Inspection on 04/12/07 for Lennox Wood

This inspection was carried out on 4th December 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Lennox Wood 16/01/07

Lennox Wood 24/07/06

Lennox Wood 31/10/05

Lennox Wood 10/05/05

Lennox Wood 17/01/05

Lennox Wood 24/11/03

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

CARE HOMES FOR OLDER PEOPLE Lennox Wood Petham Green Gillingham Kent ME8 6SY Lead Inspector Gary Bartlett Key Unannounced Inspection 4th December 2007 09:30 X10015.doc Version 1.40 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 Lennox Wood DS0000028942.V353152.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 Older People. 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. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lennox Wood Address Petham Green Gillingham Kent ME8 6SY 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) 01634 263631 www.kcht.org Kent Community Housing Trust Vacant Care Home 50 Category(ies) of Dementia - over 65 years of age (50) registration, with number of places Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Fifty (50) Older People with a Mental Infirmity 60 years of age and over. 16th January 2007 Date of last inspection Brief Description of the Service: Lennox Wood is purpose built on two floors with a basement that is used as separate offices and for training. There is a courtyard garden in the centre of the quadrangle building, which houses a sensory garden. The home is situated in a residential area close to local shops and amenities. There are local bus routes nearby. Gillingham and Chatham town centres are approximately 2 miles away where there are main line stations. The service has limited access to transport. The home has 46 single rooms and 2 shared rooms, none have en-suite facilities. To support care staff there are additional staff employed to undertake regular activities with service users. Current fees range from £431.31 per week (shared room) per week, £445 (local authority rate) to £462.90 per week. For more information about the fee and what it includes please contact the Provider. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was conducted by Gary Bartlett, Regulatory Inspector, who was in Lennox Wood from 9:30 a.m. until 4:00 pm. During that time the Inspector spoke with some residents, 3 visitors, and some staff. Parts of the home and some records were inspected and care practices observed. Due to the nature of the service provided, it is difficult to reliably incorporate accurate reflections of residents’ views of the service in the report. The Trust had completed an Annual Quality Assurance Assessment, information from which was used to inform the inspection process. The Care Homes Regulations 2001 and the National Minimum Standards for Care Homes for Older People refer to people who use the service as “service users”. People living at Lennox Wood prefer to be referred to as “residents”. Accordingly this shall be done in the text of this report. The Manager and staff gave their full co-operation. What the service does well: The Manager is well qualified, experienced and has high expectations of the standards of care for residents. Residents say they enjoy living at Lennox Wood and are happy here. There is an open and friendly atmosphere with good communication between residents, staff and visitors. There is encouragement for residents to partake in activities suited to their preferences and capabilities. Residents enjoy the meals. Staff are good at helping new residents to settle in. Staff recruitment process are robust to ensure only appropriate people work at the home. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that they are appropriately placed due to good preadmission assessments and are able to visit the home prior to admission. EVIDENCE: The Manager described how a pre-admission assessment is made of each prospective resident to ensure the home can meet his or her needs. A senior member of staff prior would usually visit the prospective resident in their home or hospital to ensure the necessary information was current and accurate. Prospective residents, their families, advocates, and relevant health care professionals are involved in the assessment process. Specialist advice is sought from external sources where required. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 9 A visitor said they had been able to visit Lennox Wood before their relative had moved in and found staff to be very helpful. Lennox Wood does not provide Intermediate care. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans and records of care must be more consistently maintained to reflect the quality of care given. More consistent adherence to the administration and storage of medicines would better protect residents. Residents’ health needs are met with good liaison with relevant health care professionals. EVIDENCE: Each resident has a care plan and three were inspected in detail. Staff have been busy completing a new care plan format. The information contained is not always comprehensive or not directive as to how needs are to be met. In Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 11 some instances the information was contradictory. The Manager has only been in post for a short while but is already planning a review and overhaul of all the care plans. The Manager is aware that some records of daily care need to be more informative to comprehensively reflect the service given and is planning to address this by regularly monitoring them and giving staff guidance as necessary. Staff spoken with have a good understanding of residents’ individual needs and preferences. There is a key worker system that should contribute to an effective exchange of information about residents’ health and welfare. Risk assessments are not always reviewed or recorded as a result of some incidents or changes in welfare. The scope and content of risk assessments needs to be more comprehensive. It is evident from records seen and discussion with residents and staff that residents have ready access to health care professionals as necessary. Community nurses visited on the day of inspection. Many of the residents at Lennox Wood have profound dementia and the home is working with Kent County Council to assess if they are still appropriately placed. Records show a very high number of falls occurs at the home. The Manager said the home is working with the falls clinic to reduce this. The room used for the storage of medicines is adequately maintained and the Manager is introducing a system to ensure all medicines are stored at an appropriate temperature. Medicines are only administered by staff that have been trained to do and the Manager is updating the list of these people with specimen signatures. Most MAR sheets are computer generated by the pharmacist but some are hand written. The Manager is monitoring the quality of these to lessen the potential risk to residents. Medicines were seen to be administered in accordance with guidelines except for one occasion when the open medicines trolley was left unattended. The Manager took immediate action in regard to this. As she did in regard to ensuring the medicinal creams seen left in residents’ bedrooms are stored securely in future. This negated the need to issue Immediate Requirement Notices. Some personal information about residents is recorded collectively in the home’s communication book, thereby potentially compromising confidentiality. The Manager undertook to ensure this was rectified. Residents feel that staff are kind and gentle, this was confirmed by observation and discussion with visitors. Staff are generally considerate of the age of residents and treat them with courtesy. Residents’ dignity would be better preserved if incontinence pads were stored in their bedrooms rather then in lounge rooms. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to maintain contact with family and friends. Dietary needs of residents are well catered for with a balanced and varied selection of food that meets their tastes. EVIDENCE: Lennox Wood cares for people with varying degrees of dementia and lifestyles can be very challenging for some. Residents are offered choices where practical. When choice is not possible, full support is given taking into account each resident’s known preferences and sensibilities. The Manager is a staunch advocate of person centred care as the resident’s individual needs are a priority. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 13 The home has a designated activity co-ordinator who works hard to try to meet the social and recreational needs of the residents. His interaction with residents is of very high standard. The home has access to transport for outings and entertainers visit Lennox Wood. Preparations are in hand for the festive season. Visitors say they feel welcome and can visit at any reasonable time. During the inspection a number of visitors were seen in the home and the visitors book records regular visits by families, friends and others. The design of Lennox Wood provides seating areas within various communal areas where residents can entertain their visitors, in addition to the privacy of their own room. There is a designated visitors room available. Meal times are set for practical reasons but can be flexible to accommodate residents’ needs as necessary. Residents are complementary of the food served and say their tastes are met as best possible with a choice of menu always being offered. The meals are generous in portions and look appetising. Mealtimes are relaxed; staff are patient and helpful and allow residents the time they need to finish their meal comfortably. Hot and cold drinks are available through out the day, as well as snacks. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by a robust complaints system and service users and relatives feel their views are listened to and acted upon. The home has robust adult protection policies and procedures to ensure that residents are protected from abuse. EVIDENCE: The complaints procedure is readily available to residents and their relatives. They said they feel confident that they would be listened to and any necessary action would be taken. A visitor said: • “If I’m not happy with anything, they always do what they can as quickly as possible”. The Home keeps a record is of all complaints received by them. The Annual Quality Assurance Assessment received prior to the site visit indicates there have been 3 complaints received by the home in the last 12 months. None were upheld and all were resolved in a timely manner. The Commission has not received any formal complaints about the home in that time. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 15 There are procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of residents. The Manager and other staff spoken with have a sound understanding of adult protection procedures. There have been 2 alerts raised in the last 12 months Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ quality of life would be enhanced by improvements to the environment in which they live. EVIDENCE: Although purpose built, Lennox Wood is an old building. The Trust has plans for the re-provision of the service. In the meantime, the environment must be maintained for the comfort and safety of residents. When the Inspector arrived parts of the building were cold. The Manager explained there had been work done on the heating system recently but there are still problems in some areas. The situation improved during the day. The décor of the lounge/dining room and surrounding corridors is not homely and does not give any visual Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 17 warmth. The other communal areas are much more comfortable and inviting, obviously appreciated by the home’s two cats Lucky and Fluffy, and the Manager is trying to encourage greater use of these areas. Some new furniture has been obtained but other items, such as some easy chairs are worn and stained. These must also be replaced. The Manager is arranging for appropriate signage of doors so residents can more easily identify toilets, bathrooms, lounges and their bedrooms etc. Remedial work has been completed in the laundry, making it a safer place in which to work. A new laundry system has been introduced to keep clean and soiled laundry separate. Unfortunately, staff leaving clean towels on top of the washing machines, where “they are easier to get”, diminishes the effectiveness of this. Infection control would be better promoted if all residents’ personal toiletries were maintained in a more hygienic manner. The home is generally clean and free from unpleasant odours but staff must prioritise the cleaning of fouled floors when this occurs. One of the lounge rooms is used as a well-equipped activities area. There was some discussion as to whether this was the most practical and suitable room for the visiting hairdresser to use. The dining tables are small and round, accommodating only two people comfortably. Many residents require assistance with eating. Consequently, it is difficult to accommodate a staff member at the table as well. Consideration should be given to using larger sized dining tables, preferably of square design that is more suitable for people with dementia. The Manager is undertaking a review of the beds to be sure they are suitable for the needs of the residents, an example being those with continence management problems. Some residents’ bedrooms have been improved by the replacement of cracked hand-basins. Two bedrooms are registered for shared occupancy. The use of these rooms for shared occupancy should be reviewed in view of the mental and physical frailty of the residents and their associated behaviours and care needs. Those who share bedrooms are not able to make a positive choice to share with full understanding of the implications. The gardens and areas around the building are looking neglected and are not safe in places due to trip hazards. The outlook from some windows is, therefore, not pleasant and, although it is winter, some residents may want to wrap up warm and have a breath of fresh-air occasionally. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment processes are robust and offer protection to people living at the Home. Training is available to the staff so they have the skills to meet the needs of the residents. EVIDENCE: Resident’s and their relatives speak very highly of the staff. Records seen indicate that robust recruitment procedures are used and the home employs only staff that have been properly vetted. Staff are required to undertake an induction programme. There is also an induction programme for agency staff to complete on their first shift at the home. The Manager explained that where there is not a record of existing staff having completed the induction programme, they would be required to undertake it again. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 19 Each staff member has a “staff training analysis sheet” to record training courses they have attended and a training matrix is used to give a management overview of staff training needs. This is currently being updated to include recent courses attended. The staff rosters seen indicate staffing levels are geared to peak times of activity. Residents and visitors say staff are generally to hand if needed. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home benefits from a manager who is experienced, qualified and has a high expectation of the standard of service to be given. EVIDENCE: At the time of inspection, the Manager had been in post for two weeks. Application for her registration as Manager will be made in the near future. She has extensive experience in residential care, has acquired the Registered Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 21 Managers Award, NVQ level 4 in care, Certificate in Management Studies and Leadership in Dementia. The Manager demonstrates a commendable commitment to delivering a high quality service. An Administrator, also new to Lennox Wood, provides very efficient administrative support. There is a sound system of holding and recording service users’ cash, which is regularly checked by the Trust as part of their audit process. Residents and their representatives or relatives are regularly asked for their views. The Manager is monitoring the quality of records made by staff with the aim of achieving a high level of consistency. As noted earlier in this report, some personal information about residents is recorded collectively in the home’s communication book, thereby potentially compromising confidentiality. Staff files are currently being checked to ensure they comply with Regulations. There Manager is implementing arrangements to ensure all staff receive the supervision necessary to ensure good standards of care practice. The standard of cleanliness in the kitchen and surrounding area is satisfactory. The Fire Safety Officer visited Lennox Wood last week and the recommendations made are being implemented. Staff spoken with have a sound understanding of emergency procedures. The Annual Quality Assurance Assessment indicates the Trust regularly reviewes policies and procedures to ensure they comply with current legislation and good practice advice and that records of maintenance and safety checks are up to date. These were not inspected on this occasion. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 3 X 2 2 2 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 2 3 Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 14(2)(b), 15(2), 17 Schedule 3, Schedule 4 Requirement The registered person shall maintain records as specified in Schedules 3 and 4. The registered person shall keep the service user’s plan under review in that service users’ individual plans and records must be up to date, consistent and specific in detail of information required. All service users must have an accurate care plan by the given timescale, if not sooner, which is thereafter maintained. The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated in that risk assessments must be more comprehensive and recorded in response to incidents and changes in residents welfare. Comprehensive risk assessments must be in place by the given timescale, if not sooner, and maintained thereafter. “The registered person shall make suitable arrangements to DS0000028942.V353152.R01.S.doc Timescale for action 31/03/08 2. OP7 13(4) 31/03/08 3. OP10 12(4)(a 31/12/07 Page 24 Lennox Wood Version 5.2 ensure that the care home is conducted in a manner which respects the privacy and dignity of service users”, in that continence pads must only be stored in residents’ bedrooms. To be completed by the given timescale, if not sooner and maintained thereafter. The registered person shall ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety in that the garden and grounds of the home must be safe and accessible to service users. 4. OP19 13(4) 31/03/08 5. OP24 23(2)(c) To be completed by the given timescale, if not sooner and maintained thereafter. 31/03/08 “The registered person shall having regard to the number and needs of the service users ensure that equipment provided at the care home for use by service users or persons who work at the care home is maintained in good working order” in that all worn and damaged furniture must be made good or replaced where necessary. To be completed by the given timescale, if not sooner, and maintained thereafter. The registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home, in that service users’ personal toiletries must be kept and stored in a hygienic manner. 6. OP26 12(1), 13(3)(4) (c) 31/12/07 Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 25 7. OP37 12(4)(a) To be completed by the given timescale, if not sooner and maintained thereafter. “The registered person shall make suitable arrangements to ensure that the care home is conducted in a manner which respects the privacy and dignity of service users”, in that all records must be made in a manner that preserves confidentialty. To be completed by the given timescale, if not sooner and maintained thereafter. 31/12/07 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. 4. 5. Refer to Standard OP19 OP19 OP20 OP20 OP23 Good Practice Recommendations It is strongly recommended the décor of the lounge/dining room and surrounding corridors is made more homely and welcoming. It is recommended the grounds be better maintained to provide an attractive environment for service users. It is strongly recommended larger sized dining tables of square design be used. It is strongly recommended hairdressing be not done in the lounge room used as an activities area. It is strongly recommended that the use of bedrooms for shared occupancy should be reviewed. Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Lennox Wood DS0000028942.V353152.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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