Care Home: 102A Brockhurst Road

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What the care home does well What has improved since the last inspection? The home has implemented the Person Centred Plans for each resident. Communication aids have been introduced so that the home is able to more effectively tell what each person`s needs are and what they would like to do. Staff continue to improve their skills and knowledge by attending training courses. The home is implementing a quality assurance system. What the care home could do better: There has been a number of changes to the home`s staff and management, which has had an impact on the provision of activities for residents, and the frequency of supervision for staff. This has been addressed by the recruitment of further staff. A period of sustained stability in this area is needed. A relative expressed the view that the provision of activities and hobbies could be improved. The home`s management needs to make arrangements so that the availability of staff records meets CSCI guidance and regulations. The quality assurance system needs to be developed to include the views of residents, residents` relatives and professionals connected to the home. Comments received from relatives as part of this inspection included suggestions as to how the service could be improved. Obtaining the views of residents` relatives about the home could provide useful feedback for the home`s audit and future planning. An annual development plan needs to be devised. CARE HOME ADULTS 18-65 102A Brockhurst Road Gosport Hampshire PO12 3DG Lead Inspector Ian Craig Key Unannounced Inspection 8th October 2007 2:10 102A Brockhurst Road DS0000028732.V347363.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 102A Brockhurst Road DS0000028732.V347363.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. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 102A Brockhurst Road Address Gosport Hampshire PO12 3DG 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) 02392 580605 Hampshire Autistic Society Miss Kerrie Louisa Clark Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2006 Brief Description of the Service: 102A Brockhurst Road is a semi-detached property situated up a short drive and is close to local shops and amenities. The home is close to a local bus route, which runs into the town centre of Gosport and also into Fareham town centre. The home is run by the Hampshire Autistic Society (HAS) and is registered with the Commission for Social Care Inspection (CSCI) to provide support, care and accommodation for four younger adults who have a Learning Disability. The home was purpose built approximately 4 years ago and meets all of the national minimum standards with regard to the physical environment. The weekly fees for the home are £1,279.26 to £1,329.31. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection consisted of a tour of the building, examination of records, documents, policies and procedures. Discussions took place with the home’s deputy manager and two other staff members. Staff were observed working with the residents. The inspector met each of the 4 residents. The Commission sent survey forms to residents, residents’ relatives and to staff. Nine of these forms were returned and the information contained in them was also used as evidence for the inspection. The home also completed an Annual Quality Assurance Assessment (AQAA) form, which has been used for the purpose of completing this report. What the service does well: Each resident has his own bedroom with an en suite bathroom, with a shower, toilet and wash hand basin. Residents’ bedrooms have been personalised with their own possessions. Each of the residents has a programme of activities for education, occupation and leisure. This includes attendance at day services as well as evening and weekend activities such as walks and trips to the pub. Residents also have an annual holiday. Assessments of need and written care plans are comprehensive and are of a good standard. The home is in the process of devising care plans using a person centred approach for each person. These acknowledge the individual choices and preferences. Hampshire Autistic Society has a staff-training programme, which offers a variety of courses for staff to attend. Positive comments were received from resident’s relatives about the service, including the following: • “I have been very happy with my son’s progress and any problems that have occurred have been successfully dealt with. We have always had good contact with staff.” • “Provides the best possible quality of life and on-to-one support.” 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: There has been a number of changes to the home’s staff and management, which has had an impact on the provision of activities for residents, and the frequency of supervision for staff. This has been addressed by the recruitment of further staff. A period of sustained stability in this area is needed. A relative expressed the view that the provision of activities and hobbies could be improved. The home’s management needs to make arrangements so that the availability of staff records meets CSCI guidance and regulations. The quality assurance system needs to be developed to include the views of residents, residents’ relatives and professionals connected to the home. Comments received from relatives as part of this inspection included suggestions as to how the service could be improved. Obtaining the views of residents’ relatives about the home could provide useful feedback for the home’s audit and future planning. An annual development plan needs to be devised. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 8 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 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has not admitted any new residents so assessment of this section of the report is limited. Each resident’s needs are reviewed and reassessed on a regular basis. The home is able to meet the care, health and lifestyle needs of the residents. EVIDENCE: The home has not admitted any new residents, but there is a policy for ensuring that any person referred to the home for possible admission would have his or her needs fully assessed to determine their suitability to live at the home. Records show that each person’s needs are regularly reviewed and reassessed. Each person has a Terms and conditions of Residence. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 10 The home is able to demonstrate that it can meet the care, health and social needs of the residents. This is evidenced from the comprehensive records, feedback from relatives, observations of staff at work and from discussions with staff. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s individual assessments of need and care plans are of a good standard and show that the service user is central to decision making about his or her life. The home operates with the residents’ involvement in decision-making and residents are able to take risks in developing independence. EVIDENCE: Each resident has comprehensive assessments of need and care plans. These include the following: • Support assessment • Managing medication assessment 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 12 • • • • • • • Communication assessment Life skills/activity and participation assessment Behaviour support toolkit Behaviour profile Risk level assessment and monitoring records Risk assessment Development/support programme In addition, there are systems for monitoring and recording each person’s needs. Person Centred Plans are in the process of being devised for each person, which place the resident as the focus of how care and other needs are to be met, such as health needs and activities. Each person has an Essential Lifestyle Plan for the following: community participation, relationships, education/occupation/employment, home life, leisure and finances. Care plans emphasise the service user’s strengths and abilities as well as demonstrating that residents are supported with activities for daily living whilst independence is encouraged at the same time. Assessments and care plans also show that each person has a choice about how they would like to be treated. Risks are assessed and care plans devised so that residents can continue activities with the correct support. These were seen for activities such as accessing the community and travelling in staff cars. Each person has a Service User Profile, which is recorded in some depth and gives guidance for dealing with behaviours. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to develop independent living skills and attend a variety of educational, occupational and leisure activities. A healthy diet is provided. EVIDENCE: Residents were observed making use of the home’s facilities. It was clear that they are able to choose how to spend their time. One resident chose to watch television in the lounge whilst the others preferred to relax in their bedrooms listening to music. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 14 The home has a rear garden, which residents use to play football in, and for other activities. Each person has recorded assessments of needs relating to developing independence and how the person likes to spend his time. Records show that the home has carried out a considerable amount of work using communication tools to ascertain the needs and preferences of each person. There are support plans for developing independence and development programmes for helping with domestic activities in the home. At the time of the visit one of the staff was making arrangements for residents to take part in an evening walk. Residents attend a day centre and one person recently completed a college course. The home makes use of local community facilities including taking residents to the shops, the pub and to the cinema. The home has access to its own transport facilities owned by Hampshire Autistic Society. Each person has an annual holiday including a week at Outward Bound, Butlin’s and Centre Parcs. Residents are supported by either staff or relatives. There are opportunities for residents to meet other people at evening social groups. Comment was received from relatives that the provision of hobbies and activities could be improved and that the recent staff shortages have led to a reduction of the number of activities on offer. The home has addressed the staff situation by the recruitment of additional staff. Obtaining the views of relatives about the service provided by the home, including activities, may be helpful in contributing to the future planning of the home. Residents have a varied and nutritious diet. Menus are devised with residents and the home uses communication strategies to find out what the residents like to eat. Choice is available at each meal time. For instance, one person has grapefruit for breakfast each day. Packed lunches are provided each time a resident attends day centre activities. Staff commented that the residents have a good diet. The inspector observed the preparing of the evening meal, which looked appetising. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and healthcare needs are met. EVIDENCE: Records show that each person’s personal care needs are assessed and that support is arranged on the basis of the individual’s abilities. Care plans cover the following: toileting, washing, bathing, showering and teeth care. Health needs are also comprehensively assessed and recorded showing that weight is monitored and that the home links with dentists, opticians, general practitioners, psychologists and community learning disability nurses. Specialist health care is arranged where appropriate such as from a Speech Therapist or psychologist. Records show that health needs are monitored and reviewed. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 16 The home’s procedures for the handling and administration of medication were examined. Staff receive in- house training from Hampshire Autistic Society. This was evidenced from staff training records and discussion with a staff member. Guidelines are recorded for staff to follow in administering medication ‘as required.’ The home takes steps to ensure the safekeeping of medication by carrying out an audit of the stock of medication on a daily basis. The medication administration recording sheets show that staff sign a record each time medication is administered to a resident. It was noted that staff had failed to enter a signature on 4 occasions for the current course of medication. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an accessible complaints procedure and takes action to investigate any concerns raised. Residents are protected from possible abuse. EVIDENCE: The home’s complaints procedure is contained in each of the resident’s files and is also in pictorial format so that it is easier to understand. Three complaints have been received in the last 12 months. Records are maintained to show that each of the complaints was investigated and the complainant informed of the outcome. There are policies and procedures as well as training for staff in the principles of protecting vulnerable persons with a learning disability from possible abuse. This was evidenced from training records, the organisation’s training programme, discussions with staff and from the AQAA form. Staff receive training in dealing with physical interventions from the organisation’s own staff who are trained and accredited to teach staff in procedures entitled, Strategies for Crisis Intervention Prevention (SCIP). 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 18 Individual resident’s records include steps that staff should take to deal with challenging behaviours. The home supports residents in handling their finances. Money is securely stored and records are maintained of any transactions including amounts deposited, withdrawn, plus a running balance and a signature of the staff member undertaking the task. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s physical environment is clean, reasonably maintained and of a good standard. Residents are able to express themselves and their tastes in their bedrooms. EVIDENCE: The home is purpose built. Each bedroom has an en suite bathroom with a toilet, shower and wash hand basin. In addition, the home has communal bathrooms including a bathroom with a bath. Residents have personalised their bedrooms with pictures, ornaments, items related to hobbies and music listening equipment. Residents were observed 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 20 listening to music and watching television in their rooms. Bedrooms are decorated according to the individual tastes of the resident. Communal areas are comfortable and homely. Residents are able to choose furniture and decor for communal areas. There is a rear garden which residents make use of. One resident in particular likes to play football in the garden. Residents look after the home’s pet rabbits. It was noted that the first floor bathroom flooring is showing signs of wear and tear with some discolouration to the vinyl. It is understood that this is to be replaced. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are needed in maintaining records to show that new staff have undergone checks which for the purposes of protecting residents. The home deploys sufficient numbers of well-trained staff. EVIDENCE: Feedback from staff and relatives includes reference to staff changes and a shortage of staff having a negative effect on the provision of activities for the residents. Conversations with the deputy manager confirmed that there have been staff vacancies but that that this has been addressed by the recruitment of additional staff. The staff rota shows that the home is maintaining the planned staffing level of at least 2 staff at any given time. This was also confirmed from discussion with staff. Where the home is not able to provide sufficient staff from its permanently employed staff team additional staff are brought in from the organisation’s pool of relief staff. Two of these staff were 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 22 on duty at the time of the inspection and both had a good knowledge of the service users’ needs and how the home operates; both have worked at the home on many occasions. Residents are comfortable in approaching staff and staff were observed responding positively to the residents. A staff member described how much he/she enjoys working with the service users. Staff confirmed that they have access to training and supervision. One staff member stated that regular supervision takes place whilst another person stated that the frequency of supervision has been affected by the staff shortages. The home has a supervision schedule for each staff member for the forthcoming year demonstrating that supervision will be provided on a regular basis. The training calendar was seen and includes the following courses for October to December 2007 which staff can attend: • Autism awareness • Makaton enhancement • Corporate induction • Epilepsy • Medication • Autism • SCIP and SCIP refresher • Person Centred Planning • Adult protection • NVQ induction • First aid Staff training records were chosen at random and show that one person has attended 8 training courses in 2007. There is an induction for newly appointed staff consisting of a three-day induction plus three weeks working on a supernumerary basis. Various courses are attended during the induction including the following: autism awareness, medication, behaviour management and key worker roles and responsibilities. Staff complete an induction workbook, which were seen during the visit. Recruitment procedures were examined for staff. Records of the required checks such as written references, criminal record bureau and protection of vulnerable adults checks were not available for three recently appointed staff. It was understood that these are held at the organisation’s office. The inspector explained the Commission guidance whereby organisations can hold staff records centrally as long as this agreed with the Commission, and that the required information as detailed on the CSCI website is held at the home. Staff records were available for three other staff that have worked at the home for some time. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 23 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interest of the residents although improvements need to be made to the system of audit, and obtaining the views of relatives and professionals for the future planning of the service. Measures are taken to ensure the health and safety of the staff and residents. EVIDENCE: 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 25 At the time of the inspection the registered manager had been promoted to a more senior position within the organisation. The deputy manager is now running the home and is applying for registration with the Commission. The home has several methods of quality assurance that have scope for development. For instance the residents are able to express their views at their own meetings. The home should look to implementing a system of obtaining the views of residents’ relatives, staff and professionals involved with the care of the residents regarding the service provided. This should be used as part of to audit the home and to make future plans. There is a strategic plan for the organisation but not specifically for the home. Audits are carried out of the residents’ care plans, assessments of need, medication arrangements and of the residents’ meetings. Staff receive training in first aid, food hygiene and infection control. The home’s appliances are tested and serviced by suitably qualified personnel. The fire logbook and service certificates show the home’s fire safety equipment is tested and serviced according to fire safety regulations. Records show that fire drills take place and that staff receive instruction in fire safety. 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 26 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 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 1 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 27 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 YA20 Regulation 13 Requirement Staff who administer medication to residents must sign a record to acknowledge this has taken place. Records must be available in the home to show that newly appointed staff have undergone the required checks before commencing work. Where records are held centrally this must be agreed with the Commission and the guidance of the CSCI website regarding staff records adhered to. 3 YA39 24 The home must develop a system of quality assurance that includes obtaining the views of residents, their relatives and professionals connected to the home and an annual development plan. 08/01/08 Timescale for action 08/11/07 2 YA34 19 Schedule 2 and 4 08/12/07 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 28 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 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 102A Brockhurst Road DS0000028732.V347363.R01.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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