Care Home: Prinsted

Similar services:

• Elizabeth House

What the care home does well People who are considering moving into the home are provided with helpful information and opportunity to visit the home to enable them to decide if the programme will be suitable for them. Clear and robust assessment procedures ensure people`s needs can be met and take account of the views of people already living in the home People can be confident their care needs will be met within an excellent, supportive therapeutic environment designed to promote their recovery. They are actively involved in planning their own care and therapy. Plans of care and therapeutic programmes are tailored to the needs of the individual and promote independence. People are encouraged and supported to take responsibility for their recovery within a robust risk management framework. People benefit from the opportunity to take part in valued activities. They can be confident their families will be better equipped to support their recovery through the excellent educational programme the service offers. The service has forged excellent community links and affiliations to ensure people who live in the home become part of the local community. People also benefit from the opportunity to engage in all aspects of life at the home as part of their rehabilitation programme. People can be confident their physical, psychological and emotional health and welfare will be promoted. They are supported to access professional healthcare when required. People are protected through the safe handling of medication. They are encouraged and supported to offer comment or complaint and are protected from abuse. People`s quality of life is enhanced by the pleasant, well maintained and homely environment. They benefit from the exceptional knowledge and understanding of the staff team in the field of rehabilitation therapy. People are protected through robust recruitment policies and procedures. People who live in the home can have confidence in the excellent management of the service. They are fully involved in running the home and their health and safety is promoted through safe working practices What has improved since the last inspection? The home has met the requirements made by the CSCI (Commission for Social Care Inspection) to improve practice at the home. In that the management of medications promotes people`s health and safety and robust recruitment and vetting practices are in place to protect the people from harm. CARE HOME ADULTS 18-65 Prinsted Oldfield Road Horley Surrey RH6 7EP Lead Inspector Ruth Burnham Key Unannounced Inspection 7th February 2008 10:00 Prinsted DS0000063143.V357751.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 Prinsted DS0000063143.V357751.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. Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prinsted Address Oldfield Road Horley Surrey RH6 7EP 01293 825400 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) Prinsted Ltd Mr Brian Ballantyne Care Home 15 Category(ies) of Past or present alcohol dependence (15), Past or registration, with number present drug dependence (15), Mental disorder, of places excluding learning disability or dementia (3) Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd November 2006 Brief Description of the Service: Prinsted is a large and recently refurbished detached house situated in Horley Surrey. It has excellent transport links both locally and nationally. Prinsted has a homely atmosphere and was redesigned with the residents in mind. The service offers very flexible and appropriate accommodation. The home is registered to offer care for up to 15 residents in the category of Younger Adult. There are 5 twin bedded rooms and 5 single bedrooms. As part of the therapy process residents are encouraged to share rooms, especially in the initial stages of treatment. This is based on the therapeutic value of residents sharing experiences, strengths, hope and support with each other. Fees charged for the service are £2240 for two weeks. Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 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 arrived at the Service at 10:00 and was in the Service for four hours. It was a thorough look at how well the Service is doing. It took into account detailed information provided by the Service’s owner or manager and any information that CSCI has received about the Service since the last inspection. Surveys were sent out to residents, health care professionals, staff and relatives before the visits. Some of the comments received were from health care professionals who said, ‘Wonderful service, one of the best, I look to continue to refer patients there and work with them.’ ‘They provide a safe and caring environment using a holistic approach to the care given.’ ‘Can we have more units like this.’ ‘Prinsted is an excellent care facility.’ Some of the comments from residents included, ‘Staff are friendly and very helpful.’ ‘I find the staff incredible and feel very privileged to have them taking care of me.’ ‘I have nothing but praise for Prinsted and the staff, I trust them absolutely and feel truly blessed that my journey has brought me here.’ ‘The most loving, special and healing place I’ve ever been in.’ During the site visit a tour of the premises was undertaken, residents, staff and the manager were spoken to and a number of documents were examined. There are no Required Developments at the end of this Report. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. The inspector would like to thank the residents, manager and staff for their time, assistance and hospitality during this inspection. What the service does well: People who are considering moving into the home are provided with helpful information and opportunity to visit the home to enable them to decide if the programme will be suitable for them. Clear and robust assessment procedures ensure people’s needs can be met and take account of the views of people already living in the home People can be confident their care needs will be met within an excellent, supportive therapeutic environment designed to promote their recovery. They Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 6 are actively involved in planning their own care and therapy. Plans of care and therapeutic programmes are tailored to the needs of the individual and promote independence. People are encouraged and supported to take responsibility for their recovery within a robust risk management framework. People benefit from the opportunity to take part in valued activities. They can be confident their families will be better equipped to support their recovery through the excellent educational programme the service offers. The service has forged excellent community links and affiliations to ensure people who live in the home become part of the local community. People also benefit from the opportunity to engage in all aspects of life at the home as part of their rehabilitation programme. People can be confident their physical, psychological and emotional health and welfare will be promoted. They are supported to access professional healthcare when required. People are protected through the safe handling of medication. They are encouraged and supported to offer comment or complaint and are protected from abuse. People’s quality of life is enhanced by the pleasant, well maintained and homely environment. They benefit from the exceptional knowledge and understanding of the staff team in the field of rehabilitation therapy. People are protected through robust recruitment policies and procedures. People who live in the home can have confidence in the excellent management of the service. They are fully involved in running the home and their health and safety is promoted through safe working practices 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. Prinsted DS0000063143.V357751.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 Prinsted DS0000063143.V357751.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): 1–4 People who use the service experience excellent outcomes in this area. People who are considering moving into the home are provided with helpful information and opportunity to visit the home to enable them to decide if the programme will be suitable for them. Clear and robust assessment procedures ensure people’s needs can be met and take account of the views of people already living in the home This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who are considering moving to the home are provided with helpful information about the service. There is a well-designed statement of purpose and service user guide, which is professionally presented, written in an appropriate format and arranged to be very accessible. Since the last inspection the service has also introduced a letter of information for prospective residents and family members. People who were spoken to said they found the information useful and had their own copy of the service user guide. Before people move in a full assessment of needs is completed by one of the services trained assessors. There are occasions when people move to the home from overseas, in these circumstances telephone assessments are Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 9 conducted and professionals at peoples’ primary treatment centres are contacted to develop the assessment. Before moving in people are invited to visit the home and meet other residents. One person was visiting the home at the time of the visit, they were welcomed by the management and introduced to the group of residents, having lunch with them and spending time chatting and finding out what it is like to be in the home. The existing group of residents are part of the assessment process for people who want to enter the programme; their views are taken into account before a place is offered. Once people are accepted into the programme they move in on a two week in house assessment. A peer review takes place before they are accepted into the service. As the service has become more established and the group has grown the service has employed more counsellors specialising in particular fields. Records examined and conversations with people who live at the home, staff and management show the home has a robust admission, discharge and treatment policy for residents. Prinsted DS0000063143.V357751.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 & 9 People who use the service experience excellent outcomes in this area. People can be confident their care needs will be met within an excellent, supportive therapeutic environment designed to promote their recovery. People are actively involved in planning their own care and therapy. Plans of care and therapeutic programmes are tailored to the needs of the individual and promote independence. People are encouraged and supported to take responsibility for their recovery within a robust risk management framework. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People can be confident their care needs will be met within a therapeutic environment designed to promote their recovery and equip them to sustain that recovery once they complete the programme. Once people move into the home an individual plan of care and therapeutic programme is drawn up following the initial assessment of need. Care plans seen show these documents are regularly reviewed, dated and signed by staff and residents. People who were spoken to said they are fully involved in planning and reviewing their own care and therapeutic programme, everyone who was Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 11 spoken to was full of praise for the managers and staff who provide excellent support tailored to each persons individual needs. The care plans clearly reflects the specialist treatment programmes people undertake to empower them to recover from their addictions. Everyone attends daily meetings as part of the ongoing therapy offered by the service. It is particularly impressive to see the excellent continuing support available to people who