Inspection on 14/11/06 for Touchstones

This inspection was carried out on 14th November 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

Touchstones 24/01/06

Touchstones 14/06/05

Touchstones 24/11/04

Touchstones 06/07/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Touchstones 11 Shakespeare Road Worthing West Sussex BN11 4AL Lead Inspector Mr D Bannier Unannounced Inspection 14th November 2006 10:00 Touchstones DS0000014800.V319964.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 Touchstones DS0000014800.V319964.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. Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Touchstones Address 11 Shakespeare Road Worthing West Sussex BN11 4AL 01903 230409 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) Mrs Joy Eileen King Mr Sean Wilson Care Home 19 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (19), Mental Disorder, excluding of places learning disability or dementia – over 65 years of age (7) Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only service users 18-65 years of age in the category mental disorder (MD) excluding learning disability or dementia may be admitted Only seven service users in the category MD(E) may be accommodated at any one time 24th January 2006 Date of last inspection Brief Description of the Service: Touchstones is a private care home registered to accommodate up to twelve residents with a mental disorder, aged 18 to 65 and seven residents with a mental disorder over 65 years of age. The property comprises of two private dwellings that have been re-developed into a single detached property. Accommodation is provided over two floors and includes a garden and some outbuildings to the rear of the property. The home is located close to Worthing Town Centre and seafront. The fees for this care home range from £303 to £364 per week. The Registered Provider is Mrs J King and the Registered Manager is Mr Sean Wilson. Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report has been written using new methods introduced on 1st April 2006. Some evidence used to assess standards has been gathered before this visit took place. For example, information has been used from the registered provider’s action plan that sets out how the requirements from the last inspection will be met; information has also been used from written reports of visits to the care home made by representatives of the registered provider. This visit was unannounced and started at 10.00am. It took place over three and a half hours. The inspector spoke to three of the seventeen residents who are currently living at Touchstones. This gave the inspector a picture of how it is to live at this care home. The inspector also spoke to two staff who were on duty. This helped the inspector to gain a sense of the work staff are expected to do. The inspector saw the communal areas and some of the private accommodation, with the permission of the residents living there. Some records were also examined. The inspector looked at those standards that are about how new residents are admitted to the care home; how residents are cared for; the daily life and social activities provided for residents; how the care home deals with complaints and how they protect residents from abuse; the environment in which residents live; how staff are recruited and trained; and how the care home is managed. Sean Wilson, the registered manager, was present throughout the inspection and kindly assisted the inspector with his enquiries. What the service does well: This is a care home where adults with mental illnesses continue to be well looked after. Staff are very caring and considerate and the atmosphere in the care is very homely. Staff know what to do to ensure residents feel safe and well cared for. Touchstones DS0000014800.V319964.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. Touchstones DS0000014800.V319964.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 Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has taken appropriate action to ensure all new residents’ needs are thoroughly assessed before they are admitted. EVIDENCE: The manager informed the inspector that one resident had been admitted since the last inspection. The inspector examined the records of this resident. Records seen confirmed that the manager had carried out an assessment of the resident’s needs. The paperwork seen confirmed assessments were comprehensive and covered such as areas as support care needs, social and cultural needs, risk assessments and a care plan. However, this had been carried out the week after the resident had been admitted. Following discussion the manager was advised of the importance of ensuring assessments are carried out prior to admission. This will mean that staff will have the necessary information so they can provide new residents with the support and care they require from the first day they move into the care home. Since this inspection took place the manager has confirmed that he has ensured residents needs have been assessed before they arrive in the care home. Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 9 Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. YA6 – The manager has ensured residents know their assessed and changing needs and personal goals are reflected in their individual care plan. YA7 – The manager and his staff have taken appropriate steps to ensure residents are able to make decisions about their lives with assistance as needed. YA9 - Residents have been supported by the manager and his staff to take risks as part of an independent lifestyle. EVIDENCE: The inspector looked at the records of three residents. They included detailed care plans, risk assessments and guidance for staff to follow regarding how care is to be provided for each resident. There was also evidence to confirm Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 11 that care plans have been regularly reviewed. Each resident and, where appropriate, their care managers had been consulted as part of this process. The inspector spoke to three residents. Comments made were very positive. One resident told the inspector, “ Staff understand how to provide me with the support I need. Staff encourage you to talk and to bring out into the open anything which is bothering you. I don’t bottle things up any more, I like to get things sorted. I think this the best home in Worthing!” Another resident said, “ I get a lot of support from the staff. They get to know your needs and get to know you as a person. My family and friends are always made welcome when they visit me. We are one big family here and we look out for each other.” A third resident proudly showed the resident their room as it had been redecorated and refurbished since the last inspection. From discussion with the resident the inspector learnt that the resident had planned this and carried out the work as well, with support from staff as necessary. This was