Care Home: South Lodge

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What the care home does well South Lodge is a warm and friendly home. You will be made welcome during your visit. Support plans are developed with people who use the service. People who use the service are involved with decisions made about the home and in developing their support plans. The support plans state how people would like to be supported. Privacy will be was respected. The service is very responsive to the changing healthcare needs of people using the service. People using the service said that they felt safe Bedrooms viewed were clean and pleasant and contained personal items. Support workers are well trained and have good support. The service is well managed. What has improved since the last inspection? The service has good procedures are in place to address the healthcare needs of people that use the service. Communal spaces are used appropriately. Support workers have undertaken specific training to meet the needs of people who have age related healthcare needs. People using the service are supported to access community facilities and events. What the care home could do better: The service is meeting National minimum standards and in some outcome exceeding them. CARE HOME ADULTS 18-65 South Lodge 2 Sidney Road Bedford Bedfordshire MK40 2BG Lead Inspector Judith Roan Key Unannounced Inspection 18th February 2009 9:00 South Lodge DS0000014970.V374260.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 South Lodge DS0000014970.V374260.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. South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service South Lodge Address 2 Sidney Road Bedford Bedfordshire MK40 2BG 01234 312432 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) caroline.jordan@mencap.org.uk Royal Mencap Society Mr Christopher Hunter Care Home 7 Category(ies) of Learning disability (9) registration, with number of places South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The manager must complete an NVQ 4 in care by 31st December 2005. Reduction in beds from 8 to 7 service users with Leaning Disability (LD) The Annex at 2a Sidney Road is excluded from the care home registration. Date of last inspection Brief Description of the Service: New Era Housing Association with whom those living at the home have a lease owns the property. Mencap provides the Service. It is a detached Victorian building with an annexe. The main building provides accommodation for seven service users. It has two floors. On the first floor there are five service users’ rooms, a bathroom with toilet and hand-basin, separate toilet with hand-basin, and a staff office/sleep-in room. On the ground floor there are two service users’ rooms, a lounge, a kitchen/dining room, a bathroom with a toilet and hand-basin, and a laundry room. There is an annexe (2a Sidney Road), which provides a more independent living environment for a service user. It has a bedroom, a lounge/dining room and a kitchen. Attached to the annexe is a building used as an office for both 2/2a Sidney Road. There is also an enclosed garden. New Era who is responsible for their upkeep owns the building and grounds. South Lodge is located in a residential area of Bedford. It is in walking distance of the town centre with all the amenities of a large town including a bus and railway station. A main railway line runs by the side of the house. South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. This process considers the services capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting 2 people who use the service and tracking the care they receive through review of their records, discussion with them, the support staff and observation of care practices. The homes registered manager completed an Annual Quality Assurance Assessment (AQAA) a questionnaire required by CSCI. The AQAA provides an overview of how the provider monitors the service and essential data relating to people who use the service and staff. The inspection was announced and was undertaken during the morning and afternoon lasting 9 hours. We received four surveys from co-workers. That provided positive views about the service and living within the community. Since the last inspection in August 2006 the service has been visited and this did not change our view of the service. Due to administrative errors a report was not published at this time. People using the service said that: Support workers always listen and act appropriately I can talk with my key worker If I want to make a complaint staff will support me I can do what I would like to do with support I was asked whether I would like to move into the home Health care professional said that: I have found that the staff and home ethos to be caring, responsive and proactive towards the needs of their clients with a good awareness of their individuality They are able to be flexible South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 6 The staff said that: Service is well managed There is a good working team Feel supported with good training opportunities More staff to provides more opportunities with individuals The environment is not meeting the changing needs of people that use the service This summary is also produced in an accessible document and available from the homes manager and can be found on the CSCI website. Fees payable are dependent upon an assessment undertaken by the service and Care Management, which will determine the level of contribution payable by the service user. There are additional costs payable for activities and purchasing of personal items. What the service does well: What has improved since the last inspection? South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 7 The service has good procedures are in place to address the healthcare needs of people that use the service. Communal spaces are used appropriately. Support workers have undertaken specific training to meet the needs of people who have age related healthcare needs. People using the service are supported to access community facilities and events. 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. South Lodge DS0000014970.V374260.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 South Lodge DS0000014970.V374260.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): 1,2,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering using the service will have their needs assessed to ensure that these could be met. EVIDENCE: It is evident from case tracking the records that a through assessment of need was undertaken at the time of admission to ensure that individual needs could be met. The assessments seen as part of the case tracking were detailed and gathered information from the individual person making the application, their family, previous placements and the funding authorities. People spoken with confirmed that they had visited the home prior to moving in and had stayed overnight. Pictorial information is available for prospective users of the service Individuals files held contracts made with the provider and the person receiving the service. An additional contract is made with the funding authority. South Lodge DS0000014970.V374260.