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Inspection on 06/02/07 for The Good Companions

Also see our care home review for The Good Companions for more information

This inspection was carried out on 6th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The manager and staff continue to provide a high quality service to those living in The Good Companions and the atmosphere was warm and welcoming. It was clear from observations that the staff and residents have formed good relationships while still remaining professional. Residents told the inspector, "the girls are wonderful- top class" and "we can speak to the manager at any time". Routines in the home are flexible to meet the changing needs of the residents and the activities co-ordinator told the inspector that there were times that residents "just liked to sit and chat" instead of taking part in organised activities. The care planning system gives guidance on the level of assistance required to meet the assessed needs and there are healthcare systems in place provided by good working relationships with healthcare professionals. Medication is well managed with records up to date and competently completed. The manager is committed to staff training and over half the care staff are qualified to NVQ level 2 or above.

What has improved since the last inspection?

Since the last inspection, further improvements have been made to the environment with some bedrooms having been completely refurbished and a new assisted bath installed. New wall covering has been fitted in the laundry, which has enhanced the working conditions for the staff. The manager has introduced new "initial assessment of needs" documentation that allows for more in-depth information to be recorded. This will ensure that the home is able to meet the assessed needs and provide a level of care that is suitable for each resident.

What the care home could do better:

The registered manager and staff continue to work very hard to ensure that the needs of each resident are met and no requirements or recommendations have been made from this inspection. The manager should continue to monitor and develop the service provided, to ensure current good practice and care is maintained.

