Inspection on 29/06/05 for Autumn Vale

This inspection was carried out on 29th June 2005.

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

Autumn Vale 19/01/09

Autumn Vale 07/03/07

Autumn Vale 06/03/06

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Autumn Vale 26 Clarendon Road Southsea PO5 2EE Lead Inspector Ian Craig Unannounced 29 June 2005 9:00 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 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 and 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. Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Autumn Vale Address 26 Clarendon Road, Southsea, Hampshire, PO5 2EE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 023 9282 6034 Lutchmy Care Services Mr. Bhimsen Seedeehul Care Home 26 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (26), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (26) Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users in MD category must be at least 30 years of age Date of last inspection 21/12/04 Brief Description of the Service: Autumn Vale is a detached property close to Southsea shopping precinct. The building is a Grade II listed property, designed by architect Thomas Owen. The home provides accommodation and care for up to 26 male and female service users aged 30 years or more with a mental disorder. This does not include service users with dementia. The home is close to Southsea promenade and Southsea common, as well as Southsea shopping precinct. Since the last inspection the home has been transferred to new owners, Lutchmy Care Services and a new manager, Mr. Bhimsen Seedeehul. Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Assistance was given during the inspection by the manager, Mr. Seedeehul. The inspection consisted of a tour of the premises, interviews with residents, examination of records and procedures and discussions with the home’s management. What the service does well: The transfer of the home’s ownership and management has been carried out in a planned way with a period of transition where the new owners and manager, ‘shadowed’ the previous registered managers in order to maintain a continuity of the service. The inspector found the new owners to have a sense of commitment to the welfare of the residents and to improving the service provided by the home. Residents spoke highly of the attitude of the new management, and the inspector noted a warm interaction between the new management and the residents. The new management have extensive experience in the care of those with a mental disorder, as well as being qualified registered mental nurses. They have a thorough knowledge of current good practice and a sound knowledge of legislation relating to the care of those with a mental illness, as well ‘after care’ for those leaving hospital. Consequently, the home liaises effectively with health and social service community teams. Those wishing to move into the home can spend a trial period before making their mind up about whether or not to move in. Referrals for possible admission are assessed by the home, and relevant assessments on individual’s needs are obtained from health and social services. Specific techniques have been introduced to help those with short term memory difficulties. Residents were observed to make full use of the communal spaces in the home including the garden. The residents also take advantage of the local community facilities and benefit from organised outings to specific events and places, including holidays. Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 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. Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, and 4 Prospective residents are given information about the home before deciding to move in and have the opportunity for a trial period to see if they like the home or not. The home’s management ensure that a full assessment of any potential resident’s needs is completed prior to admission. EVIDENCE: Residents confirmed that they were able to visit the home before agreeing to move in and that they were supplied with information about the home. One resident described how his care manager arranged for him to visit several homes so that he could make a choice. Copies of the home’s Statement of Purpose and Service Users’ Guide were available to residents and visitors in the entrance hall. At the time of the inspection one resident had completed a Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 9 week’s trial period at the home, which was being reviewed with his care manager. The home’s management demonstrated a thorough knowledge of community ‘after care’ policies of health and social services and the need to obtain information from both health and social services in order to determine whether or not the home can meet the needs of those referred for possible admission. Copies of integrated health and social services assessments and hospital discharge summaries were held with residents’ records. In addition to this, the home completes its own assessment of those referred for possible admission, which is recorded. It was noted that the pro formas used to record resident’s details at the point of admission should be extended to include any specific supervision arrangements by health and social services, such as any statutory discharge arrangements. The home’s management agreed that this should be completed. Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9 Whilst each resident has documentation in the form of various assessments and care plans, these need to be extended to include assessments of risk for activities such as going out alone. The home’s management take steps to involve residents in the running of the home, and individual’s are able to make decisions about how they organise their time. EVIDENCE: Each resident has a file containing records of assessments, care plans, reviews etc. Assessment documents include a score matrix assessment, barthel assessment and mental state assessment. Care plan pro formas are used and these concentrate on physical needs. Mental health needs are recorded on a separate document, detailing the activity, aim/goal, method and evaluation. Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 11 For one resident with short term memory difficulties, the home had worked with the person to help deal with this by the use of a diary. This was recorded in the care plans and the resident was observed using the diary. The inspector viewed this as an example of good practice. Residents are involved in the assessment and care plan process and sign a record to acknowledge this. Residents also confirmed this. The home’s management stated how they are developing the care plan system. The inspector highlighted the need to ensure that aspects of mental illness are recorded alongside the support required from staff. This should also detail signs of any reoccurrence of symptoms and action to address this. Details of any statutory supervision should also be detailed. Written risk assessments were recorded for special needs associated with behaviour with action plans for staff to follow. Residents described how they benefit from being able to make use of the local facilities. The inspector raised the need for care plans and risk assessments for this activity. Residents described how they are supported to structure their day in the way they wish. The home has ‘community meetings’ on a monthly basis so that residents can discuss matters about life at the home; a record was available for a meeting in April 2005. The home’s management stated that further ‘community meetings’ had been held but that a record had not been made. There are informal opportunities for residents to interview applicants for care staff posts. It was unclear exactly how this formed part of the selection process, indicating the need for this to be given further thought and incorporated into the staff recruitment procedure. Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the standards in this section were assessed at this inspection. EVIDENCE: Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Arrangements are made to ensure that residents receive suitable personal support and healthcare. Medication procedures were found to be satisfactory. EVIDENCE: Residents described the staff and management as particularly helpful. One resident stated, “They take time to explain everything with you and always act in your best interests.” Comment was also made that staff treat residents with dignity, and that arrangements are made for any health care needs. Recording formats are used to monitor dental and dental hygiene care, eyesight checks, chiropody and specialist health care appointments. Personal care needs are also recorded. The medication procedures were checked and were found to be satisfactory. The storage of medication records was discussed, as these were not secure at the time of the inspection. The manager agreed to ensure that all medication records are securely stored when not in use. Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Neither of the two standards in this section were assessed a t this inspection. EVIDENCE: Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26 27 and 28 The home’s management are fully aware of the need to improve the interior physical environment. Many areas are in need of attention and in particular the toilets and bathrooms, which do not promote the dignity of the residents. Bedrooms have been personalised, but recarpetting is needed in several. Communal areas could be improved by replacement carpets and more ‘homely’ furniture. Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 16 EVIDENCE: The new owners are aware of the need to improve the home’s environment. It was evident that the garden has been improved. Residents described how they enjoy sitting in the garden where there are table sand chairs to use. Toilets and bathrooms are in a poor decorative state and the communal structure of them is now outdated and in need of refurbishment. There are 2 bathrooms on the lower ground floor where there are 12 residents accommodated. There is a separate toilet also. One bathroom was out of use as it was being used as a storeroom. The other bathroom consists of two showers that would compromise privacy if both used at the same time. This bathroom also has a sink used to empty commodes. The bathroom was in need of redecoration. Ground floor and first floor bathrooms were also in need of redecoration. These are also structured in a way that compromises residents’ privacy due to the cubicle arrangements. The inspector highlighted the need to plan for refurbishment of these areas as a matter of priority. A resident stated that he would like to see the bathrooms improved. Recarpetting is needed in the lounge, hallways and in several bedrooms. The owners stated that carpet has been purchased and will be installed in the near future. Bedrooms had been personalised by the residents with equipment such as televisions, DVD players, CD players, ornaments, pictures etc. Two residents described how much they liked their bedroom and another resident that the bedroom “has everything that I need.” There is lounge and dining room on the ground floor. The lounge has a wide screen television and several residents were observed either watching television or reading one of the two daily newspapers provided by the home. There is an adjoining dining room. The owners stated their intention to replace the tables and chairs with more ‘homely’ furniture. The home has a passenger lift, which was being used to store wheelchairs. The owners stated that the lift was not necessary as the needs of the residents did not warrant its use. Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 34 Staffing is provided at levels to meet the needs of the residents. Appropriate checks are made on staff in order to protect residents, although some improvements are needed in maintaining staff records and in ensuring references are obtained from previous employers. EVIDENCE: It was observed that staffing levels were provided on the day of the inspection as set out on the staff rota. Generally, there are three staff on duty from 9 am to 8.30pm each day. There are two waking night staff. The total care staff hours for the week commencing 26th. June 2005 was 423.5. In addition to this are the hours worked by the cook and the domestic staff, as well as some management hours. The care staff hours are in accordance with those as recommended by the Department of Health guidance. The inspector advised Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 18 that the hours worked by the home’s management should also be recorded. Residents’ commented that the staff are helpful, and that there are sufficient staff to organise outings for trips to the seafront and other events, including holidays. Recruitment procedures were examined. These were satisfactory with the exception that the home did not have a copy of a staff member’s passport or a recent photograph of the person. It was also noted that whilst 2 written references had been obtained, it was unclear if a reference had been obtained or not from the most recent employer. The manager agreed to address this. Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the standards in this section were assessed at this inspection. EVIDENCE: Autumn Vale H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc Version 1.40 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 Score x x Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 2 x x x x x x x x Standard No 24 25 26 27 28 29 30 STAFFING 2 3 3 2 x x x Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 x x 3 2 x x x x x x x x x Version 1.40 Page 21 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Autumn Vale Score 3 3 3 x 37 38 39 40 41 42 43 H55-H03 S62949 Autumn Vale V220252 290605 YAmixed.doc 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. 1. Standard 24 and 27 Regulation 23 (2) (d) (j) 16 (2) Requirement A plan of redecoration and refurbishment must be sent to the Commission detailing the following: replacement of carpets in hallways, stairs, the lounge and in bedrooms where needed, and, plans to refurbish and redecorate bathrooms and toilets paying specific attention to privacy. This must include timescales for completion. Bathrooms must not be used as storerooms. Timescale for action 29th. September 2005 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. 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