Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 06/12/05 for Girtrell Court

Also see our care home review for Girtrell Court for more information

This inspection was carried out on 6th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 12 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Observations during the inspection reflected that staff have a detailed knowledge of service user`s needs and that they treat service user`s with dignity acknowledging their need for privacy. Recording around individual`s needs is of a high standard with evidence of ongoing reviews and risk assessments.

What has improved since the last inspection?

Inspection of service user`s files reflected that systems have been implemented for the ongoing monitoring of service user`s care needs and appropriate risk assessments. This was also evident for service user`s who receive respite care at Girtrell Court, with evidence available of documentation being completed following each stay.

What the care home could do better:

High numbers of staff vacancies must be filled in order to provide a cohesive work force to meet the needs of service user`s. The present situation where agency staff are working in isolation with specific service user`s, without formal systems for monitoring service user`s welfare is not acceptable having implications for individual service user`s and for the staff group as a whole. There are currently a number of service user`s accommodated at the home who should only have been accommodated for a short period of time, the manager must monitor the suitability of these ongoing placements and the effects that they are having on all service user`s and the staff group, where the home can no longer meet their needs this must be addressed appropriately through a multi-disciplinary approach. The long term absence of the registered manager has been problematic for the home: Wirral Borough Council must make contingency plans for the management of the home in order to address the issues highlighted in this report and allow the home to progress and develop.

