Inspection on 26/01/09 for 26 St Barnabas Road

This inspection was carried out on 26th January 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

26 St Barnabas Road 05/02/08

26 St Barnabas Road 21/03/07

26 St Barnabas Road 21/02/06

26 St Barnabas Road 20/09/05

26 St Barnabas Road 02/02/05

26 St Barnabas Road 22/06/04

26 St Barnabas Road 24/02/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 26/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 26 St Barnabas Road 26 St Barnabas Road Emmer Green Reading Berkshire RG4 8RA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Julie Willis     Date: 2 6 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 26 St Barnabas Road 26 St Barnabas Road Emmer Green Reading Berkshire RG4 8RA 01189461775 01189461775 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Benjamin Dawson Type of registration: Number of places registered: Milbury Care Services Ltd care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies 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: Learning disability (LD). Date of last inspection Brief description of the care home 26 St. Barnabas Road is part of Voyage and registered to provide support and care for six adults with learning disabilities, between 18 and 65 years of age. The home has 5 permanent residents and one respite placement, which is used by a single service user. The home is situated in a suburb of Reading. It consists of six bedrooms, lounge/dining room, kitchen, shower room and bathroom. The aims and objectives of the home are to provide a secure and comfortable home; encourage and support residents to make decisions and choices in their lives; support and assist service users to make and Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 6 Brief description of the care home maintain satisfying relationships; assist service users to develop their skills; and enable service users to engage in valued day time occupation and use the community facilities. The fees range from 1012.32 to 1086.80 pounds per week. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection took place on a Monday morning and afternoon over the course of five hours. It was a thorough look at how well the home was doing. It took into account detailed information provided by the services manager and any information it has received about the home since the last inspection which took place on 5th February 2008. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for the residents, staff and any visiting professionals such as doctors and nurses. Consideration has been given to other information provided to the Commission since the last inspection. Care Homes for Adults (18-65 years) Page 6 of 29 The inspector toured the building, examined records and briefly met all of the residents before they went out to day service. They seemed happy and content. Five CSCI surveys were received from the residents and those residents who were able to comment were very happy with the service they were receiving. The inspector was unable to speak at length to residents about their views about the quality of the service, because several have no verbal communication and all of the residents went out for the day. The inspector interviewed two staff and observed how care was being delivered to the residents. From evidence seen and comments received the inspector considers that this service has a good awareness and understanding of equality and diversity issues and would be able to provide positive outcomes for residents in the areas of race, ethnicity, age gender, sexuality, disability and belief. During the inspection the Service Manager - Chris Bell was consulted by telephone about the refurbishment of the ground floor bathroom. She was able to confirm by telephone that work was scheduled to start on 2nd February 2009. Therefore no requirement has been made about this issue. The inspector gave feedback about her findings to the Homes Manager at the end of inspection. There was one legal requirement and one recommendation arising from this inspection. The CSCI has received no information about complaints about the home since the last inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 8 of 29 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are fully assessed before admission to ensure the home can effectively meet their needs. Evidence: From examination of the Statement of Purpose and Service User Guide it is evident that the documents are up-to-date, clear and concise. They have been produced in a word and pictorial format to aid understanding. All residents have a needs assessment which is comprehensive and holistic before being admitted. Information is gathered from a variety of sources and includes the person to admitted, their family, advocates and a team of multi-disciplinary professionals. From discussion with management it is clear that significant time is given to planning the persons admission. Staff are mindful to ensure that the new admission will gel with the existing residents. Although there have been no recent admissions to the home it was evident from the Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: care files seen that the admission and transition period is managed well. Records indicated that one resident had been supported to move to the home in a staged way. They were gradually introduced to St Barnabus Road support workers, in their previous environment in order to gain the residents trust and confidence and then short visits were made to their new home. The process was managed well. Within a few months the new resident had settled fully into St Barnabus and the move has proven very successful. It is evident that the resident likes living at the home and is comfortable with staff. The views of prospective residents is central to the admission process and a range of methods are employed to gauge the views and opinions of the resident. This may involve the the use of an advocate. Formal multi-professional review meetings are held throughout the admission and transition process to ensure the resident is happy and is settling in. Management always take into consideration the skills and ability of the staff team. If the potential resident has any specialist needs, staff are provided with training so that they can effectively meet the residents needs. Each resident is provided with a contract which provides precise details of their entitlements and includes the fees payable. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are encouraged to make choices about their lives and to take everyday risks. The written records accurately reflect the individuals needs, aspirations, goals and lifestyle choices. Evidence: The home endeavors to promote residents independence and self-sufficiency at all times. Residents are encouraged to participate in the activities of daily living within the limits of their capabilities. A number of the residents participate in the routine cooking, cleaning and laundry in the home and one resident goes shopping each week to purchase their own favorite food items supported by the staff. The resident has a bus pass and often uses public transport. Examination of the care records and risk assessments evidenced that the necessary support and supervision are provided to keep residents safe whilst they engage in every day tasks. The home positively encourages and supports people to develop life skills and this has Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: led to a degree of risk taking. The management of risks takes into account the specialist needs of the individual, balanced against their personal aspirations for independence. The risks have been fully assessed and guidelines have been put in place to minimise the risk to residents. Three peoples care was case tracked. Records were up-to-date and accurate. It was evident that staff have involved residents in the care plan process and their input was recorded appropriately. Where needed an advocate had been used to help residents make important decisions. Care records were comprehensive and holistic and provided staff with sufficient information to provide the right care. All residents have an up-to-date ISP (Individual Support Plan) which details their own personal goals and aspirations for the forthcoming year. In the case of one resident the goals included going on holiday, keeping in contact with their family, visiting a local theatre to listen to classical music and enjoying evenings in the pub. Another residents goals were to choose a new bed and carpet for their bedroom, to take a holiday of their choice and to choose some new boots. All goals seemed realistic and achievable. Care plans contained detailed life historys and pen portraits and were entirely person-centred. They were reviewed formally once a year and were kept up-to-date by the residents key-worker. It was clear from the records that the home works in partnership with other agencies to benefit the residents and to provide quality care. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are provided with the opportunity to participate in a range of leisure activities suited to their individual needs. Residents are encouraged to maintain contact with their friends , relatives and the local community. The menu in the home offers residents choice and variety. Evidence: The care records, daily diarys and discussion with staff and residents evidenced that residents are encouraged and supported to lead active and meaningful lives. Residents have detailed activity programmes with include activities that are both stimulating and worth while. They are encouraged to make good use of communal facilities including Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: local pubs, theatres and restaurants. Residents are well known at local shops and facilities and are a part of the community. Several of the residents regularly use public transport. One resident has a daily paper and visits the newsagent each week to pay their bill. Residents are supported to stay in touch with their familys. Several of the residents make home visits to relatives and one resident regularly stays with their parents at the weekend. The home arranges holidays for residents near to relatives so that they may visit. One resident is planning to stay in Aberdeen near their sister. All residents are encouraged to participate in an annual holiday if they want to go. One resident was supported to visit the Vatican, another went to Dorset and another is going to Butlins. One resident chooses not to take an annual holiday but instead chooses where they would like to go on trips out. They visited Longleat and Bournemouth in the summer. Only one of the current residents is in paid employment. They go to Greenshoots Garden Centre three times a week where they are supported to re-pot plants, produce seedlings and to cultivate plants and flowers. They particularly enjoy working outside in the fresh air. All residents are provided with day services and regularly participate in horse riding, games, sports, meal group and communication classes. The menu was examined and it was evident that residents are provided with a nourishing and varied choice of meals. Residents are regularly consulted about the menus in the weekly house meetings. Meal times are a social occasion and residents are encouraged to eat together in the communal dining room. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples physical and personal support needs are well met by well-trained and competent staff that administer medication safely and effectively. Evidence: The information contained within the care plans evidenced that all residents are registered with a local doctor. Residents are supported when possible to attend the local surgery for appointments. The practice provides a range of routine screening and preventative treatments including blood tests and flu injections. On file were dentists, chiropodists, hearing and sight tests. Several residents are regular attendees at hospital where they see general medical and surgical consultants as well as psychiatrists and psychologists. Details of the outcome of these appointments and any changes in treatment or medication are well documented in the care plan and daily diarys. Examination of three care records evidenced that residents physical and personal care needs are well met by the home. All care provided is documented in the daily records which clearly validated the content of care plans Observation of practice demonstrated Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: that the care team work together to provide care in a manner which maintains residents dignity, privacy independence and choice. The home a robust medication policy and procedure in place. The system used for administering medication is the monitored dosage system. All staff are trained in the procedure and have been assessed to give medication safely. Two staff carry out the administration together to reduce the likelihood of drug error. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are protected by the homes policies and procedures. staff are fully trained in adult protection. concerns and complaints are dealt with effectively. Evidence: The home has a complaints procedure which is clear and accessible to residents. It meets the Standards and Regulations. It has been produced for residents in userfriendly format to aid residents understanding. Residents are provided with details of how to make a complaint, the time scale for response and the stages and process of the Organisations complaint procedure. Examination of the complaint records indicated that there has been only one complaint which was about the drainage since July 2007. The complaint was thoroughly investigated and resolved. The CSCI has received no information about complaints about the home since the last inspection which took place on the 5th February 2008. There was evidence in staff files and discussion with staff that they receive training in safeguarding adults during induction and later in NVQ training. Staff are aware of the need to whistle-blow and the importance of protecting residents from abuse and exploitation at all times. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a comfortable place for residents to live. There is however, a need to carry out maintenance and refurbishment to several areas of the home to promote the health & safety of residents. Evidence: A tour of the premises was undertaken as part of this inspection. The communal lounge, hallway and dining area have been redecorated since the last inspection and were in satisfactory condition. There is a need however, to ensure that woodwork is repainted where it has been damaged by wheelchairs. The hard flooring in the hallway has been replaced and looks clean and attractive. The kitchen floor was in a poor state of repair and there was water damage under the sink unit which had permeated the adjoining work unit and damaged the wall. This area was unsightly. Several wall tiles were cracked and broken above the work surface and one of the handles was broken on the kitchen units. The light fittings were in need of replacement in this area as they were badly heat marked. The downstairs shower room is in need of refurbishment. The Service Manager Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: confirmed that work to renovate the room is due to start next week. Two of the bedrooms require new vanity units as the work surfaces on top had become very rough to the touch and could pose a risk to residents. One bedroom required a new light fitting and shaver point as it was hanging from the wall. The immersion cupboard requires a new lock fitted. Several of the fire doors were not closing properly into their frames which could pose a risk to residents in the event of fire. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported by competent, qualified and appropriately trained staff. The recruitment process is robust and protects residents from harm. Evidence: Examination of three staff files and discussion with staff evidenced that all necessary checks are undertaken on prospective staff to ensure the safety and protection of residents. It is clear the homes policy on selection and recruitment is robust and protects residents from harm. Examination of the training records evidenced that staff have been properly inducted to Skills for Care standard and are provided with regular refresher training in core skills including manual handling, fire safety, food hygiene, health and safety, first aid, medication, infection control and safeguarding adults. Additionally, staff have been trained in Non-violent Crisis Intervention and epilepsy. A number of the staff have completed LDAF (Learning Disability Award Framework) accredited training at level 2. From discussion with staff and management it is clear that there are only limited opportunities for staff to undertake National Vocational Qualifications currently. This should be addressed now that the Organisation has recruited a Regional Training and Development Manager. Only five of the current staff have an NVQ 2 or 3. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: From examination of records it is clear that the staff are supervised regularly and take part in weekly team meetings. The home has successfully recruited to all but one of its vacant posts. The post is 18 hours. There is minimal use of agency workers to cover gaps in the roster. Staff at the home usually volunteer to cover the extra shifts themselves. As part of this inspection surveys were sent to residents and staff at the home. The inspector received responses from six of the staff. Broad themes in staff surveys suggest that everyone feels that they do a good job looking after the residents. They dont however feel valued by the the Organisation. There was some concern about the issue of sick pay. Several staff commented that there are insufficient staff on duty, particularly during the afternoon which can be a challenge when residents have seizures or display challenges to the service. This however, is not a view shared by all of the staff. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a well managed home, where there is evidence that their health & safety are considered. Evidence: The Registered Manager - Ben Dawson is highly experienced and has attained professional qualifications in care. He has attained an NVQ 4, RMA (Registered Managers Award), and MDP to enhance his knowledge and skills. He is a qualified trainer in NVCI (Non Violent Crisis Intervention) which he cascades to staff. He is supported in his role by a Deputy and a team of support workers. Staff confirmed that the Manager is very supportive and operates an open-door policy so that staff can discuss issues and queries with him as they arise. Staff appreciate the regular supervision sessions and their chance to express their opinions in the weekly house meetings. The quality assurance system that operates in the home provides information for Senior Management and helps the Manager identify goals for the forthcoming year. It Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: also helps to highlight any shortfall in service. The residents views about the service are ascertained during review meetings. This feeds into the Annual Service Review for the home which is carried out by the Homes Manager and the Service Manager. The most recent review was examined during inspection and was dated June 2008. The home also underwent a formal audit by the Organisations Quality Assurance Manager in June 2008. Areas for improvement were identified and an action plan has been formulated. A health & safety audit was also undertaken in October 2008. The health and safety records were sampled and were in good order. Routine servicing and maintenance of equipment is undertaken at appropriate intervals to maintain the home as risk free environment for residents. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 24 23 The kitchen floor requires replacement. The tiles over the work surface should be replaced where broken. The light fitting needs replacement in this area. The area under the sink and adjoining kitchen unit need renovation. Kitchen drawer handles should be replaced where they are broken or missing To improve the environment for residents 28/04/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 24 26 The skirting boards and doors need repainting where they have been damaged by wheelchairs There is a need repair or replace the vanity units in several bedrooms (identified during inspection) as the surface edges are rough and may pose a risk to residents. Care Homes for Adults (18-65 years) Page 27 of 29 The light fitting in one bedroom requires repair (as identified). Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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