Inspection on 15/06/06 for Anita Jane`s Lodge

This inspection was carried out on 15th June 2006.

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

Anita Jane`s Lodge 29/03/10

Anita Jane`s Lodge 14/04/09

Anita Jane`s Lodge 24/11/08

Anita Jane`s Lodge 29/04/08

Anita Jane`s Lodge 14/11/07

Anita Jane`s Lodge 09/07/07

Anita Jane`s Lodge 22/09/05

Anita Jane`s Lodge 12/04/05

Anita Jane`s Lodge 07/10/04

Anita Jane`s Lodge 05/04/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOME ADULTS 18-65 Anita Jane`s Lodge 126/128 Uppingham Road Leicester Leicestershire LE5 0QF Lead Inspector Irene Miller Unannounced Inspection 15th June 2006 11:00 DS0000006432.V299812.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 DS0000006432.V299812.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. DS0000006432.V299812.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anita Jane`s Lodge Address 126/128 Uppingham Road Leicester Leicestershire LE5 0QF 0116 276 8071 0116 276 8071 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) Samalodge Limited Mrs Lois Fletcher Care Home 16 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (16) of places DS0000006432.V299812.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may continue to accommodate a named person who falls within category LD as detailed in variation application number 49808. 22nd September 2005 Date of last inspection Brief Description of the Service: Anita Janes Lodge is registered to provide care for sixteen adults with mental health difficulties. The home is situated on the main Uppingham Road into Leicester city centre and is within walking distance of local amenities. This is a detached property consisting of two floors with land at the front and the back of the home. Clients are accommodated in eight single and four double bedrooms. In addition to their rooms, they have access to a lounge and a lounge/ dining room. Bathroom/shower rooms and toilet facilities can be located on both the floors. None of the bedrooms have en-suite facilities. The courtyard has a summerhouse that is used by clients who smoke. The home has an internal courtyard and a large garden to the rear of the property. The range of fees are on based upon a dependency banding system band 2 is £287.00 per week and band 3 is £320.00 per week. DS0000006432.V299812.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This inspection was a ‘Key Inspection that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for adults aged between 18-65. The service users living at the home prefer to be addressed as clients, therefore throughout the body of the report the term client has been used. The primary method of inspection used on this unannounced inspection was ‘case tracking’ that involved selecting two clients and tracking the care they receive through review of their care plans, records, discussion with the clients, staff on duty, visitors and general observation of care practices and the environment. Lois Fletcher the registered manager was available at the home on the day of inspection. Prior to the inspection the Commission for Social Care Inspection sent out to the home a pre-inspection questionnaire, service users and visitors/relatives comment cards. The pre-inspection questionnaires were not available to view prior to this inspection; therefore the information contained within them will be used towards the next inspection of the facility. Prior to the inspection taking place, the inspector spent two and a half hours planning the areas to focus on at this inspection, based upon information gained from reviewing the homes service history and the last two inspection reports. The inspection took place over a period of five and a half hours. What the service does well: Clients who enter the home can be assured that their needs and expectations can be met. Assessments of prospective clients are conducted prior to admission; the pre assessment documentation seen identified the clients needs and how the home aimed to meet their needs and expectations. Clients are supported to remain in as much control over their lives as possible the Clients said that they were aware of their care plans and had involvement with them. DS0000006432.V299812.R01.S.doc Version 5.2 Page 6 The care plans outlined the client’s personal daily routines and preferences on how they wished to spend their time. Clients spoken with said that they were happy living at the home, observations of staff and client interactions was good. The staff had in-depth knowledge of each client, on their lifestyle choices and facilitated clients to pursue their own interests. Some of the clients attend the Met Centre and Wesley Hall and participate in educational activities such as English, Art, and Gardening, some clients do voluntary work at a local garden centre two days a week. There is a complaints policy available and within the front entrance to the home there was a complaints box available, for clients and visitors use. No complaints had been received at the home prior to the inspection-taking place and The Commission for Social Care Inspection had not received any complaints about the home. In addition to other mandatory staff training, training takes place on the protection of vulnerable adults, (POVA) and when asked about their roles and responsibilities in relation to (POVA) the staff were knowledgeable