Care Home: Cherwood House Care Centre

Similar services:

• Flint House
• Hillview Farm
• St Vincents
• Dalewood Respite Care
• Orchard,The
• Heather House Nursing Home
• REACH Upton Court Road
• The Cotswold Home

What the care home does well The home is comfortable, clean and safe, and has a welcoming friendly atmosphere. The staff team is able to look after people properly, as they are well trained and well supported by the two managers. People told us that the best things about living in the home were `talking to staff`, `so clean`, `the good atmosphere`, and the `good food`. Health care is good, and the staff members pay attention to the way individuals want to be cared for. There are plenty activities to choose from, including trips out in the home`s minibus. It is easy to discuss concerns and complaints, and the managers want to resolve issues quickly. The home is well managed, and there is a focus on making life comfortable and happy for the people living there. What has improved since the last inspection? There have been major improvements to the bathroom area upstairs in the nursing wing, and a new clinic room has been provided. The nursing office has been improved and redecorated. All the private rooms are redecorated before an individual moves in. The small kitchens have been painted and new flooring has been laid. What the care home could do better: The home has identified the improvements needed to the downstairs bathroom area on the nursing wing, and has plans in place to carry out the improvements during the coming months. CARE HOMES FOR OLDER PEOPLE Cherwood House Care Centre Buckingham Road Caversfield Bicester Oxfordshire OX27 8RA Lead Inspector Kate Harrison Unannounced Inspection 21st October 2008 11:00 X10015.doc Version 1.40 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 Cherwood House Care Centre DS0000027144.V372785.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 Older People. 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. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherwood House Care Centre Address Buckingham Road Caversfield Bicester Oxfordshire OX27 8RA 01869 245005 018869 324844 lynda.anders@cherwoodhouse.co.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) Ellenbern Holdings Limited Yvonne Bazylkiewicz Mrs Lynda Joy Anders Care Home 103 Category(ies) of Past or present alcohol dependence (3), registration, with number Dementia (35), Dementia - over 65 years of age of places (35), Learning disability (4), Learning disability over 65 years of age (4), Mental disorder, excluding learning disability or dementia (10), Mental Disorder, excluding learning disability or dementia - over 65 years of age (10), Old age, not falling within any other category (103), Physical disability (12), Physical disability over 65 years of age (8), Sensory Impairment over 65 years of age (2), Terminally ill over 65 years of age (10) Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The total number of service users must not exceed 103 The lower age limit for admission to the PD, A, LD, DE and MD categories is 40 years. Older people requiring nursing care may be admitted from age 60. Categories of Residence: The following numbers must be observed when admitting service users: OP DE and DE(E) MD and MD(E) PD PD(E) LD and LD(E) A TI(E) SI(E) Date of last inspection Nursing places limited to 58 Nursing places limited to 25 Nursing places limited to 4 Nursing places limited to 6 No nursing places Nursing places limited to 2 Nursing places limited to 1 Nursing places limited to 8 No nursing places 20th July 2006 Brief Description of the Service: Cherwood House is part of Cherwood House Care Centre, situated close to Bicester in the Oxfordshire countryside. It is a family owned business, registered with the Commission for Social Care Inspection (CSCI) to provide nursing and residential care in Cherwood House. The cottages within the grounds at Cherwood Close are not regulated by CSCI. This report only refers to the nursing and residential services provided at Cherwood House. Cherwood House is a substantial house that was originally a Royal Airforce Officers Mess, and carries with it a lot of history and the original timbers in the bar tell their own story. The house has been extensively extended over time and now provides nursing and residential care for up to 103 people. The nursing and residential wings are separated by the spacious shared entrance hall, which also serves as a comfortable meeting area for people living in the home, their relatives and friends. There is a registered manager in charge of each wing, and a management team oversees the smooth running of the home. The accommodation is provided over two floors in single or double rooms, some with en-suite facilities. There is a passenger lift in each wing, and ramps Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 5 provided to allow wheelchair access throughout the home. The communal areas include spacious lounges, and dining rooms in each wing, and the bar is open at arranged times. The extensive grounds are accessible to everyone and include raised beds, a greenhouse, and a safe area suitable for vulnerable people. The fees for this service range from £520 to £883 per week. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This inspection of the service was an unannounced ‘Key Inspection’, and was conducted by one inspector. We arrived at the service at 11 am and the inspection lasted for 5.5 hours. This inspection was a thorough look at how well the service is doing. It took into account detailed information provided by the service through the Annual Quality Assurance Assessment (AQAA) and any information that we received about the home since the last inspection. We asked the views of the people who live in the home and other people seen during the inspection or who responded to questionnaires we sent out, and their views are included in this report. We saw most areas of the home and looked at records and documents relating to the care of the people living there, including staff files showing the home’s recruitment process. We checked the medication procedures and spoke to members of staff about their work. We talked to some of the people living in the home about their particular needs and how the home was looking after them. We discussed the running of the home with the two registered managers. We looked at how the service was meeting the standards set by the government and in this report make judgements about the outcomes for people living at the home. From the evidence seen and comments received, we consider that this home would be able to provide a service to meet the individual needs of people from diverse backgrounds and with different cultural and religious needs, and with different physical abilities. What the service does well: The home is comfortable, clean and safe, and has a welcoming friendly atmosphere. The staff team is able to look after people properly, as they are well trained and well supported by the two managers. People told us that the best things about living in the home were ‘talking to staff’, ‘so clean’, ‘the good atmosphere’, and the ‘good food’. Health care is good, and the staff members pay attention to the way individuals want to be cared for. There are plenty activities to choose from, including trips out in the home’s minibus. It is easy to discuss concerns and complaints, and the managers want to resolve issues quickly. The home is well managed, and there is a focus on making life comfortable and happy for the people living there. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. The home does not provide intermediate care so Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of individuals are comprehensively assessed by a competent person from the home before individuals move in. EVIDENCE: We looked at the pre-admission procedures and saw that the home acquires as much information as possible about the individual before carrying out the preadmission assessments. On both wings the registered manager or her deputy carries out the pre-admission assessment visits, using the home’s detailed documentation. We saw pre-admission assessments showing that the needs of people are assessed before a decision is made about moving into the home, and only individuals whose needs can be met are admitted. People we met told us that their needs were assessed before moving in, and that their needs are being met by the home. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home have their personal, health and welfare needs met to a consistently high standard. EVIDENCE: We looked at care plans for three individuals living in the nursing wing. We noted that risk assessments were carried out for key topics such as nutrition and pressure damage, and that care plans were developed to give the care staff detailed information about how to meet the individuals’ needs. We saw that records were kept carefully noting the fluid and food intake of individuals when necessary, and that the general practitioner was informed whenever necessary. The care plans were personal to the individuals, comprehensive and included information about looking after the individuals as they want, during the night as well as the daytime. We saw evidence that the care plans are reviewed monthly, as we recommended at our last inspection visit in July 2006. People living at the home have access to the physiotherapist based at the home, working on a private basis. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 11 People told us via our survey and during our visit that they ‘always’ receive the medical care they need. We noted that people living in the home are treated with respect by the staff team. People who responded to our survey said staff members listened to them, and the registered managers give good example to the staff team in developing and maintaining high standards. We saw examples of this in the staff meeting minutes, in that lessons are learnt and ways to improve practice are sought, and in the way the registered managers take a personal interest in supporting people living in the home. We looked at how the medication is managed in the residential wing. There are policies and procedures to guide the staff members who are trained to manage the medication in the home. The medication is ordered and delivered monthly from a high street pharmacy, and good records are kept of medication received, administered and returned. The medication is kept securely and is regularly audited. There is a dedicated staff trainer in the home, and the staff team benefit from this support. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home are supported to live the life they choose, and the home supports them by providing opportunities, facilities and services to meet their needs. EVIDENCE: People living in the home are able to take part in a wide variety of activities. Both wings of the home produce monthly activity schedules, showing activities that people living in the home have chosen. The care staff team oversee the activity schedule on the residential side and the activities organiser is responsible for the activities on the nursing side. On admission to the home the activities organiser discusses with individuals what activities they like to do, and discusses what is available and what extra can be provided. Each weekday morning the activity organiser holds a group discussion, with drinks and fruit, where the daily newspaper is discussed. There is a variety of group and individual one to one provision, such as bingo, gardening, and reminiscence and individual activities such as manicures and hand massage, so everyone has a choice. The hairdresser comes twice a week and has a dedicated room so that people can be attended to in private. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 13 Entertainers visit the home regularly. The home has a minibus and this is used regularly, to take people on outings to nearby villages for coffee and to meet up with other local groups, on day trips and for regular shopping trips. Each person has an activity plan, and this is reviewed regularly. People we spoke to said they enjoyed the social life at the home, and the majority of people who responded to our questionnaire said that there were ‘always’ activities provided they could take part in. One individual described how the regular meeting up with others in the home during the activity sessions meant a lot to her. The home welcomes visitors to the home and encourages families to participate in the life of the home. The group ‘Friends of Cherwood’ raises funds and takes part in large events such as the summer garden party and Victorian Pudding evening. People can bring personal possessions into the home so that they can make their personal space individual and homely, and one individual told us that this had helped her to settle in quickly. The home encourages people to remain independent, and supports people to continue with activities such as attending religious services as much as possible. Some religious services are provided in the home, and individuals are supported to attend other services in the community. The home has a catering manager who is responsible for the food provision over the two wings. There are three dining rooms used in the home. People have a menu to choose from, and can choose to eat in the dining room or in their rooms. People told us that they enjoy the food provided, and through our survey said that they ‘always and ‘usually’ enjoy the food provided. Staff members are able to help those who need help with eating, and we saw them do this sensitively and attentively. We spoke to one of the chefs, who said that the home’s meat and vegetables are sourced from local providers, and that feedback about the menus is welcomed and used to improve the experience of people living in the home. There is a domestic type kitchen on each wing where staff members can prepare or help people to prepare drinks and snacks as necessary. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home know what to do if they want to complain, and they are kept safe through the home’s procedures and staff training. EVIDENCE: We saw the complaints procedure available in the entrance hall, and people told us that they would tell a member of staff if they had any concerns. All the people who responded to our survey said they knew how to make a complaint if they wished to. We saw the nursing wing’s complaints record, and the home responds appropriately to complaints made, including reviewing practice following any incident. We received no information about complaints made to the home since our last inspection visit. The home has safeguarding policies and procedures, including a new policy about bruising, to guide staff. The procedures are reviewed regularly and the registered managers are aware of the local authority’s website about safeguarding vulnerable adults. All staff members at the home receive safeguarding training on an ongoing basis. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from the continuing upgrading of the home. EVIDENCE: We saw all the communal areas of the home, and the private rooms of those individuals who invited us in. The home is comfortable, warm and clean, and decorated to a high standard. Since our last visit there have been major improvements to the upstairs bathroom area in the nursing wing. The old bathroom and toilets have been replaced with a new layout of the two toilets and bathroom, with good fittings and decoration. The plans to upgrade the downstairs bathroom are in hand, and people living in the home will benefit from the better facilities and improved choice about bathing when the refurbishment of the bathrooms is completed. The registered manager said that work is planned to be completed over the coming months. The general maintenance of the home continues alongside the refurbishment, and during Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 16 our visit contractors were maintaining the garden, attending to the lawns and shrubs. The home has good procedures about infection control, including foot pedal operated bins. There is a dedicated laundry team, and all the staff team have attended infection control training. Everyone who replied to our survey said that the home is ‘always’ clean and hygienic. One person commented on the ‘high standards of environmental and personal cleanliness of the care home’. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. People living in the home are supported by a competent and safe staff team. EVIDENCE: Both wings of the home use staff rotas to show the numbers and skill mix of staff available. People told us that the staff team work hard and some on the nursing wing said that they would like more time to complete their personal care but are aware that others need the carers too. The registered manager explained that one member of staff is on unexpected compassionate leave, and this has had an effect on the workload, but she is recruiting more staff at present. The home uses ‘bank’ staff, rather than agency staff, and this provides some continuity for the individuals in the home. People who responded to our survey said that there are ‘always’ or ‘usually’ enough staff members to meet their needs. Staff training is taken seriously by both registered managers, and on each wing there is a person responsible for ensuring that all staff members receive the training they need to do their jobs. All the staff team receive key training annually, such as on safeguarding vulnerable people, food hygiene and moving and handling, and on other topics relevant to their work. The nursing staff team are provided with regular training updates. The home is registered to care for people with several different illnesses and conditions, and the training programme includes training sessions to give carers and nurses an Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 18 understanding of the needs of all the people living in the home. Two nurses have taken specialist training in the care of people with dementia, and one member of staff has gained a qualification in dementia care. Training has also been provided about how the Mental Capacity Act 2005 affects care in the home. There is an appropriate induction programme, and the home encourages care staff to enrol on the National Vocational Qualification (NVQ) Level 2 in Care. Of the 93 care staff across both wings, 48 have gained the NVQ Level 2, and this means that the home is achieving the national minimum standard of having 50 of the care staff trained to NVQ Level 2. We checked the home’s recruitment procedures, and saw that all the necessary information for the three new members of staff whose files we saw was available, including checks to see that the individuals were not on a list of people barred from working with vulnerable people. The staff members who responded to our survey said that they felt that the home did ‘everything’ well, and one commented that it felt like ‘we are all one big family’. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a track record of good management and continues to provide a safe place for the people living there. EVIDENCE: Both the registered managers have been at the home for several years, are qualified and skilled and have excellent leadership qualities. They continue to develop the staff team and oversee improvements to the home, and take a personal interest in the people living in Cherwood House, their families and in the staff team. Both undertake regular update training and provide daily support to their teams. There is good administrative support, and the registered provider’s representative also works at the home. He is responsible for the home’s financial and strategic planning, and forms the senior management team with the registered managers. There is a development plan Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 20 for the home, and that includes the continued upgrading of the bathrooms on the nursing wing. We received positive comments through our survey about the managers including – “We do not have a single complaint & cannot speak highly enough of the management, nursing & care staff”; the manager ‘has an encyclopaedic knowledge of residents’ needs and situations and is always accessible’; ‘always gives honest & helpful advice and feedback. Her commitment is impressive and goes beyond the call of duty. She sets the standard for all the other staff’. There are several strands to the home’s quality assurance system, including regular auditing and updating of records and policies, and an ongoing exercise of getting the views of people living in the home and their relatives about the quality of the service. Both managers have an open approach to staff and visitors, and people living in the home told us that they could discuss any concerns on a daily basis with the senior staff. There is a regular newsletter produced for people living in the home and their families. The home keeps some petty cash for individuals safely, and records and receipts were checked and found to be correct. The home has a safe working practices policy statement and has identified people responsible for the management of health and safety in each wing. Fire risk assessments are in place for both wings of the house. Staff members receive health and safety training on key safety issues and on both wings of the home there is always a person on duty who has a current first aid certificate. Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 Cherwood House Care Centre DS0000027144.V372785.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Cherwood House Care Centre DS0000027144.V372785.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!