Care Home: Whitehaven

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What the care home does well The home has reviewed it`s admissions procedure in order to ensure that the compatibility of the people living in the home is a priority. People have their needs and personal wishes recorded in a plan of care and these are regularly reviewed and updated. The home works well with other healthcare professionals and the people living there receive input from a variety of services. Feedback from families in surveys and during the visit was that the standard of care being provided at Whitehaven has improved and that they were satisfied with the service being provided. People said they were happy living in the home, they said that the staff were friendly and kind and that they enjoyed the food being provided. In surveys a staff member commented, "" I feel that Whitehaven continues to grow and get better. We have strong leadership and support now that a manager is in place". A family member said, "We have regular weekly contact with the home, sometimes the skills and experience of staff seems to vary but the home maintains a good standard of cleanliness and has a consistent awareness of the correct procedures". What has improved since the last inspection? The manager has recently been registered with the Commission and continues to make improvements to the running of the home. Care plans are being re-written in a more "user friendly" format so that outcomes for the people living in the home will be the focus. Records show that the people living in the home have access to more community involvement and social activities and there have been no further complaints received about the home since the last visit. There have been improvement made to menus and the choice of food being provided and a good medication system is now in place.The home is in the process of carrying out a quality assurance survey. CARE HOME ADULTS 18-65 Whitehaven 43 Summerley Lane Felpham Bognor Regis West Sussex PO22 7HY Lead Inspector Annie Taggart Unannounced Inspection 10th January 2008 10:00 Whitehaven DS0000048443.V355987.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 Whitehaven DS0000048443.V355987.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. Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitehaven Address 43 Summerley Lane Felpham Bognor Regis West Sussex PO22 7HY 01243 587222 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) Allied Care (Mental Health) Ltd Miss Louann Dye Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD) The maximum number of service users to be accommodated is 14 Date of last inspection 21st August 2007 Brief Description of the Service: Whitehaven is registered to provide care for fourteen people who have a learning disability. The additional conditions of registration are that one named person in the service user category Mental Disorder (MD) under the age of sixty-five may be accommodated and one service user in the category Learning Disability (LD), over the age of sixty-five years may be accommodated. Only service users aged eighteen to sixty-five may be admitted. Whitehaven is a detached, two storey building in a residential road in the village of Felpham. There are thirteen rooms with hand-basins, one bathroom and one shower room. Two of these rooms have been joined to make a selfcontained flat within the home. There are two adjoining communal rooms, one of which is used as a dining room. There is a separate room that is accessed via the patio area and is used for an office. There is a car park at the front of the building and a garden for the use of service users at the back of the building. Allied Care (Mental Health) Ltd own Whitehaven. The responsible individual for the company is Mr Aslam Dahya. . Current fees are £900 to £1,859.95 per week. Whitehaven DS0000048443.V355987.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. In order to prepare for the visit, surveys were sent to families, the people living in the home and other professionals involved with the home. Six service user, six staff, one professional and three family surveys were returned and all commented on improvements to the service being provided by the home. An Annual Quality Assurance (AQAA) had been completed by the home in July and information from this and the last inspection report was also used to inform the visit. The unannounced visit was carried out at 10am and lasted for five hours. During that time we spoke to two family members who were visiting their relative, we spent time with the people living in the home, both in their bedrooms and in communal areas and we spoke to all of the staff on duty and observed staff practice. Four care plans and all supporting documentation such as daily records were looked at and we looked at the recording and administration of medication and the records for service user’s money management We looked at four staff records and all contained the required documentation and we also saw evidence of staff training, supervision and appraisal. During the visit we looked at food records and saw lunch being prepared and served and we asked people what choice they had in the meals that are provided. Records for the running of the business including the quality assurance process, health and safety checks, fire records and incident and accident recording were seen and we also saw evidence that regular Provider monitoring visits are carried out. The Registered Manager, Ms Dye was present and received feedback following the visit. Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The manager has recently been registered with the Commission and continues to make improvements to the running of the home. Care plans are being re-written in a more “user friendly” format so that outcomes for the people living in the home will be the focus. Records show that the people living in the home have access to more community involvement and social activities and there have been no further complaints received about the home since the last visit. There have been improvement made to menus and the choice of food being provided and a good medication system is now in place. Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 7 The home is in the process of carrying out a quality assurance survey. 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. Whitehaven DS0000048443.V355987.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 Whitehaven DS0000048443.V355987.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 and 5 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. The home has good information about the services provided and a preadmission process is carried out to ensure that the home can meet people’s individual needs EVIDENCE: The home’s Statement of Purpose and Service user Guide have both been recently updated and contain good information for prospective service users and their families. There have been no new admissions since the last inspection visit and the manager said this was because the home was working to a strict admissions process that includes ensuring compatibility with the people currently living in the home. The admissions policy for the home shows that visits to the home and short stays are encouraged so that people can test out the suitability of the services being provided. There are contracts of terms and conditions of residency in place and records show that the home is working with families and other professionals to help people to move on when the home no longer meets their individual needs. Whitehaven DS0000048443.V355987.