Inspection on 11/10/07 for The Farmhouse

This inspection was carried out on 11th October 2007.

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

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

Other inspections for this house

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 The Farmhouse Heath Farm Heath Road Scopwick Lincoln Lincolnshire LN4 3JD Lead Inspector Wendy Taylor Unannounced Inspection 11 October 2007 09:00 th The Farmhouse DS0000069860.V343618.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 The Farmhouse DS0000069860.V343618.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. The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Farmhouse Address Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Heath Farm Heath Road Scopwick Lincoln Lincolnshire LN4 3JD 01526 320312 autismcareuk.com Autism Care (UK) Limited Mrs Carol Clark Care Home 8 Category(ies) of Learning disability (8) registration, with number of places The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only - care home only - Code PC, to people of the following gender either, whose primary care needs on admission to the home are within the following categories: Learning disability (LD). The maximum number of people who can be accommodated is 8. 2. Date of last inspection Brief Description of the Service: The Farmhouse is located near to the village of Scopwick, and is approximately 10 miles from the town of Sleaford, Lincolnshire. It is part of a complex of services, which include three other registered homes and a main administration centre on the same site. In the village of Scopwick there is a village shop and pub, and Sleaford offers a good range of shops and other amenities. The Farmhouse is registered for 8 people who have Autistic Spectrum Disorder and a learning disability. The accommodation is a spacious two-storey building, which offers a range of living and recreational areas, including a conservatory and well-kept garden area. The Farmhouse is owned by Autism Care (UK), and the Responsible Individual for the service is Mrs Maggie Sykes. Mrs Carol Clark is the Registered Manager. Information provided by the Registered Manager shows that the current fees for the service range from £ 1189.27 to £1963.55 The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first key unannounced inspection since The Farmhouse was registered in April 2007. The visit took place during October 2007 and lasted for approximately 6 hours. Eight people were living at the home on the day of the visit. The care and support received by two service users was followed in detail, using a method called case tracking. The service users currently living at the home have communication needs and were not able to fully express their views about the service, therefore case tracking included spending time with them and observing the care and support they received. Their care plans, medical records and daily notes were looked at, as well as some general house records and staff records. Staff and the registered manager were spoken to during the visit, and information already held by the commission, such as a self-assessment and notifications was also used as part of the inspection process. During the visit some of the service users were doing activities such as going for lunch, and some were enjoying in-house activities such as writing letters. Relatives indicated in surveys that service users are very well cared for, they have a good quality of life and they trust the care staff to provide the right support. What the service does well: There are very good assessment and care planning processes that help to make sure that the service users get all of their needs met. The care plans say what the service users like to do, and they tell staff how to help them make choices and decisions. There is a very good system in place, which uses pictures to help the service users say what their needs and wishes are, and this system helps them to take more control of their daily lives. As well as a care plan, each service user has an excellent person centred plan, which shows what their personal goals are and how they are going to achieve them. Staff get lots of training about how to meet service users needs, and they make sure that service users get to see people like GP’s, dentists, chiropodists and psychiatrists. They also make sure that service users have lots of healthy food to choose from, and that they can learn how to prepare their own meals if they wish. There are lots of regular activities for service users to choose from such as hydrotherapy, pub trips, meals out, horse riding, trampolining and theatre visits. They are also helped to do things like hill climbing, sailing and have holidays. Staff help them to write regular letters to their families and visit with them whenever they wish. The Farmhouse DS0000069860.V343618.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. The Farmhouse DS0000069860.V343618.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 The Farmhouse DS0000069860.V343618.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): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to up to date information, and are involved in developing detailed assessments, which ensure that their needs can be met. EVIDENCE: There is an up to date statement of purpose and service user guide in place. Both documents clearly show their review dates. Within the statement of purpose there is a clear description of the accommodation, and what the service aims to provide. The service user guide gives more details about things like activities, contracts and the key worker system. This document includes photographs of the environment and activities that service users can recognise, and a copy is available in each persons file. The statement of purpose is readily available within the office area. Surveys from relatives indicate that there is enough information available. Although all of the service users currently living at the home have been there for over five years, detailed assessments, which are specific to the needs of people with autistic spectrum disorder, are available in their files. The assessments are arranged into three sections which highlight health needs, risk and specialist needs. The three areas include details about the person’s The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 9 well being, spiritual and cultural needs, social needs and behavioural needs. Assessments also include personal profiles, which give details of contact with family and friends, input from social workers or health professionals and how the person communicates. The Farmhouse DS0000069860.V343618.