Care Home: Berrywood

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What the care home does well The inspection indicated that the home was running well, with a calm atmosphere and settled service users being cared for by confident, well-trained and motivated staff. Although there is still a major concern relating to the large cracks that are still evident in the bathroom area of the home, staff have worked hard to provide a homely and comfortable environment in which service users feel secure and relaxed. There is an assessment system in place, which is both detailed and comprehensive in its approach to identifying all the needs of new and existing service users. Detailed information about the operation of the service is provided to prospective and current residents. The service users appear to have some degree of involvement in their care planning and this has produced the beginnings of a person-centred plan for all service users and will enable staff to create an individual service in order to meet each service user`s needs and aspirations. The staff spoken with during the inspection appeared to have a clear understanding of their individual roles and responsibilities. The members of staff on duty were seen to support the main aims and values of the home. There are clearly defined job descriptions so that staff are aware of their roles. Staff have received a series of mandatory training in order to carry out their roles effectively and professionally.The manager has had a range of experience within the field of Learning Disability She provides confident leadership and support to the team and has clear expectations of staff. What has improved since the last inspection? Care planning has improved since the last inspection was carried out and staff will be receiving person centred planning training later this month in order to further develop the current systems in place. The storage of medication is now adequate with each service user having a locked medication cupboard in their bedroom and the temperature of these cupboards is taken daily. The system of recording complaints has been improved. Financial systems were inspected and confirmed that adequate systems are now place to protect the service users finances. The manager has now been registered with the Commission and is deemed qualified to manage the service. Quality systems continue to be improved and discussions with the manager confirmed that they are in the process of devising a new service user questionnaire. This will be in operation before the next inspection takes place. The general standard of recording has improved since the last inspection. The Statement of Purpose and Service User`s Guide remain in the written word only, but the two service users currently living at the home are both able to read and therefore this documentation is currently deemed appropriate. Documentation relating to the employment of care staff has improved and the two staff files inspected on this occasion contained all the required information. What the care home could do better: The main area of concern is the continuing issue of the large cracks that still exist within some internal parts of the home. The bathroom is in urgent need of re-decoration but this cannot go ahead until these cracks have been repaired. The manager stated that the most recent visit from the Architects stated that they were content that the cracks had not increased in size and that they were hopeful that the repair and the re-decoration could commence within the New Year. CARE HOME ADULTS 18-65 Berrywood 130 Berry Lane Rickmansworth Hertfordshire WD3 4BT Lead Inspector Julia Bradshaw Unannounced Inspection 2nd November 2007 10:00 Berrywood DS0000019290.V354827.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 Berrywood DS0000019290.V354827.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. Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Berrywood Address 130 Berry Lane Rickmansworth Hertfordshire WD3 4BT 01923 770132 01923 770132 adwyer@watfordmencap.org.uk 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) Watford and District Mencap Anne Dwyer Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5), Physical disability over 65 of places years of age (5) Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home may accommodate 1 person with physical disability (aged over 65 years) 8th December 2006 Date of last inspection Brief Description of the Service: Berrywood is a care home providing personal care and accommodation for five people with learning disabilities, one of which may also have a physical disability. It is owned by Watford and District MENCAP, which is a voluntary organisation. The home was opened in 1991 and consists of a two storey semi-detached house, which is indistinguishable from the neighbouring properties. It is situated in a residential area of Rickmansworth, within walking distance of local shops and on a bus route for access to the town centre. All the homes bedrooms are single and one has a wheelchair accessible ensuite bathroom. The home has a large garden that is easily accessible for all service users. Current fees range from £900 to £1000 per month. Information regarding the service can be obtained from the Statement of Purpose and Service User Guide. These and a copy of the most recent CSCI inspection report are available from the manager on request. Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a positive inspection with the majority of standards being met and only one requirement made in respect of the environment. Consultation with both the service users (through service user questionnaires) and stakeholders endorsed the findings of the past inspections where standards were maintained at a good level and people living at Berrywood are offered a caring environment in which to live. Documentation examined included two service users’ care plans, the service user’s guide, staff recruitment, supervision and training records and quality monitoring records. A tour of the premises was made, taking in all the bedrooms and all communal areas. What the service does well: The inspection indicated that the home was running well, with a calm atmosphere and settled service users being cared for by confident, well-trained and motivated staff. Although there is still a major concern relating to the large cracks that are still evident in the bathroom area of the home, staff have worked hard to provide a homely and comfortable environment in which service users feel secure and relaxed. There is an assessment system in place, which is both detailed and comprehensive in its approach to identifying all the needs of new and existing service users. Detailed information about the operation of the service is provided to prospective and current residents. The service users appear to have some degree of involvement in their care planning and this has produced the beginnings of a person-centred plan for all service users and will enable staff to create an individual service in order to meet each service user’s needs and aspirations. The staff spoken with during the inspection appeared to have a clear understanding of their individual roles and responsibilities. The members of staff on duty were seen to support the main aims and values of the home. There are clearly defined job descriptions so that staff are aware of their roles. Staff have received a series of mandatory training in order to carry out their roles effectively and professionally. Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 6 The manager has had a range of experience within the field of Learning Disability She provides confident leadership and support to the team and has clear expectations of staff. What has improved since the last inspection? What they could do better: The main area of concern is the continuing issue of the large cracks that still exist within some internal parts of the home. The bathroom is in urgent need of re-decoration but this cannot go ahead until these cracks have been repaired. The manager stated that the most recent visit from the Architects stated that they were content that the cracks had not increased in size and that they were hopeful that the repair and the re-decoration could commence within the New Year. Berrywood DS0000019290.V354827.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. Berrywood DS0000019290.V354827.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 Berrywood DS0000019290.V354827.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): 1 –5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective and current residents can be assured that adequate information about the philosophy of care and operation of the home is available to them so that they are able to make informed choices. Admissions are made on the basis of detailed assessments of the individuals’ needs and aspirations so that prospective residents can expect that the home will provide a suitable service. EVIDENCE: There is a Statement of Purpose and a Service User’s Guide that contains the required information about the service provided. These documents are updated annually. There was a requirement made at the last inspection in relation to documentation being produced in a user-friendlier format. However the two service users currently living at the home are both able to read the written word and therefore the currently documentation meets the current service users needs. Discussion with both the manager and deputy manager that confirmed when the new service users move into the home, this will be reviewed and adapted accordingly. Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 10 Full assessments are made of every prospective service user’s needs, abilities, personal preferences and aspirations prior to admission so that it is clear that the home will be able to meet the individual’s requirements. The admissions procedure also includes a series of planned trial or familiarisation visits to allow the service user to experience the atmosphere and way of working in the home before making any firm commitment to a ‘permanent’ stay. Contracts are in place for all service users living at Berrywood. However when the home is fully occupied these documents should be reviewed in order to ensure that they are in a format that is understood by the service users living at the home. Where a service user is unable to understand this document, a representative should sign the document on their behalf. Berrywood DS0000019290.V354827.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): 7 –10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ can be assured that their needs and aspirations are detailed in comprehensive individual care plans that provide good information to facilitate consistent care. EVIDENCE: Two care plans were examined and found to be both detailed and comprehensive containing details of individual needs, personal preferences, goals set, and behavioural guidelines, medical care needs. The plans were set out in a colourful format, very accessible to the reader (including the service user) and provided invaluable information and give clear instructions to staff on how to proceed to achieve the best outcomes. The home will be implementing Person Centred Planning once the staff have received the appropriate training. Staff frequently update the care plans in the light of changing needs. The staff team should be congratulated on their hard work with improving these documents since the last inspection took place. Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 12 Staff work with residents to assist them to lead safe and enjoyable lives, consulting them as appropriate over decision making and offering guidance where needed. The standard of risk assessments within the home is good. All assessments had been updated since the last inspection took place Berrywood DS0000019290.V354827.