Care Home: Muston Road (70)

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• The Cornerstone
• John Street Nursing Home
• Pennine Camphill
• Whitwood House
• Whitwood Hall

What the care home does well All the people who use, or want to use the service at Muston Road have to tell someone of the help they need. This information is used to make a care plan. The care plans used are detailed and tell the carers everything from how people like to get up, go to bed, what they like to do during the day and how it is best to communicate with them. These care plans are reviewed regularly. Those people who live at Muston Road have a full programme of activities and they go out shopping, on holidays, trips to the seaside, and local pubs. There are enough staff on duty to help the people who use the service to get out and about as an individual. Everyone who lives at Muston Road has a key worker. This member of staff keeps in touch with the family and makes sure that birthdays and Christmas cards are sent to the family. They also make sure that the person they help has enough clothes and personal items. The staff are well trained and have been thoroughly checked before they started working for the Wilf Ward Family Trust at Muston Road. The staff have regular training to make sure they have the skills needed to ensure the needs of the people who live there are met. The service is well managed and the staff said that the manager listens to them and asks for their opinion. The manager makes sure that any work needed on the building is carried out and he makes sure it is a safe place to live and work. What has improved since the last inspection? The home continues to provide comfortable accommodation and well-trained and enthusiastic staff to support the people who live at Muston Road. Individual improvement plans have been introduced for the people who live at Muston Road. These plans identify skills that people can develop to improve their independence and are broken down in to manageable tasks for each person. These plans are reviewed at regular intervals. What the care home could do better: No improvements have been identified at this inspection. However, the manager and staff continue to work at improving the quality of life people in the home experience. CARE HOME ADULTS 18-65 Muston Road (70) 70 Muston Road Filey North Yorkshire YO14 0AL Lead Inspector Pauline O`Rourke Key Unannounced Inspection 30th July 2008 09:30 30/07/08 Muston Road (70) DS0000007840.V369411.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 Muston Road (70) DS0000007840.V369411.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. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Muston Road (70) Address 70 Muston Road Filey North Yorkshire YO14 0AL 01751 474740 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) mustonroad@wilfward.org.uk www.wilfward.org.uk The Wilf Ward Family Trust Mr Michael Clements Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 4 residents with a Learning Disability some of whom may also have Physical Disability 8th August 2007 Date of last inspection Brief Description of the Service: Muston Road is registered to provide long-term accommodation to 4 younger adults who have a learning disability and/or a physical disability. Mr Michael Clements is the Registered Manager. The property is owned by the local health authority with care provided by the Wilf Ward Family Trust a registered charity. Muston Road is a large detached property situated on a main road into Filey. It is within walking distance of the town centre. A former hotel on two floors, it provides accommodation for four residents. There are three large bedrooms without en-suite facilities and a separate flat with its own facilities. A large private and secluded garden is situated to the rear of the premises. There is no passenger lift. Information about the service is available on request and it can be provided in a variety of formats. On the 30th July 2008 the cost of a placement was between £1471.46 and £2181.63 the people who live there pay a contribution towards this cost, this is determined through a financial assessment. This covers the accommodation costs, the local health authority and social services departments meet the cost of the personal care. They and their carer are informed of this cost prior to their admission. Muston Road (70) DS0000007840.V369411.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 3 star. This means the people who use this service experience excellent quality outcomes The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. More information about the inspection process can be found on our website www.csci.org.uk The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on an Annual Quality Assurance Assessment Comment cards returned from people living at Muston Road and health and social care professionals. A visit to the home by one inspector that lasted for five and a half hours. During the visit to the home one person who lives there, and four staff were spoken with. Care records relating to four people, four staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at Muston Road for the people living there. The manager was available to assist throughout the day and was available for feedback at the end of the day. What the service does well: All the people who use, or want to use the service at Muston Road have to tell someone of the help they need. This information is used to make a care plan. The care plans used are detailed and tell the carers everything from how people like to get up, go to bed, what they like to do during the day and how it is best to communicate with them. These care plans are reviewed regularly. Those people who live at Muston Road have a full programme of activities and they go out shopping, on holidays, trips to the seaside, and local pubs. There are enough staff on duty to help the people who use the service to get out and about as an individual. Everyone who lives at Muston Road has a key worker. This member of staff keeps in touch with the family and makes sure that Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 6 birthdays and Christmas cards are sent to the family. They also make sure that the person they help has enough clothes and personal items. The staff are well trained and have been thoroughly checked before they started working for the Wilf Ward Family Trust at Muston Road. The staff have regular training to make sure they have the skills needed to ensure the needs of the people who live there are met. The service is well managed and the staff said that the manager listens to them and asks for their opinion. The manager makes sure that any work needed on the building is carried out and he makes sure it is a safe place to live and work. 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. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 7 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 Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 8 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 People who use the service experience excellent quality outcomes in this area. People who decide to use this service have the information needed to ensure their needs can be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There have been no recent admissions to the home, but a discussion was held with the staff how new admissions would take place. The Wilf Ward Family Trust has a proven admissions policy and this ensures that a multi disciplinary assessment is undertaken prior to any admission. The home usually receives an assessment and makes an initial decision about suitability before the person who requires support and their family are contacted. The process then becomes a series of visits and short stays to determine whether the placement is suitable. A trial period is then planned and the length of this trial is dependent on the needs of the individual. As part of the assessment process the wishes of the established residents are taken in to account. Each person is issued with a welcome pack about Muston Road and this document is written in plain English with supporting pictures. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 9 The case files seen of current residents contained comprehensive assessments and evidence of regular reviews of the care plans. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 10 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 People who use the service experience excellent quality outcomes in this area. The people who use the service are able to make decisions on a day-to-day basis about their lives and this allows them to remain as independent as possible. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: All the people in the home have a comprehensive care plan and there is evidence to show these are reviewed when necessary. Comprehensive daily records are also kept. Staff record for each part of the day morning, afternoon, evening and through the night. Each entry provides detailed information about what the individual did, what they ate how their mood was and how they interacted with other people in the home. This information is then used in the review process and allows the key worker to determine whether the care plan is sufficient. As well as the care plan people have personal development plans, which, are aimed at improving their social, and Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 11 personal skills. A task is broken down in to manageable chunks to allow people to develop their new skills at a pace that suits them. Health professionals indicated that the staff are good at requesting reviews of specialist services and asking for help when the persons needs change. Staff were knowledgeable about the care plans and they involve the person and their relatives, where appropriate, in all reviews. The plans included information about the language and behaviours used by the people in the home to communicate. Staff were observed communicating effectively with all the people in the home and this allows people to make their own choice and decisions about their day-to-day activities. Everyone had up to date risk assessments in place in relation to their individual needs and their differing daily living abilities. These documents are reviewed regularly incorporating specialist assistance when necessary. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 12 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 People who use the service experience excellent quality outcomes in this area. People are encouraged to make decisions about their daily life and staff provide appropriate support and encouragement for them to remain independent. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The case files for each person living at Muston Road were seen. They all contained detailed information about the individual’s likes and dislikes. The introduction of the file is called “All About Me” and is a brief personal history of interests, family connections and likes and dislikes written in the first person. There was also a diary of planned activities over the week for each person. The activities are planned as part of the person’s individual development and over the last year staff have noticed improvements in people’s behaviours leading to a more relaxed home environment. Daily records are kept and Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 13 these identify each part of the day and what exactly happened with the person concerned covering all aspects of their life. People are encouraged to make hot drinks and where they are able they can prepare their own meals. During the visit one person choose to stay in bed for the morning and wanted a quiet day in their room. Another person chose to go out in to the community and stayed out for their lunch whilst the third person went for a walk in the afternoon. All the people in the home are encouraged to be active within the local community. The records showed that staff support each person in making their own decisions about what they want to do and where they want to be. Feedback was received from the people in the home through pictorial surveys. They were supported by the staff to complete them. One person indicated ‘I make my own decisions everyday’ and ‘I do what I like at the weekend’. A local GP said ‘The service supports the individuals to live the life they choose and the staff have the skills to support the people in the home’. A relative said ‘I am very pleased with my relatives progress, they seem to be more involved in lots of things, she is going out more, and their speech is improving’ another said ‘my relative appears happy and settled and I am particularly pleased that staff seems to be taking them out more’. There is a visitor’s policy in pace and people are supported to maintain contact with their family and/or friends. One person has now started to go and visit their mum on a regular basis and other members of the family also appreciate this support. During the site visit it was clear that people could choose their own daily routines and their preferences were identified in their care plans. Whilst not everyone communicated through speech his or her communication with the staff was clear. They have a varied diet and where necessary advice has been sought from the dietician to ensure that their needs are met. Specialist equipment was supplied and at all times people are encouraged to be independent. The menus are planned around the likes and dislikes of the people in the home. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20 People who use the service experience excellent quality outcomes in this area. People’s health and personal care needs are met on an individual basis. The staff employ the principles of respect, dignity and privacy in all interactions with them. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The care plans seen were pertinent to the individual concerned. They included specific responses for staff to behaviours demonstrated by the person they were assisting with their personal care. Each person also has behavioural guidelines for personal care activities such as meal times, bathing and being outside. Staff were observed interacting with people in a positive manner that was respectful and ensured their privacy was maintained. Evidence was available that staff on a regular basis review the care plans. Staff were knowledgeable about the variety of interventions used and with which individual they were appropriate for. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 15 All of the people in the home a registered with a local GP practice and information held in their files showed that they access their service when they need to. People also have access to specialist health services, including the podiatrist, dentist, well woman or well man clinics, optician, dietician and psychiatrist. Feedback from one GP said ‘The service always acts on and manages the individual’s health care needs’ and ‘the patients/clients have very challenging conditions and they manager their needs well’. The medication is stored in an individual locked cupboard. Medication is dispensed directly from a monitored dosage system and the records kept were accurate and up-to-date. There is a stock control record and two members of staff sign all medication records. All staff have completed a learning distance course in The Safe Handling of Medicines, they also cover the topic on the LDAF Nation Vocational Qualification level 2 training. The Wilf Ward Family Trust has also provided supplement training for the staff to ensure they continue to manage the medication appropriately. Staff encourage people to take their medication and are aware that they are allowed to refuse it. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 16 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 People who use the service experience excellent quality outcomes in this area. People in the home and their representatives are able to express their concerns through the complaints procedure and are protected from abuse, so their rights are protected We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There is a robust complaints procedure in place, a copy of which is available in the residents file. They are in large print and picture format. The Wilf Ward Family Trust also has a resident Group, which meets to discuss how residents might like to improve the services available. A representative is named and contact details are displayed in the hallway of the home. The Wilf Ward Family Trust or the Commission has received no complaints. During the inspection one commendation was seen “thank you very much for all your wonderful care and attention of our relative. You do a wonderful job, we cannot praise you enough” The people in the home indicated on their feedback forms that they knew who to talk to if they were unhappy one said ‘the staff will help me’. A GP said ‘The service has responded appropriately to any concerns I may have raised with them’. An Adult Protection protocol is in place and staff were aware of their responsibilities under this procedure. Staff have received training through Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 17 Nation Vocational Qualification and their induction and foundation training. The manager also reinforces the training in the monthly staff meetings. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience excellent quality outcomes in this area. The people in the home live in a well-maintained, clean property that allows them to access all areas, promoting their independence. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home is a three bed roomed house with an integral flat. The bedrooms are large and have been personalised by the occupant. The flat has its own bathroom, small kitchen, lounge and bedroom. It is accessible to all the people who live in the home at this time although if the mobility of anyone of the occupants decreases there is the option of making a ground floor room currently used by staff in to a large bedroom. There is a large well-maintained garden to the rear of the property with two summerhouses and a swing area. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 19 The home was clean and odour free. The laundry is suitable for the needs of the people who live there and staff were knowledgeable about the infection control policy. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35 People who use the service experience excellent quality outcomes in this area. The people who live in the home are supported by well-trained staff in sufficient numbers that they are seen as individuals and the care provided is pertinent to their needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The Wilf Ward Family Trust has a well established and robust recruitment process and all necessary checks would be carried out prior to anyone being deployed in the home. Staff records for three members of staff were seen and these contained all the documentation required by the recruitment policy. During the site visit people’s plans provided the staff with clear instruction. Every person in the house requires one-to-one supervision in and outside the home. Occasionally two staff are required for external activities but the need for this has decreased over the last 12 months. The staff spoken with said that they felt the staffing was adequate and that they had time to spend with people on a one-to-one basis. The whole routine during the visit was relaxed. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 21 Interactions seen were positive and staff were seen respecting peoples choices. Staff are provided with training on a regular basis covering topics such as total communication, confidentiality, challenging behaviour, confidentiality, safe handling of medicines and safeguarding training. All staff do the Learning Disabilities Qualification and are then registered on their National Vocational Qualification in Care level two. They have supervision every six weeks and attend monthly staff meetings Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience excellent quality outcomes in this area. People live in a well managed home where the administration of the home is based on openness and respect. This allows people to retain their individuality and independence. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The registered manager had considerable experience in the provision of care for service users who had complex needs. He was fully qualified having obtained a National Vocational Qualification at level 4 and the Registered Manager’s Award. Staff said that he operates an open door policy and those spoken with said they would be happy to take any concerns to him. He also Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 23 operates as part of a team and works with the people in the home as well as maintaining the administration records up to date. The Wilf Ward Family Trust has a thorough quality assurance programme within the trust and where possible involves the people who receive services as much as possible. Within the home the quality assurance is complemented by the monthly visits from the managers line manager, staff meetings, and the monthly reviews of people’s care plans. This information goes forward to inform the development plan of the service. The manager looks after the personal monies for people and the records seen were accurate and up to date. All the working practices within the home are safe and staff keep accurate accident records, this information is used to inform the care plan and in requesting specialist input either through training or actual support. Staff have received training in the health and safety procedures and all the policies are read by the staff. The records relating to health and safety issues that were seen during the visit were up to date. Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Muston Road (70) DS0000007840.V369411.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!