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 excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from having very detailed and comprehensive person centred care plans. They are fully supported by knowledgeable staff to make choices and decisions in their daily lives. EVIDENCE: Each service user has a plan of care, which reflects the assessment areas of health, risk and specialist needs. The plans very clearly cross reference with the assessments and cover needs such as communication, behaviours, safety, finances, community participation, falls and fire safety awareness. Each plan refers clearly to making choices, and making sure that the person’s privacy and dignity is maintained, and they include how the person likes to be supported. Agreement with the plans by the service user where possible, their representatives and involved professionals is demonstrated by signatures on review records. There are also plans in place to support service users with decision-making processes highlighted by recent government legislation The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 11 (Mental Capacity Act, 2007). General information about decision-making and how to support service users is available in the house. Pre inspection information also shows that there are policies in place for care planning and review, privacy, dignity and choice, and service user participation. Records show that plans are monitored on a daily basis, and keyworkers carry out a monthly review. They also show that formal reviews are held twice a year, with service user representatives and involved professions. There is a specialised system of communication within the home, which helps service users to express their needs and wishes through visual methods such as pictures, and it breaks task down into simple steps so that service users can have more independence. It also helps service users to have a better understanding of how their day is structured. For example, one service user was using a portable picture card system to say what activity they wanted to do and when. Another was seen using picture cards to work through their morning routine. Interaction between service users and staff was mutually respectful and very calm. Staff demonstrated a very detailed knowledge of support plans and the service users personal likes and dislikes. As well as care plans, each service user has a person centred plan, which shows in very good detail what their hopes and wishes are for the future. These plans are set out as large wall mounted displays in the person’s bedroom, and the background picture relates to the goal or goals that the person wants to achieve, for example hill climbing. They also have lots of other pictures or photographs in them to show what steps the person needs to take in order to achieve their goal. Records show that staff are trained in how to develop and use person centred planning systems. The registered manager said that a questionnaire is currently being developed to help evaluate the person centred planning process. The Farmhouse DS0000069860.V343618.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 excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to choose and access an excellent range of activities. They also benefit from being able to choose from a wide range of foods and balanced menus. EVIDENCE: During the visit service users were joining in activities such as swimming and aromatherapy sessions. They were also being supported to do tasks such as make coffee, write a letter, make their breakfasts and put laundry away. Two service users said that they like to visit their families often, and one said that they enjoy going to church. A service user also spoke about being able to grow plants in the garden. Staff were supporting service users to join in tasks and activities by using the specialist system of communication (see Standards 610) and service users were able to clearly express their thoughts and feelings The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 13 using the system. Daily and weekly timetables are available in personal files, and activity recording and monitoring are also in place. Activity records show that service users are able to join in things like hydrotherapy, pub trips, meals out, horse riding, trampolining and theatre visits. There are lots of photographs and other records to show that service users also have access to things like holidays in the UK and abroad, outward bound experiences, sailing and flying for the disabled. Records show that each service user is supported to visit or contact their relatives at least once a month, and this is confirmed by surveys received from relatives. There is also evidence to show that they are supported to write letters to their relatives to tell them about what they have been doing. There is a computer available to service users to assist letter writing and staff have devised a keyboard template to make it easier for people to recognise the keys. Guide menus are completed on a 4 weekly plan. They show that service users are offered a range of balanced meals and can choose alternatives when they wish. Menus contain pictures of meals that service users have chosen from cookery books. Kitchen cupboards are labelled with pictures of what they contain to help service users find what they want, and at breakfast and lunch times they were seen choosing and helping to prepare the meals. They were also able to choose the time that they ate their meal, and had individual support from staff where needed. The Farmhouse DS0000069860.V343618.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 excellent. This judgement has been made using available evidence including a visit to this service. Service users have very good access to a range of appropriate health care services, and they benefit from robust medication procedures. EVIDENCE: Pre inspection information shows that there are policies and procedures in place for issues such as continence; first aid, pressure relief; medication. The information also shows that each service user is registered with a local GP, dentist and chiropodist. Visits to these services, and the outcomes are clearly documented in personal files, together with the dates of the next appointments where appropriate. This information is included in monthly keyworker reviews so that routine appointments are maintained. Records also show that service users have access to services such as psychology, psychiatry, aromatherapy and speech and language therapy, where appropriate. Each service user has a detailed health assessment in place, which identifies their individual needs and the way that they wish to be supported with those needs. There are very clear care plans resulting from the assessments for needs such as sleep, diet, personal hygiene, medication and epilepsy, and The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 15 there are records to show that health needs are regularly monitored, for example, weight charts. Information is also clearly recorded about the service user’s and/or their family’s views about bereavement and end of life support. Staff were seen to promote dignity and privacy in all of their interactions with service users, for example discussing and providing for personal needs in private, using preferred names and knocking on doors before entering a room. Medication records for those service users who were case tracked were completed in full, and satisfactory storage and administration procedures were seen. The manager described the system for recording medication that is used only where necessary and said that any use of these medications has to be authorised by an on-call manager. Care plans set out why and when the medication is needed, and there are detailed records of how the medication affects the service user when it is administered. Training is given to senior staff about medication and how to administer it, and this training is updated. Staff demonstrated a detailed understanding of how service users communicate needs such as pain; and how they like to take their medications. The Farmhouse DS0000069860.V343618.