Care Home: Little Westover

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What the care home does well Service users said that they like living at Little Westover. They like the staff and are clearly involved in the day to day running of the home. Service users have good links to the local community and their different needs are known and catered for, for example, some like to attend a local church and staff support this. Service users are supported to take responsible risks. This increases their independence. The manager, other staff and service users are good at identifying areas where improvements could be made and take action to improve these. The manager has a very good understanding of her role and a clear vision of how the service should develop. What has improved since the last inspection? Risk assessments have developed more to ensure that service users are leading as independent a life as possible. More work is being done on communication methods, for example, Maketon to ensure that service users needs and wishes are understood more fully Staff rotas have been altered to ensure that staff are deployed as effectively as possible. The environment has altered to adapt to changing needs. The manager has accessed some further training for staff in health and safety areas and is looking for training /information in areas of particular need, for example regarding sensory impairment. What the care home could do better: These Areas for improvement have already largely been identified by the service: Information regarding infection control and the control of substances hazardous to health (COSHH) could be improved. Some Staff need updating on some health and safety training, for example adult protection, non-violent crisis intervention. It is a requirement that advice be sought and followed from the fire dept to ensure that the frequency of fire safety training is sufficient. Copies of staff references need to be held at the home, as well as centrally so that there is better evidence during inspection that recruitment procedures are being followed properly Recording on the new Medical Administration Records needs to be more accurate. Care planning systems would benefit from being revised so that they are more user friendly.Staffing levels need to be reviewed and revised to reflect some residents increased care needs. A requirement has been made regarding this. CARE HOME ADULTS 18-65 Little Westover 23 Bereweeke Avenue Winchester Hampshire SO22 6BH Lead Inspector Kathryn Kirk Unannounced Inspection 30th October 2007 10:30 Little Westover DS0000011825.V344299.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 Little Westover DS0000011825.V344299.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. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Little Westover Address 23 Bereweeke Avenue Winchester Hampshire SO22 6BH 01962 840098 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) Stonham Housing Association Limited Luencina Zankl Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2006 Brief Description of the Service: Little Westover is registered to provide care and accommodation for up to seven people with learning disabilities. The home is situated in a residential area of Winchester, approximately 200 metres from a local shop and bus stop serving the city centre. Each service user has their own single bedroom and shares the use of lounge, dining room, conservatory, kitchen and two bathrooms. There is a large garden to the front and rear of the home and parking space for several cars. The home is owned and managed by Stonham Housing Association. There is one fee of £609.98 per week, which excludes personal expenses such as toiletries, hairdressing, chiropody, clothes, taxis and train fares. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection. Information for this report was gathered in the following ways: The homes manager completed an annual quality assurance audit. This provided a lot of information about how the service is meeting the needs of people who live there. All seven service users, four relatives and one health care professional completed surveys, which gave their views of the service. All information was reviewed which had been received by the Commission for Social Care Inspection since the last report in November 2006. A visit to the home took place on 30 October 2007. This lasted for 4 hours. Three service users, one staff member staff and the manager described what it was like to live and work in the home. Some paperwork was also seen. What the service does well: Service users said that they like living at Little Westover. They like the staff and are clearly involved in the day to day running of the home. Service users have good links to the local community and their different needs are known and catered for, for example, some like to attend a local church and staff support this. Service users are supported to take responsible risks. This increases their independence. The manager, other staff and service users are good at identifying areas where improvements could be made and take action to improve these. The manager has a very good understanding of her role and a clear vision of how the service should develop. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: These Areas for improvement have already largely been identified by the service: Information regarding infection control and the control of substances hazardous to health (COSHH) could be improved. Some Staff need updating on some health and safety training, for example adult protection, non-violent crisis intervention. It is a requirement that advice be sought and followed from the fire dept to ensure that the frequency of fire safety training is sufficient. Copies of staff references need to be held at the home, as well as centrally so that there is better evidence during inspection that recruitment procedures are being followed properly Recording on the new Medical Administration Records needs to be more accurate. Care planning systems would benefit from being revised so that they are more user friendly. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 7 Staffing levels need to be reviewed and revised to reflect some residents increased care needs. A requirement has been made regarding this. 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. Little Westover DS0000011825.V344299.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 Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good Sufficient information about prospective service users is gathered to ensure that their needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no new admissions to this home since the last report of November 2006, when the quality in this area was judged as good. All service users said in a written survey that they had all been asked if they wanted to move into the home and said that they had received enough information so that they could decide it was the right home for them. The annual quality assurance audit states that: The referral procedure provides a full assessment of need (About You), which is completed, to establish goals and any potential risks. This is undertaken by two staff who have been trained in assessing client needs. The staff also use the Care Manager assessment to identify areas that the client may not recognise as areas of need. An advocate or other client representative is Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 10 encouraged (with Client permission) to attend the initial and any subsequent interviews to ensure that the views of the client are being listened to. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good Service users needs are understood and they are supported to make decisions and to take responsible risks. Service users could be more involved in the care planning process. This judgement has been made using available evidence including a visit to this service. EVIDENCE: According to the annual quality assurance audit, the responsibility for the development of individual care plans is delegated to the client’s link worker. The manager said that she reviews all care plans to monitor quality and progress at least 3 monthly. Care planning information was seen for one service user during the visit. The Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 12 records identified the person’s needs, likes and dislikes. The forms were however, very long and asked questions that were not always relevant to the service users situation. The manager explained that these documents are mainly used by the organisation when assessing needs for supported living and this was why they did not always lend themselves to people who had needs more suited to residential care. The form was also in a format that was not readily understandable to some service users, for example it was in written form and some service users have a visual impairment. Through discussion with the manager it was evident that communication methods within the home are being reviewed, for example, advice has been sought from a local maketon co coordinator. The manager also said “ We will be supporting clients to look at their likes and dislikes more using a greater variety of communication methods for example talking mats, in order for us to support the clients better” Service users were asked, “ do you make decisions about what you do each day?” All said “yes”. The manager described the work that has been done in the last two months on positive risk taking, for example service users are now, within a risk assessment framework, able to make a hot drink when they wish to. Little Westover DS0000011825.V344299.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): 12, 13, 15, 16 and 17 Quality in this outcome area is good Service users are able to make choices about their lifestyle This judgement has been made using available evidence including a visit to this service. EVIDENCE: According to the annual quality assurance audit, One service user has a part time job. Others go to day services or have some one –to- one support. The manager said that a group has started up in Winchester for the service users at Little Westover and other homes in the area. The group will be run by the service users and aims to provide them with activites to do when day services are not available. Staff said that service users are supported to use public transport to access activities rather than rely on staff transport as this promotes independence. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 14 Some clients are supported to attend a local group that is attached to their church. One attends the local swimming pool with staff The manager said that staff ensure that all clients receive all the relevant local information about activities in the area Service users were asked “Does the care home help your relative to keep in touch with you” All replied “always”. All service users surveyed said that they did what they wanted to do during the day and evenings although one person said that they would like to have more outings. Relatives generally felt that care service supports people to live the life they choose, although one person said that their relative“does tell us of things that staff are unable to ie walk with them to the local shops…”. The manager said that the staff rotas have also just been changed to enable service users to do more activities, especially in the evening. Service users on the day of the visit described how they kept in touch with local friends and it was clear that staff worked hard to ensure that they could. One health professional surveyed said that in their opinion staff always respect privacy and dignity of service users and this was found to be the case on the day of the visit. Service users said that they are consulted about what food they like and dislike and that they are involved in planning menus and in buying food. The meal on the day of the visit was home cooked and the mealtime was not rushed. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 15 Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good The service ensures that people’s personal and health care needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users spoken with were happy with the support they received from staff. The manager said that consideration is given to care being given by a person of the same gender if that is the service users wish, for example she provides care to female staff when two male staff are on duty. Personal care preferences were seen to be identified in service user records.The manager confirmed that personal care, and visits from health care professionals always take place in private. The manager said that staff will start to gather information so that if service users have to access hospital, their preferred ways of communication are Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 17 recorded for hospital staff to use. i.e. if one service user says that they “dont mind”, it means “no”. Records show that staff support residents with their health care needs. One health professional surveyed felt that staff generally have the right skills to support health needs appropriately They also commented that staff act upon advice given by health specialists. Medication was seen to be securely stored and there are procedures in place to ensure that it is managed appropriately. The manager said that all staff have just completed a course in the safe handling of medicines. The manager said that Medication amounts are checked daily by the sleep-in staff member. Systems for recording medication has changed recently and standard Medication administration record sheets are now being used. Some seen had a few unexplained gaps so it was not always possible to identify from these records whether the medicine had been administered or not. This was discussed with the manager who agreed to arrange for staff to be given further training to help them with this new procedure. The manager said that a file is to be created with all relevant information on the medication held in the service. This will help staff to understand further the effects and side effects of the medicines administered. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good Service users concerns would be acted upon appropriately. There are systems in place to help to protect service users, although regular refresher training for staff would ensure that all staff remain up to date in adult protection issues. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents surveyed confirmed that they know who to speak with if they are unhappy about anything and said that they how to make a complaint. Leaflets on how to make a complaint were on display on the notice board within the house. Residents said that they discussed any issues and ideas that they had at monthly house meetings. There have been no complaints made in the last year. The manager confirmed that all service users have their own bank accounts. Any small amount of money held on their behalf is securely and individaully stored and the balance is checked twice a day to ensure that it is correct. The service has all the relevant policies and procedures in place with regards to the Protection of Vulnerable Adults. Records show that where it has been necessary, these procedures have been followed appropriately Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 19 Records show that although all staff have had some training in adult protection issues this is not in all cases recent.The manger said that she is going on a train the trainer course in this subject and will then be able to ensure that all staff have regular updates. Records show that all staff apart from two newer members have been trained in non Violent Crisis Intervention (an extrenally accredited course in personal safety techniques which promotes non physical intervention) The manager said that staff should receive an annual refresher and that this is in the process of being arranged. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 20 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 and 30 Quality in this outcome area is good The home provides a clean and homely environment which service users are happy in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users were asked “Is the home fresh and clean?” All answered “always”. They said that they liked the house and that they were comfortable. They said that they help to keep it tidy and clutter free and this was found to be the case on the day of the visit. There have been changes made to the home to respond to changing needs, for example more handrails have been fitted downstairs. Bedrooms seen were well decorated and suited to the individual concerned needs and tastes. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 21 The manager said that a check is carried out monthly to monitor any ongoing issues although maintenance issues are dealt with immediately. The service is decorated throughout on a minimum basis of a 5 year cycle and additional funding is allocated each year for any areas that require decorating more often than that. Staff said that service users are encouraged to do their own laundry with support and as a minimum all will bring their washing to the laundry room. It was noted during the visit to the home that there was not very much information available to staff and service users regarding infection control issues or Control of substances Hazardous to Health (COSHH) This had already been picked up by the manager who agreed that improvements need to be made in this area. These had already begun by all staff recently completing infection control training and by the manager completing a COSHH course. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 and 35 Quality in this outcome area is adequate Staff understand their role but staffing levels are not always sufficient. Training needs to be more regular to ensure that all staff are up to date in their knowledge and skills This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff were observed to talk with service users in friendly and respectful manner Asked “do the staff treat you well?” All service users said “always”. Asked “do staff listen and act on what you say?” all said “always”. Relatives asked “Do staff have the right skills and experience to look after people properly?” generally felt that they had, one said “All appear to want what is best for residents” although one commented“lack of staff and time appears to inhibit the care offered”. Staff said that the needs of some of the service users had increased recently and that this meant, despite alterations to the staff rota , it was sometimes Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 23 difficult to ensure that everyones needs were propertly supported One example is there have been an occasions where a health appointment had to be rearranged because there were insufficient staff on duty to escort the service user. As it is evident that the needs of service users have increased, it will be a requirement that staffing levels are reviewed and are increased to reflect this. Records show that 50 of the staff team have completed an NVQ level 2 or above in Care. Recruitment of staff is managed centrally and once the process is complete, supporting documentation is sent to the service. Records checked for two staff contained a recent photograph, completed CRB check and evidence of identification. Neither contained copies of references, although the manager said that these had definitely been obtained. She agreed to ensure that a copy of these were obtained and placed on file. The manager said that a full formal induction program is in place which new employees will attend within 12 weeks of their start date. This includes training on :values and principles, professional boundaries, confidentaility, communication, recording and report writing and, assessment and support planning One staff spoken with said that they felt that the training provided was appropriate to their job Records seen indicate that staff are provided with training in all health and safety matters for example, safe food handling and infection control. Staff also attend fire safety training although records reflected that not all staff had received updates in this for some time(one record dated back to 2002) The manager said that fire safety is discussed regularly at house and staff meetings. She was not aware of any training in fire safety planned for the near future. It will be a requirement that the service must consult with the fire authority regarding the frequency of fire safety training and to follow advice given. The manager said that she is trying to find out about additional training for staff, particularly related to service users needs, for example in visual impairment and in maketon. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good The home is well managed there are effective systems to monitor quality. Some improvements to health and safety areas have already been highlighted by the manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: . The manager is Miss Luencina Zankl She was registered as manager for Little Westover in September 2007 but has been in post there since April 2007. During the registration process she demonstrated a very good understanding of management practice. This was also found to be the case during this inspection. She is currently studying for the registered Managers Award. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 25 The quality of the service is monitored in the following ways: Service users confirmed that they are asked how they are finding things both on a daily basis and within a group setting in formal house meetings The manager said that the service users put up their own agenda over the month so that they take the lead on what they will be discussing. This was apparent through talking with service users on the day of the visit. The manager said that the views of family members are also sought and that she is currently awaiting feedback from involved professionals. A monthly written report regarding the conduct of the home is compiled by a senior member of the organisation. The most recent one seen identified that COSHH procedures and infection control measures needed to be improved. As already discussed in this report , action has been taken since then to start to remedy this. The annual quality assurance audit shows that all equipment has been serviced within the last year. It also states that all health and safety checks are up to date, including portable electrical appliance testing, emergency lighting and the fire alarm system. Temperatures of fridges and freezers are recorded daily in compliance with guidance. Records checked at the time of the visit showed that the most recent fire drill took place in June 2007 and so is relatively recent. Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 2 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 27 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA33 Regulation 18(1) Requirement Timescale for action 30/01/08 2 YA35 18(1) You must review staffing levels and increase them to ensure that there are sufficient staff on duty to meet service users changing needs. You must consult with the fire 31/12/07 authority regarding frequency of fire safety training for staff and follow advice given 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 Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Little Westover DS0000011825.V344299.R01.S.doc Version 5.2 Page 29 - 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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