Inspection on 14/07/06 for The Stables

This inspection was carried out on 14th July 2006.

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 Stables 01/05/07

The Stables 25/10/05

The Stables 25/05/05

The Stables 27/09/04

The Stables 05/05/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 The Stables The Stables Bisterne Ringwood Hampshire BH24 3BN Lead Inspector Annie Billings Unannounced Inspection 14th July 2006 10:00 The Stables DS0000011981.V297263.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 Stables DS0000011981.V297263.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 Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Stables Address The Stables Bisterne Ringwood Hampshire BH24 3BN 01425 478043 01425 461076 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) The Stable Family Home Trust Kevin Michael Forward Care Home 8 Category(ies) of Learning disability (8) registration, with number of places The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2005 Brief Description of the Service: The Stables is managed by The Stable Family Home Trust and is registered to provide care and accommodation for eight adults with learning disabilities. The home is located in Bisterne, three miles outside of Ringwood and is set in four acres of agricultural land and gardens. The home forms part of the Old Stables, which also provides a day, employment, training and leisure service for up to seventy service users each day, although these services do not form part of this inspection. The current scale of charges advised in the pre-inspection questionnaire is approximately £1700 per month. Additional fees are charged for day care and chiropodist services. Each service user is provided with a copy of the statement of purpose and service user guide. Additional copies are available in different formats, and a copy of the latest inspection report is available in the reception area of the home. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five and a half hours, during which time, all of the core standards were assessed and two issues identified at the last inspection were followed up. A partial tour of the premises was undertaken, including all communal areas and two bedrooms. Feedback on the service was received from all eight service users and two relatives. Discussions were held with the registered manager, three members of staff and four service users as well as sampling of records, files and observation during the visit, all of which contributed to the findings of this report. Additional information was supplied within a pre-inspection questionnaire completed by the service. What the service does well: The home makes sure that they know what care potential service users need and ensure they are able to meet those needs before the person moves in. Feedback from all eight service users confirmed they are well supported by staff, and they are involved in developing a care plan that meets their personal care and health care needs with the support of local health professionals. Three relatives who commented also confirmed their satisfaction with the service; saying “… received excellent care, support and encouragement. I consider The Stables to be exceptional in their standards and care”, and “I am very satisfied with the care and attention...” All confirmed they are kept well informed, and visits to the home are welcomed. Activities and diet are well organised, reflecting service user likes and dislikes as much as possible, while promoting healthy eating. People living in the home take part in a range of educational and leisure activities and support is given for people to find paid work. The accommodation provides a range of pleasantly decorated, clean and comfortable communal areas and bedrooms have been personalised to match peoples’ personalities. Staff demonstrate a thorough awareness of service users’ needs and the guidelines put in place to minimise any risk identified to promote service users’ rights and promote independence. Good systems have been developed for communication, recording and information sharing that demonstrate the service is meeting service user needs, and that service users are involved in the running of the home. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 6 Management systems are well organised and up to date, to ensure that the service continues to run in the best interests of service users. 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 Stables DS0000011981.V297263.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 Stables DS0000011981.V297263.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The systems for assessing service users’ needs are good, leading to a clear understanding of their support needs and objectives in life. EVIDENCE: Three service users’ files were viewed. Each of these files contained a needs assessment that was completed prior to the service user moving into the home. Copies of the assessments completed by care managers were also available. No service users have been admitted to the home since the last inspection and there are currently no vacancies at the home, although one is to become available in the near future. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There are clear care planning systems in place, which enable service users to make decisions about their lives and set personal goals. The system for completing risk assessments is good, enabling action to be taken to minimise identified risks. EVIDENCE: Three files viewed during the visit contained a service user care plan, which set clear objectives for the service user. These plans had been regularly reviewed and updated where necessary, and there was evidence that service users had been involved in this process and had signed their plans to confirm their agreement. One service user reported that they had been involved in the setting of their plan and its review. The manager said that service users were continuing to develop their own person centred plans, with the support of their key worker. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 10 Risk assessments were in place for all service users and covered all aspects of daily living, as well as individual activities being undertaken. There was evidence these had recently been reviewed, although in one file seen it was unclear which were current. The manager agreed to discuss this with the keyworker concerned. The assessments included actions that should be taken to minimise the risks identified, and discussions with staff confirmed their awareness of the need to work within the guidelines given on the assessment. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home offers service users a good range of educational and employment opportunities and supports service users to be active members of the community. Relationships and the provision of a healthy diet are well managed. EVIDENCE: Care plans and activity records sampled show a wide range of opportunities made available to service users, making particular use of the day service available on the premises which offers a variety of training including pottery, carpentry, music and computers. Service users and staff discussed a range of activities they undertake, including swimming and kayaking, and one service user is employed in the kitchen of a local public house. Public transport availability in the evenings is very limited in the area, although staff advised that the use of taxi services and staff transport ensure that access to evening activities is not restricted. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 12 Service users confirmed that visitors and family are welcomed, and that staff treat them well and with respect. They also confirmed that daily living skills are promoted, and a rota of domestic chores was seen displayed in the kitchen. These tasks are also detailed within care plans seen, and following risk assessments for the use of domestic appliances, records the staff support necessary in meeting the objectives. All service users confirmed they like the food, and regularly participate in shopping for the home. The main meal of the day is normally taken at the day service, and the manager confirmed that the planned evening meal menu is based around service user preference, and encourages healthy eating. Although this menu does not offer a choice, service users said they could always have something different if they wish. One said they had enjoyed fish pie for lunch. Staff were seen giving support at lunchtime within the day service. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Systems are in place to ensure that personal care and health needs are met. The home has a suitable medication system, although procedures were not being followed, which could compromise service users safety. EVIDENCE: Records seen confirm that health care needs are addressed promptly and efficiently, with appropriate support from staff to attend various appointments where necessary. Clear direction is given to staff within care plans on how to support peoples’ needs, based on the individuals’ preference. Health needs are closely monitored, with the support of the health care team, referral to appropriate specialists as seen within files, and specialist training of staff. Each service user had an “ok health check” which was completed annually by staff at the home. Information within the files sampled confirmed service users have access to a local GP, community dental and podiatry services, and local opticians. Medication is stored in a locked cabinet in the office. The medication administration records sampled were fully completed and the balance recorded The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 14 matched the stock held. Following a requirement at an earlier inspection, medication no longer required had been returned to the pharmacist, although records of this are not kept. An out of date pot of cream was found on this occasion, which the manager advised was no longer prescribed. The manager was again reminded to ensure that any medication is returned to the pharmacy promptly. The manager agreed to start a “returns” log, to ensure there is a clear audit trail of medication brought into and leaving the home. One service user had been prescribed Risperdal “as and when required”. It was discussed with the manager that staff are not qualified to make this decision. This was agreed, although following further investigation discovered that this medication was being administered daily. This change of frequency is not supported by written instructions from the GP. The manager agreed to contact the surgery to ensure these are put in place. The majority of staff had received medicine management training, although new staff had only received the in-house medication induction. The manager and staff confirmed that competency assessments had been undertaken. These however had not been recorded, and the manager agreed to develop a formal assessment tool, to demonstrate competency in this area. None of the existing service users self-medicate, as the manager advised they had chosen to receive staff support. This choice is not recorded, and the manager agreed to document this within their files. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. 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 the service. The home has a satisfactory complaints procedure which service users know how to use. Staff have a good understanding of adult protection issues, which protects service users from abuse. EVIDENCE: The home has a complaints procedure in place that includes details of who would investigate a complaint and the time within which a complainant could expect a response. Contact details of the Commission for Social Care Inspection were also available. One of three relatives who volunteered feedback indicated their lack of awareness of the policy, although a copy is made available in the reception area of the home. The complaints book was viewed and details were available of complaints made and the action taken by the home as a result. One service user confirmed their satisfaction with the outcome of their complaint, and all eight confirmed they knew who to talk to if they were unhappy. An independent advocate is also available to support service users, and the key worker system in operation allows staff to build close relationships with service users to enable them to identify indicators or behaviour patterns when a service user is unhappy. All staff spoken with had a good understanding of abuse, and the reporting procedures in line with the home’s policy, and were able to confirm they had received training in the protection of vulnerable adults. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 29 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Service users can be assured that the home is clean and maintained to a reasonable standard, although two would benefit by having their own individual rooms. Systems in place to ensure the safety in the home must remain effective. EVIDENCE: All of the communal areas of the home were seen during the visit and were bright, airy and well maintained. Furnishings were domestic and of good quality throughout the home. Two service users agreed to show their bedrooms, which they said they were happy with. Both were well furnished and had been personalised by the service users. The exterior of the building is currently scaffolded, as repairs are being undertaken to the roof. This does not affect service users, as windows can still be opened. Two issues were identified within bathrooms. The temperature of bath water delivered in the men’s bathroom was very hot, and could have caused The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 17 scalding, as service users made use of this facility without assistance from staff. Although this is monitored regularly by staff, the manager agreed the temperature was excessive, and following risk assessment agreed to put measures in place that day, until the problem could be corrected. The ceiling surface in the communal shower is peeling off. The manager noted this in the maintenance book, and confirmed this would be addressed as soon as possible. Two service users currently share a bedroom and both have said previously that while they were okay with this, they would prefer to have their own room. The manager showed plans that have been drawn up to provide a single bedroom for all service users, some of which will benefit from en-suite facilities, although this refurbishment is not expected to be completed for another eighteen months. The manager confirmed that areas requiring attention are still being addressed, although the rolling programme of decoration is on hold, until such time as the major refurbishment work planned has been completed. The home was clean throughout and domestic style laundry facilities were available in the office area. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The staff team are competent and well trained, ensuring service users receive the support they need. The home has a robust recruitment process in place, but must ensure that they follow up and record any issues identified within application forms during the interview process. EVIDENCE: All service users confirmed that they receive adequate support and are well cared for by staff, and that they treat them well. Feedback from relatives was equally positive, with one commenting, “I consider The Stables to be exceptional in their standards and care”. Many of the staff team have worked at The Stables for a number of years, and have built good relationships with the service users. Those spoken with had a good understanding of people’s needs, and how to meet them. Two more recently employed staff members have commenced their internal induction programme, but due to long-term absence this has yet to be completed, and have therefore not commenced the Learning Disability Award Framework induction. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 19 Two staff members are currently undertaking a National Vocational Qualification (NVQ) level 2, and the manager level 4. The manager confirmed that other staff are actively encouraged to enrol, and this is addressed at supervision. Three staff files were sampled, and these confirmed that all pre-employment checks are now undertaken, including a criminal records bureau check, prior to commencement of employment. Prospective staff are interviewed by an interview panel including service users, which is seen as good practice. One application viewed however, identified a gap in employment history, and another a health issue. Although steps had been taken to ensure the safety of service users and the member of staff, neither issue had been addressed or recorded within the interview process. This was discussed with the manager, who agreed to ensure this would be done in the future. Records show that staff had undertaken training in first aid, food hygiene, adult protection, medication administration, fire safety, challenging behaviour, risk assessment and health and safety in the workplace. The manager provides much of this training in-house, following “Train the Trainer” courses in various subjects. A number of shortfalls were identified in the training plan provided, although the manager confirmed their awareness of these, and dates were already set to address these. There is an intention for this to be managed centrally by the training manager in the future, to ensure that update requirements are accessed and delivered promptly. Staff spoken with confirmed they undertake update training on a regular basis to ensure they are aware of good working practice, and can request specialist training in particular areas of service provision, to improve the support given to service users. They also confirmed that training needs are discussed at regular supervisions. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. 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 the service. The clear leadership provided by the manager ensures that outcomes for service users continue to improve and that staff and service users are involved in the running of the service. The health and safety practices in the home are generally satisfactory. EVIDENCE: The registered manager, Kevin Forward, has been in post for approximately eighteen months, since when he has undertaken a variety of training courses to expand and update his knowledge and skills. Currently undertaking NVQ4 in management, the manager said they have regular opportunities to network with other managers within the group, and to discuss opportunities for service improvement. Comments made by staff confirm that Kevin has a “hands on” management style and is both approachable and supportive. Interaction observed between the manager, staff and service users was very positive. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 21 Good communication systems have been developed to ensure that staff are fully informed of service users changing needs, and appropriate guidelines and risk assessments have been put in place to ensure the welfare of both staff and residents. Generic risk assessments and policies are currently being reviewed to ensure that staff adhere to good practice. The manager was reminded to ensure that storage of dishwasher tablets under the kitchen sink was risk assessed, as one is not in place. One issue relating to unsafe moving and handling practice was identified within an accident report. The accident related to a service user falling from a stair lift, which has since been removed from the home, and involved a new member of staff who had not received moving and handling training. Moving and handling policy and procedures could not be clarified during the visit, as a policy relating to the home was not available. It has since been confirmed that the policy is currently under review, but the manager has given assurances that all amended policies are brought to the attention of all staff, who sign each policy to ensure they have been read and understood. The organisation has an internal quality audit system, and on a monthly basis seeks the views of staff, samples training and maintenance records, views the environment and observes care practice. Service user meetings are held monthly, to ensure that service users are fully involved in the running of the home, and have access to an independent advocate if they require further support. Meeting minutes sampled and discussion with the manager confirmed that action is taken as a result of issues identified. An annual quality audit is also undertaken to ensure service user satisfaction, although the manager advised that new guidelines were due to be issued. Appropriate systems are in place to ensure that health and safety practices and procedures are up to date and well maintained. One issue identified within the environment could potentially put people at risk, however this was dealt with immediately. Information supplied confirmed that equipment and systems in the home are regularly serviced and well maintained, and the manager is aware of changes to fire regulations expected later in the year. This is to be discussed with other managers at a later network meeting. Environmental Health visited the home in October 2005. Issues identified have been addressed, including the fitting of fly screens in food preparation areas. Domestic laundry facilities are available in the office, although there are plans for the office to be relocated as part of the refurbishment. Both areas were clean and hygienic. Three service users personal allowances were checked, records found to be well maintained and balances correct. The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 22 The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 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 2 25 X 26 X 27 X 28 X 29 3 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X The Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 24 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 Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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 Stables DS0000011981.V297263.R01.S.doc Version 5.2 Page 26 - 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!