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): 6,7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Support plans are person centred and demonstrate full involvement of people using the service. EVIDENCE: Support plans are in place for people who use the service and are reviewed on a regular basis or as required. Regular forums in which support needs of individuals are reviewed ensure that there is continuous development. Good record keeping ensures that information is shared appropriately. Confidentiality is maintained with all support workers understanding the importance of keeping personal information in secure files. All people using the service have access to their files and confirmed that support plans had been developed with them. The outcomes for people using the service support are positive and that needs are being met within the systems in place at the home. In discussion with support workers it was evident they are very knowledgeable about the needs of the people they support. In reviewing the files and in discussion with individuals using the service it was South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 11 evident that they were being assisted to develop or maintain their skills and participate in everyday activities. One person is independent within the community and is supported to maintain this skill. Learning is achieved by the consistent approaches used by support workers. People using the service have access to a broad spectrum of daily living activities. Risks within activities are considered on an individual basis and plans made to minimise these for each person. Files contained comprehensive risk assessments related to an individuals activities. In viewing files it was easy to identify the needs of individuals and to establish the priority. People using the service are encouraged to be as independent as possible with appropriate support. In this way people using the service are included within activities and not excluded because of any behaviour that may arise. People using the service told the inspector said that they were well looked after and no one thought they were denied their choices. We case tracked two care records, which again clearly demonstrated that the ongoing needs of people using the service needs are being monitored and supported whilst living at the home. In discussions with individuals, viewing case files and in observations throughout the inspection it was evident that people make informed choices about their lives and are supported to have independent life styles within their ability. Discussions with staff supported these facts and demonstrated that they were up to date with information about people who use the service. It was evident that people using the service are supported to make decisions about their own lives wherever possible e.g. daily routines, where they want to go on holiday and how their personal needs are met. Regular meetings held record their views on important issues. Staff said that encouraging people to make informed choices is an essential part of the values of the home. South Lodge DS0000014970.V374260.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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A wide range of personal, educational and social options are available and promote individual development. EVIDENCE: Individuals have a weekly activities programme that is updated to take into account of various events and personal choices. New activities are tried out to extend the choices and experiences for each person. Careful planning is undertaken for all activities to ensure that people who use the service and support workers are protected and enjoy the experience. Experiences are good and varied. It was noted that several people attend day services and that social histories are now held on filers. People using the service are or where appropriate fully involved with day-today living tasks within the home. In observation support workers enable people to carry out tasks. The registered manager states within the AQAA that the service does well in this outcome area by supporting people who use the South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 13 service to actively engage with and participate in their local community and to develop lifestyles that enable them to achieve the things that matter to them. Throughout the inspection the inspector observed positive work with individuals using strategies noted within the support plans in supporting people with their identified needs. The teatime meal was freshly cooked and healthy. Individuals are supported to make healthy choices and have a balanced diet, with opportunities to have the occasional not so healthy treat. Support workers have a good understanding of the needs for people who use the service and use the meal times to develop communication skills with each other. Meals are seen to be a very social event at the home. The standard of food prepared at the home is high being produced from fresh produce. A food diary is kept to ensure that a balanced diet is provided. Individuals are supported to maintain good communication with families with one person being supported to visit an elderly parent and another to continue the contact with their previous home area. Records supported these activities. People spoken to during the inspection said and from surveys said that We can do activities of our choosing and are supported to do these throughout the week. There was evidence of leisure activities within minutes of meetings; the activities wall planner and individual records confirming their achievements. One person said that they would like more work options, which was being actively investigated by the registered manager Residents meeting minutes showed that they have been consulted and trips are planned in the future. Support workers said that The service offers a good choice of social activities, that they are good at networking and provide opportunities for community access. Day trips and activities are arranged well. In observation throughout the inspection there was an informal relaxed atmosphere. The homes location means there is good access to local shops and community facilities. Visitors are welcome at the home and there are no restrictions on visiting times. Families are encouraged by Mencap to complete regular questionnaires about their views on the service. South Lodge DS0000014970.V374260.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): 18,19,20,21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service are positively supported to access local and specialist healthcare services. EVIDENCE: Service users are supported to have regular health checks and there is evidence on files that healthcare appointments are made. The AQAA confirms that risk assessments and support plans show support provided in relation to changing health needs, with ongoing liaison with a range of health care professionals to ensure that appropriate support is being provided at all times in particular is a service users has been admitted to hospital for several days or more. The service has demonstrated that they supported one person with excellent end of life care. The staff also provided the support to other people using the service during this sensitive time. An advocate was provided for one person to support them with difficult and complex health care needs. Support plans viewed indicate that the health care needs of individuals are monitored and that support workers are proactive in supporting people to address issues as they arise. The service intends to use advocates in the future to ensure that there is a clear audit trail to demonstrate decisions made by individuals using the service. South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 15 Personal support is provided in a discreet manner and with people using the service preferences being a top priority. Medical profiles for people who use the service have clear information. All medication is stored in a locked facility and records were well maintained. Support workers receive training in the management of medication from a pharmacist and undertake refresher training using a distance learning pack. Training records supported this. The provider needs to seek appropriate advice on the storage of controlled drugs since the change in the regulations last year that requires all care homes to have facilities in place. Medication records were checked and found to be up to date. Medication is kept securely locked away. All incidents are recorded on file to show how the manager/support workers have reviewed practice to minimise future risks. South Lodge DS0000014970.V374260.