Inspection on 05/07/05 for Whitegates (The Cottage)

This inspection was carried out on 5th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 but made no statutory requirements on the home.

Other inspections for this house

Whitegates (The Cottage) 13/03/07

Whitegates (The Cottage) 07/02/06

Whitegates (The Cottage) 11/01/05

Whitegates (The Cottage) 06/05/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Whitegates (The Cottage) The Coach House Elizabeth Fitzroy Support, Farnham Road Liss, Hampshire GU33 6JE Lead Inspector Drew Gurney Unannounced 05/07/05 9.30am 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. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whitegates (The Cottage) Address The Coach House, Elizabeth Fitzroy Support, Farnham Road, Liss, Hants, GU33 6JE 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) 01730 897503 01730 895607 Elizabeth Fitzroy Support Miss A Lashbrook CRH 14 Category(ies) of LD registration, with number of places Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11/01/05 Brief Description of the Service: Whitegates (The Cottage) provides a service for fourteen adults with a learning disability, some of whom may have associated physical disabilities. Two separate establishments that are managed by one registered manager; Whitegates provides support for eight adults and The Cottage for six adults, each with their own separate support team. The home is situated in a rural part of Hampshire, within the village of Liss. Transport facilities are provided for residents to access local facilities and larger towns in the area. At the time of the inspection, the registered manager was also providing two day management support for Fieldview, owned by the Elizabeth Fitzroy group, within the same grounds and currently awaiting the appointment of a permanent manager. Staffing is provided 24 hours daily. The home has well established links with local General Practitioners and the Community Nursing Team. One of three registered services on this site, developed and managed by Elizabeth Fitzroy support, Whitegates and The Cottage are well established in the local community. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over 5.1/4 hours. The inspector was able to have limited introductory meetings with some of the residents, several staff, two visiting parents, the registered manager and a brief introduction to the Regional Manager for the South. At the time of the inspection there was one residential vacancy at Whitegates, a vacancy for an assistant manager at both units and a night staff vacancy at Whitegates for five hours weekly. Satisfactory written resident comments have been received by the Commission for Social Care Inspection (CSCI) prior to the inspection taking place. What the service does well: What has improved since the last inspection? The manager discussed a change in key working approach within Whitegates and which is proving more beneficial for residents and staff alike. Previously, the system focused on key working teams for specific residents. Within recent weeks, risk assessments are now under complete review and are currently Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 6 being streamlined and are more appropriate to the needs of the residents and staff. 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. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 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 Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 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) 4,5 The home is able to demonstrate satisfactorily that residents are able to visit and ‘test drive’ the home prior to admission. The registered persons are not able to demonstrate that residents have been provided with a contractual agreement. EVIDENCE: There is a formal policy statement regarding new admissions to the home, and was available for the inspector to view. The probable current admission of a prospective resident was used as an example to describe the process. An initial visit was arranged for the applicant to visit and look around Whitegates, accompanied by relatives. The registered manager discussed financial implications with the social services care manager. These discussions were followed by the registered manager visiting the applicant at her current placement. Participation involved discussion with the key worker at the current residential home, the applicant and parents and this approach provided sufficient information for a needs assessment to be undertaken. Other introductory measures have included feedback surveys from existing residents at Whitegates and staff as a result of introductory visits which have included the applicant visiting the home for an evening meal, lunch, staying overnight and gradually staying for longer periods until everyone is happy with the admission. During the process, the applicant is involved with staff in reaching decisions about colour schemes that are personally favourable to the applicant and the room is decorated according to personal choice prior to admission. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 9 The process for each prospective admission is tailored to individual needs and therefore, the period of time varies. No evidence was found on residents’ files that work had taken place to provide each Whitegate (The Cottage) resident with a contact or statement of terms and conditions between the home and the resident as required, following the previous inspection. It is understood that this issue is being addressed at an organisation level. A contract must be provided for each resident in the home. Where possible, residents should be supported by family, friends or an advocate to draw up an appropriate contract. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8,9 Care plans meet the requirements of residents and personal goals are within records. Residents are consulted and participate in aspects of life in the home. Risk assessments reflect areas of concern. EVIDENCE: The file of one Whitegates resident was viewed to sample the standard of documentation followed by staff. Care plans are focused on person centred planning and document the views of residents. Views and wishes are established by using communication symbols with residents and where applicable, are supported by family or an advocate, who is available from day services. Goals and aspirations are clearly identified and statements clearly state what support will be provided in achieving these aims. Substantiating information was identified with clear goal action plans that had been signed and dated appropriately. The inspector viewed resident meeting minutes for both Whitegates and The Cottage. Communication methods include Makaton symbol packages, and computerised touch screen techniques enabling staff to identify the wishes of residents. Resident meetings take place at Whitegates every month and are held following tea, when residents are provided with tea and finger food Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 11 desserts and