Care Home: Fourways Residential Care Home

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What the care home does well All of the residents told the inspector that they liked living at the home and that the service provided was "reliable" and "good quality". Residents live in pleasant comfortable surroundings that are well maintained, accessible and homely. Comments made by residents about the environment included "the home is always clean", "my room is lovely, and I have everything I need". People felt that the home is well run and that management are approachable and open to comment. Staff were given particular praise. One resident said "I`ve nothing but praise for the girls, they are kind and helpful, nothing is too much trouble for them." Residents feel that their care is provided with respect by a caring and kind staff team. Records were generally well kept and up-to-date. Staff are well trained and most have achieved professional qualifications in care to further enhance their skills and knowledge. Residents said that the food was good and was provided in an unhurried manner in comfortable surroundings. There is a choice and food is well cooked and nutritious. Residents felt that they could express their personal choice and that staff would listen to them. They felt confident that they could make a complaint and that it would be dealt with efficiently by management. Resident`s visitors are warmly welcomed and may visit at anytime. They are encouraged to remain involved in the resident`s care and welfare and are consulted about issues that may affect them. What has improved since the last inspection? Since the last inspection the way that people are assessed before admission has improved to provide a greater level of detail. This enables staff to know how to provide the right care to the resident. Care plans are comprehensive and holistic and reflect the needs of residents more accurately than previously. All risks to residents are now fully assessed to protect residents from harm. The residents are asked to provide the home with feedback to ensure that the service provided continues to effectively meet their need. CARE HOMES FOR OLDER PEOPLE Fourways Residential Care Home 45 Scotland Hill Sandhurst Berkshire GU47 8JR Lead Inspector Julie Willis Unannounced Inspection 13th June 2008 09:45 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 Fourways Residential Care Home DS0000069103.V365332.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. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fourways Residential Care Home Address 45 Scotland Hill Sandhurst Berkshire GU47 8JR 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) 01252 871751 diana@atkinsonshomes.com A. V. Atkinson (Fourways) Limited Mrs Maria Angeles Barwick Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0) of places Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 2. Physical disability (PD). The maximum number of service users to be accommodated is 20. Date of last inspection 18th June 2007 Brief Description of the Service: Fourways is a care home providing residential care services for people over the age of 65 years. This home is not registered to provide nursing care services. The home is situated within the village of Sandhurst, located between Wokingham and Camberley. Fourways is a detached house, which has been adapted and extended to provide care and accommodation for up to twenty service users. On the ground floor there is a lounge and a dining room leading into a large conservatory. Bedrooms are located on the ground and first floors. Most of the bedrooms are for single occupancy and some have en-suite toilets. There are two bathrooms and a shower room on the first floor. There is access from the conservatory to the rear garden. The cost of the service is between £450 - £500 per week. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector was in the service from 09:45am to 3:30 pm. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents, relatives and visiting professionals such as doctors and nurses. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met all of the residents and one relative that were visiting at the time of the inspection. The inspector also spent time talking informally to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals with various religious, racial or cultural needs. The inspector gave feedback about her findings to the homes Registered Manager and Proprietor at the end of inspection. There were no legal requirements made as a result of this inspection. The Commission has received no information concerning complaints about this service since the last inspection. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Since the last inspection the way that people are assessed before admission has improved to provide a greater level of detail. This enables staff to know how to provide the right care to the resident. Care plans are comprehensive and holistic and reflect the needs of residents more accurately than previously. All risks to residents are now fully assessed to protect residents from harm. The residents are asked to provide the home with feedback to ensure that the service provided continues to effectively meet their need. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 7 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. Fourways Residential Care Home DS0000069103.V365332.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 Fourways Residential Care Home DS0000069103.V365332.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): Standard 3 People who use the service experience good quality outcomes in this area. Residents are fully assessed prior to admission to ensure the home will be able to effectively meet their need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Prospective residents are only admitted to the home if the service is satisfied that staff have the skills, knowledge and ability to meet their assessed needs. All prospective residents are fully assessed by management of the home prior to admission. The assessment usually takes place at home or in hospital and is carried out by the homes Registered Manager. Advice is sought from a range of health and social care professionals and others including family members who know and understand the needs of the prospective resident. This enables the service to build up a picture of the residents needs and to plan fully for their admission. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 10 The documentation for 3 residents was examined during inspection and the residents were case tracked from pre-admission to date. From discussion with staff, management and residents it is evident that significant planning is undertaken pre-admission to ensure that the residents transition to the home goes smoothly. This includes ensuring that the home has in place any specialist equipment needed by the individual during their stay. Examination of the records evidenced that information about the resident’s health and personal care needs were sought. Clinical tools were being used to assess the resident’s nutritional needs, communication needs and level of mobility. Manual handling risk assessments and ‘safe systems of work’ had been devised to reduce the likelihood of injury to residents and to staff. Clinical tools were being used routinely to assess the resident’s risk of falls, continence needs and mental state. All residents consulted spoke positively about their experiences at the home. A sample of their comments included “its nice here, people are kind”, “I can’t complain, I suppose it’s the next best thing to being at home, when you can no longer manage” and “I’ve been here a good while and I’ve no complaints”. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 11 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): Standards 7, 8, 9, 10 People who use the service experience good quality outcomes in this area. Residents are encouraged to make choices about their lives and to take everyday risks. The written records accurately reflect the individual needs, aspirations and lifestyle choices of each resident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is currently in the process of changing all of its care documentation to that recommended by Berkshire Care Association (BCA). The new documentation is holistic and person-centred and based on current good practice and research. Examination of three care files evidenced that information was up-to-date and accurate and sufficiently detailed to enable staff to know how each resident wishes to be cared for. Care plans were being reviewed at regular monthly intervals to ensure that they continued to reflect the needs of residents. The daily records were a clear account of actions and events that occurred to the resident over a twenty-four hour period. Risks to residents had been fully Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 12 assessed using a range of clinical tools and guidelines were in place to reduce the likelihood of occurrence. Residents that were consulted expressed little or no interest in the development and review of their care plans but felt that they could ask to see the records if they wished. One resident said, “I don’t know what’s in my records, I trust the staff to get on with it”, “I know I can see them in the office if I want to”, “I’m happy enough as long as I have a comfortable bed and good food, I’m happy”. Records of medical intervention demonstrated that the home works closely with other health and social care professionals to ensure that residents receive appropriate medical treatments in timely fashion and preventative screening at appropriate intervals. Residents confirmed that they could see their doctor when they wanted to in the privacy of their own bedroom. The system used for the safe administration of medication is the monitored dosage system. This system reduces the likelihood of medication error and provides an accurate record of administration. Medication is stored securely and disposal systems are safe. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 13 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): Standards 12, 13, 14, 15 People who use the service experience good quality outcomes in this area. A range of activities is offered that provide opportunity for mental and physical stimulation. Residents are encouraged to maintain contact with their family and friends and are able to have visitors at any time. The home provides a varied and nutritious menu designed to meet the needs of its residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observation of the daily routines and discussion with residents and staff evidenced that staff accommodate residents wishes as much as possible and particularly in regard to meal times and food preference, the time that residents rise and retire and their level of activity during the day. During the inspection residents were observed to have freedom to move around the home choosing where to sit and what level of company they wanted to enjoy. One resident told the inspector “I like to stay in my room, I’m happy enough with my television for company. I’ve never been a joiner, I much prefer to do my own thing”. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 14 Resident’s views about activities varied widely between those who wished to socialise and take part and those who preferred their own company. Residents told the inspector that they watched television, chatted to friends, liked musical entertainments or playing games. The activity schedule contained items such as ‘music for health’ and ‘music of the Shadows’. One resident said that they particularly enjoyed the outside entertainments and another said that they had the opportunity to visit a local day centre on a weekly basis “for a change of scene”. The inspector was told of plans for a summer barbeque when relatives will be invited to join in. Staff were observed to offer residents appropriate choices in relation to their every day lives. For a few residents exercising their choice was more difficult. The staff were observed to use their acquired knowledge of a resident to help them make decisions on the residents behalf. Staff spoke knowledgably about the needs, wishes and preferences of individual residents including their cultural or religious beliefs. The meal served during inspection was well presented. The majority of residents eat in the communal dining room. There was evidence that resident’s individual choices in relation to meals are respected and specialist diets are catered for. Lunch was fish, chips and peas followed by banana and custard. Tea was Welsh rarebit followed by fresh fruit salad for dessert. A range of alternatives is available at each mealtime. Residents confirmed that the food was well cooked and tasty. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 15 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): Standards 16 & 18 People who use the service experience good quality outcomes in this area. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by well-trained and competent staff that can demonstrate knowledge of the homes abuse of vulnerable adults and whistle-blowing policies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Details of how to make a complaint are displayed in the home. The complaint policy meets the requirement of Standard and Regulation. It provides information on how to make a complaint and the formal stages in procedures. Examination of the complaint records indicated that there have been no complaints made to the home since 1st January 2008. Residents spoken with at the time of inspection said that that they felt confident that they could approach staff with any concerns or complaints and these would be taken seriously and acted on without delay. The residents confirmed that they had never had to make a complaint because they felt that management were always approachable and operated an ‘open door’ policy. The residents felt that concerns would be addressed quickly before problems escalated to a formal level. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 16 There has been no information about complaints reported to the CSCI about the home since the last inspection. There are written policies covering safeguarding adults and whistle-blowing. These make clear the vulnerability of people in residential care and the duty of staff to report any concerns to a person in authority. Staff confirmed that they had safeguarding adults training and demonstrated an understanding of their roles and responsibilities under safeguarding adult’s guidelines. There was evidence in staff files and from discussion with staff, that they receive training in ‘Safeguarding Adults’ as part of their formal induction to the home. This training is later refreshed and consolidated when staff undertake NVQ training in which it forms a core module. Observation of care practice concluded that staff were patient and understanding when dealing with residents and appeared mindful of the need to respect their privacy at all times. Staff interviewed were aware of the homes whistle-blowing policy and understood the importance of protecting residents from abuse and exploitation at all times. The residents confirmed that they felt safe and well cared for by “kind and understanding staff”. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 17 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): Standard 19 & 26 People who use the service experience good quality outcomes in this area. The standards of décor and furnishings in this home offer residents a comfortable and homely place to live. Standards of hygiene are good throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From a tour of the building it is clear that the home is well maintained for the benefit of residents. All communal areas were clean, airy and well lit and were decorated and furnished to a comfortable standard. The home has a rolling programme of routine maintenance and renewal and a budget is available that reflects this. The bedrooms were all highly personalised and were warm spacious and comfortable. The home has a range of aids and equipment available to maintain residents independence and to promote safe care. There is a choice of bathing and showering facilities both assisted and unassisted and there are Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 18 sufficient toilets placed strategically around the home to meet the needs of residents. All bathrooms and toilets have a supply of liquid soap and hand towels to maintain satisfactory infection control standards. The home was clean and hygienic throughout there were no residual odours noted. Residents confirmed that the home is always clean and well maintained and staff work hard to provide a pleasant environment for the residents. Discussion with staff and examination of the staff training records evidenced that all staff have received refresher training in infection control and health & safety. Residents told the inspector “I’m very comfortable, as long as I have a good bed and my privacy I’m quite happy” and “the staff do a good job of keeping the home clean, there are never any nasty smells”. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 19 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): Standards 27, 28, 29, 30 People who use the service experience good quality outcomes in this area. There were sufficient numbers of staff on duty at the time of inspection to meet the needs of residents effectively. The skill mix of the staff team was appropriate for the size, layout and purpose of the home. Recruitment policies and procedures at the home are robust and transparent and ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff, visitors and residents felt there were sufficient numbers of staff on duty to meet resident’s needs effectively. Residents said that call bells were always answered in a timely fashion and that the staff are not too rushed to provide the best quality care. Examination of three staff records and discussion with staff and management indicated that all necessary checks are undertaken on prospective staff to ensure the safety and protection of residents. Records were well kept and met the required standard. It is clear that the homes policy on recruitment is robust, transparent and meets the requirements of current good practice guidance and legislation. The staff records were well kept and contained copies of induction training, job descriptions, application forms, two written Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 20 references, training certificates, supervision and appraisal records. These were examined to evidence compliance with good practice. Examination of the staff files and training records evidenced that most of the current staff have either gained or are in the process of attaining NVQ qualifications at levels II & III. Staff confirmed that the Registered Manager provides the necessary support and guidance to candidates to help them achieve their goals. From records it was clear that all staff have been properly inducted and complete a period of shadowing permanent staff to ensure that they are confident and competent to carry out the tasks of the job. Staff confirmed that they had undertaken an in-house induction and foundation training to Skills for Care specification. Training in core skills is refreshed at regular intervals to ensure that skills are updated and meet current good practice guidance. The following comments were made to the inspector about the qualities of the staff including “the girls are all very nice ” and “they seem a likeable lot always willing and capable” and “the staff are always kind, nothing is too much trouble”. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 21 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): Standard 31, 33, 35, 38 People who use the service experience good quality outcomes in this area. The resident’s benefit from living in a well managed home, where there is evidence that there health, welfare and safety is of primary importance. The registered person is qualified, competent and experienced to run the home for the benefit of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Homes Manager – Angela Barwick is an experienced qualified nurse. A deputy and a team of carers and ancillary staff support her in her duties. She is well liked and respected. The staff confirmed that the Homes Manager is an effective leader and communicates a clear sense of direction and purpose. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 22 The residents are complimentary about the management of the home and feel that the office is always open and accessible. From discussion with the residents it was evident that they are regularly consulted on issues that affect them and feel that their views are taken into account on a day-to-day basis. The home has worked hard to elicit resident’s views and it is clear that when requests are made or concerns expressed in residents meetings the issues raised are followed up promptly by management. From examination of records and discussion with staff it is evident that they have the opportunity to express their opinions openly in regular staff meetings. These meetings, supervision sessions and staff handover times provide plenty of opportunity for the staff to feel included and involved in the way the service is delivered. The home does not hold any cash accounts for residents. All residents have a family friend or relative who manage their personal finances on their behalf. The health & safety records were sampled during inspection. Records demonstrated that maintenance checks and servicing of equipment are carried at appropriate intervals to maintain the home as a safe and risk free environment for residents. All risks to residents are effectively risk assessed and managed. Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 3 X 3 X 3 3 X 3 Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 24 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 Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 25 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 Fourways Residential Care Home DS0000069103.V365332.R01.S.doc Version 5.2 Page 26 - 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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