who live and work at the home. All Service users spoken with said they feel safe and comfortable at the homes and their opinions are sought. The staff team have a good rapport with service users. Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 6 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. Swiss Cottage DS0000012309.V323627.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 Swiss Cottage DS0000012309.V323627.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 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from having their needs and aspirations assessed before moving into the home, however not all records were available to show this. Each service user has a signed contract with the home. EVIDENCE: The pre inspection questionnaire stated that one service user had moved to the home since the last inspection. Pre admission assessment evidence from the recently admitted service user’s file showed that a comprehensive care management assessment had been completed prior to the service user moving into the home. The acting manager confirmed that the previous manager would have met the prospective service user, along with their care manager to assess if the home is able to meet their needs, however records of this were not available. The procedure for pre-admission assessment includes a form to be completed by the appropriate member of staff during the assessment. Individual needs and aspirations are discussed at their annual reviews, records showed these occurred and involved social services and the service user’s families if they wished. Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 9 The responsible individual had signed service users individual contracts. All contracts included details of additional costs the service user would be expected to pay for or contribute to, for example toiletries, personal items etc. The acting manager said staff explained the content of the contract with service users. Swiss Cottage DS0000012309.V323627.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): 6,7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning process does not include regular documented reviews. Service users are supported to make decisions in their lives. Risk assessments are in place to enable service users take risks as part of an independent lifestyle, however they must be reviewed regularly. EVIDENCE: The inspector looked at three care plans, records showed that the care plans had been reviewed, however there was no record of service users being involved or consulted regarding the care plan content, therefore a requirement was made to ensure that care plans are reviewed regularly with service users involvement. Care plans included details of individual’s care and support needs, and how staff are expected to meet these needs. There was information about individual’s personal interests, religious beliefs, family relationships, details of Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 11 friends and important people in service users lives, any specialist equipment, likes and dislikes, communication. One service user spoken with was clear that he was able to make his own decisions about his life and lifestyle and that he would be supported by staff as well as being encouraged to participate in activities by himself, such as going to ‘Adelphi’ day centre by taxi independently. Staff spoken with were able to demonstrate a clear understanding of the need to support service users to make their own decisions. This is also covered during new staff induction. Records made at service users annual reviews confirmed service users are fully supported to undertake activities that they have chosen. Service users attend in house meetings, minutes from recent meetings stated that service users were involved in planning the forthcoming months menu. One service user was recently involved in showing a prospective member of staff around the home prior to their interview for a care staff vacancy within the home, the prospective manager said service users choose questions that are asked during the interview, the staff said sometimes two residents are involved in this process. Staff were aware of how to access advocacy services should any service user need to, at the time of the inspection no service user was accessing advocacy services. The inspector looked at risk assessments which covered all areas of risk for activities within and surrounding the home (such as awareness of stranger risk). However, records did not show if they had been reviewed regularly, for example one risk assessment was due to be reviewed in November 2006, and had not been, therefore a requirement was made to ensure risk assessments are up to date and reviewed regularly. Swiss Cottage DS0000012309.V323627.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 is increasing the support for individuals to take part in age appropriate activities within the home and local community. They encourage appropriate personal, family and other relationships whilst respecting individual’s rights and dignity. Service users are offered plenty of fresh food with lots of choices to enable a balanced and healthy diet. EVIDENCE: Individual preferences regarding activities and cultural beliefs are recorded in their care plans, daily activities are recorded in individual’s daily notes. These ranged from attending a day centre, pub lunch and going out for lunch with family members. One service user told the inspector how much he enjoys going to ’Adelphi’ day centre, where he spends time doing art and craft and reception type work. All service users living at the home receive ‘part self care’ funding, which means they receive a set amount of money each week to buy Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 13 food for two meals per day (breakfast and lunch). Each service user has an allocated cupboard in the kitchen to store foods, and a fridge in their