have moved on from the home, an ex resident who was visiting confirmed they have an aftercare plan and can rely on continued support from the service. The home also provides excellent support and education for the families of people who are living in the home. One relative who was visiting said they had learned a lot through their visit and understood much better how to be supportive. Everyone living at the home attends a daily meeting as part of the ongoing therapy offered by the service. It was impressive to see the excellent relationships between the resident group, staff and management. There is a strong emphasis on mutual support and respect. The home has a policy on risk taking to enable people to take responsibility for their own lives and choices. People are supported to identify and understand their own individual risk factors and take responsibility for their own safety The carefully thought out risk management framework is designed to promote sustainable success in recovery. A review of records indicated risk assessments promote people’s independence and cover domestic and household tasks. Prinsted DS0000063143.V357751.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): 11 – 17 People who use the service experience excellent outcomes in this area. People benefit from the opportunity to take part in valued activities. They can be confident their families will be better equipped to support their recovery through the excellent educational programme the service offers. The service has forged excellent community links and affiliations ensure people who live in the home become part of the local community. People also benefit from the opportunity to engage in all aspects of life at the home as part of their rehabilitation programme. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People benefit from the support of professional therapists who devise individual schedules as part of the core rehabilitation of the residents. People are encouraged and supported to undertake valued and fulfilling activities such as doing voluntary work for local charitable organisation and attending local colleges for art therapy and pottery sessions. A number of people had recently Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 13 given a talk at a local school and more such events are planned in the future. People are also encouraged to attend relevant community based support groups. The service has developed strong community links and people commented on how friendly and supportive the local community is. People are able to access local shops, theatre, leisure facilities, church’s and parks. Visitors are welcomed into the home within the context of the therapeutic programme, visits are carefully planned in consultation with people living in the home. It is important that these visits support people’s rehabilitation. There are robust procedures in place for contact between the resident, their families and friends to ensure that contact is conducive to recovery. The statement of purpose and service user guide contains a full and detailed explanation of the restrictions placed by the service upon the residents and the reasons why they are rigorously adhered to. Everyone who was spoken to was fully aware of the restrictions and understood the reasons for them. The home has an excellent programme in place to support and educate families. Regular workshops are available to help families understand addiction and provide appropriate support for their relatives. The ethos of the service is dedicated to providing people with privacy and reinstating their dignity at all times, however these rights maybe restricted if the rehabilitation process is being compromised in any way. Any restrictions are discussed and agreed on an individual basis and people are aware of this before they move into the home through the information provided in the statement of purpose and service user guide. People who live in the home take responsibility for planning and preparing meals. The home has written menu plans and management oversee these to ensure a healthy, balanced diet as dietary needs and preferences are an important part of the therapeutic programme. Mealtimes are also important in this context, it was impressive to see the lunchtime meal with everyone sitting at one big table enjoying lively discussion and being so supportive of one another. The meal had been beautifully prepared with a selection of cold meats, a variety of cheeses, salads, bread, fresh fruit and hot and cold drinks. Prinsted DS0000063143.V357751.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 – 20 People who use the service experience good outcomes in this area. People can be confident their physical, psychological and emotional health and welfare will be promoted. They are supported to access professional healthcare when required. People are protected through the safe handling of medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People benefit from the excellent support they receive from staff and management with their psychological, emotional and social needs. Although people do not require physical personal care as they are able to do this for themselves, care staff are available to offer support and assistance if and when required. People are able to attend the local surgery should they need to see a doctor whilst staying in the home; the manager said the local surgery does not require people to register with them. People are supported to attend psychiatric appointments where required. Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 15 The service has a comprehensive policy and set of procedures for the safe storage and handling of medications. An audit of the medication cabinets and records show people are protected through the safe handling of medication. Advice was given that the service should obtain a copy recently revised guidelines to ensure continued compliance with the most recent good practice recommendations. Prinsted DS0000063143.V357751.