Inspection on 30/04/07 for The Manor House Care Home

This inspection was carried out on 30th April 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

The Manor House Care Home 04/04/06

The Manor House Care Home 17/10/05

The Manor House Care Home 24/05/05

The Manor House Care Home 18/11/04

The Manor House Care Home 14/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Manor House Care Home Brook Street Sutton In Ashfield Mansfield Nottinghamshire NG17 1ES Lead Inspector Stephen Benson Unannounced Inspection 30th April 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 Manor House Care Home DS0000008716.V335496.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 Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Manor House Care Home Address Brook Street Sutton In Ashfield Mansfield Nottinghamshire NG17 1ES 01623 554552 01623 554552 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) Dr Sudaram Rai Dr Thambithurai Raj Chandran Maureen Goodwin Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within category OP Date of last inspection 12th October 2006 Brief Description of the Service: The Manor House is a care home providing personal care and accommodation for 25 older people. The home provides short term, long term and respite care and can accommodate emergency admissions. The home is owned by Dr Chandran and Dr Rai and is run as part of a small business. The home is located near the centre of Sutton in Ashfield close to shops, pubs, the post office and other amenities. The home was opened in 1997 and consists of an extended house. All of the homes bedrooms are single, and the majority of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a passenger lift. There are gardens to the front of the property and a small car park to the rear. There is a ramped access to the front door and most areas of the home are accessible to wheelchair users. The home does not provide a structured programme of activities. The manager said on 30/04/07 that the fees for the service range from £293 £326 per week depending on dependency needs. There are additional charges for hairdressing and chiropody. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2007 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The site visit lasted for 6 ½ hours and the main method of inspection used was called case tracking which involved selecting 4 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager and staff on duty, and care practices were observed. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. Survey forms sent to the home by The Commission for Social Care Inspection had been completed by the majority of residents and/or their relatives were seen. The registration certificate was checked and found to be incorrect as the new certificate including the registration of the new manager has not yet arrived at the home. What the service does well: Residents’ health is monitored to make sure any health problems can be attended to. Staff follow the correct procedures when giving out medication. This makes sure that residents take the correct medication. Staff know how to respect and promote residents privacy and dignity when caring for them. This makes residents comfortable with the care they receive. Residents spend time with residents, talking and taking part in various activities. Staff will take residents out if they want to go somewhere. This gives residents opportunities to have their social and recreational interests met. Staff encourage residents to make choices where possible. This helps residents to make decisions about their lives. Residents are provided with a choice of meal and mealtimes are well presented. This means that residents are able to eat something they like in pleasant surroundings. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 6 The home has a complaints procedure, which has been used by residents and relatives. This shows that residents are able to raise things they are not happy with. Staff were aware of the Adult Protection Procedures and whistleblowing policy, which means that staff know how to protect residents from abuse. There is a programme of decorating and replacing carpets, and the home was kept clean and tidy. This makes a pleasant environment for residents to live in. 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 Manor House Care Home DS0000008716.V335496.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 Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. More could be done to make sure that residents’ needs are known before they move in to the home. The home does not offer an intermediate care service. EVIDENCE: The care plans were looked at for three residents who have been admitted to the home recently. There was some assessment information, including information provided by the local authority, for some residents. However there was no information about the home’s assessment and some needs identified were not included in care plans. The manager said that she was working to improve the admissions process and had prepared a pre assessment form, but had not yet used it. The form was The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 9 seen and this did not include all the areas to be assessed listed in Standard 3 of the National Minimum Standards, for example details of social interests, hobbies, religious and cultural needs. Staff said that they were told information about new residents but didn’t always see the written information. A recently admitted resident said, “Nobody came to visit me from the home, my daughter arranged for me to come here”. The manager said that anyone is welcome to apply for a place providing they fall within the registration category for the home. There is no arrangement made for the home to provide an intermediate care service. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The level of care provided is not shown in the care plans. Action is taken to rectify any mistakes that occur. EVIDENCE: A sample of four care plans were looked at. These were lacking in detail, for example one resident who has a history of falls did not have a risk assessment or care plan for preventing any further falls. Plans were difficult to use as they were not laid out in a way that made them easy to refer to. There were some monitoring forms that were not being completed as required and where risks were identified these did not always have a supporting plan, for example one resident who was assessed as being at risk of pressure sores did not have any further information about this. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 11 The manager said that she has done some work on care plans, but needs to revisit how they are being done. Staff said that senior staff have more to do with care plans than them, but they do record some information in them. Staff said they don’t usually use care plans for reference. A resident said, “I haven’t had a care plan discussed with me, I would like to talk about my care, I need some exercises”. In the survey forms sent to residents by The Commission for Social Care Inspection that were returned, 8 residents said that they always receive the care and support they need and 4 said they usually do. There were forms to record any healthcare appointments on and these showed that doctors and district nurses regularly visit the home. The manager said that an optician had visited the home recently and a chiropodist comes regularly. A pair of glasses were seen in one residents room that had scratched lenses, and the resident said, “I could do with some new lenses”. The manager said that she would sort this out. An ambulance came to collect one resident for a hospital appointment. The manager made sure the resident had eaten his lunch first so he would not be hungry waiting at the hospital. A member of staff went with the resident and when they returned told the manager that the hospital had said they were doing a god job and the resident hade made progress. Staff said that they keep a watch residents well being, including their weight and appetite. A resident said, “They will get me a doctor if I need one”. The manager said that only trained staff give out medication and a monitored dosage system is used. The manager said there had been one occasion where a new resident had run out of medication for one day and she had taken action to prevent this from happening again. There was a record of this in the senior staff meeting minutes and in the complaints book. The lunchtime drugs round was observed and safe practices were followed, including watching residents take their medication. Medicine Administration Records were fully completed. A resident said, “Staff give me tablets morning and night, I never have to remind them. They have never run out of my tablets and they always watch me take them”. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 12 The manager said that respecting residents privacy and dignity is included in the induction for new staff. A male carer said that he had checked with all the female residents if they had any objections to him helping them, and one had said that she would prefer to be assisted by a female. Staff described good practices in promoting residents’ privacy and dignity, including keeping doors closed, drawing curtains and explaining to residents what they are doing before they start. A resident said, “When staff help me I feel comfortable”. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 13 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have opportunities to satisfy their social, cultural, religious and recreational interests and needs through opportunities provided within the home, the local community and being able to maintain relationships. Residents are helped to exercise choice and control over their lives and receive a wholesome and balanced diet. EVIDENCE: Staff were seen spending time with residents and talking about various things, including what they had done over the weekend, what the weather is going to be like this week and how things had been in the past. There was a good level of interaction which residents appeared to enjoy and were asking staff questions. Staff were seen playing a game of dominoes with some residents and there were flower displays on the dining room tables which the manager said had been made by residents. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 14 There was information about activities on a notice board, which included a weekly baking session where residents can make cakes for tea. There was a diary for staff to record any quality time spent with residents. The manager said that all Christian festivals are celebrated and she is looking to establish a fortnightly church service. There was a record in the diary showing the first service had been held recently. One resident has declared an interest in gardening and the manager said she is looking to get residents involved in planting some pots and hanging baskets. Staff said they have games and puzzles that are suitable for residents to use and that visiting entertainers come to the home. In the survey forms sent to residents by The Commission for Social Care Inspection that were returned, 6 residents said that activities are arranged by the home they can take part in, 4 said they usually are and 2 said sometimes. The manager said that some trips out to local places of interest are being organised. Staff said that some residents ask to go out and they try to arrange this. One resident spoke of going out with a member of staff. Staff said that visitors are welcome to visit and the visitors book showed that there are regular visitors to the home. Staff were able to describe ways that they provide residents with choices and were seen offering choices they could when speaking with residents. Examples include what drink they would like, where they wanted to sit and what they would like for lunch. Staff said they try to help residents with making choices and gave the example of telling them what the weather is like to help them decide what they want to wear. Residents said they are able to get up when they choose, they tell staff when they like to be called in the mornings. A resident said, “There is no ‘you have to do this’ or ‘you have to do that,’ that’s what I like about the place”. There was a choice of corned beef pie or braised steak for lunch and the menu showed there is a choice at every meal. There was also a choice of drink available including lemonade and the manager said that wine is sometimes provided. Tables were suitably laid and linen serviettes were provided. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 15 A new system had been introduced for serving lunch, with vegetables being put onto tables in serving dishes. Staff, and in some cases other residents, then helped to serve these. Residents said they had liked this as they had been able to choose what they had and how much. The manager said that she intends to review the menu soon to see if there are any other dishes residents would like. In the survey forms sent to residents by The Commission for Social Care Inspection that were returned, 9 residents said that they always like the meals in the home and 3 said they usually do. The Manor House Care Home DS0000008716.V335496.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place for residents to raise complaints and protect residents from abuse. EVIDENCE: The home has a complaints procedure and a complaints book to record any complaints in. There were 8 complaints that have been recorded since May 2006, made by residents or their relatives and 1 by a friend. Examples of complaints made include running out of a resident’s medication and a new resident suiting in someone else’s chair. These were all appropriate complaints and had been suitably responded to, although the recording of the complaints could be better organised so that all information is kept together about each complaint. Staff were aware of the complaints procedure and knew that any complaint should be written into the complaints book. A resident said, “I would complain to the manager, she comes round every day”. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 17 In the survey forms sent to residents by The Commission for Social Care Inspection that were returned, 12 residents said that they knew who to speak to if they were not happy and they knew how to make a complaint. The manager said there have not been any reported incidents of abuse and that any form of abuse or discrimination would not be accepted and would be dealt with by following the Adult Protection Procedures. The manager could not find the Adult Protection Procedures and said she would download a new set from the adult protection website. The home has a whistleblowing policy. Staff have had training on safeguarding adults and were aware of the Adult Protection Procedures and whistleblowing policy. Staff said that external doors are alarmed so they know if a resident is trying to leave the building. A resident said, “I feel safe here, I have never been treated badly”. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 18 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a safe, well-maintained environment, which is clean, pleasant and hygienic. EVIDENCE: The manager said that some new carpets have been laid and more will be over the coming months. The manager also said that there are plans to decorate the communal areas and to improve the garden area, including laying a patio. The manager said that any repairs are reported in the handyman’s book, who comes to the home three times a week. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 19 Staff said they thought the building was suitable for the tasks they have to do and have plenty of room. A resident said, “I can get to all areas of the home. When I go in the lift someone comes with me”. In the survey forms sent to residents by The Commission for Social Care Inspection that were returned, 10 residents said that the home is always fresh and clean and 2 said it usually is. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 20 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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are insufficient management hours allocated to run the home. Recruitment practices are not as robust as required. EVIDENCE: The home has assessed their minimum staffing levels to be 3 care staff during the day and 2 care staff at night. There were 3 care staff on duty and the rota showed that this was provided each day. In addition the home employs a cook, kitchen assistant, handyman and cleaners. The manager is employed for 30 hours week, and is unable to complete all the management tasks in that time, including the management of the care planning system. Staff said that they need to have 3 people on duty to carry out their duties, and this allows them to spend some quality time with residents. The home employs male and female staff of varying ages and from differing ethnic backgrounds. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 21 In the survey forms sent to residents by The Commission for Social Care Inspection that were returned, 7 residents said that staff are available when you need them and 4 said they usually are. The manager said that all care staff have either completed National Vocational Qualification training level 2 or were signed up to do this. Some certificates were seen on staff files and the training record showed this to be the case. Staff files seen showed that the correct recruitment practices are followed, but the manager did not have the correct information regarding Criminal Record Bureau checks, believing that anyone with a Criminal Records Bureau check from their previous employment counts as a Protection of Vulnerable Adults check whilst waiting for a new Criminal Records Bureau check to be returned. The home follows their equal opportunities policy in the recruitment of new staff. The manager said that all mandatory training has either been provided or is planned over the next few weeks. Training records showed this to be the case. There is Health and Safety training planed later in the week. There is an induction programme for new staff and one staff is doing the Common Induction Standards, which the manager said she intends to use for all new staff from now on. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 22 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable management systems in place for the smooth running of the home and to protect residents. Residents express their views on how the home is run. EVIDENCE: The manager has worked at the home for a year and successfully completed the registration process in March 2007. The manager has signed up to take the Registered Managers Award. Staff said that the manager is approachable. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 23 In the survey forms sent to relatives by The Commission for Social Care Inspection there were several comments made that the home had made improvements in the last year since the manager came to the home. The manager has prepared a survey form, which she is going to give to residents and relatives to find out their views on services in the home. The manager distributed survey forms sent by The Commission for Social Care Inspection to residents and relatives and there was a high return rate of these. The home will hold money for residents to pay for hairdressing, chiropody and other incidentals. A record is made of each transaction and signed and witnessed. Receipts are kept when available. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Dates of tests were recorded in the pre inspection questionnaire showing they are regularly carried out. A sample of these were looked at and found to be correct. The Manor House Care Home DS0000008716.V335496.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 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 X 3 The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 25 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. 1. Standard OP3 Regulation 14(1)(a) Requirement Timescale for action 01/06/07 2. OP7 15(1) 3. OP27 18(1)(a) 4. OP29 19(1)(ii) New residents must be fully assessed before they move into the home. This is to ensure that the home is able to meet their needs, and know how this should be done. All people using the service must 01/07/07 have an up to date, detailed care plan. This will ensure that they receive person centred support that meets their needs. Sufficient management hours 01/06/07 must be allocated to make sure all management tasks are fully completed. This will ensure that residents live in a well run home. New staff must have either a 14/05/07 Criminal Records Bureau check or a Protection of Vulnerable Adults check before they can start work. This is to ensure that residents are cared for by appropriate people. The Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 26 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 Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 27 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 Manor House Care Home DS0000008716.V335496.R01.S.doc Version 5.2 Page 28 - 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!