CARE HOMES FOR OLDER PEOPLE
The Briary Care Home Reading Road North Fleet Hampshire GU51 4AN Lead Inspector
Mrs Pat Trim Unannounced Inspection 17th May 2007 09:30 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 The Briary Care Home DS0000066348.V336196.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. The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Briary Care Home Address Reading Road North Fleet Hampshire GU51 4AN 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) 01252 614583 01252 812776 www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Mrs Josephine Kimmance Care Home 51 Category(ies) of Dementia - over 65 years of age (51), Old age, registration, with number not falling within any other category (51) of places The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 18th November 2005 Brief Description of the Service: The Briary is a large extended house in a pleasant residential area of Fleet and is close to local amenities. The home is registered to provide nursing care for 51 residents in the category of old age or dementia. The home has a large garden and a small secure courtyard garden in the centre of the home. There is car parking at the front of the home. The home has two dining areas, three lounges and a conservatory. There is a mixture of shared and single rooms. The weekly fees as given at the time of the inspection are £442.12 to £680.00. The fee does not cover items such as hairdressing, chiropody, aromatherapy, newspapers and toiletries. The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was a key inspection carried out by one inspector in 6 hours. The key standards were assessed by case tracking 3 residents and talking with 7 people currently living in the home. Time was also spent observing staff practice and having coffee with residents. There was an opportunity to talk with 3 care staff, 3 domestic staff, 2 qualified staff and registered manager. Some time was spent viewing a selection of documents and a partial tour of the premises was carried out. Prior to the visit, a review of the home’s recent history was undertaken, including the previous inspection reports. Information was also gathered from the annual quality assurance assessment (AQAA), which was completed by the home. The people living in the home had previously expressed their wish to be called residents. This term is therefore used throughout this report. What the service does well:
The registered manager has systems in place that work well and enable her to monitor all aspects of the day to day running of the home. For example she completes a monthly audit of medication, individual risk assessments and complaints. A comprehensive pre admission assessment process make sure that prospective residents are only offered a place if their needs can be met. Detailed care plans ensure residents consistently receive support in the way they want it. Care plans also record what people can do for themselves so they are able to maintain their independence. Residents felt they were treated with respect and were supported to make choices about their daily living. Comments made by residents included • • ‘As homes go it is very good. You have a buzzer in your room and call staff when you want them.’ ‘I need someone to help me get up. Staff are kind and do what I want’. And by relatives • • ‘This is a good home. My mum is supported to make choices and is treated with respect’. ‘Staff respected Mum’s choice not to practice her religion anymore. They asked me what she would like to eat and provided it for her.’
DS0000066348.V336196.R01.S.doc Version 5.2 Page 6 The Briary Care Home Residents were confident they could make complaints and their issues would be dealt with. They said they were able to give feedback about the service and there was evidence their feedback was listened to and acted upon. For example, a pottery class was not popular and was stopped at the request of the residents. More bingo sessions were also introduced. Comments about daily living included • • • • ‘I had a lie in this morning. I like to get up for breakfast about 9 a.m.’. ‘You can get up and go to bed when you want’. ‘The gardening club is good. Staff take you shopping and you can sit in the square and watch the people go by.’ ‘You can buy some good cards if you want. Some of the residents make them’. 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
The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 does not apply 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 pre admission process, which includes a detailed pre admission assessment that identifies abilities and needs. This means prospective residents may be confident they will only be offered a placement if the registered manager is sure the service will be able to meet the resident’s identified needs. EVIDENCE: The registered manager provided detailed information about the admission process in the annual quality assurance assessment (AQAA). This information also was included in the statement of purpose. Prospective residents were informed that a detailed assessment of their abilities and needs before they could move into the home. The person completing the assessment would also contact other health care professionals and get a copy of any care management assessment or nursing plan. The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 10 The information obtained for three residents who had recently moved into the home was seen. Each of these contained a detailed pre admission assessment that identified abilities and needs in all aspects of daily living and health and personal care. For example, the ability of one person to eat their meals was affected by their sight loss. The assessment identified that this person could eat independently, if their food was cut up, special cutlery provided and if they were shown where their plate was. Prospective residents are assessed to see if they need the support of health care professionals or any specialist equipment such as pressure relieving mattresses. Pre admission assessments included detailed personal preferences about all aspects of daily living and personal care. For example, one person preferred sandwiches to hot food. Another was very sociable and would need to be involved in all activities. The registered manager said she felt the mental health assessment could be improved and this was identified in the AQAA as an area for development. Current pre admission assessments contained information about an individual’s mental health and social and emotional needs that staff would need to know if they were going to support this person. For example, it was noted that one person was sometimes frightened of being alone, whilst another had some insight into the fact she had dementia. A brief life history was completed, which included information given by the resident and their families. The registered manager said she felt these helped staff get to know the new resident and the life they had before they needed help. The three files seen also contained copies of health care assessments and care management assessments, completed whilst residents were in hospital. The statement of purpose says that residents and/or their families are welcome to visit the home prior to admission and to spend time looking round. One resident said her daughter visited on her behalf before she moved in for a trial period. The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The detailed information in care plans about how each person likes to receive personal care enables staff to provide this in a consistent way. The regular review of assessments and care plans enables residents to be confident their care will continue to be given in the way they like it. Residents have access to a wide range of health care that ensures their needs are monitored and reviewed. There are systems in place that ensure medication is well managed so that residents are protected. EVIDENCE: On admission each resident has a second assessment completed. This includes daily routines, such as what time they like to get up and go to bed and sleep patterns. A detailed care plan is completed for each area identified as needing one in the pre admission assessment. Each section contains information about what the person can do, any problems, what the desired outcome is for that person and how staff should support them. For example,
