Inspection on 30/05/06 for Wilkinson Park Residential Care Centre

This inspection was carried out on 30th May 2006.

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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wilkinson Park Residential Care... 14/05/09

Wilkinson Park Residential Care... 23/04/07

Wilkinson Park Residential Care... 10/10/05

Wilkinson Park Residential Care... 19/05/05

Wilkinson Park Residential Care... 04/11/04

Wilkinson Park Residential Care... 04/05/03

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Wilkinson Park Residential Care Centre Rothbury Morpeth Northumberland NE65 7DP Lead Inspector Deborah Haugh Key Unannounced Inspection 30th May 2006 10:00 Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.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 Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.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. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wilkinson Park Residential Care Centre Address Rothbury Morpeth Northumberland NE65 7DP 01669-650265 01669-650265 Wilkinsonpark_03@btopenworld.com 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) Mr R Turnbull Ms S Harper Mrs Heather Dixon Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2005 Brief Description of the Service: Wilkinson Park is a large 2-storey house located in rural area of Northumberland approximately 7 miles from the village of Rothbury. Situated in the grounds of the home is a coffee/smoking area and a workshop, which is used as a base for activities, organised as part of the day care provided by the home. A large garden is situated at the rear of the home and at the front is a car parking area. Ramp access is available at the entrance to the home. There is a separate flat for two service users. The home is registered to care for 15 people who have learning disabilities. All bedrooms are single. The home cannot provide nursing care. Fees charged by the home per week are between £554.92 - £1197. Extra charges include chiropody, hairdresser, toiletries, newspapers, and activities over & above the normal day services. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The un-announced key inspection took place over two days on 30/05/06 from 10.00 am until 4.00 pm and 28/06/06 from 9.30am until 11.45. The Registered Manager, Heather Dixon was on duty during the last visit. There were 14 service users at the home during the visit. An examination of health and safety, activities, staffing, recruitment and training of staff, medication and 3 care plans were undertaken. The communal areas and a selection of bedrooms and bathing facilities were checked. Service users shared their views about the home. Time was also spent observing the contact between service users and staff. Prior to the inspection questionnaires were provided to service users and relatives. Ten questionnaires were completed by service users and four questionnaires were completed by Relatives /Visitors. At the time of the visit there were no visitors. Lunch was shared with the service users. What the service does well: Staffing levels were appropriate to meet the needs of the service users. All of the service users said they liked living at Wilkinson Park, felt safe, liked the food and thought that staff treated them well. Some service users have recently been on holiday to the Borders and other holidays are planned. Comments included; - ‘I’ve got a new bedroom.’ (3 people) - ‘ We’re having a BBQ on 24th June.’ - ‘We’re going shopping for our food.’ - ‘I’m cooking Toad in the Hole for dinner.’ - ‘I’ve been on holiday in the caravan.’ Service users are able to maintain contacts with family and interests which they had before they cam to Wilkinson Park. People are able to experience new activities and meet new people. Relatives and visitors said they were satisfied with the care provided and felt there was sufficient staff. Comments included: - ‘An excellent home.’ The catering in the home is excellent because it is home baking and service users help with the mealtimes, which adds to the homely atmosphere. The range of leisure activities available to the service users. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 6 Recent improvement of the premises. The Registered Provider and Registered Manager are continually committed to developing the service provided to the people who live at Wilkinson Park. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2-5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users who move into the home have the opportunity to visit the home, move in gradually and all have a contract with the home. Assessments are completed by the home and care manager. This ensures that service users are only admitted when they are comfortable and the home knows that they can care for them. EVIDENCE: 2-5) Three service user records were examined and contracts, assessments by care managers and other professionals as well as the home were in place. One service user said he had visited the home on a number of occasions and had stayed overnight as well as weekend stays in order to make up his mind if he wished to come to live at Wilkinson Park. Detailed records were maintained regarding the initial visits and the manager liaised with the people making the referral. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 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 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. 6) Care plans ensure that service users are provided with the care and support which they require. 7) Service users have the opportunity to participate in decision- making in their lives. But routines in the home regarding going to bedrooms at 10pm are not flexible and must be organised around the needs and wishes of the service users. Where decision-making is not possible reasons are recorded. 9) Service users are able to take managed risks and any restrictions are recorded and agreed. EVIDENCE: 6) Three service user care plans were sampled and they identify a range of needs and activities. Interventions are detailed and guide the practice of staff. The involvement of other professionals is evident to guide the actions of staff. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 10 Multi-disciplinary team work is in place from psychologists, community psychiatric nurses, care managers and the Behaviour Analysis Intervention Team (BAIT) and other professionals where necessary such as Speech & Language Therapy Team (SALT). 