Inspection on 05/10/06 for Longdown Road (9)

This inspection was carried out on 5th October 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Longdown Road (9) 31/01/06

Longdown Road (9) 09/08/05

Longdown Road (9) 15/12/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Longdown Road (9) 9 Longdown Road Epsom Surrey KT17 3PT Lead Inspector Lisa Johnson Unannounced Inspection 5th October 2006 09:00 Longdown Road (9) DS0000060921.V314893.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 Longdown Road (9) DS0000060921.V314893.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. Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longdown Road (9) Address 9 Longdown Road Epsom Surrey KT17 3PT 01372 748 153 0208 544 8901 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) CMG Homes Ltd Mrs Denise Rush Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: The house was converted from a hotel into a residential home for up to nine residents. The service is owned by Care Management Group and provides accommodation for 9 residents with learning disabilities. The home comprises of two large lounges, one open plan into the dining area. A large fully fitted kitchen with access to the patio area, which has been decked, and a wellmaintained secluded garden to the rear of the house. A therapy/sensory room on the first floor is furnished to meet the needs of the residents. There is a visitor’s room/interview room on the second floor as well as a staff room with en-suite facilities. All bedrooms are single occupancy and have en-suite facilities. There are a number of toilets and bathrooms available throughout the home. The ground floor has two bedrooms and six bedrooms on the first floor and one bedroom and sitting room on the second floor. There is no mechanical access to the first and second floor so all residents must be physically able to use the stairs. There is ample parking at the front of the building. The weekly fees range from £I,100- £1,200 per week. Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of a key inspection. The site visit was unannounced and took place over eight hours commencing at nine twenty am and finishing at five o’clock. Mrs. L Johnson Regulation Inspector carried out the visitand Mrs. D Rush registered manager represented the establishment. The inspector spoke to two service users to gain their views on the care provided. A number of the service users have non-verbal communication therefore their direct views about their care could not be obtained. Observations of interactions and service user responses have been recorded in this report. Two service user comment cards and one relative comment card has been received since the site visit and these comments have been reflected in this report. A full tour of the premises took place. Staff training records, staff files and policies and procedures were sampled. The inspector spoke to three members of staff. The inspector would like to thank the staff and service users for their time, assistance and hospitality during this inspection. What the service does well: At the time of this visit the home was observed to provide a welcoming, and warm atmosphere. Good interaction was observed between service users and staff. Staff was observed to be caring and respectful in their approach towards service users and responsive to their means of communication. Staff were observed to support individuals independence and choices. One person likes to make her lunch with staff supporting and assisting when required. Care plans are detailed and a number of documents in the home are designed in a user-friendly format. It was positive to observe the introduction of “My health books”. Positive working relationships were observed amongst the staff team with staff showing good knowledge and awareness of their roles and responsibilities. Clear communication was observed and the home was well led by the management structure in the home. Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: It was required that the home implements a local safeguarding adult protocol that makes reference to the local authority safeguarding procedures and includes contact details for the local authority Social Care Team. Some matters were identified for improvement in the environment including a repair to the stair carpet, which is a trip hazard. A carpet in one sitting room requires either deep cleaning or replacement. One bedroom should be painted and a shelf needs replacing in the upstairs bathroom. This is to ensure that service users have a safe, well-maintained and comfortable home to live in. It is also recommended that the company should consider installing a lift due to due to the ageing process of some service users. Due to a number of the residents becoming older a requirement was made that staff receive appropriate training in care of the elderly to ensure that staff have the appropriate knowledge to meet the needs of service users. Evidence was available that staff are being supported to undertake National Vocational Qualifications, however the home needs to ensure that fifty percent of staff complete a National Vocational Qualification (level 2) or above. A requirement was made that staff employed in the home after a POVA first check is completed and before the return of an enhanced police check must have a named supervisor who is identified on the duty rota. Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 7 At the previous site visit it was recommended that the organisation review the provision of a computer at the home to assist with compilation of documents and communication with the organisation. This matter has not been pursued and a further recommendation was made that this is considered. 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. Longdown Road (9) DS0000060921.V314893.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 Longdown Road (9) DS0000060921.V314893.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of service users are assessed prior to admission to the home. EVIDENCE: There have been no admissions in the home since the previous site visit and there are currently two vacancies .The company has an assessment and referral team with the registered manager having the opportunity to visit prospective service users to conduct their own assessment. Evidence was sampled for two individuals, which confirmed that assessments were, completed prior to admission to the home. Longdown Road (9) DS0000060921.V314893.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with an individual care plan, which records their individual needs and goals. Service users are supported to make decisions about their lives with assistance. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Each service user has a completed care plan, including personal care, communication, safety, health and social skills. There was a life picture in place. Individual plans were person centred in their approach detailed and structured with clear objectives and goals. Each plan consists of a strengths and needs and likes and dislikes section. It was evident that plans were regularly reviewed which was confirmed by two members of staff spoken to who complete monthly reviews. Where service users were unable to sign to agree to their plan this was documented. One comment card received from a relative confirmed that they are consulted about their relatives care and informed of important matters. The inspector spoke to two members of staff who provided the inspector with good detailed responses in respect of their roles and responsibilities as key Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 11 workers and gave examples of where support has been provided to service users to make choices and decisions. Risk plans were sampled which are kept under review. Risk plans sampled included road safety, aggression and one individual has a designated smoking area in the house, which is supported by a risk plan. Longdown Road (9) DS0000060921.V314893.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with a range of appropriate activities and engage in a range of leisure activities. Service uses are supported to take part in the local community. The rights and responsibilities of service users is respected. The home is able to demonstrate that service users are provided with a wellbalanced and nutritious diet. EVIDENCE: The home provides a range of recreational and social activities. At the time of the site visit some service users went out shopping and in the afternoon “Us in a Bus” attended the home to carry out activities which service users were observed to be enjoying. Activity plans were seen on display in the home and an individual plan was observed on each file sampled. Activities provided include for example, Cheam day centre, Pine lodge, walks, shopping and meals and trips out, aromatherapy, visits to the pub and there are opportunities to attend a Wednesday evening club. Service users have been away on holiday and one individual told the inspector he had been to Butlins. The inspector was informed that another individual has asked to visit a city abroad and the home is currently looking in to this. It was clear that staff support service users to try different activities and to have new experiences in their daily lives. Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 13 Service users maintain links with their families who visit the home. The inspector was informed that one individual is supported to write letters to her relatives and support is provided by the home for individuals to visit their relatives. There is a telephone available for the use of service users. A comment card received from a relative confirmed that they are made to feel welcome when they visit and are able to see their relative in private. Service users were observed to be moving freely around the home. One person who is able to use a key is provided with one for their room. Positive interaction was observed between staff and service users who were communicated to with kindness and respect The registered provided copies of the homes menus with the pre- inspection questionnaire and it was concluded that these were varied and well balanced. At the time of the visit a number of service users were having lunch out, however service users who were in the home were supported to make choices for their lunchtime meal with one individual being provided support to prepare her own lunch. Longdown Road (9) DS0000060921.V314893.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that service users receive personal support in the way they prefer. Service users physical and health needs are met. Service users are protected by the homes medication administration procedures. EVIDENCE: The personal and health care needs of service users were identified in their individual plans, which included the likes and dislikes of service users and their preferences. The home is in the process of introducing “My health books” for all individuals. One completed book was sampled which is documented in a service user-friendly user format picture. Plans included mental health needs, annual checkups, nutrition, hospital appointments, health screen checks and appointments including for example dental treatment, optician and chiropody. Records were maintained of appointments attended. All service users living in the home require support to access appointments and plans sampled indicated that service users are supported to access a range of health care specialists including for example a local GP and community psychiatric nurse. Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 15 Staff were observed to respect services users privacy when carrying out personal care by ensuring doors were shut. The homes medication administration systems were examined and records were adequately maintained. A list is maintained of staff authorised to administer medication and photographs of individuals were available with their medication card. Medication is obtained by Boots and the local pharmacist carries out a medication audit. Protocols were in place for the administration of “As required medication”. Staff receive training and regular assessments in the administration of medication. Longdown Road (9) DS0000060921.V314893.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that the views of service users are listened to and acted upon. The local safeguarding adult procedure will ensure that service users rights and best interests will be fully safeguarded. EVIDENCE: The home has an accessible complaints procedure, which is in picture format and was seen on display in the home. Since the previous visit no complaints have been received. A comment card received from a relative confirmed that they were aware of the homes complaints procedure and were satisfied with the care provided. The company has a safeguarding adult and whistle blowing procedure and the local authority safeguarding adult procedures were available. Staff training records indicates that staff have been attending safeguarding adult training, which was confirmed by two members of staff spoken to. At the previous visit a requirement was made that staff should attend the local authority safeguarding adult training. The manager confirmed that the deputy manager and herself have a confirmed date for attendance at the course. However it was required that the home implements a local safeguarding adult procedure to include the contact details of the local authority Social care Team. Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Some areas of improvement are needed to ensure service users live in a wellmaintained, comfortable, homely and safe environment. The home is clean and hygienic ensuring that service users have a pleasant home to live in. EVIDENCE: The home is based in residential street near Epsom. The home is spacious and provides a number of sitting areas for service users to use. There is a large garden which was well maintained and provides a decking area for service uses to enjoy in the summer. Some matters were identified that need improvement including the carpet in one sitting room, which should be deep, cleaned or replaced. The stair carpet had a tear in it, which was identified as a trip hazard. One bedroom requires repainting and another bedroom requires new flooring and a shelf needs replacing in the upstairs bathroom. The house is based over three floors and there is no lift a further recommendation was made that the company considers installing a lift due to a number of service uses who are ageing. At the previous visit consideration was being given by the organisation to the installation of a lift shaft to enable the bedrooms of the first and second floors to continue to be used as the residents needs change. It is recommended that Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 18 the company should consider this matter due to the ageing process of some service users. During this visit the home was clean and hygienic. There was a separate laundry room and cleaning schedules were in place. Longdown Road (9) DS0000060921.V314893.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home needs to ensure that fifty percent of staff hold National vocational qualifications (Level 2) or above. Service users are protected by the homes recruitment policy and practices and their needs are met by appropriately trained staff. EVIDENCE: During this visit there were three staff plus the manager on duty. Presently there are two service user vacancies and the duty rota indicated that on most days there are three staff fin the morning, two staff in the afternoon and two waking night staff at night time. The home has not used agency staff. At present one member of staff holds a National Vocational Qualification, the deputy manager is completing National Vocational Qualification (level 4) and three more staff are completing National Vocational Qualifications. A requirement was made that this matter is fully completed to ensure that fifty percent of staff hold National Vocational Qualifications to ensure that service users are supported by appropriately qualified staff. Two staff personal files were sampled which were maintained to a good standard and contained the required information. POVA first checks are carried out and enhanced police checks are completed with appropriate records Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 20 maintained. Copies of the General Social Care of Conduct were present on individual files. However it was required that where a member of staff is employed after receiving a POVA first check and is still awaiting the outcome of the enhanced police check the designated supervisor member should be identified on the staff duty rota. The training records and certificates were sampled for three members of staff. which concluded that staff have received up to date mandatory training in safeguarding adults, fire training, food hygiene and moving and handling. It was clear that that training completed actively supports the needs of service users which includes for example epilepsy, health action planning, communication skills, person centred planning communication skills, key workers roles, person centred and health action planning, epilepsy and dignified management of conflict training. Due to the age of a number of the service users it was required that all staff should receive training in the care of the elderly. Longdown Road (9) DS0000060921.V314893.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is able to demonstrate that service users benefit from a home, which is well run, and in the best interests of service users. The health safety and welfare of service uses is protected. EVIDENCE: The registered manager is a qualified nurse and holds a diploma in nursing, a Bsc and MBA. There was an open and inclusive atmosphere in the home. The deputy manager is also completing the National Vocational Qualification (Level 4). The inspector had the opportunity to speak to three members of staff who spoke highly of the management support they receive and confirmed that regular staff meetings are held. The company has updated its annual quality assurance feedback questionnaires to include service users and relatives. The responsible individual carries out monthly quality visits with a copy supplied to the Commission for Social Care Inspection. The company has a quality assurance Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 22 programme and during the site visit the manager was in the process of completing a plan for the home. The company produces a newsletter and has held a service users conference. The company has updated and reviewed their policies and procedures. The home discusses any new policies and procedures at staff meetings with the manager checking out staffs understanding. The fire book was examined which concluded that regular checks including fire drills are recorded, water checks are completed weekly environmental risk assessments are conducted and a number of maintenance and health and safety certificates were sampled including gas, electric pact testing, and legionella testing. The home does not have access to a computer, such access would enable the home to provide typed documents such as risk assessments and care plans as well as other information that is required as part of the day to day management of a care home. A recommendation is made that the organisation reviews the provision of a computer to the home. Longdown Road (9) DS0000060921.V314893.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 X 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Longdown Road (9) DS0000060921.V314893.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 YA23 Regulation 13(6) Requirement The registered person must implement a local safeguarding adult protocol to include the contact details for the local authority Social Care Team a) The stair carpet must be repaired. b) A carpet in one sitting room must be deep cleaned or replaced c) One bedroom must be repainted d) The shelf must be replaced in the upstairs bathroom Timescale for action 17/11/06 2. YA24 23 08/12/06 3 YA32 18 4 The registered person must ensure that fifty percent of staff have gained National Vocational Qualifications (level 2) or above 19 The registered person must (1)(2)(3)(4)(5) ensure that the staff rota Schedule 2 identifies the named supervisor for staff who are awaiting the outcome of police checks. DS0000060921.V314893.R01.S.doc 08/12/06 12/10/06 Longdown Road (9) Version 5.2 Page 25 5 YA35 18 (1) (c) (i) The registered person must ensure that staff receive training in the ageing process. 03/01/07 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 Refer to Standard YA13 Good Practice Recommendations It is recommended that the organisation review the provision of a computer at the home to assist with compilation of documents and communication with the organisation. The company should consider installing a lift. 2 YA24 Longdown Road (9) DS0000060921.V314893.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Longdown Road (9) DS0000060921.V314893.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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