CARE HOME ADULTS 18-65 Girtrell Court 5 Woodpecker Close Saughall Massie Wirral CH49 4QW Lead Inspector Julia Toller Unannounced Inspection 6th December 2005 09:30 Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 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 Girtrell Court DS0000035848.V274274.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 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. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Girtrell Court Address 5 Woodpecker Close Saughall Massie Wirral CH49 4QW 0151 605 1806 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) Metropolitan Borough of Wirral Susan Joy Lovato Care Home 20 Category(ies) of Physical disability (20) registration, with number of places Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The matters detailed in the attached schedule of requirements must be completed in the stated timescales. The service should at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. It is recommended that the current manager completes NVQ level 4 in Care and Management within twelve months of registration. 14th January 2005 Date of last inspection Brief Description of the Service: Girtrell Court is a care home registered to provide care for twenty service users who have a physical disability. It provides permanent accommodation for fourteen service users and there are six bedrooms, which are used to provide respite care for service users living in the community. The home is a single storey property with ample car parking facilities for visitors and staff at the front of the home and there is a large grassed area to the rear of the property. All service users private accommodation is provided in single bedrooms. There are also a number of communal rooms, which can be used by service users, for a variety of recreational purposes. All parts of the home are easily accessible by wheelchair users and there are many aids and adaptations in the home to meet the needs of service users. In the main, the home is generally well maintained, although some communal area would benefit from refurbishment. The home is staffed twenty - four hours a day with assistance being given to service users in all areas of personal care. Staff in the home support service users to maintain as independent a lifestyle, as possible and to access local community facilities. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was conducted over six hours. The acting manager was present throughout the inspection. A full tour of the premises was carried out, a sample of records were inspected, in the course of the inspection, the inspector spoke to a number of staff. As the current registered manager is absent on long term sick leave, Wirral Borough Council have transferred an acting manager from a neighbouring local authority home to offer leadership and support to the staff group. The effects of this absence were reflected in this inspection report, and Wirral Borough Council must develop contingency plans for the ongoing absence of the manager to ensure that the service is enabled to improve and develop. The ongoing placement of specific service user’s with “wrap around packages of care”, and the ongoing responsibilities of management and staff with regard to their care alongside the effects of high numbers of agency staff and a lack of formal supervision must also be addressed by the organisation. What the service does well: What has improved since the last inspection? Inspection of service user’s files reflected that systems have been implemented for the ongoing monitoring of service user’s care needs and appropriate risk assessments. This was also evident for service user’s who receive respite care at Girtrell Court, with evidence available of documentation being completed following each stay. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 6 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. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 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 Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Staffing at the home is restricting the opportunities for service user’s to follow their individual aspirations and needs. EVIDENCE: Care staff at the home develop basic service user’s plans from the information provided in the Care Management Assessment, showing how the service user needs would be met by the staff at the care home. These documents reflect that care staff have a detailed knowledge of the individuals that they care for, however, the current staffing situation at the home, with high numbers of agency staff being used is restricting the social activities that can be planned. Discussions with the acting manager, indicated that periods of emergency respite has been prolonged for a significant period. As some of these service user’s have large individual packages of care to meet their needs, currently being provided by agency staff, this has at times, had a negative impact on the staffing group. Some service user’s who spoke to the inspector, also discussed their wishes to be living in supported accommodation in the community. Whilst these wishes had been addressed by the home, a lack of suitable accommodation has resulted in individual’s living at the home for much longer than originally anticipated. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 The individual needs and wishes of service user’s are planned and reviewed on a regular basis, alongside relevant risk assessments. Staffing issues are restricting the ability of service user’s to be involved in a range of leisure pursuits. EVIDENCE: The inspection of a sample of the service users’ files illustrated that the service user plan was regularly reviewed. There was also evidence of the service user’s involvement in the development of their plan. The home carried out formal service user’ reviews every six months, which involved the service user’s family/representatives and appropriate health professionals. Inspection of service users’ diary sheets and the service users’ plan demonstrated the choices and decisions service users made about their daily lives. There were policies and procedures in place for handling service users’ finance and staff supported service users to manage their finances, where necessary. Records and receipts were kept of all service users’ financial transactions. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 10 Inspection of a sample of service user files showed that various risk assessments were in place to enable service users to live as independent a life as possible within certain risk parameters. There were good examples of ongoing risk assessments with regard to service user’s self administering their medication. The home has a missing person policy, which is implemented when a service user’s absence from the home could not be explained. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,15,16 Where appropriate, staff assist service user’s to access facilities in the local community. Service user’s are offered a choice of foods at meal times, and offered appropriate assistance. EVIDENCE: Inspection of service users activities programme and discussion with service users showed that service users access a wide range of community facilities of their choice. However, due to the high dependency of service users, these activities must be planned in advance to ensure that sufficient staff are on duty to support the service users. The registered person must ensure that the staffing levels at the care home meet the needs of the service users and that there is some flexibility in the staffing rota to enable service users not having to plan all social activities well in advance. On the day of the inspection, there were no activities or leisure interests available for service user’s should they wish to participate; whilst it is Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 12 acknowledged that a number of service user’s visit day centres, social activities or leisure interests should also be available for those who do not. The registered person should ensure that a record is kept to demonstrate the service user participation in activities. The home has an unrestricted visiting policy. Service users could see their visitors where they choose, either in the communal areas or their bedroom. Staff support service users to develop and maintain an intimate relationship Service users also have the opportunity to meet people and make friends with individuals, who do not have their disability, through attending a variety of community activities, which were referred to earlier in this report. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20, Service user’s needs are outlined and reviewed in detailed care plans. The home has appropriate systems for the administration of medications and appropriate risk assessments where service user’s self medicate. EVIDENCE: Inspection of the service users medication showed that the staff at the care home maintains an accurate record of all service users medication received into the care home, administered and returned to the pharmacist. Most of staff responsible for the administration of medication has attended recent training on the administration of medication, which is certificated. An inspection of a sample of service users’ files demonstrate that service users’ health needs were met through regular checks by the GP and others, for example, the dentist, chiropodist, continence adviser etc. Inspection of the service users medication showed that the staff at the care home maintains an accurate record of all service users medication received into the care home, administered and returned to the pharmacist. Most of staff responsible for the administration of medication has attended recent training on the administration of medication, which is certificated. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Service user’s feel able to make complaints about the care they receive at the home, however the recording and monitoring of complaints must be improved upon with outcomes recorded. EVIDENCE: The home has a complaints procedure that satisfies regulation 22 of the Care Homes Regulation 2001. However, the complaints record held in the home did not reflect the outcomes of serious complaints made by service user’s. The acting manager and service manager have agreed to provide outstanding outcomes to complaints recorded at the home. All complaints made at the home must be recorded in a central record, details of the investigations must be available for inspection, and an outcome must be recorded. The registered person is reminded of the requirement to involve other agencies such as adult protection agencies, depending on the nature or the complaint. The home has various policies and procedures to protect service users from abuse. There is a policy on managing physical and verbal aggression. In order to ensure that all service user’s accommodated at the home are protected from abuse and their welfare promoted, procedures must be introduced to monitor the welfare of service user’s who receive individual packages of care from agency staff on a daily basis. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 15 Staff are aware that they cannot benefit from service users’ wills, as evidenced in the home’s policy on gifts to staff. Procedures are in place for the handling of service users finance. Service users have access to their records. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,27,29,30 On the whole the premises are well maintained, however the use of communal areas of the home should be reviewed to ensure that these are being maximised for service user’s. Bathroom areas could also be improved. EVIDENCE: The home’s premises are suitable for its stated purpose, fully accessible to all service users and are safe and generally well – maintained. On the whole the premises are well maintained, however some communal areas of the home would benefit from refurbishment, also clearing and tidying to create a more homely environment. During the tour of the premises, the service users’ bedrooms were seen. All of the service users’ bedrooms were furnished with good quality furniture and many of the bedrooms were personalised by service users. The bedrooms had adequate electric sockets for service users music centres; computers and all bedrooms had a lockable space. On the day of the inspection the windows, particularly in the dining room were dirty and required cleaning. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 17 All service users’ accommodation is provided in single bedrooms. The lay out of the bedrooms were such that there was sufficient space for service users’ furniture, personal belongings and for service users to remain independently mobile. Some lounges are used more than others: the home would benefit from a review of living spaces: how these are being used and how they could be improved upon to benefit service user’s. Service user’s bedrooms appeared to be of a higher standard than communal areas of the home. These were also fitted with aids and adaptations to maximise individual’s independence and privacy. Some service user’s choose to use their bedroom throughout the day enjoying their privacy, whilst others prefer to be in the main body of the home enjoying the comings and goings of visitors throughout the day. The home had adequate toilet and bathing facilities to meet the needs of service users. Toilets and bathrooms had locks, which could be overridden by staff in an emergency and were located close to service users private accommodation and the communal areas. Since the last inspection one of the bathrooms has had a full refurbishment to provide a showering facility to meet the needs of the service users. Although bathrooms and toilets were available in sufficient numbers, with suitable aids and adaptations, this is an area that could be improved upon through the purchase of items to personalise bathrooms creating a more homely atmosphere. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,36 The arrangements for staffing at the home at present are inadequate. High numbers of vacancies do not promote continuity of care for service user’s. There are no systems at present for monitoring the welfare of all service user’s. EVIDENCE: There are high numbers of staff vacancies at the home. Although the organisation has attempted to fill the vacancies, this has not been successful. The inspector met with a senior manager for the organisation and the acting manager for the home, to discuss these concerns, an agreement was reached where the organisation will keep CSCI informed of all recruitment drives that they carry out and of the success that this brings, where this is not successful, Wirral Borough Council must notify CSCI of their plans for the suitable continued staffing arrangements at the home, in line with standards 32,33 and 34. The inspector was informed that disciplinary procedures were being followed regarding one member of staff following an incident at the home.There were no details of this issue on the individual’s file, which is not appropriate. Where staff are being taken through disciplinary procedures, full details of these issues must be available on the individual’s file. Currently, there are service user’s who receive “packages” of care due to their high levels of care. Due to the staffing issues at the home, this is being Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 19 provided by agency staff, which appears to have created divides between staff at the home. The manager of the home is reminded of their overall responsibility for all service user’s at the home, and of the need to monitor that all service user’s needs are being met. This process must be formalised, senior staff must monitor individual’s care on a daily basis and direct agency staff in the same manner as permanent staff. Inspection of staff files, indicated that staff have not been receiving supervision for the last 12 months, this was also verified by staff. This is not satisfactory, a lack of individual supervision does not promote the safety and wellbeing of service user’s, nor does it provide individual’s with an opportunity to develop through identified training needs, or the leadership and guidance necessary to ensure consistent standards for service user’s. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,42 Although the long- term absence of the current manager has been addressed, staff require leadership and guidance to progress the home. EVIDENCE: The home has had long periods of time where the manager has been absent due to illness. The organisation has acted appropriately in notifying CSCI of these absences and has currently transferred a manager from another local authority home to provide support and leadership for staff. However, these long absences alongside high levels of staff vacancies are reflected in the findings of this report: the organisation must consider the effects that this is having on the lives of service user’s through lack of supervision and leadership at the home and put contingency plans in place should the absence of the home manager continue. The meeting with the service manager for the home reflected that Wirral Borough Council was aware of the staff vacancies and the need to fill them. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 21 Agreements were reached where Wirral Borough Council will notify CSCI of their progress in this matter as part of the monthly monitoring of the home. Care staff at the home should be commended for their continued efforts over the past months, this is reflected in the consistently high level of recording in service user’s care plans and daily recording at the home. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 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 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 3 30 2 STAFFING Standard No Score 31 2 32 2 33 1 34 1 35 X 36 1 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 X 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 2 X X X 2 X Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 23 yes 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 YA2 Regulation 14(2) Requirement The effects of “extended” emergency/short term admissions must be monitored to assess the effects on all service user’s. Service user’s must be consulted on the range of social interests available at the home. Staffing levels must be sufficient to enable service user’s to participate in leisure pursuits. All complaints must be recorded in full with details of complaint investigations and outcomes. Procedures must be introduced for the manager to monitor the welfare of all service users accommodated at the home. The windows of Girtrell lodge must be cleaned. While high numbers of agency staff are being used, procedures must be clear for responsibilities at the home to ensure a cohesive staff team. WBC must plan a recruitment campaign to fill the high numbers of staff vacancies at the home, and keep CSCI of their progress. DS0000035848.V274274.R01.S.doc Timescale for action 06/12/05 2 2 3 4 YA14 YA12 YA22 YA23 16(2)(m) 18(2) 22(1)(3) 12(1) 31/01/06 31/01/06 06/12/05 06/12/05 5 6 YA24 YA31 23(2)(d) 18(1)(b) 31/12/05 31/12/05 7 YA32 18(1)(a) 31/01/06 Girtrell Court Version 5.1 Page 24 8 9 10 11 YA33 YA36 YA36 YA37 18(10(a) 18(2) 18(2) 8(1) A permanent full staff team must be recruited. Supervision of permanent and agency staff must be provided in line with NMS. Staff meetings for permanent and agency staff must be carried out on a regular basis. WBC must develop contingency plans for the ongoing absence of the registered manager, in order to progress the home. 31/01/06 31/01/06 31/01/06 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA24 YA24 YA27 Good Practice Recommendations It is recommended that the use of communal living spaces at the home is reviewed. Some communal areas of the home are beginning to look worn and would benefit from refurbishment. Bathrooms could be improved upon: service user’s would benefit from them being more homely. Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Girtrell Court DS0000035848.V274274.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!