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Inspection on 25/06/07 for Glenside (10)

Also see our care home review for Glenside (10) for more information

This inspection was carried out on 25th June 2007.

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 no outstanding requirements from the previous inspection report, but made 7 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

North West Community Support Services (Merseyside) Limited who own the home provide the staff team with training courses that helps them to support residents safely and sensitively. The service provides people who may want to live at the home, their relatives and supporters with good information about what they can offer. The company carries out thorough checks on people who want to work for them. This is to make sure residents are supported by people who have the right skills, experience and are of good character. These checks help the company to protect residents from harm.

What has improved since the last inspection?

Residents records including care plans and risk assessments continue to be improved providing more detailed information about their daily routines. This helps the manager and the staff team build up a picture of what makes a good day or a bad day for individual residents. The staff team are attending training courses that will help them understand and support residents with multiple sensory impairments more sensitively and support them in the best way. Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 The company has appointed an experienced manager who is enthusiastic about improving the standards of care and support at the home and is being supported by senior managers.

What the care home could do better:

The manager and the staff team must continue to improve the records they keep detailing the care and support offered to residents to make sure the care provided meets their changing needs. Some parts of the home need maintenance work and redecoration to make sure residents live in a safe and comfortable environment. The manager must make sure residents and the staff teams relationships are positive and are based on mutual respect. Further work needs to be carried out on how residents communicate their needs and wishes and how well the staff team interpret this information. Senior managers in the company must continue to support the improvements made to maintain and improve outcomes for residents living at the home. home