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 & 23 People who use the service experience good outcomes in this area. People are encouraged and supported to offer comment or complaint and they are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People are encouraged and supported to offer comment or complaint. The service has a well designed complaints policy, which is included in the statement of purpose and service guide, it is also displayed in the home. People who were spoken to knew who to speak to if they were unhappy about any aspect of the service. No complaints have been received about the home. People are protected from abuse through robust policies and procedures. The home has a policy on safeguarding adults and a whistle blowing policy. Staff have received training in the protection of vulnerable adults and records show all staff are checked through the Criminal Records Bureau before appointment. Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 People who use the service experience good outcomes in this area. People’s quality of life is enhanced by the pleasant, well maintained and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People’s quality of life is enhanced by the pleasant, well maintained and homely environment. During the tour of the home the premises were seen to be clean, bright, nicely furnished and decorated. People are able to access all areas of the home and grounds. The service employs a handyman to manage all of the day-to-day problems within the home. He has recently constructed a purpose built smoking area with a table and comfortable seating. The area has been decorated with residents’ art work and is well used and enjoyed by people who live in the home. The gardens are well maintained and some residents were enjoying sitting in the sun on the decked area during the visit,. Everyone said they found the accommodation very comfortable. People benefit from having use of the well-equipped kitchen and laundry room. Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 18 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 & 35 People who use the service experience good outcomes in this area. People who live in the home benefit from the exceptional knowledge and understanding of the staff team in the field of rehabilitation therapy. People are protected through robust recruitment policies and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home benefit from the exceptional knowledge and understanding of the staff team in the field of rehabilitation therapy. People said they found all the staff approachable, understanding and supportive. People also spoke highly of the staff who are employed in specialist therapeutic roles. Therapeutic staff are on duty during the day, they work with people each day in one to one sessions and also as a group, care staff take over in the evening and overnight. Staffing numbers have been increased since the last inspection and regular staff meetings are held. People are protected through robust recruitment policies and procedures. Staff files were seen, these contain all the required documentation including 2 written references and criminal records bureau checks. Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 19 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 & 42 People who use the service experience excellent outcomes in this area. People who live in the home can have confidence in the excellent management of the service. They are fully involved in running the home and their health and safety is promoted through safe working practices This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home can have confidence in the excellent management of the service. The registered manager and his team are committed to enabling people to succeed in their recovery and people who were spoken to were more than satisfied with the way the home is run. The manager is well qualified and has recently completed the NVQ Level 4 Manager Award. The management team as a whole are to be congratulated on their success in providing a secure place where people clearly feel empowered to succeed. The head of counselling Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 20 has completed the NVQ Level 3 Assessors Award. The holistic approach to recovery and the management’s skill in creating a mutually supportive and accountable resident group is impressive. The work done in educating and supporting families and the aftercare programme for people who move on from the home is excellent. People are fully involved in running the home, residents are expected to participate in regular house meetings where they are invited to discuss any issues and plan the day-to-day running of the home. Members of the group are appointed to leadership roles and the management include them in regular meetings. People are invited to complete questionnaires to obtain feedback about the home once they have completed the programme. The manager completed the Annual Quality Assurance Audit for the Commission before the visit; this shows there are effective quality assurance systems in place based on planning, action and review to ensure continuous improvement in the quality of outcomes for people who use the service. People’s health and safety is promoted through safe working practices. There are clear policies and procedures on all health and safety matters and staff receive the appropriate training for the roles they carry out. Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 4 2 4 3 3 4 4 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 3 STAFFING Standard No Score 31 3 32 x 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 x 4 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 3 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 4 4 4 3 x 3 x Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 22 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 Prinsted DS0000063143.V357751.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection 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. 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