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 and 9 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. The people living in home have their needs and choices detailed in a plan of care and are supported to take risks in a safe manner. EVIDENCE: For each person living in the home there is a detailed plan of care in place that informs the staff team of the needs and choices of each person. Four care plans were tracked and all contained a personal profile of the person, background information and current care needs. The plans also contained risk assessments regarding all areas of community activity and safety in the home and all had recently been reviewed and updated. Although the care plans are very detailed they are also contain a great deal of information for staff to follow. The manager is currently working on care plans Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 11 to make them more “outcome focussed” for people and easier to follow for the staff team. A sample of a completed re-written plan and discussion with the staff on duty confirmed that the new care plans were more “person centred” and easier to use. Daily records are written by both the day and night staff, which gives a good overall tracking of people’s lifestyles and the manager has recently introduced monthly reports to enable monitoring of care practice and to aid the people living in the home to identify what they would like to achieve in the next month. Records show that full reviews, which include care managers, families and other professionals, are carried out at least annually. In a survey, the care manager for one service user told us, “my client has very specific care needs and these are extremely well attended to. The staff are very aware of confidentiality issues and treat service users with the utmost respect. I am impressed with the choice of activities my client now has, both structured (college) and in the community”. Speaking to relatives, observation on the day of the visit and reading daily records showed that the people living in the home are treated with kindness and showed that their privacy is respected. Whitehaven DS0000048443.V355987.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 Outcomes for service users n this area are area are good. This judgement has been made using available evidence including a visit to this service. The people living in the home have opportunities for personal development and are involved in social and educational activities. People are encouraged to be as independent as possible and are offered an attractive and healthy choice of meals. EVIDENCE: From looking at activity books, daily records and talking to service users it was clear that lifestyle choices and community activities for people have improved. Four people attend college and the staffing rotas are completed in a way that enables the same staff to support people each day to ensure continuity so that their placements do not break down. The home employs an activities co-ordinator and in the activity room there is evidence of art and craftwork and support for people in learning independence skills. There is also a sensory room that people find very restful. Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 13 People told us that they liked to go to the pub, swimming to the cinema and out for walks and drives and daily records showed that people had recently enjoyed Pantomimes, theatre trips, meals out and visits to families. Two people are soon to go on holiday to Disneyland Paris and all of the people living in the home are part funded by Allied Care for an annual holiday. One person is being supported to gain further daily living skills with a view to moving into a more independent setting and records showed that this person does some of their own budgeting, shopping and cooking. Two family surveys comments and a discussion with a family member said that they would like to see a wider choice of activities for people. The manager was able to show in daily records that often, due to the complexity of some people’s needs, outside activities are offered to people but refused. Families are made welcome at any time and during the visit one person was going out with their parents for the day. Records showed that another person’s mother regularly comes to the home and has a meal with them. One person living in the home said, “ I like it here, I have nice food and my Mum comes to visit. I like going swimming”. Another person said they liked going over to the local shop each day. Menus and food records show that a variety of fresh home cooked meals are provided and people confirmed that they were given a choice when the menus were written. Records show that some of the people living in the home assist with the food shop and the meal served at lunchtime was healthy and attractively presented. Whitehaven DS0000048443.V355987.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 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. The people living in the home are receiving good healthcare support, the home is working well with healthcare professionals and medication is well managed. EVIDENCE: Records show that the home works with a variety of healthcare professionals including, psychologists, psychiatrists, local community teams and speech and language therapists. The people living in the home have complex healthcare needs and the support that people need is detailed in Health Action Plans, which are kept reviewed and updated. During the visit the staff on duty showed us that the plans were being completely re-written for 2008 in order to ensure that current heath care needs are being re-assessed. Daily records show that people are supported to keep G.P. and hospital appointments and one person is receiving a high level of assessment and support from the home and other healthcare professionals in order to enable Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 15 them to move to more suitable accommodation that would address their increased emotional and healthcare needs. Recently the home has changed the pharmacy being used to provide medication and a new system has been put in place. A monitored dose system is in use and all packets and bottles of medication display the photograph of the person they are prescribed for. Medication was stored in a clean and well-organised cabinet and records were current and in good order. One controlled medication was checked and found to be correct. The staff team receive regular training in medication administration and a staff member told us that the manager questions the staff randomly on medication issues at staff meetings in order to keep the training current. Records show that when a medication error recently occurred, the manager immediately took the correct action. She reported the incident, took medical advice and suspended the staff member from administering medication until they received refresher training. Whitehaven DS0000048443.V355987.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 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. Service users and their families can be confident that complaints will be recorded and acted upon and the home’s policies, procedures and staff training are designed to protect people from risk of abuse and self harm EVIDENCE: There is a complaints procedure in place a copy of which is displayed in the home and forms part of the Service User Guide. Records show that no new complaints have been received since the last inspection visit. The parents of a service user who were visiting the home said that they felt confident that any concerns or complaints they had would be recorded and acted upon. They said that they had brought a number of small concerns to the manager and that she had been very accessible and willing to listen. For one person living in the home, there is an agreed restraint procedure in place. Training for staff has been carried out and clear pictorial guidelines have been put in place by professional trainers. The manager told us that staffing levels reflect the plan that has been put in place and at all times staff that have been trained in the restraint methods are on duty. All of the staff team have attended training in the protection of vulnerable adults from abuse and the manager and senior staff have attended sessions on the updated Safeguarding guidelines. Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 17 The staff on duty during the visit were aware of their responsibilities and said that they would report any suspected abuse straight away. There are clear guidelines in place for the handling of people’s personal monies and checks are carried out at random during the Provider’s monthly visits. We saw the records and money for one person and found it to be correct. Whitehaven DS0000048443.V355987.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 28 and 30 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, clean and safe and people say they are happy living there. EVIDENCE: The home has an ongoing programme of redecoration and refurbishment and in the last twelve months a number of bedrooms have been redecorated and new furniture purchased. A handyman was carrying out health and safety checks and attending to fixtures and fittings that needed attention. The garden is well kept and some additional trellis has been added to the front of the house in order to allow one person more privacy. Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 19 Most private bedrooms are comfortable, homely and have been personalised with furniture, ornaments and belongings by the people living there. Two bedrooms are more spartan and contain few personals belongings but there are risk assessments and detailed care plans are in place to show that this meets the needs of the people living in them. The manager told us that one person was waiting for a new bed to be delivered and new sofas are shortly to be provided for the lounge area. Records show that environmental risk assessments are regularly updated to ensure that the home is safe and records and random tests showed that water temperatures are kept at safe levels. One person living in the home said, “ I like my room and all my own things and help to keep it clean myself”. The home was clean and hygienic throughout and infection control issues were addressed by antibacterial hand wash and protective clothing being available for staff use. Whitehaven DS0000048443.V355987.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 35 and 36 Outcomes for service users in this area are adequate. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff to meet the needs of the people living in the home but to ensure the safety of people the manager must ensure that the staff team have updated mandatory training before it is overdue. EVIDENCE: From looking at staffing rotas and talking to the staff on duty it was clear that there are sufficient numbers of staff on duty to meet the needs of the people currently living in the home. During the visit, in addition to the manager, there were seven care staff on duty, some had gone to assist people with college courses and others were supporting people either in the house or in the community. As previously noted, the home has identified that there needs to be a core number of staff available in the house at all times in order to ensure the safety of people. We spoke to the staff on duty and all said that they felt well supported and enjoyed working in the home. People for whom English is not their first language said that English speaking classes had been provided and the Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 21 manager told us that some main policies and guidelines and the General Social Care Council codes of practice were given to people in their own language at induction. Communication between the people living in the home and the staff on duty was friendly and supportive and one staff member said that they felt that they now had more time to spend with people. In surveys families were complimentary about the staff team and comments included, “generally the standards being practiced are good and the staff perform satisfactorily. I am perfectly happy with the home’s service”. In order to protect the people living in the home, there is a robust staff recruitment process carried out prior to employing people. We saw four staff files and all contained the required documentation including a current Criminal Bureau Check (CRB) and two references. All new staff members receive a structured induction in line with Skills for Care guidelines and we saw workbooks for people recently employed in the home. There is also a training and development plan in place for each person. Recently the manager has reviewed and updated all training records but these records show that for four members of staff, updates in mandatory training such as first aid, and moving and handling are needed. The manager said that this was because of the frequency of Allied Care’s training matrix and that people have been booked on future courses, which will be carried out within the next three months. As this was also noted at the last visit, to ensure that the staff team have the skills they need to safely support people a Requirment has been made regarding staff training. Records show that the staff team attend staff meetings and have regular supervision and appraisal with the manager in order to offer support and monitor work practice. Whitehaven DS0000048443.V355987.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 38 39 and 42 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. The home is run by a competent and committed manager and in the best interests of the people living there. Records are kept up to date and health and safety issues addressed to ensure that the home is safe. EVIDENCE: The home’s manager Ms Dye has recently completed the Registration process and has been confirmed as Registered Manager. Ms Dye has previous experience of working in Whitehaven and other Allied Care homes and has undertaken the NVQ 4 and Registered Manager’s Award. The people living in the home, families and the staff on duty were complimentary about the way Ms Dye manages the home and said that she Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 23 was friendly and accessible. A staff member said the manager was “very focussed and wants the best for service users”. Allied Care Ltd has a quality assurance process in place and during the visit we saw that surveys had been sent to families, service users and professionals involved with the home. Ms Dye said that when these are returned she will collate and publish outcomes and use the information to inform the future development of the home. Records show that incidents and accidents are recorded appropriately and reported to the Commission when necessary. The area manager carries out monthly audit visits and reports are kept on file in the home. The one for December was not in place but the manager confirmed that the visit had been undertaken and said that she would access the report. To ensure that the people living in the home are kept safe, health and safety issues are identified during monthly checks and records of action taken are kept in the home. Fire records show that regular checks are undertaken and the staff team receive appropriate fire training. Whitehaven DS0000048443.V355987.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 3 25 3 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X X 3 x Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 25 Yes 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 Whitehaven DS0000048443.V355987.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email:inspection.southeast@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 Whitehaven DS0000048443.V355987.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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