of the different types of abuse and confident of their responsibilities in protecting the clients living at the home from becoming subject to any abuse. Clients meeting take place regularly to ensure that their views underpin the development of the home. The manager monitors key areas of responsibility that are delegated to individual staff to ensure that the health; social and spiritual needs of clients are being met. What has improved since the last inspection? What they could do better: The home would benefit from upgrading some of the furnishings within the residents bedrooms, some of the headboards looked soiled and in need of replacing. The shower on the ground floor had been out of use for some time and required a new showerhead, staff said that this shower in used rarely, however the facility should be available should a client wish to use it. The manager agreed at the time of inspection to undertake that a new showerhead would be purchased and fitted within the week. DS0000006432.V299812.R01.S.doc Version 5.2 Page 7 The homes Statement of Purpose should outline the qualifications and experience of the registered provider, manager and staff. 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. DS0000006432.V299812.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 DS0000006432.V299812.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clients who enter the home can be assured that their needs and expectations can be met. EVIDENCE: The home has a statement of purpose and a service users guide that outlines what the service can and cannot provide. However the statement of purpose did not contain the relevant qualifications and experience of the registered provider, manager or the staff team, in accordance with, this was discussed with the registered manager who agreed that this information would be included. Contracts of care are in place, which outline the homes terms and conditions for clients and signed by service users. Assessments of prospective clients are conducted prior to admission, the pre assessment documentation seen identified the clients needs and how the home aimed to meet their needs and expectations. DS0000006432.V299812.R01.S.doc Version 5.2 Page 10 A new format for recording client’s assessments has been introduced and the manager is working through transferring the clients assessments onto the new format. DS0000006432.V299812.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. 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. Clients are supported to remain in as much control over their lives as possible EVIDENCE: Clients said that they were aware of their care plans and had involvement with them. The care plans outlined the client’s personal daily routines and preferences on how they wished to spend their time. There was general risk assessments in place identifying potential environmental hazards, such as the control of substances hazardous to health, cross infection control, working within the Kitchen environment, fire and smoking hazards. DS0000006432.V299812.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 at least once during a 12 month period. 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. Clients are supported to maintain appropriate and fulfilling lifestyles in and outside of the home. EVIDENCE: The clients contracts set out the terms and conditions of residency and the contracts looked at had been signed by the clients. Clients spoken with said that they were happy living at the home, observations of staff and client interactions was good. The staff had in-depth knowledge of each client, on their lifestyle choices and facilitated clients to pursue their own interests. Clients educational and leisure choices were recorded within the care plans such as playing pool, shopping, gardening, and participating in art and crafts. DS0000006432.V299812.R01.S.doc Version 5.2 Page 13 Some of the clients attend the Met Centre and Wesley Hall and participate in educational activities such as English, Art, and Gardening, some clients do voluntary work at a local garden centre two days a week. Clients are encouraged to have regular contact with family members and maintain friendships. Clients said that relatives visit them at the home and at other times they visit their relatives. Clients were observed going about their daily lives, sitting chatting with fellow clients, watching television and coming and going within the local community. Within the dining room / games room there was a small snooker table and a notice board with some suggested places to visit in 2006 such as Twycross Zoo, the Space Centre, Matlock, Steam Railway and Cadbury World. One of the clients said that they would like to visit the zoo. The menus are drawn up by the registered manager on a fortnightly basis, the menus are based on the individual food preferences of the clients living at the home, and the menus are included on the agenda at clients meeting which take place fortnightly. When asked about their food preferences several clients said that they preferred to have a light meal at lunchtime and a dinner in the evening, in general the clients were happy with the meals provided. The menu was seen and had a variety of choices available, the meal on the day of inspection was sausages, tomatoes and bread and butter or assorted sandwiches, for the evening meal it was beef burger with chips or fish and chips with baked beans or peas followed by lemon meringue pie. The manager and staff said that they had one client who did not eat beef through their cultural and religious choice, and that they respect their wishes and always ensure that an alternative is available. DS0000006432.V299812.