CARE HOME ADULTS 18-65 Glenside (10) 10 Glenside Allerton Liverpool Merseyside L18 9UJ Lead Inspector Helen Carton Unannounced Inspection 25th & 28th June 2007 09:30 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 Glenside (10) DS0000025273.V332061.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. Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glenside (10) Address 10 Glenside Allerton Liverpool Merseyside L18 9UJ 0151 724 5994 9999 H/O tel no - 0151 524 3606 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) North West Community Services (Merseyside) Limited vacant post Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2007 Brief Description of the Service: 10 Glenside Close is registered to provide personal care to 3 people with learning disabilities. The home is a bungalow with all bedrooms being single and on the ground floor. There is a large bathroom, a separate toilet, and a large living room, kitchen and laundry room. There is a staff sleeping-in room, which is also used as a quiet area for service users and provides access to the garden. Bathing and mobility aids are provided. There is parking space to the front of the premises and a small garden area. The home is situated in a residential area of Mossley Hill and is close to the city centre. There are shops in close proximity to the home and a good size shopping centre close by. The residents have a minibus and some of the staff are designated drivers there are good public transport services. Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of the inspection process the Commission sent the home a pre inspection questionnaire to be completed prior to the site visit. This information is helpful in allowing the inspector to decide what areas are most likely to need to be looked at. An inspector made two site visit to examine records and written information and to discuss how the service supports residents in all areas of their lives. Part of this process involved speaking with the manager, members of the staff team and spending time with residents to find out their views about living at the home. Approximately 7 hours were spent at the home. What the service does well: What has improved since the last inspection? Residents records including care plans and risk assessments continue to be improved providing more detailed information about their daily routines. This helps the manager and the staff team build up a picture of what makes a good day or a bad day for individual residents. The staff team are attending training courses that will help them understand and support residents with multiple sensory impairments more sensitively and support them in the best way. Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 6 The company has appointed an experienced manager who is enthusiastic about improving the standards of care and support at the home and is being supported by senior managers. 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. Glenside (10) DS0000025273.V332061.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 Glenside (10) DS0000025273.V332061.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): 1,2 & 5 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Overall information provided by the company about 10 Glenside offers enough detail to allow prospective residents and their supporters to make informed decisions about whether the home can meet their needs. However written information about financial transaction made on behalf of residents’ is limited and does not satisfactorily safeguard residents from the risk of financial abuse. EVIDENCE: Since the last site visit the registered owners of the home North West Community Services (Merseyside) Ltd sent a reviewed copy of the home’s statement of purpose to the Commission. Examination of the document indicates it provides detailed information about the services provided at 10 Glenside Avenue. There have been no admissions to the home since the last site visit the three people currently living at the home have lived there for several years. Examination of residents’ contracts, terms and conditions of residency indicates the mini bus used by the residents’ has been purchased by them with the registered owners also offering monetary loan facilities. All three residents have complex needs with their ability to be involved in decision making being limited. There is no audit trail detailing who was involved in the decision to Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 9 purchase the minibus and whether this course of action is the best use of residents’ monies. Managers of the company were advised all financial transactions carried out by the company on behalf of residents must be open and transparent to ensure they are protected from possible incidents of financial abuse. Glenside (10) DS0000025273.V332061.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): 6,7,8,9 & 10 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Care planning and risk management strategies adopted by the home adequately meet the physical needs of residents. However further work is needed to ensure the plans can meet residents holistic needs. EVIDENCE: Since the last site visit the company has appointed a new home manager who has been working with the service manager to produce more detailed care plans and accompanying documentation such as communication booklets. Examination of a resident’s file recently reviewed and amended provided the following information: The care plan provided good information about the resident’s health care needs for example tube feeding regimes, epilepsy care and physical care needs. The resident’s likes and dislikes were detailed and specific information on how the resident needs to be supported with their physical needs. However a significant Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 11 pattern of behaviour for one resident was not documented in the care plan in sufficient detail to guide the staff to support them appropriately. Leaving the individual not enabled to continue the behaviour, which supports their physical Well-being. The service manager told the inspector further work was being done to develop communication booklets and the current essential lifestyle plans. This is to ensure residents daily activities and routines are enjoyable and maintain their safety. Observations made during the first site visit of the interaction between residents and members of the staff team indicated there was little positive engagement other than to support residents with their physical care needs. Examination of daily records indicates residents physical care needs are being recorded however no comments are made regarding residents emotional or communication needs. Managers of the company acknowledged this however felt it was important for the staff team to gain confidence in writing reports and that this was a developing skill. The risk management strategies adopted by the home are being reviewed with the care plan documentation. At the time of the site visits residents personal health and safety were being maintained. The home has a policy in place with regards to confidentiality, staff spoken to where aware of issues of confidentiality and to whom and when to share information. Glenside (10) DS0000025273.V332061.