Inspection on 10/10/06 for Trent House

This inspection was carried out on 10th October 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 found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Trent House 21/02/06

Trent House 22/09/05

Trent House 12/01/05

Trent House 09/08/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Trent House Balcombe Road Horley Surrey RH6 9SW Lead Inspector Mr E McLeod Unannounced Inspection 10th October 2006 09:30 Trent House DS0000014804.V303801.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 Trent House DS0000014804.V303801.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. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Trent House Address Balcombe Road Horley Surrey RH6 9SW 01293 785938 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) Ashcroft Care Services Ltd Sharon Ann Davies Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That no more then 6 male and/or female service users in the category of learning disability be accommodated. 21st February 2006 Date of last inspection Brief Description of the Service: Trent House is a care home registered to accommodate up to 6 service users aged 18-65 in the category of learning disability. The premises are situated in their own grounds in a rural area near Horley which comes within West Sussex. The premises include some accommodation for semi-independent living. The registered provider is Ashcroft Care Services, for whom the responsible individual is Mr Charles David Holmes. There is no registered manager at present. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was arranged to assess action taken to meet requirements made at the previous inspection, and to provide an assessment of how the home is presently performing to key National Minimum Standards, care homes for adults aged 18-65. Written information received from the provider was used in the planning of the inspection, and some of that information has been included in this report. No views from residents or their relatives, friends or advocates or other professionals on the performance of the service were received prior to the inspection. On the inspection visit the inspector interviewed two residents, two members of staff, and the registered manager. No relatives, friends or external professionals were interviewed on the day of the inspection visit. Care records, staff recruitment and training records, and policies and procedures were sampled. A partial tour of the premises was made. What the service does well: Residents are being supported to lead full lifestyles, and to make choices on how they wish to lead their lives and develop their skills and interests. Residents’ health care needs are being met. Arrangements are in place for the protection of residents from abuse, and the home has acted to protect residents. The accommodation provides a homely environment for four residents, and semi-independent bed sit and flat accommodation for two residents. All communal areas are decorated and furnished to a good standard. The accommodation is comfortable, homely and bright. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Care plans need to better set out the range of the resident’s care needs, and guide staff on how these needs will be met. Adult protection procedures in the home remain in need of updating. Care staff should hold a care NVQ2 or 3, are working to obtain one by an agreed date, or the registered manager can demonstrate that through past experience staff meet that standard (standard 32.5). Arrangements to ensure there is an annual survey of the views of residents at Trent House, their friends and relatives, and stakeholders in the community on how the service is performing must be put in place. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 7 Documentation held in the home on staff recruited needs to be improved to better protect residents. 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. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 8 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 Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 9 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): YA1, YA2 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. (YA1) Prospective residents have the information they need to make an informed choice about where to live. (YA2) Prospective residents’ individual aspirations and needs are assessed. EVIDENCE: The statement of purpose and service user guide for the home have been updated since the previous inspection, and these contain information on the service provided for residents and prospective residents in a suitable format. Contracts are being provided for residents accommodated, and contracts for two residents were sampled. Prospective residents are being encouraged to visit the home, and to have meals and overnight stays before making a decision about coming to live there. Arrangements are in place for prospective residents to have their needs assessed by appropriate staff before they commence a trial stay. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 10 The weekly level of fees in the home is provided in the Statement of Purpose. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 11 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): YA6, YA7, YA9 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. (YA6) Care plans do not describe the services and facilities to be provided by the home and how these services will meet current and changing needs and aspirations and achieve goals. (YA7) Residents are making decisions about their lives with assistance as needed. (YA9) Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: Two sets of care plans were sampled, including learning plans, key worker action sheets, daily records, activity plans, risk assessments and STAR profiles. There was evidence that the key work system is working well, and Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 12 residents are being supported to develop their independence skills and achieve their potential. Care plans provided however were not always reflecting the changing needs of residents or the most recent assessments carried out. Care plans are not always setting out in a clear way the range of the resident’s care needs, or providing guidance for staff on how these needs should be met. Information on local advocacy services is held in the home. Care plans seen, and interactions between staff and residents observed, indicated that residents are supported to take their own decisions and improve their independence skills. Staff provided examples of how residents are being supported to take responsible risks which will increase their independence or lifestyle choices. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 13 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): YA12, YA13, YA15, YA16, YA17 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. (YA12) Residents are able to take part in age, peer and culturally appropriate activities. (YA13) Residents are supported to be part of the local community. (YA15) Staff support residents to maintain family links and friendships inside and outside the home, subject to restrictions agreed in the individual plan. (YA16) Residents’ rights are respected and responsibilities recognised in their daily lives. (YA17) Residents are offered a healthy diet and enjoy their meals and mealtimes. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 14 EVIDENCE: Activities provided in the home for residents include videos, foot spas, art and crafts, beauty treatments, games and puzzles, cookery and music sessions. In the community, residents can choose to attend the cinema, go on walks and bike rides, visit pubs, leisure centres, and go bowling, swimming and horse riding. Residents are being assisted to attend college and adult education where they wish, and residents interviewed valued the courses attended. Contact with families and friends is being supported, through phone calls and visits, and residents invited friends and family to the barbecue held recently at the home. Residents’ individual food likes/dislikes are being catered for, and menus seen indicate that a balanced diet is being provided for residents. Residents contribute to menus, and a choice is offered at each meal. The kitchen is well equipped, with adequate work surfaces and preparation areas. There are facilities for tea and coffee making for residents. Residents have been involved in choosing a new sofa/chairs suite, and garden furniture. Residents’ meetings are taking place, and records of these meetings indicate that residents’ views are being listened to and acted upon. The staff team and resident group are multi-racial. Residents are being supported in the home to lead full lifestyles, whatever their disability, race or gender. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 15 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): YA18, YA19, YA20 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. (YA18) Staff provide sensitive and flexible personal support and nursing care to maximise residents’ privacy, dignity, independence and control over their lives. (YA19) Residents’ physical and emotional health needs are met. (YA20) Residents retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Each resident has one or two key workers in the home allocated to them, which helps increase staff interaction and communication with the resident and Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 16 helps ensure that residents are receiving care and support in they way they prefer. Staff interaction with residents observed by the inspector indicated that residents’ privacy, dignity, independence and control over their lives is being supported by staff. The key worker system is also ensuring that residents’ emotional health needs are being met. Discussions with residents indicated that they feel safe and secure in the home, and that the staff team are providing a consistent level of support. Care plans and daily records seen indicate that residents are accessing the health care they are in need of. For example, one resident has had tests for epilepsy, which resulted in a change of medication which has improved his behaviour, and resulted in less fits and less confusion. Medication records were seen, including the record of a pharmacy inspection dated 5.9.06. Care staff who administer medicines undertake an accredited training. One resident holds some medication, and has a lockable cupboard in her room for it. Leaflets on the medication administered are held by staff. Procedures are in place for the administering of medicines. The previous requirement made on the administration of medicines is now assessed as met. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 17 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): YA22, YA23 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. (YA22) Residents feel their views are listened to and acted on. (YA23) Residents are generally protected from abuse, neglect and self-harm, but this would be improved by adult protection procedures in the home being updated. EVIDENCE: A complaints procedure dated 10.2.04 is in place, and the complaints records were seen. No complaints are recorded since the previous inspection. Interaction observed between residents and staff indicated that residents feel their views are listened to and acted on. Staff interviewed said that training provided had alerted them to the signs to look for that might indicate when a vulnerable person is being abused, and to ensure that no bullying is taking place. The registered manager has recently attended a seminar for managers on updates to the West Sussex local adult protection procedures. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 18 A requirement was made at the previous inspection that adult protection procedures should provide better guidance for staff – however, the adult protection procedure seen on the day of the inspection had not been updated. In the past 12 months, 2 adult protection investigations have taken place, where the home have acted to protect residents and has involved other relevant agencies in drawing up a protection plan. The provider acts as financial appointee for five residents, for which records and kept. Residents receive their full personal allowance to dispose of as they wish. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 19 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): YA24, YA30 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. (YA24) Residents live in a homely, comfortable and safe environment. (YA30) The home is clean and hygienic. EVIDENCE: Improvements to the premises since the previous inspection include the fitting of water temperature regulators, the replacement of the shower and shower tray in the ground floor shower room, the provision of some new furniture and radiators, and some redecoration. The accommodation provides a homely environment for four residents, and semi-independent bedsit and flat accommodation for two residents. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 20 A partial tour of the premises was undertaken. All communal areas are decorated and furnished to a good standard. The accommodation is comfortable, homely and bright, and communal areas have good natural light and access to an extensive garden and grounds. No concerns relating to the safety of the environment were noted by the inspector. Gardens and exterior areas are well maintained. All parts of the home visited were clean and hygienic. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 21 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): YA32, YA34, YA35 The quality of outcomes for residents in this section is adequate. The judgement has been made using available evidence, including a visit to the service. (YA32) Staff have the competencies and qualities required to meet residents’ needs. However, the provider needs to ensure that care staff hold a care NVQ2 or 3, are working to obtain one by an agreed date, or the registered manager can demonstrate that through past work experience staff meet that standard. (YA34) Residents are not supported and protected by the home’s recruitment policy and practices. (YA35) Residents’ individual and joint needs are being met by appropriately trained staff. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 22 EVIDENCE: Activities and support of residents observed by the inspector during the visit indicated that staff have the skills and capabilities to meet residents’ needs. Residents find the staff team approachable and helpful. Discussions with staff indicated that the staff team see residents’ wishes and needs as paramount to how they work. One member of staff said that “the atmosphere is lovely. Staff work really well together. Staff all stick to the behaviour guidelines for clients”. !6 care staff are presently employed, two of whom are presently undertaking the National Vocational Qualification (NVQ) in care. One member of care staff holds the General NVQ (GNVQ) qualification, and six care staff are awaiting enrolment dates to commence NVQ training. This indicates that 13 of the care staff team have not yet commenced care NVQ training at least at level 2. It is recommended in the National Minimum Standards that staff in learning disability homes undertake NVQ training which is Learning Disability Awareness Framework (LDAF) accredited, and Mrs Davies advised that discussions are taking place with a teaching provider. Staff training records indicate there is good take up of training in basic first aid, health and Staff training records indicate there is good take up of training in basic first aid, health and safety, food hygiene, autism, and the protection of vulnerable adults, and the administration of medicines. Arrangements for the induction training of new staff are in place, and two sets of induction records were sampled. Further training planned this year includes crisis intervention, first aid appointed person, fire procedures, epilepsy, and bereavement. The provider needs to assess if shortfalls in training in learning disability and mental health need to be addressed, to assist staff to meet the needs of residents accommodated. Staff supervision records were sampled. Staff interviewed said that supervision was supporting them in doing the job they were doing. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 23 Three sets of staff recruitment records were sampled. CRB checks are received at the company office, and the manager is advised of the date the check has been received. The inspector advised Mrs Davies that she should seek advice on whether the CRB check had information recorded on it, and if that indicated a need to undertake a risk assessment with a view to the protection of residents. There were no staff references on any of the three recruitment records sampled, and Mrs Davies advised that these are held at head office. It was the view of the inspector that the registered manager needs to have access to the references as they may indicate a need for further risk assessment before the staff member’s employment is commenced. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 24 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): YA37, YA39, YA42 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. (YA37) Residents benefit from a well run home. (YA39) The views of residents, family, friends, advocates and stakeholders in the community need to be sought to ensure residents will be confident that their views underpin all self monitoring, review and development in the home. (YA42) The health, safety and welfare of residents are promoted and protected. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 25 EVIDENCE: The registered manager has continued to update her training, including management training, and plans to undertake NVQ4 training in the future. A fire service inspection on 28th July 2006 considered that the fire safety arrangements on the premises were satisfactory. Fire records in the home, including the fire log book, evacuation record and equipment checks were sampled. The provider has advised of the most recent health and safety, equipment and services checks which have been carried out in the home. There was evidence that staff are receiving training in health and safety topics. Records for the monthly health and safety inspection of the premises were sampled. Hot water regulators have now been fitted to each outlet, and a new hot water tank with a temperature valve has been installed. Hot water temperatures have now been lowered to around 43 degrees centigrade, and records of hot water temperature checks are being held. The requirement made at the previous inspection in respect of this is now seen as met. The monthly reports on the service provided under regulation 26 of the Care Homes Regulations 2001 indicate that some good self-audit processes are in place. However, no evidence of an annual survey of the views of residents at Trent House, their friends and relatives, and stakeholders in the community was provided at the inspection. The requirement made at the previous inspection concerning this was therefore assessed as not met. The provider should refer to Standard 39 in the National Minimum Standards for advice on the type of quality assurance system required under the Care Homes Regulations 2001. Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 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 2 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 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 2 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 2 X X 3 X Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 27 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. 1. Standard YA6 Regulation 15 Timescale for action Care plans need to better set out 26/01/07 the range of the resident’s care needs, and guide staff on how these needs will be met. 02/03/07 Care staff should hold a care NVQ2 or 3, are working to obtain one by an agreed date, or the registered manager can demonstrate that through past experience staff meet that standard (standard 32.5) 3. YA34 19 The registered person shall not employ a person to work in the care home unless they are fit to do so (Previous timescale of 31.3.06 not met) The registered person shall establish and maintain a system for reviewing at appropriate intervals and improving the quality of care provided at the care home, which includes consultation with service users and their representatives (Previous timescale of 28.4.06 not met) DS0000014804.V303801.R01.S.doc Requirement 2. YA32 18.1 26/01/07 4. YA39 24 02/03/07 Trent House Version 5.2 Page 28 5. YA23 13.6 The registered person shall make 26/01/07 arrangements, by training staff or by other measures, including the provision of clear procedural guidelines for staff, to prevent service users being harmed or suffering abuse 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 Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Trent House DS0000014804.V303801.R01.S.doc Version 5.2 Page 30 - 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. 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