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 –17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect that personal development opportunities and interactions with the outside community will be encouraged ensuring social and leisure needs will be met. Residents can be assured that their individual rights and opportunities are recognised and supported. EVIDENCE: All service users are encouraged and supported to maintain links to the local community The staff team endeavour to promote routines within the home in order to maintain service user’s independence. One service user is in full time employment and one service user attends a local college. Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 14 The menu was inspected and offered a variety of choice and is devised to meet service users individual needs and tastes. The home generally assist people in doing a two –weekly shop for their main meals. The care plans reflect the dietary needs of the service users. The kitchen had well stocked cupboards and there was fresh fruit and vegetables available. Service users are encouraged to use public transport. One service user is able to use the local bus service and the other service user generally takes a taxi or staff assists in transporting people in their own cars. The home currently has no on-site transport available. One service user takes an interest in gardening and helps maintain the large garden to the rear of the home. Recent holidays include a week in a hotel in Bournemouth and another trip to Blackpool with two staff. Activities include, canal trips, Bingo, parties at the local golf club and regular shopping and pub trips. Berrywood DS0000019290.V354827.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 –21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that their emotional and physical needs will be adequately met. The current medication practices and maintenance for medication are sufficient and adequate to ensure protection of the people using the service. EVIDENCE: Staff spoken with demonstrated a good understanding of individual needs and how to act to meet them. A key worker system is operated to ensure extra individual attention and help service users participate in the care planning process. Risk assessments in place indicated a structured approach to maintaining individual safety. Support is received from outside health professionals such as community learning disability nurses and local psychiatric services who provide specialist advice. Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 16 All service users have individual medication cupboards in their bedrooms, which are secured against the wall. One service user is self-medicating and one service user is part self-medicating. There are individual risk assessments in place to cover and endorse this practice. All MAR sheets were checked and found to be accurate. There are no homely remedies currently kept within the home. A running record is kept for stock amounts of paracetemol. This record was checked and reconciled. There is currently no controlled medication held in the medication cupboards, however there is a robust procedure in place for the administration of these medications, if required. There has been a death of a resident since the last inspection was carried out and the documentation seen demonstrated that this was managed sensitively and sympathetically. There was a discussion regarding the option of bereavement counselling for service users and staff, if required. The inspector gave the manager some contact details of a support organisation that can be contacted. Berrywood DS0000019290.V354827.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 –23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure within the home is sufficient and adequate in order for the residents to feel that their individual views are listened too. Residents can be assured that there are robust policies, procedures and training in place to ensure that they are protected and safe. EVIDENCE: A detailed complaints procedure is in place. A record is maintained of any complaints or compliments made, detailing actions and outcomes as necessary. All service users have been informed about the complaints procedure. This is also on display within the home. The home has endeavoured to produce this complaints procedure in a format that can be comprehended by the service user living at the home. A detailed procedure is in place to ensure that service users are protected from abuse and harm. Staff receive suitable and adequate Safeguarding Adults training. Staff employed are all subject to enhanced Criminal Records Bureau (CRB). Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 18 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 –30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Generally the home is presented in an acceptable standard however large internal cracks currently prevent the home from being further improved. Residents are enabled to personalise their bedrooms, which promotes their independence, preference and choice. EVIDENCE: There are still some large cracks in the upstairs bathroom that remain untreated and in a state of disrepair. The manager stated that a recent architectural visit confirmed that these cracks have not developed any further and that this should be rectified by the New Year. Until these repairs have been completed the bathroom remains shabby and in need of re-furbishment. The remaining areas of the home presents as comfortable, fresh and homely. The standard of cleanliness was excellent and no mal odours were present. Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 19 Since the last inspection was carried out the staff and service users have filled in the pond. To enable access a new shower has been fitted plus some new bath aids. The conservatory has been adapted for service users to make full use of this additional space and a room on the first floor now acts as a small office/small sleeping in room. To enhance the appearance of the kitchen a new dishwasher and cooker have also been purchased. To improve individual space a new laminate floor has been fitted to one of the service users bedrooms; all bedrooms have been fitted with individual medication cupboards and all service users have a key to their rooms and a lockable space provided. Watford Mencap have carried out a health and safety and fire risk assessment since the last inspection was carried out. A wooden fence had replaced the exterior wall to the left of the property, as the existing wall was deemed unsafe. Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 20 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): 31 - 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff know and support the aims and values of the home and how their roles contribute to achieving them. Residents can expect that the staffing levels are adequate to provide the attention that they need and that they are protected by the home’s current recruitment procedures. EVIDENCE: The deputy manager was on duty at the time of the inspection and the manager, who was on a day off, joined the latter part of the inspection. Staff spoken with during the inspection appeared very clear of their individual roles and responsibilities. The home has a loyal staff team that appear to have a good understanding of the current service users needs and abilities. Due to there only being two service users currently living at the home, the staffing levels have been reduced to provide one member of staff on duty Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 21 during the day and evening. These levels will be increased once the home is fully occupied. The home has one manager; one deputy manager and 2 WTE support workers, one part time post. There are currently no staffing vacancies. There are clearly defined job descriptions and person specifications in place. All staff have received a series of mandatory training course in order for them to meet the needs of the service users. Training in Safeguarding Adults, epilepsy, medication, food hygiene fire training has been carried out since the last inspection. The company has rigorous recruitment procedures that involve thorough vetting of applicants. Two staff files examined contained photographs of the person, application forms, two positive references and CRB disclosures. All new staff receives structured induction and the company provides good access to training according to the training matrix provided by the manager. There has been a new manager appointed since the last inspection was carried out. The manager completed her RMA in February 2007.One member of staff has NVQ level 3, one person is in the process of completing NVQ level2 and one person is due to start their NVQ level 2 training. The new manager has worked hard in improving and developing the service at Berrywood and appears to have created a motivated and committed staff team. Supervisions are carried out on a regular basis and staff spoken to confirmed the manager is both supportive and approachable in her role. Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 22 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 –43. 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 run, with service users benefiting from the support and guidance of the manager and the committed and enthusiastic staff team. Self-monitoring systems are adequate so that the service is able to identify areas of improvements to outcomes for residents. EVIDENCE: The management approach endeavours to create an open and positive atmosphere, staff spoken to stated that they feel supported and feel the home is well managed. A clear commitment is made to equal opportunities, with staff and service users expressing positive views (through service user questionnaires and service user meetings) with regards to this. Adequate Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 23 training is being provided to ensure all staff have the necessary underpinning knowledge to carry out their role effectively. The manager carries out regular, monthly supervisions. Quality assurance systems are in the process of being further developed in order to assure that the service users views underpin all self-monitoring, review and development of the home. The manager is in the process of developing service user questionnaires CSCI service users questionnaires were also sent out prior to the inspectiontaking place. All these questionnaires were returned with very positive comments from both the service users and their carers. Service user meetings occur and minutes are taken. All records are secure and were up to date and held in accordance with the Data Protection Act 1998 ensuring that service users rights and best interests are safe guarded by the polices and procedures in place. Records regarding staff were not inspected, as they are not held within the home. All fire checks were checked and up to date. Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 24 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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 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 3 3 3 3 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 3 3 3 3 3 3 3 3 3 Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 25 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 YA24 Regulation 23 (1) (b) Requirement To improve the appearance of the home for the service users the large cracks that still remain within the internal walls of the home must be resolved and the bathroom re-furbished. Timescale for action 31/12/07 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 Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Inspection Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Berrywood DS0000019290.V354827.R01.S.doc Version 5.2 Page 27 - 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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