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 at least once during a 12 month period. 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 client’s personal, emotional and health needs are met with respect and sensitivity, however formal reviews to residents healthcare assessments could place them at risk of their needs not being fully met. EVIDENCE: The staff were observed offering support to clients in a relaxed way, The clients are supported and encouraged to go out into the community independently. The care plans contained the information for staff to follow in ensuring that the health, safety and welfare of clients are met. However the moving and handling and physical health assessment for one client had shortfalls in the frequency of their reviews, no documentation was available to demonstrate that the assessments had been reviewed since August 2005. On speaking with the staff and manager it was evident that some changes had taken place regarding the healthcare needs, the staff were fully aware of the needs of the client in this area for example the client required their legs to be elevated to reduce swelling to their legs, and support required from the district nurse to DS0000006432.V299812.R01.S.doc Version 5.2 Page 15 attend to dressings, staff were knowledgeable about this but it was not reflected within the clients assessment. In general the care plans demonstrated that support is provided for the clients to manage their own health care and attend local clinics for specialist health care needs, on the day of inspection one client attended a dental appointment, supported by the manager, and the Community Psychiatric Nurse called in to the home to review the care of one of the clients. The storage and administration of the homes medication was viewed and the storage and administration records were seen to be all in order. DS0000006432.V299812.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 at least once during a 12 month period. 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 the service. The home has a complaints and adult protection system in place. EVIDENCE: Clients spoken with said that they would speak with the manager or any of the staff should they have any concerns about the service. Staff training takes place on the protection of vulnerable adults, (POVA) and when asked about their roles and responsibilities in relation to (POVA) the staff were knowledgeable of the different types of abuse and confident of their responsibilities in protecting the clients living at the home from becoming subject to any abuse. There was additional information available on the staff notice board in the form of a flowchart that outlined the POVA policies and procedures, and the involvement of other agencies such as care management, the police and the commission for social care inspection, should there be any incidents of abuse take place. There is a complaints policy available and within the front entrance to the home there was a complaints box available, for clients and visitors use. No complaints had been received at the home prior to the inspection-taking place and The Commission for Social Care Inspection had not received any complaints about the home. DS0000006432.V299812.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 at least once during a 12 month period. 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 clean, safe, and homely and in general appropriate for the client’s lifestyles and needs. EVIDENCE: A limited tour of the premises took place the home was clean, and the communal areas satisfactorily furnished, and in general provides a homely environment. Clients bedrooms viewed were personalised to include, personal photographs, pictures, stereo music systems, TV’s, videos and DVD players, however some of the furnishings such as the headboards looked worn and in need of replacement There is a no smoking policy within the home and for clients that do smoke a shed with seating has been provided within an enclosed external courtyard. DS0000006432.V299812.R01.S.doc Version 5.2 Page 18 Clients who are capable of taking responsibility of their own laundry are supported to do so. The toilet and bathrooms were clean and free from offensive odours, a shower room on the ground floor had been out of use for some time and required a new showerhead, staff said that this shower in used rarely, however the facility should be available should a client wish to use it. The manager agreed at the time of inspection to undertake that a new showerhead would be purchased and fitted within the week. Generic risk assessments were in place covering areas covering environmental hazards such as cleaning materials and equipment in use, Legionella, the storage of knives, working at heights, lone working, smoking, fire risks. All the risk assessments seen had been regularly reviewed. The kitchen was clean and tidy, records were maintained of cleaning schedules and temperatures of cooked foods and daily fridge and freezer temperatures were retained and were up to date. Records were available of contractor’s visits to maintain the fire, lighting, gas, electrical and water systems Records were available of weekly fire test, and emergency lighting tests, a fire drill had taken place on the morning of the inspection. All the environmental requirements made following the inspection visit of 22nd September 2005 had been met DS0000006432.V299812.