Inspection on 28/09/07 for Lavender Road (9)

This inspection was carried out on 28th September 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.

Other inspections for this house

Lavender Road (9) 01/09/06

Lavender Road (9) 12/01/06

Lavender Road (9) 17/08/05

Lavender Road (9) 02/03/05

Lavender Road (9) 29/09/04

Lavender Road (9) 02/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Lavender Road (9) Whickham Newcastle upon Tyne NE16 4LR Lead Inspector Hilary Stewart Key Unannounced Inspection 28th September 2007 & 17th October 11:00 Lavender Road (9) DS0000029717.V349779.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 Lavender Road (9) DS0000029717.V349779.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. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lavender Road (9) Address Whickham Newcastle upon Tyne NE16 4LR 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) 0191 4960436 0191 4960436 None United Response Miss Claudia Jean Beutelspacher Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 2006 Brief Description of the Service: The home can provide personal care for 6 people who have learning and physical disabilities. The home cannot provide nursing care. The home is situated in Whickham and is a large detached bungalow divided into two units, Lavender House and Rowan House all with single bedrooms. It is set within its own extensive grounds with car parking facilities to the front of the house. It is on a bus route, which makes it easy for relatives and friends to visit, and the home has its own transport. There is a variety of community facilities reasonably close by including churches, doctor’s surgeries and a large shopping area in the centre of Whickham. The bungalow is purpose built with all of the necessary facilities, The layout and design of the building provides easy access throughout and bathrooms and toilets are suitably adapted for physically disabled people. All bedrooms have an emergency call system. The weekly cost for care is £1,216.09. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 1st September 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and the staff . The Visit: An unannounced visit was made on 28th September and another visit 17th October 2007 to see the manager. During the visit we: • • • • • • Talked with people who use the service, staff and the manager. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit . We told the manager what we found. What the service does well: The needs of each person who lives at the home have been assessed. This means that staff have information about the needs of each person and what care and support they require. The staff team recognise that each person who lives at the home has differing needs and they make sure that they are aware of each person’s preferences. They treat the people as individuals and support them to live the life they choose as much as possible so they will have new experiences and know that their opinions are valued. The building is clean and generally well maintained. Staff make sure that the home is clean, warm and pleasantly furnished so the people have a comfortable place to live. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 6 Staff support the people at the home to take part in a variety of leisure pursuits and interests, which help them keep links with the local community and keep and develop social skills. The staff are supervised and trained so they know how to provide the people who live at the home with good care. The staff make sure the people’s health care needs are met so they remain in good health. All of the people who live at the home have plans of care and risk assessments. This is so staff have the information they need to support each person and keep them safe. The home has procedures for staff for the administration and recording of medication. This is to make sure the people who live at the home receive their medication when they need it and at the correct times. The home has procedures for dealing with complaints and protecting the people who live there from abuse. This means that the people who live at the home feel safe, know they can talk to the staff and that their views are listened to. Quality assurance systems are in place but are still being developed. This will help the service to shape the quality of the service and make sure it is run in their best interests. What has improved since the last inspection? What they could do better: Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 7 The homes statement of purpose has been updated. If it contained all of the information required and was in an easy to read format this would mean that the people who may want to use the service in the future will be able find out about the home more easily, which will help them to decide if the home is the right one for them. If each person’hs care plan was reviewed and kept up to date this would give the staff a good level of information about how to should support them and meet their needs. If staff kept a record of the food provided to the householders this would show that they all have a varied and nutritious diet. If the damaged carpet was replaced and the toilet updated it would make the home more pleasant for the people who live there. If copies of all of the reports from monitoring visits were sent to the home the manager would know if any issues had been found and they would be able to act upon them, which would improve the service to the householders. 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. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 8 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 Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 9 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 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available to help people make choices about the service before moving in, some of it is not up to date. The needs and wishes of each person who live at the home have been assessed. This means that staff know what care and support they require. EVIDENCE: The people who live at the home have their own individual files and they all have a ‘service users charter’’ which they are given when they first move into the home. This describes what the home provides. The individual files show that the people have had their needs assessed and they describe what the staff need to do to meet their needs. The manager said that a person can only move into the home if they are sure that the persons needs can be met there. Then they would be gradually introduced by having visits before they moved in permanently. The home has a statement of purpose and a guide for people so they can decide if the home is where they want to live. Some parts need to be in more detail and changed so they are up to date. Lavender Road (9) DS0000029717.V349779.