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. Service users are protected by clear policies and procedures; and by staff who are well trained and knowledgeable. EVIDENCE: There have been no complaints or reports of safeguarding adult issues since the service was first registered. Pre inspection information shows that there is a complaints policy in place, which is available in a symbol and picture format, and there are policies for accidents, dealing with violence and aggression and whistle blowing. Information about keeping service users safe is available within the home and there is an up to date copy of Local Authority guidance and procedures for Safeguarding Adults. Care plans refer to keeping service users safe, and making decisions (see Standards 6-10), and there is information about local advocacy services in individual files. The manager described the system for reporting and reviewing incidents to make sure that the actions taken are appropriate for each service user. Records in service user files show that staff use the system appropriately and give good descriptions of the incidents. Any injuries received as a result of incidents are also recorded on a body diagram for clarity. Records show that during induction staff receive training about how to keep people safe, and one member of staff represents the home on a local The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 17 safeguarding adult group. Staff said that they have received training and they demonstrated that they have a very clear knowledge and understanding of the procedures for keeping service users safe. The Farmhouse DS0000069860.V343618.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 a comfortable and personalised environment, which enables them to develop their independence. EVIDENCE: A tour of the building showed that personal and communal space was decorated and furnished in a comfortable and homely way; and took into account individual needs and wishes. For example sound and lighting systems, and personalised art were set up in some bedrooms, one service user showed the way in which they like to lay out their bedroom furniture and use the space, and another service user was seen freely using the conservatory area for their own activity. In the garden a service user pointed out the space they used for growing flowers and fruit. A few areas of the home, such as upstairs corridors, are in need of redecoration. The manager said that a programme of redecoration is in place, and this includes the fitting of two new walk-in showers that are easier for service users to use. The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 19 The house was very clean and tidy on the day of the visit. Staff demonstrated that they knew about infection control measures by, for example, using gloves where appropriate and washing their hands regularly. They also demonstrated that they knew about using and storing cleaning materials safely, and there were information sheets available about the products they were using. The Farmhouse DS0000069860.V343618.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, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures protect service users; and robust training and support arrangements for staff mean that service users needs are met. EVIDENCE: The recruitment records for four staff members were looked at and they contained information such as references, criminal record bureau checks, identification and application forms. Rotas and pre inspection information shows that there is a stable staff group, with many staff having worked at the home for over five years. Staff said that there are enough people on each shift to meet the current needs of the service users. Records show that new staff receive a very good induction process that gives them information and training about the provider company, as well as how to support and protect service users. This includes awareness of equality and diversity, culture, gender and religion. Staff said that the induction period also allows them time to work within the home and get to know service users. The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 21 During this period the new member of staff is fully supervised by and experienced member of staff. Staff said that they have very good access to on-going training and spoke about courses in subjects such as epilepsy awareness, autism, person centred planning, infection control and behavioural management. Records confirmed this and also showed training in other subjects such as health and safety, fire safety, medication administration, Makaton and first aid. Pre inspection information shows that half of the staff team have achieved nationally recognised care qualifications, and all of the staff are trained in food hygiene practice. There are clear records and rotas to show that staff receive regular supervision sessions. Staff said that they find supervision helpful and they can discuss their training and development needs. They also said that there is very good teamwork in the home, which means that they have good support from colleagues in between sessions. The Farmhouse DS0000069860.V343618.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. Management approaches and the quality monitoring systems ensure that the home is run in the best interests of service users, and their safety is promoted. EVIDENCE: The registered manager has worked within the provider company, in various caring roles, for over ten years. She holds the Registered Managers Award, a nationally recognised care qualification, a health and safety qualification and an assessor’s qualification. Staff said that they receive ‘excellent’ management support, and feel that they can approach the registered manager with any issues. The minutes from staff meetings show that they are kept informed and can share their views about issues such as activities, training, menus, complaints and health provisions. The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 23 Records show that there is a good quality assurance process in place, with recent audits for areas such as medication and service user’s personal money. The registered manager also carries out a general monthly audit that covers areas such as care files, the environment, health needs and health and safety. An action plan is put into place to address any issues highlighted by the audit. A survey of service users, relatives and staff views about the quality of the service took place recently, and the outcomes recorded were all positive. The home is also accredited with a national organisation as a provider of quality services for people with autism. An up to date fire risk assessment is available and staff were able to describe clear evacuation procedures and fire safety awareness. There are risk assessments for health and safety issues such as slips, trips, falls and working height but they are currently held centrally with the provider. The registered manager said that she would ensure that they are kept with the home so that everyone has access to them. The Farmhouse DS0000069860.V343618.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 3 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Farmhouse DS0000069860.V343618.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 The Farmhouse DS0000069860.V343618.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!