7) Service users spoke of their involvement in decision making in the home. Planning for holidays is arranged around the wishes and friendships people have in the home. Household tasks such as laying the table, serving food and clearing away is on a rota system, so everyone takes turn. Service users help around the home with their own cleaning, laundry and occupation in the grounds such as cutting logs, making items to sell, looking after the horses, hens and washing the minibus. Three people are sharing the facilities in the flat ‘The Courtyard’ and have started cooking for themselves with staff support to increase their skills and independence. Routines in the home regarding service users going to their bedrooms at 10pm are not flexible and must be organised around the needs and wishes of the service users. (see NMS 16 and requirement 2). 9) Risk assessments are in place and cover a wide range of areas such as safety in the workshop, community, fire safety and lifestyle choices, which incur risk. Reviews are undertaken periodically to evaluate risks. However a moving and handling risk assessment is not in place for the use of a bath aid. (See National Minimum Standards 29 and requirement 1) Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 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 the following standard(s): 11-17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 11-16) Service users are given the opportunity to try new experiences, social settings and maintain friendships and relationships in the home and the community. 17) Service users enjoy a wholesome, well- balanced and nutritious diet. EVIDENCE: 12 – 16) Staff spoke of introducing a service user to a lap top computer and plans to investigate a local fishery. One service users spoke of his literary skills and plans to use a computer. Service users under supervision from trained staff learn how to operate some tools and care for livestock. One service user showed the inspector the garden and progress erecting a plastic poly tunnel to grow vegetables. Two service users have a job at a garage, which they said they enjoy. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 12 Service users spoke of their hobbies such as fishing, golf, swimming and gardening. Outings to pubs, BBQ and discos are also enjoyed. The home provides and helps fund a number of holidays for service users in Britain and abroad based on peoples interests and aspirations. The home holds its own BBQ and neighbours, family and friends are invited. Some of the service users are members of a Bowls League playing other teams. Relative’s questionnaires indicated that they are welcome when they visit though one found the isolated rural location a travelling problem. Routines in the home regarding service users going to their bedrooms at 10pm are not flexible and must be organised around the needs and wishes of the service users. 17) The Inspector shared lunch with the service users, which was pork chops, cabbage, roasted root vegetables, mashed potato with sponge and custard for dessert. The service users obviously enjoyed this meal and seconds were available. Everyone helps at lunch and turns are taken to clear and set tables. The atmosphere in the kitchen is warm and relaxed as some service users clearly like helping to prepare for the meals. Home cooking continues to be strength of this home. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 18) Service users are able to get support with personal care if they require it. 19) Service users are well because there are systems in place to ensure that their physical and emotional health is met. 20) The medication at this home is being managed, which protects service users. EVIDENCE: 18 & 19) Care records were sampled and service users are supported with personal care if they require this. Staff said that they provide prompts, support and encouragement. Service users thought that staff were helpful and treated them well. There are a number of health and social care professionals involved with the home. Staff support service users to go to appointments and follow professional guidance such as food and behavioural charts. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 14 20) A sample audit of the medication arrangements was completed with the deputy manager. The requirements at the last inspection have been addressed. At the first visit security arrangements for two areas required attention but these were dealt with by the next visit. Temperature checks are now made regarding the room in which medication is stored. One service user is now self-administering part of his prescribed medication. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 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 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. 22) The home has a complaints process and service users feel that their views are listened to and acted upon. However all complaints must be investigated by the manager. 23) Service users may not be protected from potential abuse, neglect and harm if staff do not report all incidents to the manager. EVIDENCE: 22) All of the service users said that they knew who to talk to if they were unhappy and knew how to make a complaint. In the last 12 months there has been 1 complaint, which was upheld and dealt with by the manager. A complaint/allegation was made by a service user in May and has not been investigated by the manager. The manager must investigate and provide CSCI with a report as well as contacting the local authority that placed the service user. 23) The home has a Protection of Vulnerable Adults Procedure and Whistle Blowing Policy that complies with Department of Health Guidelines. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 16 Service users know whom they can talk to if they are unhappy. Staff have received training in the Protection of Vulnerable Adults and have knowledge of Whistle Blowing where they would report poor practice or concerns. However staff are not clear about always reporting incidents in the home to the manager or owner, which may compromise service users safety. There has been one Protection of Vulnerable Adults investigation since the last inspection. An audit of service users personal money looked after by the home took place with the administrator and arrangements are satisfactory. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 24 & 30) Service users live in a well maintained, clean and decorated home. 29) Aids and adaptations to the premises must be assessed by a competent person to ensure the safety of the service users and staff. EVIDENCE: 24 & 30) Good progress has been made to improve the facilities for service users. A new ground floor bathroom with assisted Jacuzzi bath and walk in shower with seat has been installed. The service users said they thought it was great. The ground floor passage way has been decorated and a new carpet fitted. This area is bright and homely. The other shower room is also popular with service users. A previous double room is now two singles. The service users who previously shared are delighted with their rooms. The communal lounges are comfortable and clean. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 18 A separate flat called The Courtyard sleeps two service users and has a large lounge, conservatory, kitchen, bathroom and two single bedrooms. The facilities are currently used by 3 people to cook independently with staff support. The inspector had coffee with the 3 service users in the flat and they were very positive about the facilities, increased independence and privacy. The home is clean and good hygiene practice is evident with paper towels and liquid soap in communal bathrooms and toilets. 29) A bath aid has been fitted to one of the baths but an occupational therapist or another suitably qualified specialist has not completed an assessment to make sure the equipment is suitable for the person using it. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 - 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 33) Staffing numbers are appropriate to the assessed needs of the service users, size, layout and purpose of the home, at all times. 32 & 35) Service users are cared for by experienced and appropriately trained staff but staff must have periodic fire instruction. 34) Recruitment is robust enough to protect service users. 36) Staff receive supervision from management which ensures that service users are protected. EVIDENCE: 33) The home maintains the level of staffing which reflects the size and layout of the building and the needs of the service users currently living in the home. The current levels of staffing are a minimum of 3 staff on duty during the waking day, which is increased when required for activities. The flat is staffed separately and is 1:4 for the service users currently using the facilities between 10am and 5.30pm. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 20 At night there is 1 sleep-in and 1 waking night staff in the home as required by CSCI. 32 & 35) The home continues to have a training programme. 65 of staff have completed NVQ Level 2 or above and the Learning Disability Award Framework (LDAF). Nine staff hold first aid certificates. Eleven (including the manager) have completed medication training with Boots. The following training has been provided in the home in last 12 months – First aid, care with medication, food hygiene, fire training and breakaway when dealing with aggression. Future training planned and provided are moving and handling, Health & Safety, Challenging behaviour and fire training. 34) Recruitment systems are in place where Criminal Records Bureau and Protection of Vulnerable Adults First checks are undertaken. At least 2 references are obtained. 36) Four staff supervision records were examined and are taking place. The manager intends to increase supervision frequency to monthly due to changes and issues in the home. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 37) The manager has a good understanding of the areas which the home needs to improve. 39) Formal Quality Assurance systems are in place so the service is audited 42) Systems are in place to protect service users from health and safety hazards. EVIDENCE: 37) The manager has the Registered Managers Award and NVQ Level 4. She is continuing to provide staff with guidance on practice and meeting the needs of service users. 39) Quality Assurance systems are in place, which use the National Minimum Standards as outcomes. Relatives and service users are asked for their views and annual questionnaires are completed. The last annual review was completed in September 2005. Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 22 42) Maintenance and service checks are in place. Service certificates and contracts are in place. Fire log and staff instruction is up to date. However a bath aid has been fitted to one of the baths but an occupational therapist or another suitably qualified specialist has not completed an assessment to make sure the equipment is suitable for the person using it. (See National Minimum Standards 29 and requirement 1) Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 3 4 3 5 3 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 3 25 X 26 X 27 X 28 X 29 2 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 2 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 2 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA29 Regulation 23(2) Requirement The registered person must ensure that an assessment of the bath aid is made by an occupational therapist or other suitably qualified specialist must occur. A moving and handling assessment for the person who will use the equipment must be in place. The registered person must ensure that routines in the home are flexible and organised around the needs and wishes of the service users. The registered person must ensure that staff knowledge about protecting vulnerable adults (POVA) improves which includes reporting any concerns/incidents to the management. The registered person must ensure that complaints by service users are investigated. The manager must provide CSCI with investigation into the identified complaint. Timescale for action 31/07/06 2 YA16 12 28/06/06 3 YA23 13(6) 28/06/06 4 YA22 22 28/06/06 Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 25 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 Wilkinson Park Residential Care Centre DS0000000524.V290389.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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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