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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people who live at the home get personal support and at the same time staff make sure that their privacy, dignity and independence are respected. They are supported to become more independent at the same time staff try to reduce the risks so they are kept as safe as possible. Some of the plans and risk assessments were not up to date so the information available to staff is not as accurate as it could be. EVIDENCE: The manager and staff said that the people who live at the home take part in writing their own care plan as much as possible so they can record the likes and dislikes of individuals as well as how to care for them. As some people do not speak the staff said that they observe their facial expressions and gesture to gauge what people prefer or don’t like. The manager said that the plans had been reviewed but this did not show on some of them. Staff write down in the peoples records what has happened to them, sometimes they are very brief and they are not written up every day. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 11 The manager and staff said that the people who live at the home are supported to be as independent as they can be safely. Staff assesses the risk, which then shows how they can reduce risk as much as possible for people when they for example take part in activities. Some of the risk assessments did not show that they had been reviewed as often as they should. The people are encouraged to make choices and decisions about what they want to do. One person had been on holiday to Skegness, which had been their choice. All of the people go to a day centre where they take part in various activities such as art, crafts, and music, swimming and cooking. The manager said that the people at the home are supported as much as possible to choose what they want to do as individuals. Lavender Road (9) DS0000029717.V349779.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. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people who live at the home lead healthy stimulating lifestyles, supported by staff that value them while maintaining links with their families and friends. People are given a choice and sensitively supported to eat meals where they have specific needs. People are provided with healthy well-balanced meals but this could not be demonstrated as a record is not kept of all food served at the home. EVIDENCE: The manager and staff said that they respect the people who live at the home an they recognise that they have the same rights as everyone else to make choices but they have to look at the risks at the same time. Sometimes for instance some people need support to go out. If they were on their own they may not be able to keep themselves safe. Two of the people said in their reviews that they would like an extra day off from their day centre each week, this is being pursued by the manager. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 13 The staff and manager said that they regularly look at the options open to the people in relation to work, leisure and social activities. They plan to have a garden party where they aim to invite neighbours so the people who live at the home can get to know them. Instead of families visiting the home the staff have supported the people to take their families out for dinner or drinks rather that just sit in the home. At the same time they have to be realistic about the choices. People who live at the home go out for meals and for trips. Every year they decide individually where they would like to go on holiday. The staff were observed and they said that they always ask before they enter people’s bedrooms. Staff said that the people who live at the home could always have privacy if they want. The manager said that staff are aware of supporting and working with the people who live at the home around enabling them to have appropriate relationships and behave in ways that will help them get on with people. The home’s menus are based on the known likes and dislikes of the people who live at the home. Staff said that they are always trying to find new menus and to provide interesting things for them to try. The staff said that at least three meals are served to the people, which are varied and nutritious. Fresh fruit and vegetables were in the kitchen. Some of the people who live at the home do not use the spoken word so staff said they observe their facial expression and gesture to learn about their preferences. For instance one person will push something away if they don’t like it. A detailed record of food served is not kept. The manager said that they would like to support people individually to choose the meal that they want and be supported to prepare it. Lavender Road (9) DS0000029717.V349779.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care plans contain some good information about each persons healthcare needs but is not always reviewed. Therefore the healthcare needs of the service user may not always be fully addressed. The medication policy is clear for staff to follow and procedures make sure people are protected, good records are kept and medication is given safely. The people who live at the home have personal support when they need it so they can be as independent as possible. EVIDENCE: The care plans show visits by healthcare professionals such as, the chiropodist, occupational therapist and optician. One person’s records had not been completed and others had not been reviewed since September 2006. The staff said that the health and welfare of the people who live at the home is constantly being monitored. Their health and well-being is discussed in staff meetings. If there are concerns about a person’s health appropriate action is taken. The manager and staff could describe how people are provided with personal support when they need it. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 15 On the day of the visit an incontinence aid had been left on one of the living room chairs. The manager said that this was not usual practice and a more discreet method of protecting furniture would be use in the future. Medication is stored securely in a locked cupboard. Staff who have responsibility for administering medication have completed the ‘Safer Handling Of Medicines’ training. The medication records were up to date. Any discrepancies are taken very seriously and the staff have a procedure to follow to make sure medication is given correctly. The manager said that if it was thought to be safe following a risk assessment the people who live at the home can control their medication. Lavender Road (9) DS0000029717.V349779.