bedroom, service users buy their own foods with staff support as requested On the day of the inspection service users were participating in various activities within the home. One service went to their day at a day centre independently, the rest of the time service users appeared to be happy, spending a time with staff and pursuing their own interests. One service user spoken with said they have regular contact with family members, the visitors’ book and daily records reflected this. Staff spoken to also said families keep in touch by telephone. Staff said the home welcomes visitors. The pre inspection questionnaire was returned to the CSCI before the site visit, and states that SU’s receive part self-care, which means they buy and prepare breakfast, lunch and supper themselves with staff support. The inspector saw the menu displayed for meals on the day, meals were varied and nutritious. Service users spoken with said they liked the food offered and are not given foods they don’t like. The inspector was in the home at lunch time, which was a snack as service users prefer to eat their main meal in the evening. The cupboards, fridge and freezer were stocked with foods which would enable choice and variety and included fresh fruit and vegetables. The inspector saw records of all food eaten, staff said these records are kept to ensure service users eat a balanced diet. Swiss Cottage DS0000012309.V323627.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. Service users receive support in a way that they prefer, however care plans need to be reviewed to ensure this information is current. Staff follow the home’s health and welfare procedures to ensure service user’s physical and emotional health needs are met. Service users are protected by appropriately trained staff, who follow the homes policies and procedures for dealing with medicines. EVIDENCE: Staff spoken with were clear about each person’s individual preferences as they had worked with the service users for some time, and know them well, and service users communicate their wishes with staff. However, care plans did not always reflect this, and they must be reviewed regularly. The inspector witnessed positive interaction between service users and staff. Service users appeared to respond well to staff, choosing to spend time with staff chatting and laughing together. One service user said they like to have a bath in the mornings with staff support, records showed they had received support to have a bath the morning of the inspection. One service user said he Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 15 enjoys going to a day centre, staff suggested he may like to go by taxi, rather that walk because of the wet weather, the service user decided to book a taxi. Care plans include records of visits to healthcare professionals, such as district nurse, dentist, community psychiatric nurse and doctor. One service user said the staff support him if he wants help to attend an appointment. The medication receipt, administration and disposal records were seen by the inspector and found to be satisfactory. The inspector saw the home’s medication storage cupboard that was clean with medication stored correctly in date and in sufficient quantities. One member of staff said that they had received training in the safe administration of medication, training certificates confirmed this. Staff confirmed that at the time of the visit, no service user self medicates their medication due to the level of support required. Swiss Cottage DS0000012309.V323627.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. Arrangements for protecting service users and responding to concerns are satisfactory. EVIDENCE: One service user was clear of who they would talk to if they had to complain, he also said that the staff are very good and always listen to him. The home has a formal complaints log, which provides an easy audit trail for the home to monitor complaints. The pre inspection questionnaire was returned to the CSCI before the site visit, and states that the home have received one complaint since the last inspection, which was dealt with appropriately, records seen confirmed this. Staff said they were aware of the homes procedure for dealing with complaints efficiently. The staff said that they receive training in the prevention of abuse of vulnerable adults, certificates confirmed this. The home has a copy of the locally agreed ‘Protection of Vulnerable Adults’ policy and procedure, and the Department of Health’s (DOH) ‘No Secrets’ guidelines’ which co-insides with the home’s policy and procedure. Staff confirmed they are aware of the correct procedures to follow should an allegation of abuse be raised. Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 17 The pre inspection questionnaire was returned to the CSCI before the site visit, and states one SU receives full staff support to access her bank account, two service users deal with their own finances and two have family members who deal with their finances. The inspector looked at the financial records of two service users who live in the home, both were found to be correct when checked against money held. Swiss Cottage DS0000012309.V323627.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. Service users benefit from some areas of the home being refurbished to provide a homely, comfortable and safe environment to live in. The home is clean and hygienic. EVIDENCE: The inspector looked around the communal areas (which have been re decorated since the last inspection) within the home, which appeared clean, no offensive odours were detected. Staff explained service users are encouraged to choose the colour scheme for their bedrooms and furnish the room with personal belongings, furniture and pictures to make it feel like home, one service user showed their bedroom to the inspector, and explained they were in the process of choosing the colour of paint he wants his bedroom decorated in. Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 19 The home has a large, secure garden, staff said they cut the grass when necessary. Staff said they have completed infection control training, and were aware of the home’s policies and procedures of hygiene issues. The inspector saw records of staff training and the member of staff who was cooking confirmed they were up to date with food hygiene training. The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. Swiss Cottage DS0000012309.V323627.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. Service users’ individual and joint needs are met by appropriately trained staff, however staff would benefit from completing an NVQ level 2 or above. Service users are protected by the homes practices regarding the recruitment and selection of staff. EVIDENCE: Staff told the inspector they feel they have adequate training to enable them to do their job properly. Records of staff training reflect this and show staff have received training in adult protection, health and safety, manual handling, first aid, food hygiene, epilepsy, infection control, person centred planning, autism, fire awareness. The pre inspection questionnaire stated that 33 of staff are either working towards or have achieved NVQ level 2 & 3, the standard required 50 should be achieving an NVQ level 2 or above. The acting manager said this shortfall may be due to the staff changes which have occurred recently, the registered Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 21 manager and deputy manager have resigned. There is an acting manager and acting deputy. A new manager is due to commence post 12th March 2007. The home has a suitable recruitment and selection procedure in place and the records of two staff demonstrated that this was followed appropriately. All staff had had necessary checks prior to beginning work in the home. The home has two full time equivalent, and are hoping to run a recruitment campaign once the newly appointed manager commences her post. The deputy manager confirmed that the home’s induction programme has been assessed against the Skills for Care Council induction standards and staff have been working to the Learning Disability Award Framework (LDAF) standards. One member of staff is a qualified Mental Health Nurse, and has provided ‘inhouse’ training to staff regarding mental health issues and behaviours, staff said they found this very useful. Staff said that a minimum of two staff are on duty, three staff are on duty at times when service users attend activities. The rotas showed that a minimum of two care staff were on duty each day shift plus the temporary manager and deputy manger as well. On the day of the inspection there were sufficient number of staff on duty to meet individuals and group needs. Staff provide sleep in cover during each night shift. The staff undertake the cooking and cleaning with the service users assisting where possible. Swiss Cottage DS0000012309.V323627.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. Service users are benefiting from living in a home that is run well, and their views are sought frequently Service users are protected by staff being well trained and showing a sound knowledge within the areas of health and safety, however records of staff receiving fire training need to be implemented. EVIDENCE: Since the last inspection the home now has recruited a permanent manager. The home arranges monthly staff meetings, minutes of the most recent meeting were seen, one staff member said the majority of staff attend. Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 23 The provider seeks the views of the people who use the service once a year, as well as seeking views from families, staff and other specialists are involved with the people who live the home. The responsible individual completes monthly un announced audits to comply with regulation 26 of the care homes regulations 2001, a copy of these reports were available in the home, and would be sent to the Commission on request. The staff complete regular monthly health and safety checks to ensure the safety of the building. Certificates were seen to show regular servicing of the boiler, electrical items, fire safety equipment and liability insurance. All Control Of Substances Hazardous to Health (COSHH) sheet corresponded with the cleaning chemicals used in the home. Records of staff attending fire training and practices had not been completed, however staff said they had been on duty when the fire alarm had been activated and were confident of the home’s evacuation procedure. The home is required to keep a record detailing when staff have attended fire drill practices. Swiss Cottage DS0000012309.V323627.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 2 3 X 4 X 5 3 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 2 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 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 2 x Swiss Cottage DS0000012309.V323627.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. 1 Standard YA2 Regulation 14.1,2. Requirement The provider must ensure that pre assessment paperwork is available in the home, and is used to develop individual’s care plan. The provider must ensure care plans describe the support needs for service users and are reviewed regularly with the individual The provider must ensure risk assessments are updated by the given dated and reviewed regularly. A record must be kept detailing when staff have attended fire drill practices. Timescale for action 17/02/07 2 YA6 15.2(c,d) 17/02/07 3 YA9 13.4(b,c) 17/02/07 4 YA42 17(2) Schedule 4(14) 17/02/07 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 Swiss Cottage DS0000012309.V323627.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Swiss Cottage DS0000012309.V323627.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!