The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 12 one person was identified in the assessment as someone who loves to chat. The person had dementia and was beginning to have communication problems. The care plan told staff they had to speak clearly and slowly, make eye contact and observe the person’s facial expressions. The desired outcome was for the person to continue to have a meaningful conversation with other people. Staff could also begin to build up a picture of her non-verbal communication to enable them to provide continuity of care. Information in the service users’ guide tells residents that risk assessments are used to support residents to maintain their independence. The pre admission assessment identifies areas of risk. The care plans seen included risk assessments relating to possible areas of risk such as moving and handling, mobility, nutrition and tissue viability. There was a system in place for monitoring and reviewing the risk assessments and care plans which were amended to reflect changing needs. The registered manager stated in the AQAA that she also audits risk assessments each month to make sure changing needs are identified and care plans amended. Residents said they did not remember being involved in writing or reviewing their care plans, but described how staff supported them. Four residents said staff were sensitive and responsive to helping them with personal care and enabled them to make choices. For example, one person said staff had asked her whether she wanted a bath or shower and had chosen to have a shower as she did not feel like a bath that day. Staff were able to describe what help the residents who were case tracked required. The information they gave was what was recorded in the care plan. The registered manager said residents were involved in care planning and reviews, but agreed the way in which this was done could be improved. This was also identified in the AQAA as a future objective. There was evidence that residents had access to a wide range of health care services. This information was gathered from residents themselves, daily records and the service users’ guide. Specialist equipment, such as pressure relieving mattresses, was provided when required and the registered manager said the annual budget included money to buy more specialist beds. Five had already been purchased. The service users’ guide told residents they could continue to manage their own medicines if they wanted to when they moved in, provided a satisfactory risk assessment was completed. The registered manager said no one was currently doing so. The home has a policy and procedure that gives staff clear guidance on how to manage medicines safely. Staff are also able to refer to the Royal The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 13 Pharmaceutical Guidelines and National Medical Council (NMC) administration of medicines. The policy states that only qualified staff are allowed to give out medication. Staff confirmed this. A qualified member of staff gave out medication at lunchtime, following the home’s procedure. Records seen demonstrated they were completed appropriately. Medication was stored in two locked trolleys. These were kept in a locked cupboard when not in use. Liquids such as eye drops and antibiotics were stored in a refrigerator, provided specifically for the purpose. The temperatures of the refrigerator and storage room were monitored to make sure medication was stored correctly. A record was kept of all medication received into the home, administered or disposed of. Controlled drugs were recorded in a register in accordance with the Royal Pharmaceutical guidelines. The home had a contract for the removal of unused medication. Residents are given information about their rights in the service user’ guide. Those spoken with said they felt staff treated them with dignity and respect. Their preferred name is recorded in care plans and staff were heard using this when speaking with them. Residents are given their post unopened. Staff receive training and information about residents’ rights during induction and in their national vocational training (NVQ). Care plans give staff guidance about how to help residents maintain their dignity and privacy. The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 14 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 Excellent. This judgement has been made using available evidence including a visit to this service. The registered manager consults with residents so that the activities provided are what they want. Residents are able to make choices about how they spend their day. The range of meals provided enable residents to have a balanced diet with food they enjoy. EVIDENCE: Residents felt they were able to make choices about how they spent their day. Some liked to stay in their rooms, whilst others liked to spend time in the communal areas. Care plans recorded residents’ preferences in their daily routines, such as what time they liked to go to bed or eat their meals. The registered manager said the home employed an activities co-ordinator and residents had a range of activities to choose from such as gardening club, bingo, quizzes and cookery. Staff are also encouraged to spend time chatting to individual residents. Residents said they enjoyed what was offered and had been able to give feedback at residents’ meetings and through questionnaires about what they wanted and what they did not like. The activities had been
The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 15 modified to reflect these choices. A list of weekly activities is displayed in the entrance hall and newsletters tell everyone what future events are planned. Spiritual and cultural needs are respected with arrangements for residents to attend a monthly church service or see representatives of their faith in private. Individual care plans record whether there are any dietary needs and special meals are prepared. Visitors to the home said they were made welcome whenever they visited and that the home contacted them when necessary. Information given to residents about the service was also kept in the entrance hall so visitors could see it. Residents spoken with said they had choice about the meals they were offered and thought the quality was very good. The cook explained she catered for a number of different diets and made sure everyone had a good choice. Fresh vegetables were used every day and homemade puddings and cakes made. . The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 16 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. There is a robust system in place that enables residents and their families to make complaints and be confident they will be satisfactorily investigated. Staff receive training and have guidance that enables them to take appropriate action in the protection of vulnerable adults. EVIDENCE: The home had a complaints log which recorded issues raised and outcomes. This was monitored to ensure issues were addressed. The record showed that complaints received had been resolved satisfactorily. Information about the complaints procedure was included in the statement of purpose and service users’ guide. Residents spoken with said they knew how to make complaints, had the opportunity to do so and were satisfied issues raised would be dealt with effectively. Relatives spoken with said they had raised issues and had been satisfied with they way they had been resolved. The home had a policy and procedure for the protection of vulnerable adults and a copy of Hampshire adult service’s procedure. Staff spoken with said they had to attend training every year. They were able to demonstrate their knowledge of the policy and procedure and knew what to do if they felt anyone was being abused.