CARE HOMES FOR OLDER PEOPLE The Good Companions Criffel Street Silloth Cumbria CA7 4BT Lead Inspector Mrs Margaret Drury Unannounced Inspection 6th February 2007 10:15 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 Good Companions DS0000062105.V316617.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 Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Good Companions Address Criffel Street Silloth Cumbria CA7 4BT 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) 016973 31553 016973 31553 Good Companions Cumbria Ltd Mrs Jacqueline Derrane Care Home 39 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (39), of places Physical disability (1) The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 39 service users to include: - up to 39 service users in the category of OP (Old age, not falling within any other category) - up to 7 service users in the category of DE(E) (Dementia over 65 years of age) - one service user in the category of PD (Physical disability under 65 years of age) Date of last inspection 5th December 2005 Brief Description of the Service: The Good Companions is owned by Good Companions Cumbria Ltd with Mr Mark Newby being the responsible individual. The home is run on a day to day basis by Mrs Jacci Derrane. The home is situated in Silloth, a seaside town overlooking the Solway Firth. The Good Companions is an older property that has been adapted and extended for its present use as a care home. Accommodation for service users is on three floors that are served by a passenger lift and stair lifts. All of the bedrooms are for single occupancy, with all but two having en-suite toilet and washbasin facilities. There are three lounges and a large dining room and a smoking area for those residents wishing to smoke. The toilets and bathrooms are equipped to assist people with disability. There are well kept gardens around the building and car parking facilities are provided. The home does not provide intermediate care. As at the time of this visit the fees at this service are £363.00 - £425.00 per week with extra charges for hairdressing, newspapers and outings. The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit that forms part of the key inspection took place over one day in February. The registered manager had completed a pre-inspection questionnaire, which provided the inspector with relevant information and survey forms were received from residents, visitors and health and social care professionals. Comments such as “excellent home providing top quality care” (social worker) and “I am well satisfied with the care my mother receives” (family member) were some of the comments received. Those received from residents all showed positive comments about the care provided. The inspector was able to speak with care staff, the cook and a social worker who visited the home at the same time as the inspector. General documentation to do with the running of the home, care plans and staff records were all checked and a short tour of the building was undertaken. What the service does well: The manager and staff continue to provide a high quality service to those living in The Good Companions and the atmosphere was warm and welcoming. It was clear from observations that the staff and residents have formed good relationships while still remaining professional. Residents told the inspector, “the girls are wonderful- top class” and “we can speak to the manager at any time”. Routines in the home are flexible to meet the changing needs of the residents and the activities co-ordinator told the inspector that there were times that residents “just liked to sit and chat” instead of taking part in organised activities. The care planning system gives guidance on the level of assistance required to meet the assessed needs and there are healthcare systems in place provided by good working relationships with healthcare professionals. Medication is well managed with records up to date and competently completed. The manager is committed to staff training and over half the care staff are qualified to NVQ level 2 or above. The Good Companions DS0000062105.V316617.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 Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 3,4 & 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has an in-depth admissions policy, which includes excellent information outlining the facilities on offer and all prospective residents receive a full comprehensive needs assessment prior to admission. EVIDENCE: The home provides an excellent information pack that is made available to any person making enquiries about admission to the home. Included in the pack is an illustrated guide to the home, contract/ terms and conditions of residency, a copy of the complaints procedure, the statement of purpose and a copy of the latest inspection report. All information can be supplied in large print for those requiting this facility. All residents are given a detailed contract, including those who have a contract with Social Services, and details of the terms and conditions of residency. The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 9 Prior to any resident being admitted to the home the care co-ordinator or the registered manager completes a comprehensive needs assessment. The information gathered ensures that the staff employed are experienced and qualified to meet all the assessed needs. Family members are invited to be present during the assessment, with the resident’s permission, so that all concerned are aware that the home will be able to provide the appropriate level of care. The prospective resident and/or family members are invited to visit The Good Companions where they meet with the care co-ordinator who shows them round and introduces them to members of staff and others who live in the home. Refreshments and/or a meal are provided to those looking around if they wish. The needs of the resident are discussed and if the placement is accepted every effort is made to ensure the transition process is handled sympathetically and with dignity. The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Every resident has an effective care plan in place that ensures all social and health care needs are fully met. Medication is handled appropriately, safeguarding those living in the home. EVIDENCE: Each resident in The Good Companions has an effective care plan that is based on the initial assessment of needs. Each plan is used as a working document and is understood by the care staff. All residents, wherever possible are involved with the care planning process but if this is not possible there is family involvement where this is appropriate. The care plans are reviewed and evaluated every month with any changes to the care required discussed with the home manager who then works with the senior carer and key worker to produce a new plan of care and risk assessment if required. The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 11 All healthcare needs are met through close co-operation with local doctors and the district nursing service. There are systems in place to ensure that any appointments are not missed and appointments to the optician, dentist and chiropodist are arranged when required. The home operates to a well-developed medication policy and procedure with the staff responsible for handling the medication having received appropriate training. Medication practices, the storage of medicines and their handling is of a consistently good standard with evidence of good practice in record keeping. The home keeps records of medicines it receives from and returns to the pharmacy with the manager and /or one of the team leaders undertaking regular checks to monitor quality. Any controlled drugs are recorded in a separate register and checked by two members of staff when given to residents. The need to respect residents’ privacy and dignity are paramount within the home and care staff are aware of the importance of promoting these aspects of care at all times. Residents who spoke with the inspector all confirmed that they were treated with respect at all times and that all personal care is given in the privacy of their own rooms. Residents are encouraged to remain as independent as possible for as long as possible and staff work hard to ensure this happens. The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Social and recreational activities meet the residents’ needs and expectations. Residents receive a healthy and varied diet according to their requirements and choice. EVIDENCE: Residents are able to take part in a full programme of activities if they wish. The home employs an activities co-ordinator who is responsible for the arrangements inside the home and in the community. The co-ordinator has recently taken over the organisation of the fortnightly community based tea dance that is enjoyed so much by the residents. This ensures that the residents meet freely with people living in the surrounding area. Other activities include, armchair exercises, flower arranging, floor and table games, painting, pamper afternoons and reminiscence times. The co-ordinator did explain to the inspector that often the residents “like to sit and chat” rather The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 13 than take part in any of the organised activities and residents agreed that they liked having the choice about how to spend their day. Visiting ministers arrange communion services every two weeks and if any resident wishes to go out to church, arrangements are made for transport to be made available. Residents go out to the local library, garden centres, local shops and trips to Carlisle, Maryport and Workington are arranged. Residents are actively encouraged to keep in contact with family and friends so the home operates an open door visiting policy. Facilities are available for visitors to have refreshments or a meal with their family member and can also meet with the resident in private if they wish. Residents’ meetings are occasionally held but the manager advised the inspector that more information and comments were received through talks with small groups of residents on a daily basis. The