encouraged to stay around the dining table to discuss issues. Staff discuss with residents, activities for the following month and decisions are reached regarding specific wishes. Resident meetings held at The Cottage take place every fortnight. The majority of residents at The Cottage are described as active ladies with good verbal communication and the other residents are able to communicate their needs through pictures. The manager has recently undertaken a risk assessment course and she and staff are currently engaged in the further development of risk assessments for all residents at Whitegates and The Cottage. Universal risk assessments for the establishment are now in place for all common areas where residents are involved, for example the health and safety risk approach towards the use of sharp knives in the kitchen areas. Individual risk assessments for each resident have been completed in written format, and are being collated in a clear computerised format for each resident in a more detailed format than those previously held on file. The new format was found to be much better and should be clearer and more effective for staff use. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15,17 Residents take part in valued and fulfilling activities. Residents participate in appropriate leisure activities. Residents have good personal contact with families. Residents are involved in choice of meals and this method of approach is thought to be most appropriate and very fair. EVIDENCE: All residents from both Whitegates and The Cottage attend ‘On Track’ day services, which are situated at Petersfield, which is a short distance from the home. Information was available for viewing that described the content of activities offered generally at the day services and these were varied and directed towards individual needs and choice. Residents are able to visit ‘On Track’ on weekdays. Residents are encouraged to accompany staff when shopping takes place at a local supermarket for food. The inspector observed a resident agreeing excitedly to be taken to purchase food, and the smiles on her face displayed her anticipation. Clothes shopping is undertaken with staff assistance. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 13 Leisure activities have included recent visits to Portsmouth as part of the recent Trafalgar celebrations. Other venues include Marwell Zoo, Thorpe Park, Goodwood. During the course of the inspection, two residents were on holiday on the Isle of Wight. The manager explained that all residents are encouraged to have holidays, but activities are budgeted and agreed with anyone who does not wish to have an actual holiday and other individual events are organised specific to individuals. Holidays have included five-day visits to Centre Parks and to Butlins. Two residents will shortly be holidaying in Bournemouth and others are off to Cornwall. Visits further have been made to Euro Disney and Teneriffe. The inspector observed a conversation with the manager and visiting relatives regarding a forthcoming holiday arrangement near their home area, and negotiations regarding suitable times were finalised. It was explained that this particular set of relatives and the resident, enjoy meeting up and spending a day together. As discussed previously, every endeavour is made by staff to ensure regular contact with families. The visiting relatives were happy to share their views with the inspector and described the staff as very caring and supportive and regular contact was maintained as a result. The inspector viewed weekly arrangements that take place regarding meal provision. The menus were varied and depicted by coloured pictures showing what type of meal had been selected. Each resident chooses main meals for one day and each day represents a specific area i.e. pasta, poultry, free choice or vegetarian, red meat or pork, fish, quick and simple or roast on Sundays. Each ensuing week, the residents’ names rotate a day forward, which ensures that each person is able to choose from every category. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 The administration of medication is being met. EVIDENCE: The medication administration and control of medication is appropriate. The inspector undertook a sample of the medication procedures for one resident and medication and documentation corresponded accurately with the contents of medicines available. All staff undertake training in the administration of medication. Certification was present on a file viewed and which supported that this training had taken place. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this occasion. EVIDENCE: Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 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) 24,25,26,27,28,30 The home is homely, comfortable and safe. Residents’ bedrooms are suitable and promote their independence. Toilets and bathrooms provide privacy and meet individual needs. Seating in the sitting room must be replaced during refurbishment. Specialist equipment is adequately available. Necessary repair work must take place. The home’s communal areas must be cleaner. EVIDENCE: A tour of both Whitegates and The Cottage was undertaken. The Cottage was found to be in good decorative order throughout. The building is modern and will not be part of the plans currently being considered for complete refurbishment by the group and its presentation will therefore be maintained. Residents’ bedrooms were attractively decorated in both establishments, and were bright and cheerful and reflected individual hobbies and interests. Prior to admission, the ‘vacant’ room will be decorated according to the wishes of the new resident. Photographs on display included some taken with popular celebrities, and showed happy faces of residents having enjoyed the event and a having achieved a personal ambition. This indicated to the inspector how much attention to detail is placed by the staff, on residents’ wishes and Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 17 dreams. All residents have the opportunity to lock their bedroom doors, a master key being available for emergency purposes. Toilets and bathrooms were equipped with hoist equipment, all of which had been serviced. One particular bathroom in Whitegates is on the list for decoration and evidence of this showed that the bath surrounds had been resealed as part of this procedure. All toilet and bathroom areas had permeable floor covering and locks were in place throughout for privacy. A walk in shower area is within Whitegates and a wet room shower facility is available at The Cottage. The Whitegates’ sitting room is in urgent need of decoration and refurbishment. The inspector was informed that agreement has been reached that the Whitegates’ sitting room is about to be decorated. The sofas and comfortable armchairs must be replaced when this refurbishment takes place. On entering the sitting room, there is currently an offensive smell of stale urine, which in hot weather may well be overpowering and unsatisfactory