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Systems are in place to protect the people who live at the home from any harm and help keep them safe from possible abuse. The home has complaints procedure but it is not in a format that would make it easy for the people to read and understand. This could make it difficult to support the people should they wish to make a complaint about the service. EVIDENCE: People who use the service have access to the complaints procedure should they need to raise a complaint, or concern but it is not written in an ‘easy read’ style that is suitable for them to understand. The manager and staff said that people are given information about the procedure when they move into the home. Throughout the visit it was observed that the people at the home are supported to say what they think and give their opinions whenever possible. They have opportunities to air their views or say if they have any concerns informally with staff. The Commission have not received any complaints about the service since the last visit. Some of the people at the home do not communicate with spoken words but they looked comfortable and relaxed during the visit. They approached staff and used gesture and facial expression to communicate with them. The home uses the policy and procedures of the organisation that runs the home to ensure the protection of vulnerable adults (POVA). There is a copy of the Local Authorities POVA procedures in the office. The manager said that staff have had training in the protection of vulnerable adults as well as the Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 17 service’s ‘whistle blowing’ policy. This has been their own in house training and the Local Authorities. Staff could say what they would do should they receive a complaint or concern and they could describe the procedure to be followed if an allegation of abuse was made. One person who lives at the home when asked if they felt safe living there said “yes”. Lavender Road (9) DS0000029717.V349779.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People live in a safe, comfortable and clean home, although some updating and repair are necessary. EVIDENCE: There are enough bathrooms and showers for the people who live at the home. In one of the toilets the wall is damp and the flooring is stained. The bedrooms looked comfortable and the people who live at the home had personalised them. They had been made very individual. The living areas were comfortable and homely. There weren’t any unpleasant odours apparent. One of the carpets has an iron burn on it. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staffing is sufficient in numbers to enable the needs of the people who live at the home to be addressed. This helps to make sure the people get the care they need and can live the lifestyle they prefer. The homes recruitment procedures are followed when selecting new staff for employment. This helps to protect the people who live at the home by making sure that only the right kind of staff work there. EVIDENCE: Staffing levels are adequate at the two homes. The manager said and records showed that staff consistency has improved and they are not using as many agency staff. Records showed that on other days enough staff had been on duty. The manager said that all staff have been CRB (Criminal Records Bureau) checked at an enhanced level as well as being vetted to make sure they are suitable people to work at the home. Staff records were not available at the home as they are kept at the organisations headquarters. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 20 The manager said and records showed that all staff are given mandatory training and specialist training when required. Records showed and staff said that they receive training, which helps them with their work. Staff said that they have mandatory training such as first aid and food hygiene. As part of their induction they shadow more experienced staff and have induction training. One member of staff said “ the staff have been brilliant they really helped me when I first started working here”. Some staff said that they would benefit from having training in other methods of communication such as ‘Makaton’. Over 50 of the staff have attained vocational qualifications and the remainder are working towards them. Staff felt supported by their manager who said and records confirmed that staff are supervised when they should and they have staff meetings. Staff get individual supervision and are supported to do their job. Some staff appraisals had not taken place. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 21 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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The manager has the experience and vocational qualifications to run the home so the people who live there are well cared for. Quality assurance systems are in place but are still being developed. This will help the people at the home to shape the quality of the service and ensure it is run in their best interests. Systems and practices are in to make sure that the people who live at the home and staff are kept safe from risk of harm. EVIDENCE: Safety checks have been carried out on the equipment in the home; such as testing electrical equipment and the servicing the central heating boiler. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 22 The fire logbook showed that regular fire drills take place. Staff said that they have fire drills and instruction. The manager said that fire instruction takes place but the indivual staff names are not recorded. Records showed that regular training is provided for staff in fire safety, food hygiene and first aid. The manager said and records showed that regular monitoring visits take place at the home. Reports from the visits had not been sent to home so the manager did not know the outcomes. The manager said that the people who live at the home are asked their views about the running of the home as much as possible and the home has a yearly improvement plan called the ‘United Response getting it right service plan for 2007-2008’. The people who live at the home were seen communicating and talking with the staff and manager in a confidant manner. One person was observed informing staff of their opinions during the visit. Staff spoke to the people who live at the home explaining to them what they were doing i.e. “ I’m going to get you wheelchair now” and “ would you like to go out now?” Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 23 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 2 2 3 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 3 X 3 X 2 X X 2 x Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 24 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15 Requirement Any outstanding care plans must be completed(timescale of the 01/11/06 not met) Any outstanding risk assessments must be completed (timescale of the 01/11/06 not met) The registered manager must keep a record of the meals served to the people who live at the home. The registered manager must make sure that the health care plans are reviewed and kept up to date. A formal quality assurance framework must be fully developed The registered manager must make sure that all staff have fire instruction and a record is kept of their names. The registered individual must provide the home with a copy of the written regulation 26 visit. DS0000029717.V349779.R01.S.doc Timescale for action 01/12/07 2. YA9 13 01/12/07 3. YA17 16 01/12/07 4. YA19 14 01/12/07 5. YA39 24 01/12/07 6. YA42 23 01/12/07 7. YA39 26 01/12/07 Lavender Road (9) Version 5.2 Page 25 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. Refer to Standard YA14 YA18 Good Practice Recommendations Provide internet access for both Lavender and Rowan units Look at more discreet ways of protecting furniture with regard to incontinence issues. Lavender Road (9) DS0000029717.V349779.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Lavender Road (9) DS0000029717.V349779.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. 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