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Inspection on 23/08/05 for Westley Brook Close

Also see our care home review for Westley Brook Close for more information

This inspection was carried out on 23rd August 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There were good interactions between residents and staff. Residents are supported to plan and go on a holiday of their choosing. There was evidence that the home listens to residents and acts on any concerns they may have. The houses of 5,12 and 14 Wesley Brook close are homely and domestic in style and layout. Resident`s bedrooms are comfortable and have been personalised with individual belongings to reflect their preferences.

What has improved since the last inspection?

The previous inspection March 2005 raised a number of concerns and a letter of serious concern was sent to the provider following the inspection. There was evidence of much improvement across all assessed areas. Of the 33 previously raised requirements 30 had been actioned in full one in part and two remained outstanding. Significant development and improvements had been made to residents care plans so that there is a consistent plan in place, which tells staff how best to support residents. The manager stated that residents were currently making no contributions for the use of the providers transport. A new charging system is to be introduced and this will be based on residents use of the transport and each resident will be charged accordingly and records will be kept to evidence the charges. The manager had made referrals to other professional so professional advice and guidance can be sought to support the care of residents. Other professionals have been involved in the review of behaviour management strategies so that resident`s needs are understood and any behaviour is clearly documented and managed appropriately. Health Action Plans had commenced so that it is documented and monitored what each resident can do to be healthy and to make sure that people get the services and support they need.

What the care home could do better:

Some further development of risk assessments were required so that the risk residents face and the support they require is clearly documented for staff to follow. Some improvement to the recording of medication was required so that audits can be undertaken to ensure that safe practice of the administration of medication is in place. The manager must improve the infection control practices in the home so that residents benefit from a clean and hygienic environment. Immediate requirements to address the storage and handling of COSHH items were required to protect residents from the potential risk of harm. The manager must take appropriate steps to prevent further occurrence.