care co-ordinator regularly speaks with residents, a fact that is appreciated by those living in the home. The inspector was in the home over the lunch period and was able to observe the relaxed atmosphere in the dining room. Some residents choose to take their meals in their own rooms, which present the staff with no problems whatsoever. Food is considered to be an important part of life within the home and the inspector was able to speak with the cook during the visit. She showed an interest in her job and was pleased to relate that she knew all the residents and their likes and dislikes. All those residents who spoke with the inspector said how much “they enjoyed their meals” and “what a good cook we have”. There is a choice at all meals and special diets and diabetic meals are catered for. The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have access to an in-depth complaints procedure and are protected by the home’s adult protection policy. EVIDENCE: The home has a highly developed complaints policy that is made available to all residents and their families. The policy, which is well written in plain English, outlines the importance of raising any complaint or issue of concern and the process to follow should this be necessary. There is a complaints log in place but there have not been any to record and none made to CSCI (Commission for Social Care Inspection). The manager or a member of the senior team deals with any issue raised as soon as possible and residents who spoke with the inspector said they would know who to speak to if they had a problem. Part of the statement outlines the civil and religious rights of those living in the home. The staff ensure that each resident’s place in society is maintained and that they are able to participate in local and national elections if they wish. There are procedures in place to protect vulnerable adults from abuse and there is a whistle blowing procedure in place. There is a copy of Cumbria’s The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 15 policy on adult protection available in the home for staff to access when they wish. The home also has procedures in place for staff guidance on gifts and preventing involvement in service user’s wills. Staff who spoke with the inspector showed their awareness of the procedure to follow should this be necessary and evidenced their knowledge about abuse and protection issues. The home manager is arranging external adult protection training for herself and a member of the senior team. She will then organise in-house training for all staff. The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical layout of the environment enables the residents to live in a safe, well-maintained home, which encourages independence. EVIDENCE: Good Companions is a large Victorian building that has been extended and adapted to meet the individual and collective needs of the residents who live there. The premises are accessible to all, with ramps to the entrance and passenger and stair lifts to all floors. The building is well maintained via an annual repairs and maintenance programme. The home is situated on a large corner plot overlooking the Solway Firth and has extensive gardens on all sides. There are shops, schools and local transport links close by. The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 17 The manager is responsible for all aspects of the home and was able to discuss with the inspector the internal decorations that had been completed since the last inspection. This included the refurbishment (to include carpets) of eight bedrooms, replacement beds in six bedrooms and new furniture purchased for five. There is further refurbishment of the communal areas planned for 2007. Although the home has two rooms registered as doubles these are only used for single occupation with all the remaining rooms registered as singles. All but two of the rooms have en-suite toilet facilities, the remainder having a washbasin in the room. All rooms are well decorated, warm and personal to each individual, as many residents have brought in special items from home. The home provides three lounges and a bright dining room with individual tables. There are other sitting areas around for residents to sit quietly if they wish. The large entrance hall has comfortable chair and residents who were sitting in the hall spoke to the inspector during the visit. There is also a smoking area for residents if they wish to use it. The home has separate laundry facilities on the lower ground floor away from the kitchen and dining area. The laundry has recently had new wall covering, which has made it much brighter and more hygienic. A good standard of hygiene is maintained throughout the home and domestic arrangements ensure the residents live in surroundings that are clean and pleasant. There are policies and procedures in place in relation to infection control and the safe handling of waste products, including clinical waste. The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff are trained and in sufficient numbers to fulfil the aims of the home and meet the changing needs of the residents. Recruitment and selection procedures safeguard the residents. EVIDENCE: The staff rota provided on the day of the visit evidenced that the number and skill mix were sufficient to provide a high level of care and support to the residents. There is always 4 or 5 care staff on duty during the day plus the manager, care co-ordinator, activities co-ordinator and administrator. There are 2 members of staff on duty during the night with extra night cover available if this is ever necessary. There is also a team of ancillary staff. The home benefits from having a fairly stable staff team with a number of staff having been employed for many years. National Vocational Training (NVQ) is available to all staff and information given by the manager prior to the visit confirmed that eight members of staff have qualified to level 2 or above and a further 4 have just started the course. Staff training is ongoing and evidence was available to show that all staff receive mandatory training, which is renewed at appropriate intervals. Training The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 19 is discussed during staff meetings and group supervision sessions. This ensures that members of staff are able to put forward suggestions to enhance their own professional development. A sample of staff files was examined and all contained the relevant information to meet the National Minimum Standards. All staff have enhanced Criminal Records Bureau (CRB) clearance prior to starting work. The home has a robust recruitment and selection policy in place in order to safeguard those living there. The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is extremely well managed and run in the best interests of the residents. Health and Safety procedures ensure the safety of the residents and staff. EVIDENCE: The registered manager, who has considerable experience in the care of older people, is a registered nurse and also has a management qualification. She is an internal verifier for the NVQ training courses and had undertaken a number of “short course” training initiatives. She has a high profile in the home and gives strong leadership and support to the staff. Residents and staff who spoke The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 21 to the inspector during the visit were very appreciative of the help and support they received and observation evidenced a very good rapport with those living in and visiting the home. She is available at any time for information, support and guidance. There are clear lines of responsibility and the manager works closely with the registered provider and staff to ensure the care provided remains at a consistently high level. Small amounts of cash are held on behalf of some residents, for personal spending and records are held detailing the amounts. All transactions are authorised by two members of staff and receipts are held on file. Staff supervision is carried out on a formal and informal basis when staff training, the care of residents and the general running of the home are discussed. The manager is currently reviewing the supervision documentation and is hoping to arrange staff training for the senior team in this area, as she feels this would formalise the whole system. The manager is in the process of conducting a management review throughout the home and looking again at the National Minimum Standards in detail in order to ensure all are not only met but are exceeded. All the policies and procedures were reviewed in August 2006. Information received prior to the visit confirmed that all equipment is serviced under annual maintenance contracts and a number of health and safety checks are routinely completed to ensure the safety of staff and residents. Record keeping is of a very high standard and is regularly reviewed by the manager to ensure the standard is maintained. Annual quality assurance questionnaire are sent to residents, staff and visitors and residents’ council meetings are held every six months. The manager considers the views of the residents and visitors very important to the running of the home and welcomes views and suggestions at any time. The manager has recently introduced a new assessment process and documentation in respect of risk management/risk assessment, particularly in relation to manual handling. Every resident has now been re-assessed using the new format, which has resulted in safer worker practices that are beneficial to staff and residents. Environmental risk assessments are in place and are reviewed and updated on a regular basis. The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 4 4 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 4 18 3 3 3 X X 3 3 3 x STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 4 3 X 4 The Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 23 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 Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Good Companions DS0000062105.V316617.R01.S.doc Version 5.2 Page 25 - 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!