The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, comfortable and safe environment that meets their needs and that they like. EVIDENCE: The registered manager said there was an annual refurbishment plan the home and there was evidence that maintenance was carried out. The drive way had numerous potholes and an adjoining fence needed repairing/replacing. The registered manager said the fence was being repaired and the renovation of the driveway was a priority for the next budget. The home has limited storage space for equipment such as wheelchairs and portable hoists and care plans are stored in boxes in front of the desk in the main reception. This gives residents reduced space to walk down the corridor. The registered manager said this had already been raised with the provider and alternative solutions were being discussed.
The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 18 The home employs domestics to clean the home. Residents said they thought the home was cleaned to a good standard. Some areas of the home smelt at times during the inspection, but the domestic staff dealt with these quickly. Residents spoken with said they liked the lay out of the home as they had choice about where to sit and whether they watched television, listened to music or sat in more quiet areas. They liked the small, enclosed garden and said they spent time there when the weather was good. The home employs laundry staff who are responsible for all the washing. There is a system for bringing soiled linen to the laundry and staff were seen following this. The home has industrial washing machines that have suitable programmes for disinfecting soiled linen. There is a policy and procedure for infection control and 3 staff have received training. The home has identified the need to train more staff in infection control as an objective for this year. The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by well trained staff in sufficient numbers to meet their needs. A robust employment procedure protects residents. EVIDENCE: The home provides care for residents who require a high level of support. To provide support for them the home provides a qualified nurse on every shift, together with trained care staff. A total of 39 staff are employed to provide care. Residents spoken with said they felt there were sufficient staff on duty to meet their needs and that calls for assistance were answered quickly. Throughout the inspection, staff were observed answering calls swiftly and efficiently. Care staff spoken with felt there were usually enough staff to meet the needs of residents. The registered manager said staffing levels were amended according to the identified needs of current residents. Staff said they were encouraged to obtain a National Vocational Qualification (NVQ) and the registered manager said 9 permanent and 1 agency staff had achieved this. Two staff on duty said they had just completed their awards and were waiting for their certificates. The home has a robust employment procedure, which had been followed correctly for 2 staff recently employed. All required checks, such as criminal
The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 20 records bureau (CRB) and Protection of Vulnerable Adults (POVA) had been completed. The registered manager said all new staff were required to complete an induction which was tailored to their specific role. Completed inductions were seen for the 2 staff most recently employed. These evidenced that the home has a comprehensive induction programme that complies with the requirements of Skills for Care. Staff spoken with were clear about their roles within the home and confirmed they had been given job descriptions when they started. They said they received regular updates in mandatory training such as first aid, fire safety and moving and handling. They also had the opportunity to attend service specific training such as dementia care. This was being cascaded by a senior member of staff who had completed a teaching course for the module. All staff working in the home, including ancillary staff were being encouraged to complete it. The registered manager had a training matrix that enabled her to monitor training and individual training needs were identified through this and regular supervision. The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 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 residents have lots of opportunities to give feedback about the service they receive. Systems are in place that protect residents and maintain health and safety. EVIDENCE: The registered manager is an experienced registered nurse, who completed the Registered Manager’s Award in September 2004. Residents and staff said she was approachable and had an open management style. She holds a regular ‘surgery’ so residents, staff and relatives know when she will always be available. Residents, staff and relatives have information about the management of the home. A representative of the company visits the home at least once a month and the registered manager receives a regular report about what the representative found.
The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 22 Residents said they had good opportunities to give feedback about the service. The home had regular residents’ meetings. There was evidence changes were made to the day to day running as a result of requests made at these meetings. For example, changes had been made to menus and the activities programme. Quality audit reviews were completed and a summary of the outcome given to residents and visitors. The audit recorded what the home was doing well and what they could improve on, based on the comments received. Systems were in place to monitor all aspects of the day to day running of the home, such as staff training needs, care plans and complaints. Records were kept of any money held on behalf of residents. This recorded amounts received, spent and the balance. Receipts were kept of money received and spent. The home carries out in house checks and has contracts for servicing equipment that maintains the health and safety of residents. The environment is maintained to protect residents. For example all radiators are covered to protect against the risk of accidental burns. Staff receive training and regular refresher courses in mandatory training such as first aid, moving and handling and fire safety. The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 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 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 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 The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 The Briary Care Home DS0000066348.V336196.R01.S.doc Version 5.2 Page 25 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
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