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Practices within the service fully protect people who use the service and ensure that they are listened to. EVIDENCE: The service has comprehensive policies and procedures in relation to handling concerns and complaints. People who use the service were all clear about how to make a complaint saying they would speak with the manager or a member of their family. Support workers undertake abuse awareness training as part of their induction/foundation training. Several have completed this as part of their National Vocational Qualification. The inspector checked out their understanding during the inspection. The open approach of the registered manager enables people who use the service to feel comfortable if there was a need to make a complaint or express a concern. The AQAA confirms that there have been no complaints since the last inspection. The AQAA also states that our policies and processes around feedback and complaints actively encourages all our staff to be receptive and respond positively to any identified shortfalls. We have built feedback and complaints into our quality assurance framework to ensure that we act on feedback and learn from this. There has been one notified safeguarding alert since the last inspection. The service demonstrated that the situation was handled well by supporting and protecting people who use the service and staff. In discussions during the inspection it was concluded that people using the South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 17 service felt safe and that support workers had a good understanding of their role and were aware of policies and procedures. South Lodge DS0000014970.V374260.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): 24,25,26,30Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a warm family setting with individual space that is well maintained clean and hygienic. EVIDENCE: The home is decorated to a good standard. There are adequate rooms to enable everyone to have their own personal space. Several communal areas are used for joint activities and each bedroom has sufficient room for personal hobbies. Communal areas are comfortable and provide a range of areas where people can relax. Individual bedrooms are personalised they are comfortable and well maintained. However the group of people using service are maturing and their mobility needs are changing. In time the home will not be able to meet their needs. The registered manager is being proactive and looking at the issues. They have prepared proposals that outline the needs that are to be presented to senior members of the management team in the next few days. The garden is maintained and provides outdoor space when the weather permits. South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 19 People spoken with during the inspection said that We like our own rooms and have chosen how it has been decorated. Bedrooms seen showed individuality and contained items to suit their lifestyles. Health and safety checks are carried out in accordance with the organisations procedures. Standards of cleanliness and odour control in all areas of the home were good. South Lodge DS0000014970.V374260.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): 32,33,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff skills and recruitment practices ensure that the needs of people who use the service are supported and that they are protected. EVIDENCE: Mencap has a thorough recruitment procedure and files seen confirmed that required employment checks, application form, two references, criminal records bureau disclosures and interviews that involve people who use the service had been undertaken. The support worker team have a sound knowledge base about the needs of people that use the service. Through observation during the inspection they showed that they had a range of skills to support individuals and were proactive in developing everyday living skills. Support workers are offered a range of opportunities to train. Of the staff team of ten four people have National Vocational Qualification at level two or above with a further two undertaking the course at present. Support workers spoken to had a good knowledge of the needs of people using the service and were committed to providing a good service. They have regular supervision, which is very well recorded. South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 21 Support workers have access to a wide range of training, topics include Person Centred Planning (a system that identifies the individual needs, of people using the service), Epilepsy, Communication, Health Action Planning, Risk Assessment, Report Writing, Fire, Food Hygiene, Abuse awareness, health and safety, manual handling and more. Training records are kept within individual staff files. New support workers have to go through a detailed induction programme, based on the Skills for Care professional model. Mencap are introducing Continuous Professional Development and all staff are drawing together portfolios to evidence there training and ongoing development. This is in preparation for registration with the General Social Care Council guidelines. South Lodge DS0000014970.V374260.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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is person centred and effectively managed in the best interest of people who use it. EVIDENCE: The Registered Manager effectively manages the home in the best interests of people who use the service and the support workers. There was good feedback from people who use the service and support staff about the role of the manager. There are several internal meetings within the service that focus on person centred care and enable people to voice their views and choices. All meetings have clear and comprehensive records. The registered manager reviews the service through the continuous improvement plan with their manager on a monthly basis. In addition monitoring forms are completed to ensure that the service develops and maintains a quality assurance system. All meetings at the home are recorded South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 23 and demonstrate how the views of people using are fed into the ongoing review. The AQAA was reflective about the future development needs of the service and shows that the management team are proactive. Over the next 12 months their aim is to have greater delegation for all staff now the team is more established. To learn new skills, sharing new ideas, continuing to network with a wide range of other agencies and professional as well as working with families and advocates to improve the service and choices for people that use the service. The provider has undertaken all health and safety checks required. Clear records of all checks are well maintained. The AQAA also confirms the checks undertaken. Mencap has robust financial checks of personal monies that require records of receipts, running balances and two signatures. Monies are checked daily to ensure they are correct. Health and Safety Policies and Procedures are in place support workers are aware of these. Induction training ensures staffs knowledge and understanding of these. South Lodge DS0000014970.V374260.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 3 2 3 3 X 4 3 5 3 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 2 25 2 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 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 2 4 3 X 3 X 3 3 X South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 25 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 South Lodge DS0000014970.V374260.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 South Lodge DS0000014970.V374260.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. 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