clearly important for the resident as it ensured they were in control of the process from start to finish. The inspector also spoke to two staff who were on duty in the care home. Discussions revealed they understood the needs of residents and were able to confirm they knew how to meet them in accordance with recorded guidance. One resident, told the inspector they often visit their family who live nearby in the local community. Another resident said often get a lift into town with staff so they are able to go shopping or have a cup of coffee in a local café. Care plans provided staff with information about how residents should be supported in making decisions about their own lives. Staff were able to discuss with the inspector how support is provided to each resident. The manager informed the inspector that, currently two residents are looking after their own medication. They have been provided with a lockable facility to ensure medication has been stored safely. Care plans seen included appropriate risk assessments, which have been regularly reviewed with the involvement of the resident. Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 – 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and his staff team have ensured residents are enabled to take part in appropriate activities. The manager and his staff team have ensured residents are encouraged to be part of the local community. The manager has taken appropriate steps to ensure residents have appropriate personal and family relationships. The manager and his staff team have ensured residents’ rights are respected and responsibilities recognised in their daily lives. The manager has taken appropriate steps to ensure residents are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 13 Residents told the inspector of the activities they enjoy on an individual basis. One resident, told the inspector they often visit their family who live nearby in the local community. Another resident said often get a lift into town with staff so they are able to go shopping or have a cup of coffee in a local café. Residents told the inspector that the registered provider has a caravan, which is made available to residents if they want to take a holiday. Days out are also organised for residents during summer and the winter. Residents are also involved in the day to day running of the care home. A resident is the chair of the resident committee. The committee meets regularly with manager to discuss issues related to the running of the care home. It is also used to plan and organise events and outings for residents. The chair of the committee organises the agenda and also ensures minutes are kept of meetings once they have taken place. Care plans provided staff with information about how residents should be supported in making decisions about their own lives. Staff were able to discuss with the inspector how support is provided to each resident. According to the menu from Monday to Saturday, the midday meal consists of a light meal, whilst the main cooked meal of the day is served in the evening. On Sunday the main meal is served at midday with a light buffet meal served in the evening. Residents are encouraged to discuss and make suggestions for the menu at their meeting. An alternative meal option is provided each day along with a vegetarian option for those residents requiring this. One resident told the inspector, “The food here is good. If you ask for a certain meal the staff will do it for you. They vary the meals here a lot” The manager showed the inspector round the care home. The residents have their own kitchen where they are able to make hot and cold drinks for themselves. This area is also kept stocked with bread and sandwich fillings so that residents can make a snack for themselves if they are hungry. The inspector noted that staff were preparing lunch for residents. This meal was going to be baked tuna with rice with a vegetarian bake as an alternative. The inspector did not observe the meal being served. However, during its preparation, the meal looked very appetising. Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has ensured residents receive personal care in the way they prefer and require. Appropriate steps have been taken to ensure residents’ physical and emotional health needs are met. The manager has ensured residents can retain, administer and control their own medication where appropriate. They are also protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Residents told the inspector that they are supported in the way they prefer. One resident told the inspector, “ Staff understand how to provide me with the support I need. Staff encourage you to talk and to bring out into the open anything which is bothering you. I don’t bottle things up any more, I like to get things sorted. I think this the best home in Worthing!” Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 15 Another resident said, “ I get a lot of support from the staff. They get to know your needs and get to know you as a person.” Information provided in care plans confirm that residents’ wishes and preferences regarding the care they need has been recorded. The paperwork seen confirmed assessments were comprehensive and covered such as areas as support care needs, social and cultural needs, risk assessments and a care plan. This provides staff with information about the level of support and care each resident needs. Staff on duty were able to clearly demonstrate they understood the needs of residents and how they should be supported. The manager informed the inspector that, currently two residents are looking after their own medication. They have been provided with a lockable facility to ensure medication has been stored safely. Care plans seen included appropriate risk assessments, which have been regularly reviewed with the involvement of the resident. Other residents receive medication from the staff at prescribed times. Residents are expected to go to the office where staff will administer medication. Medication records seen were in good order and had been kept up to date. Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has ensured residents feel their views are listened to and acted upon. The manager has ensured residents are protected from abuse, neglect and self harm. This will be further improved once all staff have been provided with appropriate training. EVIDENCE: One resident told the inspector, “ Staff understand how to provide me with the support I need. Staff encourage you to talk and to bring out into the open anything which is bothering you. I don’t bottle things up any more, I like to get things sorted. I think this the best home in Worthing!” Another resident said, “ I get a lot of support from the staff. They get to know your needs and get to know you as a person. We are one big family here and we look out for each other.” Residents are also involved in the day to day running of the care home. One resident is the chair of the resident committee. The committee meets regularly with manager to discuss issues related to the running of the care home. It is also used to plan and organise events and outings for residents. Residents are Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 17 also encouraged to talk about any problems they may be having so that they can be sorted out. Care plans provided staff with information about how residents should be supported in expressing themselves when they have concerns. Staff were able to discuss with the inspector how support is provided to each resident. During the inspection the manager confirmed that staff have not received training in identifying and reporting abuse. However, since the inspection the manager has been researching local options in terms of purchasing appropriate training in this area. He expects to set up a programme for all staff in the near future. Residents spoken to said they felt safe and well cared for by the staff employed in the care home Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured residents live in a homely, comfortable and safe environment. The manager and his staff have ensured the home is clean and hygienic. EVIDENCE: The inspector visited the bedrooms of two residents, with their permission. The residents told the inspector that they are able choose their own furniture and make their rooms as individual and homely as possible. Rooms seen were well maintained, clean and well decorated. There was evidence that the two bedrooms visited had recently been redecorated and refurbished. The residents had clearly been involved in planning this and were very proud of the results of their work. One resident Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 19 said, “ I feel that this is my room. I have been able to arrange it the way I want to in order to make it homely.” The inspector was informed that two more bedrooms, which are currently vacant have also been redecorated. The inspector also viewed communal areas including the lounge, the conservatory, the smoking room, the dining room and the residents’ kitchen. These rooms had also been maintained and decorated to a good standard. The atmosphere throughout the care home was relaxed and felt very homely and welcoming. The inspector also viewed the kitchen, the laundry area and some bathrooms and toilets. These areas, residents’ bedrooms and communal areas were clean and hygienic. Some discussion took place with the manager regarding how laundry procedures could be improved to reduce the risk of cross infections. As there was no facility in the laundry for staff to wash their hands it is recommended that a supply of alcohol based gel is provided so that residents and staff can clean their hands after handling laundry. Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has taken appropriate steps to ensure residents are supported and protected by the home’s recruitment policy and practices. The manager has taken appropriate steps to ensure residents’ individual and joint needs have been met by appropriately trained staff. EVIDENCE: Following discussion, the manager identified one member of staff for whom a Criminal Records Bureau (CRB) check, or a Protection Of Vulnerable Adults (POVA) check, had not yet been applied for. The manager was advised to apply for these necessary checks without delay. The manager confirmed that, until the checks had been returned, he would ensure, where necessary, the member of staff does not work with residents unsupervised. This is to ensure residents are protected from possible abuse. Since the inspection, the manager has confirmed that a CRB check and a POVA check has been returned and they are clear. Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 21 There was evidence that staff had received training in a range of subjects including fire safety, health and safety and food hygiene. New staff had completed a structured induction programme including a basic understanding of mental illnesses. Staff on duty confirmed the training they had received and were able to explain to the inspector how the training they had received can be put into practice. There was no evidence that confirmed staff had received specific training in identifying and reporting different types of abuse and neglect. However, since the inspection the manager has been researching local options in terms of purchasing appropriate training in this area. He expects to set up a programme for all staff in the near future. Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured residents are benefiting from a well run home. The registered provider has taken appropriate steps to ensure residents’ views do underpin all self-monitoring, review and development by the care home. The registered manager has ensured the health, safety and wellbeing of residents have been promoted and protected EVIDENCE: Mr Sean Wilson is the registered manager. During the course of the inspection he has demonstrated he is well qualified to manage and provide a service to Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 23 younger adults with mental illnesses. Residents and staff informed the inspector he is very approachable and supportive. Staff were able to demonstrate they understand their role within the care home and the support they are expected to provide to residents. Care plans and records are informative and have been well maintained. Records seen showed that registered provider has visited home on a monthly basis in order to monitor the care and services provided. They also showed that residents and staff are spoken to during such visits. This is to find out if the home is being run in a way that suits them and also meets their needs. Residents told the inspector that they were very happy with the way is being run. One resident said, “It is the best care home in Worthing”. The inspector also learnt that a residents meeting is held regularly. A resident is the chair and also arranges the agenda. This resident told the inspector that the manager is also invited to attend and residents’ views are listened to. Minutes seen showed that residents are given opportunities to talk about the way the home is run and are able to give the manager ideas and suggestions to make improvements. For example residents are asked regularly for suggestions regarding activities and outings and also for menu suggestions. From direct observation of care practices and also following a tour of the premise there was clear evidence that the health, safety and wellbeing of residents have been promoted. Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 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 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 3 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 3 x 3 x 3 x x 3 x Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Touchstones DS0000014800.V319964.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!