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): 11,12,13,14,15,16 & 17 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The have been an increase in opportunities for personal development through activities and changes to residents daily routines. However further improvements need to be made to promote residents emotional and social wellbeing to ensure their lives are as fulfilling as possible. EVIDENCE: Since the last site visit in January 07 the newly appointed manager has reviewed activities, daily routines and past times enjoyed by the residents. This has been challenging as all residents live with a range of sensory impairments and limited verbal communication. Resulting in the observations of the staff team being central to decisions about what activities to organise. Examination of documentation indicates residents are accessing more activities based within the community. However further work is needed to ensure a Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 13 wider range of activities are offered including within the home as that is where the majority of residents time is spent. Issues regarding the need to access specialist training for the staff team with regard to working with people with sensory impairments was discussed with the manager and senior managers from the company. Observations made during the first site visit indicated some members of the team did not have the necessary skills to provide a stimulating environment for residents. Manager acknowledged further work was needed and had already identified specialist training from two sources this training will take priority in the training schedule for the home. Since the site visit the company has sent the Commission information about specialist training that has been arranged for the staff team. Those residents with family involvement are supported to maintain positive relationships. The manager is attempting to engage advocacy services for resident who require this support. The need to develop communication booklets for residents was discussed with the managers and also the involvement of other professionals to ensure they are working documents as quickly as possible. They will enable the staff team to appropriately interpret sounds, signs and body movements therefore providing appropriate care and support and allowing residents some control over their daily lives and routines. Supporting residents to direct their care and support rather than having care done to them. Examination of documentation and discussion with managers and members of the staff team indicate residents’ nutritional needs are being met with evidence of specialist health care professionals advice and input being sought. Glenside (10) DS0000025273.V332061.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 & 20 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents’ physical and health care needs are met however further work needs to be carried out to ensure their emotional and social needs are met to enable them to live fulfilling lives. EVIDENCE: The service manager for the home has reviewed and amended a care plan and accompanying risk assessments this is the format and style the remaining files will take. Examination of the care plan and accompanying risk assessments indicates the level of information about how the resident likes to be supported is good. It also provides detailed guidance on support that is non negotiable for the residents emotional wellbeing or for their health and safety. As detailed earlier in the report managers of the company acknowledge further work is needed to develop the care plans to ensure residents holistic needs are met. Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 15 There is documentary evidence of health care professionals involvement in supporting residents with specific health related conditions this information was confirmed by the manager and members of the staff team. As part of the inspection process a pharmacy inspector made a site visit to the home to examine their medication policies, procedures and residents medication and the accompanying Medication Administration Record (MAR) sheets. The report produced following this visit has been sent to the registered provider. Glenside (10) DS0000025273.V332061.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 & 23 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Overall residents are protected by the company’s policies and procedures and the care practices of the staff team from abuse, neglect and self-harm. The corporate complaints policy and procedure provides good information however further work is needed to ensure the home can demonstrate they are proactively trying to ascertain the wishes of the residents living at the home. EVIDENCE: There is a complaint procedure available. The complaint procedure describes the stages of the complaint and the timescale for managing complaints. The CSCI has not received any complaints about this service since the last site visit. There is a Whistle Blowing Policy and Liverpool City Council’s Adult Protection Procedures available. During the induction process newly appointed staff are given on issues surrounding safeguarding vulnerable adult from harm, abuse and neglect. As detailed earlier issues regarding the need for the staff team to be provided with specialist training to enable them to support residents with sensory impairments and the development of communication booklets are raised. The company are in the process of arranging this training and engaging with other professionals to support them in the development of communication booklets. This work will support the staff team to engage with residents more effectively Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 17 to seek their views and wishes ensuring the home offers a person centred approach to the care and support provided. Glenside (10) DS0000025273.V332061.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): 24,25,27,28,29 & 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home provides residents with overall a comfortable environment in which to live however maintenance work is required to ensure standards improve rather deteriorate. EVIDENCE: Since the last site visit the registered providers have purchased new lounge furniture including leather chairs and sofas, which also reclines giving residents who all use wheelchairs added comfort. New curtains have been fitted in the lounge and one bedroom. The following issues were raised with managers of the company: The washing machine does not have a sluicing programme this leaves residents at risk of cross infection. There is evidence of water damage on the laundry room ceiling. Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 19 The kitchen cupboards and work surfaces are worn and damaged resulting in the ability to keep the area clean and germ free compromised. Residents meals must be prepared and stored in a clean and hazard free environment. In the sensory room there is evidence of water damage on wall with the room smelling damp. The carpet is badly stained and damaged. A radiator cover in one bedroom was damaged and needs to be repaired. The carpets in the hall and one of the bedrooms were badly stained and worn these need to be replaced to provide an attractive homely environment for residents to live in. In parts decoration within the home is of a poor standard with paint coverage being shabby and incomplete. This does not provide a pleasant environment for residents to live in. There is a small garden to the rear of the home; work is currently being carried out to make it more accessible to residents. Residents’ bedrooms have been personalised to reflect their interests and personalities. A senior manager within the company told the inspector the housing association that owns the building is responsible for maintenance including decoration and refurbishment of carpets and the kitchen area. The bathroom meets the specialised personal care needs of the residents currently living at the home. All areas of the home viewed during the site visit were clean and tidy. Glenside (10) DS0000025273.V332061.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): 31,32,33,34,35 & 36 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents are adequately protected by the company’s recruitment and selection procedures. The commitment by the company to improve the quality and quantity of training provided to the staff team will have a positive impact on the quality of the support and care offered to residents. EVIDENCE: The staff team are being supported by the manager and the company to access NVQ training and at the time of the site visit were in the process of accessing specialist training. This training will enable the staff team to support residents with their sensory impairment needs. This information was confirmed in a letter dated the 25/07/07 from the company’s director of services. Training records indicate the staff team have received a range of training including moving and handling and first aid. The manager told the inspector the staff team receive regular supervision this information was confirmed by members of the staff team spoken to. Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 21 Issues regarding the appropriateness of some of the care provided to residents and the lack of positive engagement by members of the staff team were raised with home manager and senior managers from the company. The company has a central human resource department that takes the lead on the recruitment and selection of staff for the home. Since the site visits the company has entered into an agreement with the CSCI to hold staff records centrally and have a document in the home that provides the required information. However the CSCI reserves the right to examine the full recruitment files if required. Glenside (10) DS0000025273.V332061.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, 38, 39, 40, 41, 42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The management systems are continuing to improve resulting in residents receiving a more personalised service in a safe and comfortable environment. EVIDENCE: Since the last site visit the company have appointed a suitably qualified and experienced person to manage the service. Improvements have been made in how the staff team monitor and record the care needs of residents. The manager proactively manages health and safety issues within the home to maintain a safe environment for both residents and the staff teams. Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 23 At the time of the site visits managers of the company were seeking input from specialist services to try and develop existing communication methods with residents. This is to support residents to be involved within their abilities in decisions about their lives including how the staff team supports them. The newly appointed director of services has started a process of seeking the views of people who work for the company particularly about training needs and how they provide support. This is the first step in engaging with other stakeholders of the service including residents to found out that the service being provided can meet their needs and expectations. There has been significant improvement in the way in which the home is being managed and this is beginning produce positive outcomes for the residents living at the home. Glenside (10) DS0000025273.V332061.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 3 2 2 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 X 27 3 28 2 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 2 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 2 3 3 LIFESTYLES Standard No Score 11 2 12 2 13 2 14 2 15 2 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 X 2 3 3 2 2 3 X Glenside (10) DS0000025273.V332061.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. 1. Standard YA5 Regulation 5 Requirement Contracts of terms and conditions of residency must detail all financial arrangements including where there is an expectation of third party involvement. With particular regard to the purchase and running costs of a minibus. Care planning and risk management strategies used must be regularly reviewed to ensure they meet the changing needs of residents. There must be documentary evidence detailing who has been involved in the reviews and the outcomes for residents. This is to ensure none negotiable activities and support is provided consistently and sensitively. Timescale for action 30/11/07 2. YA6 15 30/10/07 3. YA8 12 Communication methods used by 30/10/07 residents must be supported and documented to ensure they receive a consistent care and support service from all members of the staff team. Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 26 4. YA14 16 The manager must continue to develop individual activity plans to ensure residents are given opportunities to engage in social activities. These should be regularly reviewed to assess whether residents continue to enjoy the activities provided. Advocacy services must be engaged for those residents with no support other than the registered person. This is to ensure residents with very complex needs individual rights are protected. 30/11/07 5. YA16 16 30/11/07 6. YA18 18 Issues regarding residents’ rights 30/09/07 to dignity, self-determination and independence must be raised during formal and informal supervision. This is to safeguard residents from receiving possible restrictive care and support. Residents must be provided with a safe comfortable environment in which to live. With particular regard to: • Damaged kitchen units and work surfaces. • Damaged and worn decoration throughout the home. • Water damaged plasterwork in the sensory room and the laundry room. • Stained and damaged carpet in the hall and the sensory room. • The lack of a sluicing programme on the washing machine. 30/12/07 7. YA24 16 Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Glenside (10) DS0000025273.V332061.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 - 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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