for residents, staff and visitors. This furniture must be replaced as part of the imminent refurbishment of the sitting room. A damp patch was observed in the ceiling of one resident’s bedrooms and this must be treated before further damage ensues. Specialist equipment is available for residents both at Whitegates and The Cottage. A sensory room with appropriate equipment is situated in both establishments; Makaton communication packages are available and finger touch computer screens available, which all enhance communication with residents. Hoist equipment is appropriate in both establishments and includes track hoists and bath chair hoists. The inspector is aware that staff in both establishments, undertake cleaning procedures as part of their duties and try very hard and make every endeavour to keep areas clean and hygienic. This will also detract from other support duties which are part of their job description. There have been difficulties experienced in employing a cleaner. The manager explained that there is an ongoing advertisement in the Job Centre for cleaning staff but this has not proved successful. Media advertisements take place from time to time, but perseverance must be shown as the home is not up to a required standard. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 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) 33,34,35,36 An effective staff team supports residents. There is an appropriate recruitment policy and procedure in place. Residents’ individual and joint needs are met. Well-supported and supervised staff care for residents. EVIDENCE: Staff shift patterns are from 7 a.m. until 2.30 p.m.; from 2 p.m. until 9.30 p.m.; sleep in staff are from 3.30 p.m. until 11 p.m. and night staff are on duty from 9.15 p.m. until 7.15 a.m. A handover period is built in at all staff changeovers and appropriate handover records were viewed by the inspector. The recently developed team key working system identifies specific responsibilities within a key-working role for each member of the team, which is discussed and monitored at team meetings and will be reviewed and amended as found necessary. The manager feels that this approach now relates more favourably to strengths in specific areas within her team and provides a better supporting care service to residents and also feels that tasks are being met more satisfactorily than previously. Key working areas include personal shopping, health, maintaining contact, support plans, leisure activities, reviews, supporting professionals and general areas. Each area has designated members of staff and is reviewed quarterly. The inspector chatted with two members of staff who described themselves are Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 19 being very happy in the home and both confirmed having received mandatory training, including medication administration. The inspector viewed the recruitment procedures for one member of staff and found all required documentation to be present, including photographic proof of identity and CRB checks having been undertaken. Photographs of all staff on duty are placed in view of residents and staff in both establishments and the inspector observed one resident checking for herself, who was on duty on the day. A large training chart is maintained by the manager for all staff and this clearly indicates all topics of training, including dates and when refresher training is required. Certificates were viewed on training files by the inspector. The registered manager has an NVQ qualification in management and a degree in Managing Health and Social Care and is a qualified NVQ assessor. A current member of staff is undertaking an NVQ assessor course and supervises two members of staff as part of this process. The manager has stated that the job description for the vacant assistant manager role includes the requirement for an NVQ assessor qualification and this will then establish a rolling programme for NVQ level 2 for all staff. At present, this qualification is under requirement levels, but the provider is striving towards achieving appropriate levels by taking appropriate measures. The manager has a very positive approach towards supervision and evidence was available that this is a well-established routine, with recorded information available on file. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 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) 42 The health, safety and welfare of residents is promoted but requires further development in relation to risk assessment and associated action to prevent harm to residents. EVIDENCE: Risk assessments were viewed by the inspector with regard to the safe keeping of sharp knives in the kitchen. Staff were also observed to be following the correct procedures and were seen to be placing knives in a lockable box held in a kitchen cupboard. COSHH materials were seen to be maintained under locked conditions by the inspector. The recording procedures in the accident book were tracked in a resident’s file and found to be accurate. A new accident book is now available and will be used in accordance with data protection procedures. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 21 Fire training is undertaken by all staff at regular intervals and fire equipment servicing found to be in date. Temperature readings were viewed in both kitchens by the inspector and found to be appropriate for refrigerators, freezers and meal probe testing. Servicing documentation will take place at the next inspection. In both establishments, radiators in all bedrooms are uncovered. Hot surface temperatures must be risk assessed and action taken to safeguard against vulnerable residents sustaining a burn from a hot surface. Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 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 3 1 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 3 3 3 3 1 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Whitegates (The Cottage) Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 1 x H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 23 yes 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 5 Regulation 5{c} Requirement A contract for the provision of services by the registered provider must be provided to all residents. Sofas and chairs must be replaced in the Whitegates sitting room; the home must be free from offensive odours; damp bedroom ceiling patch must be repaired Suitable arrangements for maintaining satisfactory standards of hygiene in the care home must be made Risk assessments must be available regarding uncovered radiators in all bedrooms. Timescale for action 5.10.05 2. 24 23{2}{i} {b} 16{2}{k} 5.10.05 3. 30 23{2}d} 5.10.05 4. 42 23{2}{p} 5.10.05 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 Whitegates (The Cottage) H54 s11809 Whitegates (The Cottage) v231444 050705.doc Version 1.30 Page 24 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton, Hants SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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