CARE HOME ADULTS 18-65 Westley Brook Close 5, 12, 14 Westley Brook Close Sheldon Birmingham B26 3TW Lead Inspector Donna Ahern Unannounced 23 August 2005 rd 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 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 Stationary 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. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Westley Brook Close Address 5,12,14 Westley Brook Close, Sheldon, Birmingham B26 3TW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0121 743 2436 0121 743 2436 Royal Mencap (Housing & Support Services) Maxine Davies Care Home 12 Category(ies) of Learning Disability (12) registration, with number of places Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate 12 service users aged under 65 years for reasons of learning disability. 2. Of which, 1 named service user with a physical disability and a learning disability may be accommodated at the home. Date of last inspection 22nd March 2005 Brief Description of the Service: Westley Brook Close comprises of three individually designed modern houses situated in a quiet cul-de-sac within the residential area of Sheldon. The organisation provides 12 placements for people with learning and physical disabilities, some of whom have challenging behaviour. The premises are situated close to a wide range of amenities, including local shops, library, health centre, Sheldon Country Park and churches of various denominations. There is limited parking available in the cul-de-sac. House number 5 comprises of two single bedrooms and one shared room. There is a lounge, dining area and kitchen, which include a front garden and rear garden with patio area. House number 12 has four single bedrooms, two of which are situated on the ground floor with bathrooms on the ground and first floor. The ground floor bathroom has been adapted to accommodate the needs of a service user with physical disabilities and the ground floor doorways and corridors are wide enough to permit wheelchair access. There is a large rear garden. House number 14 is adjacent to number 12 and has an interconnecting door on the first floor. The home has four single bedrooms and a spacious lounge and dining room. There is a landscaped rear garden with patio area. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day. A tour of the building was made. Residents care plans and risk assessments were inspected. Staffs training records were examined, and a number of Health and Safety records were inspected. The inspector had the opportunity to talk to residents, the manager and assistant manager. What the service does well: What has improved since the last inspection? The previous inspection March 2005 raised a number of concerns and a letter of serious concern was sent to the provider following the inspection. There was evidence of much improvement across all assessed areas. Of the 33 previously raised requirements 30 had been actioned in full one in part and two remained outstanding. Significant development and improvements had been made to residents care plans so that there is a consistent plan in place, which tells staff how best to support residents. The manager stated that residents were currently making no contributions for the use of the providers transport. A new charging system is to be introduced and this will be based on residents use of the transport and each resident will be charged accordingly and records will be kept to evidence the charges. The manager had made referrals to other professional so professional advice and guidance can be sought to support the care of residents. Other professionals have been involved in the review of behaviour management strategies so that resident’s needs are understood and any behaviour is clearly documented and managed appropriately. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 6 Health Action Plans had commenced so that it is documented and monitored what each resident can do to be healthy and to make sure that people get the services and support they need. 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. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Not assessed at this inspection. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 Significant development and improvements had been made to residents care plans so that there is a consistent plan in place, which tells staff how best to support residents. Risk assessments required some development so that the home can evidence that the risk residents face are well managed. EVIDENCE: The previous inspection raised serious concern regarding care plans. Files assessed had incomplete information and information that had been documented was not in sufficient detail to ascertain resident’s needs. The provider was required to review resident’s individual plans as a matter of urgency and to ensure that all residents care plans were completed in such detail as to enable the reader to determine that their needs are being met. The manager and staff team had made significant progress on this standard. Support plans had been developed for each resident. When assessed these were found to be well presented documents that gave good detail regarding how each person should be supported and how to promote the person independence. It covered all the person personal support and social needs. Each house 5, 12 and 14 had developed a slightly different format. Each format was a good standard and detailed the required information. P.C.P (person centred plans) were also in the process of being developed for each Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 10 person. The staff team can only go on to improve and enhance the individual plans. Progress had also been made on risk assessments. The previous inspection had required the provider to undertake significant work. A number of risk assessments were sampled and improvements were noted on the review sheets which gave more specific information about what the risk were to the individual resident and the action required by staff to manage the risks. Some further and ongoing development was required. Risk assessments must be implemented for all residents regarding the support they require at night from waking night staff. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14 and 15 Residents had been supported to go or are going on a holiday that is suitable for their needs. Residents are supported to maintain appropriate contact with their relatives. EVIDENCE: Residents and staff spoke about the range of holidays that they had been on or are going on. Some residents had been to a holiday camp near the seaside. One resident had been to Ireland and one resident who really enjoys theme parks had booked to stay at The Alton Towers Hotel for a few days. Some of the residents spoke about their family and visiting their family. Care plans had details of relatives and friends of residents and the contact details and arrangements. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 18,19 and 20 Improvements had been made on the management of resident’s healthcare so that their physical and emotional needs are met. The home demonstrated some good practice for medicine management and the manager was keen to improve this further. EVIDENCE: As stated under standard 6 of the report care plans have been developed significantly and now include good information regarding how best to support residents with their personal care needs. The manager said that the Community Nurses are supporting the home with the implementation and development of Health Action Plans for each resident. The previous report required the Manager to action referrals to the Occupational Therapist and the Speech and Language Therapist. Following advice from the Occupational Therapist the home leader in house five was in the process of requesting from the Housing Association that a walk in shower is provided. In the interim bathing guidelines and a risk assessment had been implemented. The manager was still waiting on a response to the Speech and Language Therapist referral and agreed to inform CSCI of the outcome. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 13 Residents who have epilepsy have their medication reviewed by the Community Nurse and consultants. The treatment and management of one resident’s epilepsy was still under discussion and review. The Pharmacist inspector inspected the homes medicine management on the 8th August 2005. There were some good systems for medicine management within the three houses and the individual managers were keen to improve practice further. All staff had successfully completed accredited training in the safe handling of medicines and further training is currently being undertaken. Staff had failed to record all the medicines found on the premise on the Medicine Administration Record (MAR) chart and not all the quantities of medicines were recorded so audits could not be performed to demonstrate that the medicines had been administered as prescribed in all instances. Many medicine used occasionally had written protocols to support their use, but this was not evidenced for all “when required” medication. The storage of medicines was good except for those stored in house 5 as the temperature was above 25°C at the time of the inspection. The stability of the medication could not be guaranteed. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22 and 23 The arrangements for the management of Complaints indicated that resident’s are listened to. The Adult Protection Procedure required some further development so that residents are fully safeguarded. EVIDENCE: The Adult protection Policy required some amendments as raised at previous inspections. The policy must make it clear what the staff role is in the reporting of abuse (section C of the organisations policy). The home had the No Secrets document and the Multi Agency Guidelines in place. The homes record of complaints was examined. Eight complaints had been received since the last inspection. These were mainly from residents. The investigation and outcomes were recorded. It was positive to evidence that residents were being listened to and their concerns were being dealt with appropriately. The previous inspection required the manager to review the Behaviour Management guidelines that were in place for one resident. This had been actioned. The registered provider was required to review the charges that residents made for the use of the home’s minibus. Residents were contributing a range of fees not related to their usage of the transport. CSCI required the provider to implement a value for money system. The manager stated that residents were currently making no contributions for the use of the transport. A new charging system is to be introduced and this will be based on residents use of the transport and each resident will be charged accordingly and records will be kept to evidence the charges. The home’s vehicle had been changed since the previous inspection from a minibus to a people carrier. One resident had their own car for their sole use Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 15 The previous report also required the provider to review the practice of residents paying for their food from their personal allowances. This practice had ceased. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25 and 30 The home must review its infection control procedures and ensure that the home is hygienic for residents. Maintenance matters required attention so the home is safe and comfortable for residents. EVIDENCE: The manager demonstrated an understanding of the need to plan for resident’s future needs and ensure that the house’s where possible meet their changing needs. As stated in standard 18 there are plans in place for a walk in shower in house 5. Some resident’s rooms had been recently painted and looked really nice (house 5) and there were plans in place to paint some more of the bedrooms. The furniture and layout of one bedroom in house 12 had been reviewed so that the fire entrance was clear. In house 14 the lounge required painting in areas where the plaster had been repaired. The sofa was torn and required repair or replacement. The hatch from the kitchen to the dining area required the job to be completed to a satisfactory standard. The kitchen floor covering in two of the house’s 5 and 14 required completion. The toilet in house 5 was in the process of being painted. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 17 The manager said that maintenance matters were in hand and would confirm the completion of the required work with CSCI. The heating system in the home consists of convector heaters, which are difficult to access to regulate. A resident’s bed was wet but had been remade. In the bathroom and toilet areas throughout the three houses’ there was a lack of suitable hand washing and drying facilities and a lack of plugs for sinks. Pillows on residents beds required auditing and replacing where required. In response to these concerns the manager agreed to review the homes infection control procedures and ensure that these matters of concern were addressed. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34 and 35 Staffing levels were satisfactory. Residents are protected by the homes recruitment policy. Some staff training required updating so that an effective team supports residents. EVIDENCE: Staffing levels were two staff on at core times in house 12 and 14 and one staff on shift at core times in house 5. The manager’s hours and the two deputy manager’s hours are in addition to these. One resident in house 14 has two to one staff support for their day care Monday – Friday. At night there is one staff member on waking night shift in each of the houses. Vacant post had been appointed too and the manager said that there was only a few care hours vacant. There was no agency staff working at the home. The staff training records were examined and indicated that mandatory training is provided to all staff. Some updates and refreshers were required and these were said to be in hand and are scheduled to take place over the forthcoming months, so that staff have the up to date knowledge and skills to support resident’s needs. The manager said that she had requested from Mencaps training department that training is provided for all staff on meeting the needs of Older People who have a learning disability and changing needs of residents and race equality issues. The percentage of staff that has completed or are working towards their NVQ level 2 in care was very encouraging. House number 12 had over 70 at this level and house 5 had 100 . Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 19 Three staff files were examined and these contained the required information including application form, references, CRB check and proof of identity. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 Improvements had been made to the overall management of the home. Some Health and Safety matters required immediate attention so that the safety and welfare of residents is promoted and protected. EVIDENCE: When the unannounced inspection took place the acting manager was waiting on her Fit Person interview with CSCI to become the registered manager. Whist completing this report the interview had taken place and the manager was successful in becoming the registered person for the home. Throughout the inspection process the manager presented as open, positive and inclusive. There was evidence of improvement in the management of the home since the last inspection. Progress had been made on addressing previous requirements and an action plan had been forwarded to CSCI. A number of required records were examined including risk assessments for the environment, fire records, and water checks and were all found to be in good order. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 21 A new fire system was in the process of being installed this was a previous requirement. The COSHH cupboard in house 14 was shut but had not been locked and a can of cleaning spray was found in one resident’s bedroom. Immediate requirements to address these health and safety matters and to prevent further occurrence were raised with the manager. Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 2 x x x 2 Standard No 11 12 13 14 15 16 17 x x x 3 3 x x Standard No 31 32 33 34 35 36 Score x x 3 3 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Westley Brook Close Score 2 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 2 x E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 23 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. 2. 3. Standard 9 18 20 Regulation Requirement Timescale for action 31st october 2005 31st october 2005 15th august 2005 9th August 2005 13 (4) abc Risk assessments required some further development. 12 (1) ab 13 b 13 (2) CSCI must be informed of the outcome of the Speech and Language referral. The medicine cabinet in House 5 must be relocated to ensure all the medicines are stored below 25°C to maintain stability The quantities of all medicines received and balances carried over from previous cycles must be recorded to enable accurate audits to take place to demonstrate the medicines are administered as prescribed All medication prescribed must be recorded on the Medicine Administration Record (MAR) chart. Medication that is no longer required must be returned to the pharmacy for destruction The Adult Protection Policy and Procedure required some development (Previous requirement September 2004). 4. 20 13 (2) 5. 20 13 (2) 9th august 2005 6. 23 13 (6) 31st october 2005 Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 24 7. 24 23 (2) b 8. 9. 26 30 16 (c ) 16 (j) The lounge in house 14 required painting in areas where the plaster had been repaired. The sofa was torn and required repair or replacement. The hatch from the kitchen to the dining area required the job to be completed to a satisfactory standard. The kitchen floor covering in two of the house’s 5 and 14 required completion. Pillows must be audited and replaced where required. The registered person must provide disposable hand drying facililties in communal bathroom and toilets. Bedlinen must be regularly laundered and standards of hygiene must be maintained. Staff training updates and refreshers were required in some mandatory training. Training should be provided for all staff on meeting the needs of Older People who have a learning disability and changing needs of residents and race equality issues. COSHH items must be secured at all times. 31st october 2005 31st September 2005 31st October 2005 24th September 2005 30th November 2005 10. 11. 30 35 16 (e) (j) 18 (1) c 12. 42 13(4)abc 24th August 2005 and ongoing RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Birmingham & Solihull Local Office 1st Floor, Ladywood House 45-46 Stephenson Street Birmingham, B2 4UZ 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 Westley Brook Close E54 S16977 WestleyBrook V245622 230805 Stage 4.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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