Inspection on 09/01/08 for Vulcan Square

This inspection was carried out on 9th January 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Vulcan Square 23/07/08

Vulcan Square 07/09/06

Vulcan Square 26/01/06

Vulcan Square 03/08/05

Vulcan Square 22/02/05

Vulcan Square 13/07/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Vulcan Square 32-33 Vulcan Square Westferry Road Isle Of Dogs London E14 3RJ Lead Inspector Lea Alexander Unannounced Inspection 9 January 2008 1:00 th Vulcan Square DS0000010308.V347275.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 Vulcan Square DS0000010308.V347275.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. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Vulcan Square Address 32-33 Vulcan Square Westferry Road Isle Of Dogs London E14 3RJ 020 7537 0411 020 7987 3917 H4M064Clarke@mencap.org.uk www.mencap.org.uk Royal Mencap Society 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) ** Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2006 Brief Description of the Service: Vulcan Square comprises two adjoining houses set in a small square of similar residential properties. Each house has lounge, kitchen diner and a ground floor wc and hand basin. On the first floor there are three service users bedrooms in each house and a small box room that accommodates the staff sleepover room in one house and the staff office in the other. The two houses have the same layout and are connected by a shared garden. Three female service users reside in one house and three male service users in the other. The buildings are owned and maintained by East Living. The home is staffed and managed by Mencap. The home is set in the heart of Docklands on the Isle of Dogs. There are local shops and amenities nearby. Behind the development there is access to the River Thames. Following the dismissal earlier in the year of the Registered Manager a new Manager has been appointed and is currently undergoing the registration process. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector carried out this inspection over the course of two half days. They had visited the home on a number of occasions previously. The Inspector visited the home; spoke with two residents and the support staff on duty. They also sampled a range of documentation relating to the running of the home. This is a report about Vulcan Square Care Home. An Inspector visited the home and spoke to people who live there. What the service does well: Residents said that were “happy at the home” and got on well with staff. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 6 Each resident has their own plan that says what they do well and what they need help with. Residents take parts in lots of different activities in their free time. People who use the service are busy during the day at work, college or day centre. The home meets the needs of residents of different ages who are also from different cultures and religions. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 7 The home supports residents to stay in contact with their families and to make new friends. Staff ask people who live in the home how they want to be helped with things like washing and dressing. Residents know who to speak to if they are not happy about something. The home keeps a list of all residents’ medication, and helps residents to take their medication on time. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 8 What has improved since the last inspection? Resident’s plans are looked at regularly to make sure this is still the help that is needed. When residents need help in managing their finances this is recorded in the plan. When residents see there Doctor or Nurse the home keeps a record of what happened. The home follows its policy when it gives medicine. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 9 Some repairs and maintenance have been carried out since the last inspection. Staffs make sure the fridge is at the right temperature so that food is being properly stored. The records the home has to keep were in good order. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 10 Things that are used to clean the home were properly stored in a locked cupboard. What they could do better: The home must speak to people before they move in to make sure it is the right place for them to live. The complaints policy and the book where all complaints are recorded must be available at all times. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 11 The home must tell us what they find out when they carry out an investigation. The home must make sure that care staffs know how to keep residents safe. Things that the home isn’t using at the moment need to be properly stored. Some more repairs and maintenance need doing around the home. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 12 Staff at the home need to study for qualifications. The home must carry out checks on staff before they start work. The Manager must talk to staff about the work they do every few months. The home must ask residents and their families what they think the home does well, and what it could do better. The homes policies and procedures must be available at all times. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 13 Staff must write down the fridge and freezer temperatures every day, and make sure that when food packets are opened a date label is fixed to them. Staff must check the fire alarm system every week and write down what happened. 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. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 14 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 Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 15 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 adequate. This judgement has been made using available evidence including a visit to this service. The home must evidence that it carries out its own assessments on potential residents. EVIDENCE: The home has had no recent admissions and the Inspector looked at the personal files of two people who use the service. From the documentation available, the Inspector was not able to evidence that residents are assessed by the home prior to their moving in. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 16 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 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have person centred plans that look at all areas of their lives. EVIDENCE: Two residents were case tracked by the Inspector, and each had personal plans dated September and November 2007 respectively. Previous care plans were not available on file, however monthly summaries of the resident’s activities and progress were found on file. The plans viewed by the Inspector addressed a range of social, personal and healthcare needs. There was also evidence that the plans were person centred and contained life story information. Discussion with staff members and residents, and sampling of available documentation evidenced that each person who uses the service has their own Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 17 bank account. People who use the service receive some assistance with managing their finances and for the two residents case tracked by the Inspector, the nature of this assistance was reflected in their personal plans. Each resident has a logbook that records all deposits and withdrawals of their monies into the home and a staff member and the person who uses the service sign each transaction. Resident’s monies are stored in individual lockable cash boxes inside a locked cupboard. Sampling of the personal files of two people who use the service also evidenced that each has a risk assessment related to potential hazards identified in their personal plan. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 18 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 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in occupational and leisure activities of their choice and are supported to maintain contact with family and friends. EVIDENCE: People who use the serviced are engaged in a range of occupational, leisure and community activities. During both unannounced visits to the home residents were out at different activities, and the only residents at home were those who were unwell. Discussion with care workers, people who use the service and viewing of monthly summaries and personal plans evidenced that people who use the service have been supported to undertake a holiday to Spain, shopping trips, Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 19 sightseeing trips into Central London, community sports activities, trips to the cinema and evening social events such as disco’s. In addition people who use the service are engaged in a range of community and occupational activities including therapeutic work within the local community and a weeks volunteer work with the National Trust in the North of England. Some residents attend a local days service and others are attending vocational courses at the local college. Discussion with people who use the service, with care workers and sampling of personal plans and monthly summaries evidence that residents are supported to maintain contact with their families and to make and maintain friendships. People who use the service are able to choose who they see and when, and are able to see visitors in the homes communal spaces or in private. During the course of the inspection residents were observed to choose when to be alone or in company. Support workers were observed talking and interacting with people who use the service. The Inspector viewed the homes log of meals offered. This evidenced that a range of varied and nutritious meals are provided to residents. One person who uses the service told the Inspector that they “enjoyed the food” and were given choices about the meals provided. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 20 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 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides responsive personal care and residents are encouraged and supported to attend regular healthcare appointments. EVIDENCE: The personal plans seen by the Inspector detailed what personal care tasks residents required support with, and outlined how they preferred to receive this support. The residents spoken to by the Inspector said that they chose their own clothes and hairstyle, and the Inspector noted that their appearance reflected their personality. A record of healthcare appointments attended along with the outcome was found on the personal file for each of the resident’s case tracked. Recent appointments included the GP, nurse, optician and a hospital outpatient appointment. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 21 The Inspector asked to see the homes medication policy, however the staff on duty was unable to locate this. The Inspector viewed the Medication Administration Records (MAR) and available medication for two people who use the service. One resident was prescribed a controlled drug. This was stored inside a separate locked cupboard inside the medicines cabinet. On each occasion the medication had been administered two staff members had signed the MAR. For each resident the available medication was found to correspond with that listed on the MAR sheet, and these sheets were found to be correctly completed. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 22 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 & 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Policies, procedures and records that relate to listening and safeguarding adults must be available at all times. Some staff demonstrated a limited understanding of safeguarding issues. EVIDENCE: Staff on duty in the home at the time of the inspection was unable to locate the complaints policy or the complaints log. One person who uses the service told the Inspector that if they were unhappy about anything in the home they would “tell the staff or Manager”. In March 2007 the Commission for Social Care Inspection was notified by the Responsible Individual of an adult protection concern. The home had appropriately notified the local authority and an investigation was undertaken. However, the nature and outcome of the investigation have not been notified to the Commission for Social Care Inspection. Staffs on duty at the time of this inspection were unable to locate the homes adult protection policy. The Inspector spoke with one staff member on duty. They advised that they had not received adult protection training, and they were not able to describe the types of abuse vulnerable adults might experience. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 23 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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a pleasant, safe place to live. EVIDENCE: The home is located in two four-bedroom houses in a residential location in Tower Hamlets. One house accommodates male residents, and the other female. The houses have a shared rear garden and staff and service users move between the two houses using patio doors onto the garden from each lounge. The houses are similarly laid out with lounge dining areas and separate kitchens. Each house has a ground floor WC and access to the first floor and all bedrooms is via a staircase. In the women’s house the fourth bedroom is used as an office and in men’s house this room is used as a staff sleep in room. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 24 The houses are generally well maintained, and are comfortable and homely. Pictures of people who use the service decorate the communal areas, and residents are able to personalise their own bedrooms with pictures and other items. One person who uses the service told the Inspector that they “loved (their) pink bedroom” and that they had chosen the colour themselves. Several minor repairs identified at an earlier inspection had been completed, however some new maintenance works were identified and these are detailed in the requirements section of this report. The Inspector did also note that the open area’s underneath the stairs were being used for storage of some bulky items such as Christmas decorations, which was unsightly. The premises were found to be clean, hygienic and free from offensive odours. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 25 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): 32, 33, 34, 35 & 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The homes recruitment practise must safeguard people who use the service, and staff should receive regular training and supervision. EVIDENCE: The Inspector called at the home on two occasions, however the Manager was not on site for either visit, and in their absence staff personnel information was securely stored. As the Inspector was unable to access personnel information, requirements made at an earlier inspection relating to personnel matters are restated. The Inspector viewed the homes current staffing rota and found that this matched the actual staffing in the home. The Inspector interviewed one of the staff on duty. They advised that they were a “bank” member of staff and had been coming to the home for around Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 26 two months. They also said that they had received an induction to the home when they first joined. The Inspector was unable to locate a record of staff training completed since the last inspection. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 27 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, 40, 41, 42 & 43. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A new Manager has been appointed. The home must ensure that it complies with health and safety legislation and listens to the views of residents. EVIDENCE: At the time of this inspection the Managers post had recently become vacant, and an acting manager had been appointed to the home on a part time basis. Shortly after the inspection was completed the Commission for Social Care Inspection was advised that a new Manager had been appointed and would take up post in early March 2008. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 28 During the course of the inspection the Inspector located a survey form to obtain the views of people who use the service, however the Inspector was unable to establish whether this had been sent to residents, or whether any responses received had been collated or published. As stated in earlier sections of this report, during the course of the inspection support workers were unable to locate several key policies and procedures requested by the Inspector. The personal files viewed by the Inspector were found to be in generally good order The Inspector viewed the homes log of fridge and freezer temperatures. These were found to be within acceptable limits, however there were gaps in the log where temperatures had not been recorded on a daily basis. The Inspector also noted that several processed food items in the fridge had been started but had not been date labelled. The Inspector viewed the homes record of fire alarm tests. Whilst these were found to generally occur on a weekly basis, the Inspector noted that this had not been the case over the Christmas period. A fire drill was recorded as having occurred in October 2007 and details of the evacuation exercise along with timings was recorded. The Inspector viewed the homes log of water temperatures. These were found to be within acceptable parameters. During a tour of the premises all potentially hazardous cleaning materials were found to be securely stored. The home displays a current insurance certificate with appropriate cover. Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 29 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 2 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 2 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 2 35 3 36 2 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 2 2 3 2 3 Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 30 Are there any outstanding requirements from the last inspection? Yes. 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 YA2 Regulation 14 Requirement The home must evidence that people who use the service are appropriately assessed prior to their moving in. The home must ensure that a copy of its complaints policy and its complaints log are available at all times. The findings and outcome of any adult protection investigation must be forwarded to the Commission for Social Care Inspection. This is a restated requirement. The previous targets of the 31/03/06 and 30/12/06 were not met. All staff must demonstrate an awareness and understanding of adult protection issues and their responsibilities. 4. YA24 13 & 23 The areas under the stairs should not be used for storage. The damaged wall by the front Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 31 Timescale for action 30/06/08 2. YA22 4 & 22 30/06/08 3. YA23 13 30/05/08 30/06/08 door in the women’s house must be repaired. In the men’s house mouldy grout in the upstairs bathroom and the damaged panel alongside the bath must be replaced. 5. YA32 12 & 18 The home must ensure that sufficient staff is supported to study for and obtain NVQ level qualifications in line with National Minimum Standards. This is a restated requirement. The previous targets of the 30/12/06 and 30/12/07 were not met. 6. YA34 19 & Sch 2 The home must evidence that appropriate pre employment checks are carried out including: Obtaining two satisfactory references. Obtaining a Criminal Records Bureau check. This is a restated requirement. The previous targets of the 30/12/06 and 30/06/07 were not met. 7. YA36 18 Staff must have regular, 30/06/08 recorded supervision meetings at least six times per year. This is a restated requirement. Previous targets of the 30/11/05 30/06/06, 30/12/05 and 30/08/07 were not met. 8. YA39 24 The home must develop and implement a quality assurance procedure to gather the views of service users and other DS0000010308.V347275.R01.S.doc 30/06/08 30/06/08 30/06/08 Vulcan Square Version 5.2 Page 32 stakeholders. The results of this should be evaluated and made available to interested parties. This is a restated requirement. Previous targets of the 30/06/06, 30/12/06 and 30/09/07 were not met. 9. YA40 17 The home must ensure that copies of its policies and procedures are available at all times. A daily record of fridge and freezer temperatures must be maintained. Started processed foods must be date labelled. The home must carry out and record weekly fire alarm checks. 30/05/08 10. YA42 12 & 37 30/05/08 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 Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 33 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Vulcan Square DS0000010308.V347275.R01.S.doc Version 5.2 Page 34 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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