Inspection on 26/07/07 for Avenue The (1)

This inspection was carried out on 26th July 2007.

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

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

Other inspections for this house

Avenue The (1) 07/07/09

Avenue The (1) 03/08/06

Avenue The (1) 02/02/06

Avenue The (1) 19/10/05

Avenue The (1) 27/01/05

Avenue The (1) 29/09/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Avenue The (1) 1 The Avenue Knaresborough North Yorkshire HG5 0NL Lead Inspector Mrs Irene Ward Key Unannounced Inspection 26th July 2007 08:45 Avenue The (1) DS0000007885.V343653.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 Avenue The (1) DS0000007885.V343653.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. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Avenue The (1) Address 1 The Avenue Knaresborough North Yorkshire HG5 0NL 01423 865576 01423 541889 dave.houston@hsbp.co.uk 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) Henshaws Society for Blind People Mr David Anthony Houston Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for a maximum of 5 Residents with Learning Disabilities all of whom have an additional Physical Disability Date of last inspection 3rd August 2006 Brief Description of the Service: 1 The Avenue is operated by Henshaws Society for Blind People and is registered to provide residential care for 5 younger adults aged under 65 years who have learning disabilities with an additional impairment. The house is situated within walking distance of Knaresborough town centre. There are local amenities close to the home. It is a large three storey detached house with a gardens to the front and side of the property. All bedrooms are designed for single occupancy. The weekly fees on 26th July 2007 range from £672 to £730 and do not include costs for hairdressing, chiropody, toiletries and transport to leisure activities. This information was supplied to the Commission For Social Care Inspection via the Annual Quality Assurance Assessment form received on the 15th June 2007. People who use the service/relatives and other interested parties are able to have access to inspection reports as they are displayed in the main entrance of the home. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • • • • A review of the information held on the homes file since its last inspection. Information submitted by the registered provider in the annual quality assurance assessment report. Surveys received from five people who use the service, two care managers and three relatives. An unannounced visit by one inspector to the home lasting three hours. This visit included a tour of the premises; examinations of records, observation of care practices. Talking to one support worker and the registered manager. A visit was carried out to the support services office to look at staff files. • Looking at two people’s care files in detail. What the service does well: The staff at 1 The Avenue continue to provide a clean, warm and comfortable home for people to live in. The home provides excellent care for people and supports them to maintain their independence. Staff who work at the home are able to communicate with people who live at 1 The Avenue as they all have had the basic sign language training. Staff are good at helping people to carry out their normal daily living tasks. Many positive comments were made by people who use the service, examples were from care managers: “Very clear info given to service user. Care plan needs are met well and particular sensory difficulties and possible learning difficulty has meant that needs their needs are specific and are always met by experienced trained staff. Very happy/satisfied with the service provision to date”. “Provide a holistic service around service user needs”. From relatives: Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 6 “Cares very much and takes the trouble to understand and communicate with our (relative)”. “1 The Avenue have made my (relative) more independent and they have learnt to share things and is caring about other people. I am happy with the service that is given to my (relative). I would like to say that my mind is at rest with my (relative) there, who is always happy when I ring and when my (relative) comes home, never minds going back, when they come home on holidays”. 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. The summary of this inspection report can be made available in other formats on request. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. People who use the service experience excellent quality outcomes in this area. People’s needs are properly assessed before admission, and their diverse personal needs are identified and planned for. This makes sure that 1 The Avenue is the right place for them to live. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There have been no changes made to the Statement of Purpose and Service user guide since the last inspection. Both these documents are available on audiotape, Braille and large print. There have been no new admissions into the home for sometime. The manager confirmed that if there was a vacancy people would be given the opportunity to visit the home and stay for a meal or overnight or a weekend, whatever they felt comfortable with. People currently living at the home have communication difficulties. However the manager makes sure that staff who work at the 1 The Avenue all are able to use the basic sign language including relief staff. This makes sure that people’s care needs continue to be met. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 9 Two people’s files were looked at. Both files held initial assessments, care plans or (Individual Service plan) and risk assessments. Each person had an individual statement of terms and conditions or licence agreement, which had been agreed between the home and the person living at the home and was held on their individual file. A care needs assessment from local authorities was also in place where necessary. One care manager commented positively about people, who use the service and their involvement in the assessment arrangements and said: “Very clear info given to service user.” Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use the service experience good quality outcomes in this area. The care provided to people was good and encouraged them to make their own decisions about how they wanted to live their lives. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Whilst staff were supporting people during the morning it was clear they understood people’s needs. They supported people sensitively and encouraged them to make choices. Four people were in at the time of the site visit. Two were on their way to a specialist day centre. The staff were seen using makaton or finger spelling or physical prompts to support people. Staff discussed individual needs and demonstrated their knowledge in making sure people living at the home have as much choice and control over their lives. Particularly with regard to supporting people who have Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 11 different communication abilities, as all five people who live in the home all communicate differently. The care plans of two people who live at the home were looked at. These detailed how needs had been assessed and what actions were needed to meet these identified needs. Care plans also detailed people’s likes and dislikes, history and medical appointments, daily and weekly programmes and how they are able to communicate. Individual risk assessments had been carried out to promote independence and safety. People’s care plans are written with them, reviewed regularly and audited monthly by the homes manager. The organisations scheme manager also audits them regularly. Through discussion with the manager and the contents of the care plans it was clear that people are able to make clear choices. People who use the service are continually consulted on a regular basis about how the home runs and have the opportunities to voice their views. Positive comments made by care managers were; “Care plan needs are met well and particular sensory difficulties and possible learning difficulty has meant that their needs are specific and are always met by experienced trained staff. Very happy/satisfied with the service provision to date”. “Provide a holistic service around service user needs”. Relatives were also positive and made comments such as; “Cares very much and takes the trouble to understand and communicate with our relative”. “1 The Avenue have made my (relative) more independent and they have learnt to share things and is caring about other people. I am happy with the service that is given to my (relative). I would like to say that my mind is at rest with my (relative) there, who is always happy when I ring and when my (relative) comes home, never minds going back, when they come home on holidays”. Avenue The (1) DS0000007885.V343653.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People who use the service experience excellent quality outcomes in this area. People who use this service are able to make choices about their lifestyle and are supported by staff to carry these out. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who live at 1 The Avenue have the opportunity to attend specialist day centres, work placements or college. For instance one person has completed a professional development course. The course covers areas such as working as a team and interview skills. People also attend Harrogate college and are doing the access course. People who live at the home also have days at home to participate in personal shopping, laundry and household tasks. They have also opportunities to pursue other interests outside of the home. A number of them enjoy visits to Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 13 the pub, meals out, being members of a walking club and going to Henshaws College gym. People who live there also enjoy going out on trips, as they all recently had been to the Scarborough Sea life Centre, Alton Towers and South Lakes Safari Park. People who live at the home also have the opportunity to go away on holidays as one person had been on holiday to France. Two people had a long weekend at Reighton Sands. It was clear on the day through the discussions with the manager and staff that people who live at 1 The Avenue are given every opportunity in accessing community facilities. Observation of care practices in the home shows that people living at the home are encouraged as much as possible to make their own decisions, although for some people this is more difficult due to their complex needs. There was written information in Individual Service Plans on how people spend their days. These arrangements are discussed with people who use the service and their representatives and staff. Details about family, friends and significant events are recorded in the plans. Menu’s are in different formats such as picture formats. One person on the day of the site visit was writing his shopping list for the meal he was going to cook that day. People who live at the home are able to plan their own menus, in advance and shopping was purchased on a weekly basis. People are supported by the staff to prepare and cook their own meals where this was part of the care plan. The manager said that they have been introducing more options for healthier eating for people. The manager also said that a rehabilitation officer from Henshaws College was working with people from the home looking towards improving on their living skills without assistance from staff. One relative when asked what the home does well said, “My (relative) does a few trips on their own, to the shops, craft centre. They are taken on trips and out in the evenings”. Another relative said, “Arranging outings for all residents and particular ones for my (relative) and their interests”. Avenue The (1) DS0000007885.V343653.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use the service experience good quality outcomes in this area. People’s personal and healthcare is provided appropriately and sensitively according to individual needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staff aimed to promote the independence of people who use the service and to provide support in a sensitive manner. People’s preferences as to how they wished to be supported were recorded within individual care plans. Daily record entries reflected the care that was being provided. Each person living at the home had a GP and access to chiropody, dental and optical services. People living at the home attend Harrogate District Hospital for all A & E (Accident and Emergency) and for most out patient appointments. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 15 A new medication system has been introduced. A monitored dosage system is now in place and replaces the dossett system. No people currently are able to self-medicate. There is a policy in place for the storage and administration of medication. The Medication Administration Records were up to date and well maintained. All stock medication was securely stored in a locked cabinet. A recommendation that was made at the last inspection regarding stock medication needing to be audited to ensure that stock balanced has been implemented. All staff that administers medication have undertaken accredited training. The home does not hold any controlled drugs. Avenue The (1) DS0000007885.V343653.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience excellent outcome in this area. People who use the service have access to an effective complaints procedure and are protected from harm. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who use the service are provided with a complaints procedure, which is produced in different formats such as Braille, large print or audiotape. The complaints procedure is also summarised within the service user guide. However because of the complexity of most people ‘s needs and difficulties with communication it is unlikely that someone would make a complaint in the usual manner. All staff therefore who work at 1 The Avenue have the skills to interpret people’s behaviours and have additional communication skills such as signing and finger spelling to determine whether people who live there have any concerns about anything. One concern has been raised with the Commission For Social Care Inspection from a relative regarding health care needs of one person living at the home. This is being looked at by the organisation. There is a comprehensive policy and procedure with regard to adult protection and staff have a good awareness of this. All staff receives training in adult Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 17 protection issues during induction and further training organised by the organisation. The recruitment procedure continues to be robust, and ensures that only suitable people are employed, which helps to safeguard people from abuse. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use the service experience good quality outcomes in this area. People live in a clean, comfortable and safe home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home provides spacious accommodation for people. This includes a lounge, dinning room, kitchen, utility room and cloakroom all on the ground floor. The home has sufficient bathrooms and toilets that were clean and well maintained. People who use the service all have single bedrooms. The home is set in a large garden. There is on street parking to the front of the home. Both the lounge and the dinning room carpets were badly stained and were in need of cleaning. All other communal areas were clean and well maintained. Two people who were in at the time of the site visit showed the inspector their bedrooms, all rooms had been personalised with posters and their various Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 19 possessions such as CD players, television and items they had collected and made. One person uses part of their room as a workshop for the craftwork that they make. Rooms have been decorated and furnished appropriate for their age. One relative commented when asked how do you think the home can improve they said, “Would like the communal areas décor given more attention to make them more homely and inviting. Really just need colour or small designs on the walls to give them both warm and cosiness” A range of maintenance checks is completed on a regular basis to make sure that the house is safe and secure. The organisation had sought advice from the fire service in how best they could further improve fire safety in the home and specifically for people who have hearing and communication difficulties. Fire Alarms have now been updated in recognition of people’s communication difficulties. Smoke detectors have been installed outside four people’s rooms, lounge and dinning room. A strobe light comes on when the fire alarm is activated. People also now have a vibrating pillow pad that vibrates when the fire alarms are activated. This ensures that people at 1 The Avenue are protected, where possible in the event of a fire occurring in the home. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. People who use the service experience good quality outcomes in this area. Sufficient staffing levels, proper recruitment procedures and good staff training meant that people’s needs were met and their interests were safeguarded. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staffing levels were sufficient for meeting the needs of people. The duty rota showed that there were two members of staff on duty both in a morning and evening when people are at home doing their living skills. This does not include the manager’s hours. In an afternoon through to the evening there are also two staff members on duty. This is increased at peak times such as evenings and weekends if people are going out, as staff rotas are based around what people are doing. This makes sure that people social activities are not compromised. At night there is one member of staff on sleeping-in duties. The organisation operates an on-call service in case there is an emergency. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 21 The staff files of two members of the staff team were looked at. These showed that all the necessary pre-employment checks had been carried out prior to the new workers starting in post. All staff files are held centrally at the providers support services office, which is now based on the campus of Henshaws College. Staff training records examined showed a good training programme. Staff have undertaken training in health and safety, fire, first aid, safe handling of medication, food health and hygiene, protection of vulnerable adults. The manager has completed the (BSL 1) British Sign Language. All staff have recently completed Basic Sign Language course. The manager said that all new staff undertake intensive induction training because of the needs of the people living at 1 The Avenue. Three staff have completed the (NVQ) National Vocational Qualification Level 3. The registered manager has completed the National Vocational Qualification Level 4 Registered Managers Award. Staff receive regular supervision every 6-8 weeks and annual appraisals are carried out. Staff meetings are held regularly and minutes of meetings are recorded. Records of supervision were seen on both staff files. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use the service experience excellent quality outcomes in this area. People benefit from a well managed home in which their needs and wishes are put first. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home has a good and effective management team in place. The ethos of the home is open and positive. People who use the service, relatives and social care professionals all commented highly about the home. An accident book is maintained in line with the requirements of Data Protection. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 23 People finances were not checked at this site visit. Historical evidence from previous reports gives evidence that people financial interests are safeguarded. Quality Assurance systems are in place. A manager’s monthly visit is carried out and a report is written. This is carried out by one of the managers from another of the community houses. A copy of the report is then sent to the Commission for Social Care Inspection. The schemes manager carries out regular three monthly visits to the home and reports are completed and a copy sent to the Commission. Record keeping is of a consistently high standard. Information provided from the (AQAA) Annual Quality Assurance Assessment and the examination of selected health and safety documents show that regular checks to electricity and gas and fire safety equipment are regularly undertaken. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 24 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 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 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 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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 YA30 Good Practice Recommendations The lounge and the dinning room carpets need to be cleaned so that a good standard of cleanliness is maintained. Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Avenue The (1) DS0000007885.V343653.R01.S.doc Version 5.2 Page 27 - 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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