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team are skilled in caring for the residents living at the home. EVIDENCE: All staff spoken with demonstrated good relationships and had in depth knowledge of the needs of the clients, and they were knowledgeable about the aims and objectives of the home. The staff training documentation looked at contained evidence of induction and foundation training taking place. The home has a loyal, trained and experienced staff group with a low staff turnover. Staff are encouraged to develop their skills in caring for the clients further and are supporting through their National Vocational Qualification 2 (NVQ2). Staff spoken with confirmed that they had attended various training courses relevant to their role within the home. The staff handover from the morning shift to the afternoon staff was informative and respected confidentiality, information conveyed to the staff included the fire drill that had taken place during the morning, and discussion between the staff demonstrated that clients are facilitated to be flexible in their DS0000006432.V299812.R01.S.doc Version 5.2 Page 20 lifestyle choices, times of getting up and choice of how to spend their time. Issues relating to the clients healthcare needs were communicated to the next shift, such as the morning visit from the Community Psychiatric Nurse (CPN) and contact with the district nurse to review the healthcare needs of one of the clients. Staff spoken with said that monthly team meetings take place at which they are kept informed of developments and new initiatives within the home. Three staff recruitment files viewed, and all contained information to demonstrate that the home ensures that good recruitment practices are carried out. Staff spoken with confirmed that they feel well supported by the homes management, and that there are opportunities to access training relevant to their role and their academic levels. DS0000006432.V299812.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The leadership of the home promotes quality care, which safeguards the client’s health, safety and welfare. EVIDENCE: The manager has many years of experience in caring for people with mental health difficulties and is undertaking the National Vocational Qualification level 4 in Care to include the Registered Managers Award, however there has been some delay in completing the qualification due to a change of training provider, it is hoped that the administrative problems will soon be resolved and that the qualification be achieved by the end of the year. The manager was available on the day of inspection and was observed to be profession in her manner and supportive to clients and staff. DS0000006432.V299812.R01.S.doc Version 5.2 Page 22 Clients were observed to be at ease with the staff team, and were observed to come and go as they pleased and to treat the home as they would their own home. Clients said that the staff are always there to help if they need it, saying that the food was good and that they liked living at the home. Many of the client’s smoke, staff were observed to manage this skilfully, respecting the clients rights and their healthcare needs and staff were observed to alleviate clients anxieties, offering reassurance and support. Clients meeting take place regularly to ensure that their views underpin the development of the home. The home has a range of policies and procedures in place that staff have access to at any time. The manager monitors key areas of responsibility that has been delegated to individual staff to ensure that the health; social and spiritual needs of clients are being met. The home is committed to promoting the health safety and welfare of residents and staff and systems are in place to ensure that they live and work within a home that is safe, clean and homely. DS0000006432.V299812.R01.S.doc Version 5.2 Page 23 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 X 3 3 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 3 3 X 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 DS0000006432.V299812.R01.S.doc Version 5.2 Page 24 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 Refer to Standard YA1 Good Practice Recommendations The homes statement of purpose should include information on the relevant qualifications and experience of the Registered Provider, the Manager and staff working at the home. (As outlined in schedule 1 of the National Minimum Standards and Care Standards Act 2000) Consideration should be given to replacing some of the worn furnishings within the client’s bedrooms. To ensure that all shower facilities are available for use. A showerhead should be fitted to the ground floor shower without delay. 2 3 YA26 YA27 DS0000006432.V299812.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 0845 015 0120 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 DS0000006432.V299812.R01.S.doc Version 5.2 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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