Inspection on 25/07/06 for Wilton Villas

This inspection was carried out on 25th July 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 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wilton Villas 09/10/09

Wilton Villas 01/05/07

Wilton Villas 20/12/05

Wilton Villas 15/03/05

Wilton Villas 01/06/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Wilton Villas Wilton Villas Islington London N1 3DN Lead Inspector Edi O`Farrell Unannounced Inspection 25th July 2006 10:15 Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wilton Villas Address Wilton Villas Islington London N1 3DN 020 7359 9990 020 7226 2714 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) St Martin of Tours Housing Care Home 26 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (26) of places Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20/12/05 as part of the inspection of St Martins of Tours House Brief Description of the Service: Wilton Villas is a registered care home for men with a forensic psychiatric history aged between 18 and 60. The home was previously registered as one home together with the adjacent home, New North Road. In February 2006 they became registered and are now inspected as separate homes. Service users are supported within the multi-agency framework of the Care Programme Approach, which is the national framework for supporting people with mental health problems. There are 26 single bedrooms spread across three floors, which are accessed via a lift and stairs. Each floor has a small kitchen, bathrooms and toilets. There is a large lounge and recreational area on the ground floor. The, walled, garden is shared with New North Road. Staff offices are on the ground floor. The focus of the service is on rehabilitation and partnership working with the forensic services and Community Mental Health Teams. The home is not set up to meet the needs of residents who wish to stay permanently or long terms. Stays are generally up to 2 years, although there are currently some residents who have lived there for up to five years. There is an emphasis on risk assessment, care planning and structured individual sessions with key workers. Project and support workers run a range of group activities. Relevant professionals are available to support therapeutic groups. Service users are self-catering, and, as the home is mental health aftercare service, they do not have to contribute to the cost of the placement. Placing authorities pay the £970 per week charge. The home is situated in North London, Islington in a residential area. It is within walking distance of Essex Road, and bus routes to Dalston, Highbury & Islington Tube Station and Angel Tube station. Parking is not available. The home is managed by St Martin of Tours Housing, which is a local, not for profit, organisation. Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit for this, unannounced, inspection was carried out on a weekday and lasted for four and a half hours. Prior to the visit staff files were examined at head office. The manager of the home was not on duty during the site visit, so a Project Worker very ably assisted the inspection. Service users who were in the building were spoken to, and all floors were visited. Records were examined, and a handover meeting was attended. Feedback was given at the end of the visit, and by phone the following day. A comment card was left in the home so that they could give feedback to the Commission on how they thought the visit went. What the service does well: What has improved since the last inspection? What they could do better: The home needs to be clearer about the response to people who break house rules, such as drug taking. Although there are procedures there can tend to be a tendency to stretch these in trying to help individuals. There needs to be very clear boundaries, and these need to be stuck to. This protects both service users and staff. Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 6 The written material describing the services offered by the home is not strictly accurate. It includes learning disability, which the home is not registered for. It also states that stays are up to two years, but there are several people who have lived there much longer. This is important because the expectation of how longer stay homes should function can be quite different to homes that provide a rehabilitation service. There needs to be much greater clarity as to the function of this home. If the home wishes to offer both rehabilitation and a longer-term service then this needs to be clearly stated. There are currently a high number of vacancies. This raises concerns about the financial viability of this service. This, in turn, raises staff anxiety about the future and the security of their jobs. 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. Wilton Villas DS0000020974.V288043.R01.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 Wilton Villas DS0000020974.V288043.R01.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): 1, 2, 3 & 4 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Pre-admission assessment and preliminary introduction to the home is excellent. However the home is currently accommodating people who fall outside their stated remit. In addition the inclusion of learning disability within promotional material could mean that inappropriate people are referred. EVIDENCE: There is an excellent referral and assessment process, which includes selfassessment by the prospective resident. Visits, including introduction to the local area, and overnight stays are arranged. There is a ‘probationary’ period, which can be extended where potential problems are identified. Placing authorities, at the referral stage, provide all relevant assessments. These are then used by the home to carry out an assessment, and to draw up a placement agreement, and initial care plan. Theses include the boundaries that the prospective resident must adhere to, such as no alcohol in the communal parts of the building, and no non-prescription drugs. The Commission has registered the home as 26 places for mental disorder, excluding learning disability or dementia. Promotional material seen during this site visit indicated that people with learning disabilities could be referred. This is misleading and could lead to inappropriate referrals. All information provided to both referring agencies and prospective service users must be clear as to whose needs the home can meet. This is Requirement 1. Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 9 The material seen also stated that stays are up to two years, yet several of the current resident have been living there for much longer. This is due to a combination of lack of suitable move on accommodation, and the lifestyle choice of individual service users. This situation has been discussed with the home several times over the last few years. It is important that the Statement of Purpose, Service User Guide, and any promotional material is factual about the current, rather than the aspirational, service. If these documents are not factual then prospective service users, and placing authorities, are being given incorrect information about the home. This also relates to Requirement 1. Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 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 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. Service users’ needs are identified, within a risk management framework. Continuous improvement in care planning records is an identified priority. Monthly visit reports identify shortfalls, and put action plans in place. EVIDENCE: The assessments and care plans seen were to a good standard. The home offers a rehabilitation service to people who have been in secure institutional care. Increasing independence to a level that a resident is able to move out is a goal from admission. Individual care plans and keywork sessions are used to achieve this, though as stated on the previous page there are some residents who have not been able to move on within the allotted timescale. Wilton Villas DS0000020974.V288043.R01.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): 12, 13, 15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users have opportunities for personal development, within a risk management framework. EVIDENCE: Each service user has an individual care plan, which is based on self-defined goals. These are regularly reviewed in keyworker sessions. The overarching goal for most residents is to move out of the home. Staff work with residents, both individually and in groups, to assist them in regaining life skills. This includes healthy living advice, cooking, shopping, leisure activities, and sign posting them to local vocational and educational activities. Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 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 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. Service users’ health needs are met and changes are responded to appropriately. Staff are not fully following correct medication administration procedure, which could put service users at risk of relapse. EVIDENCE: Care plans, daily records, and keywork session records demonstrated that changing needs are identified, and responded to. Risk assessment and management is central to the approach taken by the home. This includes both risk to self and risk to the community. Placing authorities and Community Mental Health Teams are contacted when staff identify potential problems. Apart from the administration of some service user’s medication personal care is not provided. Staff do, however, prompt service users in order that they maintain acceptable standards of personal hygiene. Wherever possible service users take responsibility for their own medication. There is a comprehensive policy, which includes a risk assessment and written contract, signed by the service user. Where staff administer medication they are not always signing the medication chart. This is Requirement 2. Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 13 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 good. This judgement has been made using available evidence, including a visit to this service. Complaints are responded to and resolved, and service users are protected as far as possible, from both themselves and others. This protection would be increased by a more transparent, consistent, and timely approach to breaches of house rules. EVIDENCE: Complaint records demonstrated that the home responds promptly to service users’ concerns. This includes recording if complaints are substantiated or not, and what action has been taken to redress the issues raised. Where service users had been informed that matters would be raised in the staff meeting, those records showed that this had taken place. Service users spoken to knew how to complain. Staff have attended both adult protection and child protection training, and are clear about their responsibilities. The focus of the home, on forensic mental health, means that a proportion of service users will also have a history of drug and/or alcohol misuse. This may or may not have been addressed during their hospital stay. Pre-admission assessment identifies any known triggers, such as anxiety, which will be high at the stage of admission to the home. Offers of admission to the home include any rules that the prospective service user must abide by. This includes no consumption of alcohol in communal areas, and no non-prescribed drugs. This is to protect all service users. Where service users break these rules, such as recently where a service user was suspected of trying to ‘deal’ , staff try to work with the individual to Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 14 change the behaviour. This can mean that other service users, in both this home and the adjacent home, are placed at risk. It must make it very difficult for other service users who are putting a lot of energy into not falling back into past, negative, habits. The flexibility that staff have tried to achieve with individuals who continue to use non-prescription drugs and/or alcohol is commendable. It is not, however, in line with best practice for the service users. Specialist drug and alcohol services set very clear boundaries and adhere to them. They know that if they do not then service users will often push the boundaries as far as they can. This is not in the interests of either the service users or the services. This home needs some very clear boundaries that are transparent, and consistently applied. This is Requirement 3, which has been set under the adult protection standards. Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 15 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 adequate. This judgement has been made using available evidence, including a visit to this service. Refurbishment and redecoration is continuing to improve the environment for service users. EVIDENCE: The organisation recognised some time ago that there was a need for refurbishment and redecoration of the building. This is currently on going, with some of the bathrooms being refitted on the day of the visit. As this is work in progress no Requirement has been set, but this will be monitored on future visits. Two specific things were noted during the tour of the building, which included observation from the road outside. Firstly, the lounge windows on the ground floor only have net curtains. This detracts from any attempt to make it homely and leaves the room quite exposed to passers by. Secondly, many of the upper floor windows were noted to be wide open. This indicates that restrictors have been either taken off or disabled. The latter point has already been raised in a recent monthly visit report, when staff were instructed to take action. These are Requirements 4 and 5, which also relate to Standard 42, Health and Safety. The building was clean and hygienic, and all cleaning materials were locked away. Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 16 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, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users’ needs are met by appropriately trained staff. EVIDENCE: Recruitment files were examined at head office on 20 June 2006. This identified that the organisation was not using POVAfirst checks prior to starting new staff before a full CRB check had been carried out. This situation has since been rectified. Other than that the organisation has a very thorough recruitment procedure. The annual training programme, which was also seen during that visit, is comprehensive and job focused. During the handover staff demonstrated competence and knowledge of service users’ needs. They also confirmed that training and individual supervision supports them in their roles. Several have already gained NVQ3, whilst others are currently submitting their portfolios. The company also contributes to the financing of some staff obtaining academic qualifications relevant to their work. Following handover there was a discussion about the clinical supervision that the company provides on a fortnightly basis. Staff were very honest in their appraisal of this, which was largely negative. Their views were discussed with the manager by phone the following day. He confirmed that he was already taking steps to address the concerns. The negative views were partly due to the timing of the group, at 3.30pm when the morning shift would usually be off Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 17 duty, or to a misconception as to the purpose of the group. As both group and clinical supervision are valuable methods of staff support, and contribute to service development, the organisation must review the current arrangement. This is Requirement 6. Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 18 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, 38, 39, 42 & 43 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Whilst the home is generally well managed the level of voids gives concern regarding the financial viability of the home. The health, safety and welfare of service users and staff is not fully protected. EVIDENCE: The Registered Manager left a few months ago and a locum was appointed pending recruitment of a new manager. This manager was off sick on the day of the site visit, but was spoken to by phone on the following day. He confirmed that he has been appointed to the permanent post, but has yet to apply to the Commission for Registered Manager status. He was advised to raise this with his line manager, as, by law, the home has to have a Registered Manager. This is Requirement 7. There are several indicators that this is generally a well run home. These include a transparent complaint procedure, good recruitment procedures, and staff clearly getting on with the running of the home in the absence of the Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 19 manager. The monthly Regulation 26 reports are informative, identify areas for development, and set out action for staff to follow up. There is a refurbishment and redecoration programme, which will improve the environment. The company has an internal Quality Monitoring and Assurance system that includes seeking the views of service users. The information gained is then used to develop an action plan to improve services. Some of the Health and Safety records could not be accessed as they were locked in the manager’s office. These types of records must be available for inspection at any time. This is Requirement 8. The record of fire safety checks, fire drills, and alarm checks were available for examination. They included an excellent fire safety audit, and it was obvious from these records that the member of staff designated the fire warden takes her role very seriously. She is to be congratulated. Please refer to Requirement 4 and 5 for other health and safety matters. The major concern regarding the management of this home has to be the high level of voids. The view of staff was that this was because of the increase in cost to placing authorities. Whilst the Commission is now gathering information about fees and costs it is not currently within the remit of this report to comment on the level of charge. There are, however, Regulations that cover the financial viability of services. The Registered Person must forward a business plan to the Commission. This must include the current year’s budget, and the plan to meet any deficits. It must also include how the home plans to attract sufficient business over the next 18 months to remain viable. This is Requirement 9. Incident and accident reports are thorough and very informative, but the home is not always informing the Commission of significant events, such as where the police have to be called. The Commission issued new guidance on Regulation 37 notification, which is available on the website. Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 20 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 2 2 3 3 2 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 2 3 X X 2 2 Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 21 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 YA1 YA3 Regulation 4&5 Requirement Timescale for action 30/09/06 2 YA20 13 (2) 3 YA23 13 (6) The Statement of Purpose, Service User Guide, and all promotional material must clearly state which categories the home is registered to provide a service to. This must include exclusions, i.e. learning disability and dementia. They must also accurately describe the service that is being provided to current residents. The Registered Person must 25/07/06 ensure that all staff fully follow the home’s procedure for the administration of medication. All medication given must be signed for at the time it is given. The Registered Person must 30/09/06 ensure that the policies and procedures that are in place for staff to deal with the misuse of drugs and alcohol are reviewed. This must include how they work in practice, and the impact they have on the lives of all residents within the home. Intervention must be timely and protect other service users. There must be transparency, clarity and consistency in their application. DS0000020974.V288043.R01.S.doc Version 5.2 Wilton Villas Page 22 4 YA24 YA42 13 (4) & 23 5 6 YA24 YA42 YA36 13 (4) & 23 21 7 YA38 8 8 YA42 13 (4) 9 YA43 25 Window covering, either curtains or blinds, must be fitted to the lounge windows. This is for both security reasons, and to make the room more homely. Window restrictors must be in place and used. The Registered Person must review the current arrangements for clinical supervision. This must take account of the views of staff. The Registered Person must ensure that the manager of the home has submitted a Registered Manager application to the Commission. The Registered Person must ensure that all Health & Safety records are available for inspection by the Commission at all times. The Registered Person must forward a business plan for the home to the Commission. This must include an income and expenditure budget for this financial year, and how any deficit is to be met. It must also include plans for reducing voids, and a projected budget for the forthcoming financial year. 31/10/06 26/07/06 31/10/06 31/08/06 31/08/06 30/09/06 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 Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU 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 Wilton Villas DS0000020974.V288043.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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