Inspection on 30/01/07 for 52 Mill Lane

This inspection was carried out on 30th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

52 Mill Lane 15/12/08

52 Mill Lane 17/11/05

52 Mill Lane 16/05/05

52 Mill Lane 10/11/04

52 Mill Lane 24/05/04

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Thorndene

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

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Seabourne House

33 St John`s Church Road

Dovedale Court

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 52 Mill Lane Portslade East Sussex BN41 2DE Lead Inspector Merle Blakeley Key Unannounced Inspection 30th January 2007 12:00 52 Mill Lane DS0000014149.V323121.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 52 Mill Lane DS0000014149.V323121.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. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 52 Mill Lane Address Portslade East Sussex BN41 2DE 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) 01273 439156 01273 439156 milllane@onetel.com Southdown Housing Association Limited Vacant Care Home 5 Category(ies) of Learning disability (5), Physical disability (5) registration, with number of places 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. This home is registered for 5 people with a learning disability and a physical disability The number of people accommodated must not exceed 5 Date of last inspection 17th November 2005 Brief Description of the Service: 52 Mill Lane is run by the Southdown Housing Association, and provides longterm accommodation in a ‘dormer’ style bungalow for up to five adults of either gender. The people live on the ground floor of the property and have their own single bedrooms, while sharing the communal living/dining room, kitchen, bathrooms and garden. The home is located in the residential area of Portslade, on the outskirts of Brighton, within reasonable distance of local shops and other amenities. Although established as a service for younger adults with learning disabilities, within the current group of people four are also wheelchair users, and the home provides adapted facilities for them. The current fees range from £1,000.00 to £1,300 per week. These fees include day care services but do not include additional extras such as hairdressing, toiletries and complimentary therapies. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out over a period of six and a half hours on the 30th January 2007. As well as this site visit information was also gained from a pre-inspection questionnaire, feedback survey forms from three relatives, informal talks with six staff and the temporary manager. The site visited consisted of a tour of the premises, looking at the particular needs of four residents, document reading and observing staff interactions with residents. There are currently five residents living at 52 Mill Lane. What the service does well: What has improved since the last inspection? What they could do better: The home has experienced some difficulties since the last inspection in November 2005. The registered manager and four staff left the home, which created some staff shortages. There was also an adult protection alert and a staffing concern. However these issues have now been dealt with and a new manager will commence duties on 1st February 2007. The home needs to 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 6 continue to ensure that resident’s finances are securely safeguarded. The new policies and procedures should ensure that this incident does not occur again. More permanent staff have now been employed so the need for agency staff will decrease. This will provide the staff team with more stability and continuity of care for residents. Overall the home is quite homely, however the bathroom has a very ‘clinical’ appearance. A recommendation has been made for the bathroom to be provided with a more homely environment. The shower area is due for refurbishment in July this year. It has also been recommended that the home seek feedback from visiting professionals to the home. This will provide the home with more information about the quality of care residents receive. 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. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has had no new admissions since 1985. The statement of purpose will require updating. EVIDENCE: All five residents have lived in this home since 1985, consequently the home has not needed to carry out assessments for any new residents, however the home has in place specific tools to carry out an assessment. Any new resident would have a social care assessment carried out outlining the person’s particular needs. The home would then discuss these needs with relatives and friends and advice would also be sought from the person’s healthcare professionals. The home would then makes its own judgement as to whether it could meet the person’s needs. The service users guide will need to be updated soon to reflect the new changes in the homes management. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are very informative regarding the care and support residents require. Staff support residents to make choices in their lives. EVIDENCE: Care plans were viewed and the information they contained was very comprehensive with the file containing up to fourteen sections of information. Each section deals with a different aspect of the residents life and includes information of the persons likes and dislikes, how personal care should be performed, the types of communication the person uses, healthcare, family and history etc. The care plans also detail how challenging behaviour can be reduced and managed effectively and what trigger points are likely to set this type of behaviour off. Care plans are reviewed six monthly by the manager and key worker. Annual reviews are also carried out and will involve the resident, key worker, manager, family members and the placing authority. The manager was asked as to whether the placing authorities were ever present at these annual reviews. There was evidence that correspondence had been sent 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 10 to the teams advising them of the date and time of the review, however the home had not received any responses. All five residents have complex healthcare needs and one resident is currently in hospital awaiting a percutaneous gastronomy tube (PEG). He had started to display difficulties in swallowing food, liquids and medication and staff were very concerned that he was not receiving an adequate diet or his required medication. Once the PEG procedure has been completed he will return to the home. There will be two residents who will then require PEG feeds. On the day of this visit most of the staff team were in the home as some of them had come to attend training from the ‘Homeward Nurse’ who was showing them how to effectively and safely administer PEG feeds via a new type of pump. Afterwards staff said they had found the training very informative. Residents have a lot of input from various different health professionals such as physiotherapists, speech and language therapists etc. An optician had recently visited the home and one of the