Inspection on 12/05/06 for Arthur House

This inspection was carried out on 12th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Arthur House 18/12/08

Arthur House 12/10/05

Arthur House 21/04/05

Arthur House 28/09/04

Arthur House 20/05/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Arthur House 110 Arthur Road Wimbledon Park London SW19 8AA Lead Inspector Liz O`Reilly Unannounced Inspection 12th May 2006 10:00 X10015.doc Version 1.40 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 Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 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 Older People. 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. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Arthur House Address 110 Arthur Road Wimbledon Park London SW19 8AA 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) 0208 947 1218 020 8944 5390 arthur.house@craegmoor.co.uk Parkcare Homes Limited Mrs Noreen Cecil-Purvis (nee Goodwin) Care Home 15 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (13) of places Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 2005 Brief Description of the Service: Arthur House is a registered care home offering accommodation and care for up to fifteen older people. This home does not offer nursing care. Arthur House is owned by Parkcare Homes Ltd, a subsidiary of Craegmoor Healthcare. Accommodation is arranged over two floors with a small passenger lift available to access the upper floor. Local shops, cafes, places of worship, parks and other community facilities are close by. Central Wimbledon is within easy reach. No parking facilities are available at the home. Restricted metered parking is available in the surrounding area with rail, tube and bus networks very close by. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one regulation inspector. The inspector visited the home on 12th and 23rd of May 2006. Questionnaires were sent out to the families and friends of a number of residents, health care and other professionals involved with the home and questionnaires were also left for residents in the home. During the visits to the home the inspector had the opportunity to speak with seven residents, two visitors and three staff including the registered manager. Eight completed questionnaires were returned. What the service does well: Arthur House provides comfortable, domestic style accommodation. Staff support residents to maintain their independence and individual interests. Staff are well informed on the individual needs and strengths of the residents. Relationships between the staff group and the residents is described by residents as ‘very good’. Comments received included, ‘staff made me feel very welcome in the home’, I am ‘able to discuss any concerns with the staff or manager’, I have ‘nothing but praise for the manager and staff’, ‘staff always ask how are you and have time to listen’, ‘staff are excellent’. A relative described a ‘genuine friendly caring manager and staff’. Care is taken in the staff recruitment and training to ensure the safety and welfare of residents. Care planning is good with clear information and consultation with residents and if appropriate relatives on the support to be provided by staff. The inclusion of a history for residents who are willing to share information with staff is to be commended. The manager is aware of areas where improvements could be made and is taking action in these areas. The inspector found very high levels of satisfaction in the home in relation to the care provided, the food and the environment. No negative comments were made by residents about the home either verbally or within questionnaires returned. Comments from residents about the home generally included, ‘this is a very good home’ and ‘if I can’t be at home this is the best place’. The inspector asked residents if they were to give the home a star rating what level they would award. Each resident asked gave the home four stars (excellent). Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including visits to the service. Information on the home is provided to residents via the home’s Service User Guide and Statement of Purpose. The needs and wishes of prospective residents are assessed before they move into the home. This makes sure that staff are aware of and can meet these needs. This home does not provide intermediate care. EVIDENCE: Each resident is provided with a copy of the Service User Guide which provides information on what they can expect from the home. A Statement of Purpose has also been produced which sets out the aims and objectives of the service. This is available in the home. At the time of the last inspection the inspector was informed that these documents were being updated. A copy of the updated documents must be supplied to the CSCI. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 9 The manager ensures that a copy of the latest inspection report is clearly on display in the entrance to the home so that any resident or visitor can read a copy. A copy of the report can be provided. A comprehensive needs assessment is carried out for each person before arrangements are made for them to be admitted. Prospective residents and or their friends and family are welcome to visit and meet with staff and other residents before making a decision to move in. The first few weeks of a stay are seen as trial period after which a review takes place to ensure that the resident is happy to stay and that staff are able to meet their needs and expectations. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including visits to the service. Each resident is provided with their own care plan which sets out their individual needs and wishes. The health care needs of residents are met. Staff manage medication well taking into account the health and safety of residents. Residents reported that staff respect their privacy at all times. EVIDENCE: Staff have produced comprehensive care plans which provide good information on the needs and wishes of residents and how these will be met. Residents and relatives confirmed that they are consulted and agree individual care plans. Residents and staff sign care plans to indicate their agreement with the plan. Care plans are reviewed on a monthly basis or more frequently should there be any changes in the needs or wishes of individuals. Further consultation with residents is carried out should there be any changes in individual needs or wishes. Staff maintain good informative daily records. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 11 Staff have taken time to include information on the individual likes and dislikes of residents. This information is used to provide written guidance for staff. Residents, or if appropriate family or friends of residents are requested to provide a life history for the file. This information, which residents have agreed to share with staff, provides staff with the opportunity to gain a greater understanding of individual residents and to view each person as an individual with history beyond the circumstances which resulted in them moving into the home. Positive comments were received from residents, relatives and health care professionals on the care provided. The care provided was described as ‘personalised’, residents felt they were ‘well looked after’ and that ‘the care is very good’. Arrangements are in place for residents to receive regular health care checks. Residents can be seen by health care professionals within the home or by attending clinics or the GP surgery. All residents are registered with local GP practices. Residents are free to remain with their own GP if practical. Residents can see their GP or other health care staff in private or can be supported by staff should they wish. Feedback from healthcare professionals on this home was very good Staff were felt to have a good knowledge of the residents and their individual health care needs. The home was viewed as working in partnership with health care services, communicating with and following the instructions of health care professionals and acting in the best interests of the individuals in their care. Medication was seen to be well managed, records were up to date and medication was stored appropriately. At the time of this visit one resident was self administering part of their prescribed medication. Risk assessments are in place for any resident who self administers medication and these are reviewed on a regular basis. Staff who administer medication have completed accredited training. Residents informed the inspector that they felt staff made sure that they protected their privacy at all times. Staff were observed to offer advice and support to individuals in a discreet manner and to knock on doors before entering bathrooms and residents bedrooms. Residents can have a key to the front door of the home. A key pad is attached to the front door with the code provided for residents to ensure their freedom of movement is not restricted. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including visits to the service. Residents are encouraged to maintain or develop contacts outside the home. Staff support residents to continue with their personal activities and interests. At the time of this inspection further work was in progress to involve residents and their family or friends in the decision making in the home including the level and type of activities on offer. Residents made very positive comments on the quality of food on offer. EVIDENCE: Residents and supported and encouraged to continue with their own interests and activities outside the home for as long as they wish to. Support is provided for residents to attend religious centres, clubs and interests groups in the community. Visitors confirmed that they felt welcomed in the home by staff at any time. Staff encourage residents to maintain contact with family and friends. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 13 Discussion with residents and staff indicated that residents make their own decisions on daily living activities such as when to get up, go to bed, what to eat, where they spend their time etc. A weekly music and movement class is available and an aromatherapist visits weekly. Staff have recognised that the activities are one area which could be improved upon. Since the last inspection the staffing levels during the middle of the day have been increased which will allow for additional one to one activities to take place. Staff were planning on taking residents out to the local shops and parks. A residents and relatives committee was in the planning process, one meeting had taken place. Staff hoped that this would assist in residents and relatives taking a more active role in decisions around activities. Residents were very complimentary on the quality and quantity of food provided. Staff were well informed on the individual likes and dislikes of residents and on how well individuals were eating and drinking. All staff spoken to were aware of the importance of meal times and a good diet. The cook has recently attended a course on nutrition and tries to encourage those residents with a poor appetite by supplying food which may be more appealing to the individual. This was confirmed by residents and relatives who stated that staff tried to “individualise” the food provided. Comments received on the food included ‘I always like the meals’, ‘they try to find a diet that suits you’ and ‘the food is excellent At the time of inspection staff were working on a new menu for the summer. A copy of the proposed menu will be provided to each resident for consultation before this is brought in. Special diets can be catered for. . Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including visits to the service. The home has a clear complaints procedure in place. Residents and visitors to the home confirmed they were aware of the procedure. All staff receive training on the protection of vulnerable adults which ensures they are aware of their responsibilities in relation to protecting residents. EVIDENCE: The complaints procedure is provided to residents in the Service User Guide and is on display in the home. The procedure includes clear timescales for responding to any complaint made and information on the process if the complainant remains unhappy. Systems are in place for recording any complaint along with information on outcomes. The manager confirmed that no complaints have been received recently. The CSCI have not received any complaints about this service. Residents and visitors expressed confidence in the staff and manager to deal with any problems or concerns they may have. The organisation has in place clear procedures for staff should they receive any allegation of abuse or have any concerns regarding the safety of residents. The home also has a copy of the local authority procedures for the reporting of and investigation of abuse. All staff are provided with training on the protection of vulnerable adults. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 22 & 26 Quality in this outcome area is good. This judgement has been made using the available evidence including visits to the service. Residents are provided with a comfortable, safe and clean environment. EVIDENCE: The home is well maintained and provides a comfortable homely environment for residents. Comments received on the environment were good. The home was described as ‘very clean’, ‘comfortable’, ‘always fresh and clean’ and ‘nicely decorated’. The inspector observed staff making sure that the good standards of cleanliness were maintained by clearing up any spillages as they occurred. Staff receive training in infection control. A small laundry area is available. Comments from one resident included, ‘the laundry is always done very nicely’, another comment suggested that woollens were not always washed at the appropriate temperature, this is something staff need to take care in. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 16 Since the last inspection of the home bathrooms have been refurbished and residents can now choose from an assisted bath on the ground and first floor or a shower room on the first floor. The manager informed the inspector that plans were in place for an adjustable height washbasin to be installed for hairdressing. This will assist in making hairdressing more comfortable for some of the residents. The home has been assessed by a qualified occupational therapist to ensure the appropriate aids and adaptations have been supplied. Furnishings and fittings are of a good standard. One area which needs further attention is the carpeting to the stairs and corridors. This carpeting is showing signs of wear and tear. The organisation need to commence a programme for the replacement of carpets to all corridors and the staircase. At the time of the last inspection a requirement was made for the locks on bedroom doors to be replaced to ensure that staff can access rooms at any time in the event of an emergency whilst respecting the privacy of residents. This requirement remains outstanding. A rolling programme for the replacement of windows in the home has commenced. The most damaged window frames have been replaced. New patio doors have been installed in the lounge which offer easier access to the garden. The manager informed the inspector that plans were being made for the kitchen to be refurbished again. Residents have access to a very well maintained small enclosed garden. The garden has seating, shading, raised beds and a small water feature. A number of residents made positive comments on the garden and said they enjoyed sitting out in the warmer weather or just looking out on the garden from the lounge. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including visits to the service. Relationships between staff, residents and visitors are very good. Care is taken to ensure that the appropriate checks are carried out on staff before they commence work which assists in ensuring the safety of residents. Staff are provided with good opportunities for training. EVIDENCE: Since the last inspection the staffing levels have been increased to ensure that two care staff are on duty at all times during the day. The registered manager is also on duty five days a week. The home employs a cook and cleaning staff. At night one member of staff is awake on the premises with another member of staff sleeping in the home. These night staffing levels remain appropriate for the needs of the present resident group. The manager is aware that these levels need to be kept under review. This increase in staffing ensures that sufficient staff are available to meet the needs of the resident group. Staff are offered good opportunities for training and recent training has included manual handling, first aid, infection control, diet and nutrition, equal opportunities and the protection of vulnerable adults. Dementia care training was provided last year and staff have contacts with the Dementia early intervention nurse. Plans have been made for staff to receive training on fire marshalling, customer care and health and safety in the near future. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 18 Staff have opportunities to complete NVQ training and the majority of full time staff have completed this training. All new staff follow a structured induction training programme when they first start work in the home. Before staff are employed appropriate checks are carried out including two written references, criminal records bureau checks and a full employment records for each member of staff. This assists in protecting the safety of residents. Residents and visitors provided very positive comments on the staff and their approach. Staff were described as, ‘very patient’, ‘always’ taking time to ‘spend time with everyone’, ‘very attentive’, ‘very good’ ‘very kind, patient and helpful’ and that, ‘nothing is too much trouble for them’ ‘they always try and help you if you have a problem’ and that there is ‘good teamwork exhibited within the staff team’. Feedback from visitors indicated that staff always made them feel welcome at any time. The inspector observed staff communicating well with residents generally and when assisting or offering support. Staff took time to explain what they were doing and always responded when asked a question or when residents were making general comments. Staff were seen to have created a relaxed and open atmosphere where residents felt comfortable in asking questions or passing the time of day with staff. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including visits to the service. Residents benefit from a well run home. The organisation has developed a new quality monitoring and assurance systems which will take into account the views of residents. Staff carry out regular checks to ensure the health and safety of residents and visitors. EVIDENCE: The registered manager has the appropriate qualifications and experience for her role. Very positive comments were received from residents and visitors to the home regarding the manager. The manager was described as ‘very knowledgeable on the needs of each individual’, that she was ‘always available when she is in the home’, that the manager was ‘to be commended for the dedication and input she personally contributes’. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 20 The home manager continues to take part in regular training to ensure that she maintains up to date knowledge. The inspector was informed that the organisation has produced a new quality assurance system which will ensure that an annual review of the care provided is carried out which takes into account and publishes feedback from residents. The manager informed the inspector that a review of the care provided would be carried out in the near future. Once completed a copy of the report produced must be provided to the CSCI and results of residents surveys must be made available to present and prospective residents. The organisation has in place systems for safeguarding the financial interests of residents. At the time of inspection the home was holding no money for residents. Policies and procedures are in place to ensure that staff do not become involved in the finances of individual residents. Staff carry out regular checks on the home and the working practices to ensure the health and safety of residents and visitors. Records are maintained of checks on the temperature of hot water, fridges and freezers. The fire alarm system is checked by staff on a weekly basis with regular professional maintenance checks also carried out. All lifting equipment is serviced six monthly to ensure safety. Staff receive training on health and safety, moving and handling and the safe use and storage of chemicals in the home. A qualified first aider is available on each shift. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 3 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? yes 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. 1. Standard OP1 Regulation 4&5 Requirement The Registered Persons must ensure that copies of the updated Statement of Purpose and Service User Guide are provided to the Commission. Timescale of 10/01/06 not met The Registered Persons must carry out a rolling programme to replace the locks on bedroom doors to ensure that staff can access rooms at any time in the event of an emergency whilst respecting the privacy of residents. Timescale of 10/01/06 not met A regular risk assessment must be carried out on the worn carpeting to the main stairs to ensure that this does not become a hazard to residents, staff or visitors to the home. The Registered Persons must replace the carpeting to the stairs and corridors. Timescale for action 01/09/06 2. OP19 13 & 12 01/10/06 3. OP19 13(4) 01/07/06 4. OP19 16(2)(c) 01/12/06 Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 23 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 OP22 Good Practice Recommendations The Registered Persons should consider the installation of an adjustable height basin with shower attachment for hairdressing. Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Arthur House DS0000027218.V294475.R01.S.doc Version 5.1 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!