residents requires glasses. All of the residents have suffered from epilepsy but these are now well controlled by medication. The home was asked as to whether there were specific guidelines to manage seizures. The home has produced a set of guidelines for staff to follow and they also receive some training to support them. The staff who were spoken to appeared very knowledgeable about each residents needs As stated previously all five residents have very complex physical and learning disabilities and therefore they rely on staff, their relatives and other care professionals to act in their best interests. Staff were asked as to how residents can make certain choices in their lives, they responded that each resident has their own unique way of communicating and described how this was carried out. Residents can choose what they watch, where they are within the house, if they want to go out, if they are hungry, thirsty or tired etc. The inspector was able to observe staff communicating with residents. The written responses from family members stated that they felt confident that staff understood and respected each resident’s particular needs. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 11 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. Residents take part in appropriate activities and they are out and about in the community. All residents have contact with their relatives. The home has made improvements to resident’s diets. EVIDENCE: Of the five residents four attend various different day care centres within the local area. Two residents attend a centre five days a week. On their free days residents are taken out to various places that interest them such as shopping, garden centres, cinema, sensory rooms etc. Some residents have also been supported to go on holiday. One of the residents receives ‘in-house’ activities and his plan revealed that he had a reasonably full timetable from Monday to Friday. Residents are out and about in the community on most days and some visit the local shops and amenities with staff. All residents are visited by their families and resident’s bedrooms were seen to be full of family photos. Visitors are welcome in the home and feedback forms 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 12 backed up this information. Relatives stated that they found the staff caring and friendly and they spoke highly of the care that was provided. Since the last inspection the home has updated and improved its weekly menus. Previously residents were required to take their lunches to the day care centres, as meals are no longer being provided. The home was sending residents with ready prepared ‘chilled meals’ from the supermarket and it was felt that residents might not be receiving a well balanced diet. This was a requirement that was made during the last inspection. One of the staff members came up with the idea that when the evening meal was being prepared that staff would cook double the amount that was required. The remaining amount would then be prepared in an individual container for each resident in either a pureed or chopped form, then labelled and frozen. Each resident would then take one of the frozen meals to their day centres. In this way residents were receiving a healthier diet and eating home cooked food that they enjoyed. So far staff have said that this new method is working well. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health care needs of residents are being well met. Medication is being appropriately administered. EVIDENCE: Personal care was seen to be provided in a sensitive and caring manner in the privacy of resident’s own bedrooms or the bathroom. All five residents require total assistance with their personal care and rely on the staff to carry this out. The home has one main bathroom with an assisted shower and specially equipped bath. Where possible the home tries to ensure that female residents receive personal care from female staff and the male residents receive personal care from the male staff. As all of the residents are in wheelchairs most of the day staff carry out postural changes during the day with the use of special slings, mats and bedding. A physiotherapist attends regularly and provides information for staff. The homes medication records were checked and they were found to be in order. The home uses a pre-packed blister pack system, which is delivered by the local pharmacy. All staff undertake medication training from a local 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 14 pharmacist. Staff then complete a more in-depth questionnaire and then a competency assessment is carried out. Medications are stored in a secure lockable cabinet in the dining room area. Risk assessments have been carried out and there are details of each medicine and why it is being taken. Contraindications are also included. As residents are out most days their midday medicines are specially pre-packed and taken with them to their day care centres. The day care centre staff then take responsibility for them being administered and signed for. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 15 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. The home has produced a complaints policy and procedure. The home received a concern about staffing levels. The home has addressed the issues regarding effectively protecting residents from financial abuse. EVIDENCE: The home has a detailed complaints procedure in place, which is included in the service users guide. Of the three-feedback survey forms that were returned all family members stated that they knew how to make a complaint on behalf of their relative. One anonymous concern had been made to the CSCI in December 2007, which alleged that the home was on occasions understaffed. Southdown Housing Association was asked to look into this allegation and relay their findings to the CSCI. A written response was received and it stated that on one occasion for a period of 30 minutes one staff member was left alone with four residents. This was due to a number of factors, one being that the manager was unable to find immediate relief cover for the afternoon/evening shift that day and two staff members went off duty knowing they would leave only one member of staff on duty. Southdown Housing Association has said this should not have happened and this situation has been addressed. Southdown Housing Association has confirmed that the minimum staffing levels are three staff per shift. On 3rd November 2006 an Adult Protection Alert was raised. It had been discovered that a full time staff member had been fraudulently withdrawing funds from one of the residents bank accounts. It appears that withdrawals 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 16 had been occurring over a period of fifteen months and it resulted in a substantial amount of money being stolen. The member of staff admitted to the offence and was dismissed. The Police and the Adult Protection Unit were notified and both are now involved in this case. As of writing this report the vast majority of the money has been returned to the residents bank account. The residents in this home are particularly vulnerable as they rely on staff to assist them in all aspects of their lives. Southdown Housing Association has taken action and as a result of this adult protection alert residents finances in all other services across the association are now being audited to ensure there are no discrepancies. However, the homes financial audits did not pick up these fraudulent withdrawals for over a year. The manager was asked how the home would ensure that this situation never occurs again. He stated that they have new policies and procedures for dealing with resident’s finances and money could only be withdrawn if two staff members were present, which will normally be the deputy manager and the resident’s key worker. They are no longer using pre-signed withdrawal forms, as these were open to being forged. Resident’s finances are being checked daily. Resident’s money tins were checked on the day and they were found to be in order. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is reasonably well maintained and kept clean and tidy. EVIDENCE: The home is reasonably comfortable and although resident’s bedrooms are a little small they are very personalised. Some of the bedrooms do look a ‘little tired’ and good perhaps do with little redecoration in places. The bathroom does appear rather ‘hospitalised’ and not very homely. It is appreciated that the bathroom does contain specialist-bathing equipment, however it could be made a little more homely. Southdowns Housing Association is planning to refurbish the shower area in July this year and this will improve access for the resident who uses it. On the day the home was found to be clean and tidy. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. 32, 34 & 35 This judgement has been made using available evidence including a visit to this service. The home now has its full complement of staff. 40 of the staff team hold NVQ qualifications. Staff recruitment procedures are in place. Staff receive a good level of training to assist them in their roles. EVIDENCE: Since the last inspection in November 2005 the home has experienced some staff shortages with the manager and four permanent staff members leaving. The home has been using some agency staff and some relief staff members to cover shifts in the interim whilst care workers were being recruited. Staff spoken to on the day did state that it had been a difficult period, however they felt the situation had now improved since more staff had been employed. The morale of staff had also improved and they were looking forward to the new manager commencing in early February 2007. To date three staff have obtained NVQ qualifications and another staff member is just about to complete the training. New staff members have stated that they are keen to start an NVQ qualification. Five staff were spoken to during the day and they all stated that they worked well together as a team and 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 19 generally felt well supported. Some staff said that their supervision sessions had not been held as regularly as they should be. Staff recruitment files could not be viewed as Southdown Housing Association keeps these personnel files at their head office. A new check-list form has been devised, which includes a set of tick boxes that indicates which type of recruitment check has been carried out e.g. references, returned CRB check, proof of identity, NI number etc. Four of these recruitment checklists were viewed. Staff were asked about the level of training they received and all stated that they felt they received a good level of training. Recent training staff had attended included manual handling, adult protection, communication, food hygiene and fire safety. Two of the newer staff members confirmed that they had received induction training although they were unsure as to whether it had been properly completed. The staff team were observed throughout the day and they were seen to carry out their duties in a friendly, caring and courteous manner. They appeared very sensitive to each residents needs. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 20 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. A temporary manager has been running the home since May 2006. The home has produced a quality assurance system. The home ensures that the health and safety of residents and staff is maintained. EVIDENCE: Since the registered manager resigned in May 2006 a temporary manager has been running the home. The temporary manager is very experienced and has been the registered manager at another Southdown Housing Association home for several years. He has obtained the Registered Managers Award (RMA). A deputy manager has also assisted the manager in running this home. Staff were asked as to whether they had felt supported during this period and all stated that they had felt supported and they knew they could go to either the manager or deputy manager if they had any concerns. Southdowns Housing 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 21 Association has now appointed a new manager for 52 Mill Lane and she will commence duties on 1st February 2007. The new manager has previous experience of running a care home for people with learning and physical disabilities and she has been the deputy manager at another Southdowns service for several years. She has also worked as a deputy manager in this home before so she is knowledgeable about the residents who live here. She has obtained the NVQ Level 4 and the Registered Managers Award. The home has a quality assurance programme, which includes seeking feedback from families and friends of the residents. It will be recommended that the home also seeks feedback from visiting professionals and stakeholders such as physiotherapists, social workers etc. to gain an insight into their views of how they see the home being run. Southdown Housing Association also carries out a number of internal audits to ensure the quality of care is maintained. Regulation 26 Visits are carried out and recorded. The manager also said that staff have a ‘Quality Monitoring Day’, which involved the staff discussing a number of care issues and then producing action plans from the outcomes. A health and safety check was carried out during this visit and there were no issues raised. The manager is responsible for carrying out the monthly ‘walk through’ health & safety check, which covers areas such as fire safety, security, equipment, appliances, evacuation plan and the outdoor areas. The home has a separate fire risk assessment and an emergency arrangements checklist and these are checked six monthly. Staff have received training in fire safety, manual handling and first aid. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 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 X 3 X X 3 X 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA24 YA39 Good Practice Recommendations That the bathroom decor is given a more ‘homely’ appearance. That the home seeks feedback from visiting professionals and stakeholders. 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 52 Mill Lane DS0000014149.V323121.R01.S.doc Version 5.2 Page 25 - 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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