Inspection on 14/08/07 for Lorne House

This inspection was carried out on 14th August 2007.

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 15 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lorne House 12/08/08

Lorne House 19/06/06

Lorne House 05/01/06

Lorne House 08/08/05

Lorne House 25/10/04

Lorne House 31/08/04

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 Lorne House 66 Yarm Road Stockton-on-Tees TS18 3PQ Lead Inspector Ray Burton Unannounced Inspection 14th August 2007 09:30 Lorne House DS0000000011.V348633.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 Lorne House DS0000000011.V348633.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. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lorne House Address 66 Yarm Road Stockton-on-Tees TS18 3PQ 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) 01642 617070 lorne_house@ntlbusiness.com Lorne House Residential Home Trust Limited Mr James Dunbar Leslie Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of persons shall not exceed 14 adults with learning disabilities inc 3 with mental and physical disability 19th June 2006 Date of last inspection Brief Description of the Service: Lorne House is a 14 bedded home which provides residential care for adults with learning disabilities, including 3 adults who also have physical disabilities. The home has an extension added to the original building, car parking to the front of the home, a conservatory and a very large enclosed private garden to the rear that contains a lawned area, flower beds and garden furniture. There are ample bathrooms, shower rooms and shared living areas, to meet the needs of the people living at the home, which is situated on a busy road that runs into Stockton Town Centre. There are shops and churches nearby. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection covering all of the key standards of the National Minimum Standards for Care Homes for Adults (18-65). The inspection commenced on 17/08/07 and was completed on 05/10/07. During the inspection a tour of the building was conducted, records and care plans examined and the inspector spoke to residents, relatives, members of staff, the registered manager and a director of the company. What the service does well: What has improved since the last inspection? What they could do better: Although the home had two vehicles for the use of residents, staffing levels did not always allow residents to take part in individual and community based activities as often as they wished. There were various repairs and maintenance issues throughout the house that required addressing. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 6 Some of the examined care plans were well maintained however others required updating and development. None of the residents had been given an up-to-date contract showing the fees charged and the services provided in the cost of the placement. The homes recruitment procedure required improving and staff needed to receive more specialised training. Not all members of staff received at least six formal supervision sessions per year. 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. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The homes assessment procedure ensures that only those whose needs can be met will be admitted. Prospective residents and their family are able to visit and are given sufficient information to enable them to make an informed decision about the suitability of the home. Residents had not been provided with a written contract showing the weekly charge and what is included in the fee. EVIDENCE: There had been no recent admissions to the home, however the manager said that the homes assessment process would ensure no one would be admitted unless their needs could be met. Following referral and social work assessment the service user and his/her family would visit the home to meet current residents and staff; this initial visit would be followed by a series of visits and overnight stays during which staff at the home would conduct assessments to ensure the suitability of the placement, compatibility with other residents and the ability of the home to meet assessed needs. Prospective residents and their families would be fully involved at all stages of the assessment process. Residents had not been given a contract specifying the fees charged and the services provided/not provided in the cost of the placement. The manager said Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 9 that discussions were still taking place with the placing authority and that once these were completed each resident would be given a contract. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents were supported to be as independent as possible and to take part, at an appropriate level in the running of the home. Care plans required further development. EVIDENCE: All residents were encouraged to be involved, at an appropriate level, in the day-to-day activities of the home e.g. being involved in the choosing of menus, helping with food shopping etc. The inspector was invited to attend a residents meeting; all residents were present as was the registered manager and one of the directors of Lorne House. The meeting was very relaxed and informal and it was apparent all parties were at ease with each other. The manager tried to encourage all of the residents to play an active part in the meeting and to air their views and to participate in the decision-making process about things affecting their daily lives. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 11 Conversation with residents, the registered manager and staff indicated residents were encouraged to make choices about everyday things affecting their lives and were supported to live as independently as possible. Examination of four service user’s files revealed an inconsistency in the quality of recording information in care plans, some were comprehensive and showed in detail how assessed needs would be met; others, however, required updating and development: * Not all documents had been dated therefore it was sometimes difficult to know if information was up-to-date and accurately reflected current needs. * Daily recording was poor and did not, in the main, contain meaningful information; entries were very repetitive. * Plans did not always evidence the resident’s involvement in the planning of his/her care. * Risk assessments did not always show in sufficient detail how identified risks would be addressed. Lorne House DS0000000011.V348633.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were treated with respect and were presented with opportunities to lead fulfilling lives. Staff encouraged and supported residents to take part in appropriate leisure activities; however staffing levels did not always allow individual activities to take place. Staff encouraged and facilitated the maintenance of family and friendship links. EVIDENCE: There was a relaxed and friendly atmosphere in the home, residents were at ease with each other and with members of staff. It was observed that residents were treated with respect and addressed appropriately by their preferred name. Members of staff were observed to knock on bedroom doors and seek permission before entering the room. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 13 Staff tried to provide opportunities for residents to take part in activities to aid their personal development and to participate in a variety of appropriate leisure activities both inside and outside of the home. Activities engaged in by service users included: visits to the local pub, local and town centre shopping, bingo and trips in the house vehicles to places of local interest e.g. the coast and coutryside. Holidays were customised to meet the needs and interests of the individual and recently holidays had been taken at: Scarborough, York, London and a coach holiday that included a visit to the West Midlands Safari Park. The home had two vehicles, both adapted for wheelchair users, however comments received from staff and from family members directly to the inspector, and through the “Family Members Questionnaire”, indicated that staffing levels did not always allow the flexibility required for residents to participate in individual and community based activities as frequently as was necessary to fulfil their social needs. Family members made the following comments: “There should be more opportunity for outings and activities.” “There is a lack of stimulation and not sufficient staff to take the residents on outings.” “The staff do the best they can. There would probably be more facilities and activities if funds were available to employ more staff.” The manager and staff recognised the importance of residents maintaining contact with family and friends and helped them to keep in touch by assisting with telephone calls and sending cards and presents for special occasions such as Christmas and birthdays. Relatives said staff were good at informing them of their relatives progress and there was always someone to talk to if they were concerned about any aspect of their relative’s welfare. They said they were always made welcome whenever they visited the home. Several parents said staff would regularly facilitate home visits by providing transport to and from the family home. One parent said that, to enable her son to visit home, a member of staff would accompany him three times a year to Kings Cross Station and meet him there for the return journey at the end of the visit. Menus showed residents were offered a varied and balanced diet with alternatives always being available should someone not wish to have the meal of the day. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff at the home, supported by community-based professionals, met residents healthcare needs. Personal care was conducted in a sensitive manner that upheld dignity and privacy. Medicines were dispensed appropriately and residents were protected by the homes medication policies and procedures. EVIDENCE: Each care plan examined contained detailed information about service users general health, dietary requirements and details of any specific ailment or medical condition. Service users had access to ordinary community-based health services as well as more specialist services where necessary. Conversation with members of staff revealed an awareness of the necessity to provide personal support in a sensitive and flexible manner and of consulting with residents and supporting them to maintain as much independence and control over their own health care as possible. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 15 None of the residents had been assessed as being able to control their own medication and all medicines were administrated, according to the homes policies and procedures, by staff who had received appropriate training in the administration of medicines. Appropriate records were kept and all medicines were stored securely and appropriately. Lorne House DS0000000011.V348633.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home had a satisfactory complaints system. Members of staff displayed good knowledge about the protection of vulnerable adults, however the homes procedure required re-drafting. EVIDENCE: The home had an appropriate complaints policy (revised in April 2007) and a procedure, stating how complaints could be made, who would deal with them, the timescale for the process and what to do if not satisfied with the way in which the matter was handled. The complaints form had been produced in pictorial format. Residents said they would speak to the manager or a member of staff if they were unhappy about something. Relatives said they would contact the manager in the first instance and if the matter were not resolved they would speak to one of the Directors. The parent of one resident said he had once had cause to raise a concern with the manager; he said the matter had been dealt with extremely quickly and to his complete satisfaction. Examination of returned Parents Questionnaires revealed the following comments: “The few problems I’ve had were sorted within days. A big thank you to the manager and staff. All it took was a ‘phone call. Excellent!” “I am aware of the complaints procedure but the manager and staff are always available for discussion.” “I contacted the manager and he sorted things out the same day. I am very satisfied.” Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 17 Members of staff had a good understanding of what constituted abuse and knew what action to take should such an incident be brought to their attention. The homes procedure, however, was ambiguous and must be redrafted in accordance with the Teeswide inter-agency policy, procedures and practice guidelines. Lorne House DS0000000011.V348633.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the home provides comfortable and pleasant accommodation, however there were several issues that required to be addressed. EVIDENCE: A walk around the home revealed it to be clean and hygienic and free from offensive odours. All areas of the home, including the kitchen, were accessible to residents. Lounges were pleasantly decorated and comfortably furnished. Bedrooms had been individualised by the inclusion of personal effects such as posters, photographs, CD players, TV etc and clearly reflected the personal wishes and interests of the occupant. Although providing comfortable and homely accommodation, some areas of the home were in need of upgrading and there were several issues that required addressing: * The second floor shower room had a damp patch next to the shower, the floor covering around the lavatory bowl was stained and the lampshade was missing. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 19 * An attaching chain must be fitted to the bath plug in the first floor bathroom. * There was mould in the first floor shower room and the tiles required regrouting. *There was a damp patch beneath the window in a resident’s bedroom. * The floor covering in the ground floor toilet was stained. * The carpet in the entrance porch was stained. * The fire door at the bottom of the main staircase was not closing properly. * Bathrooms and shower rooms throughout the building were generally unwelcoming and would benefit from a facelift to make them less institutionalised. * A risk assessment must be carried out on the unlocked laundry room to ensure the safety of residents. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Recruitment procedures were poor. Mandatory training was taking place however there was need for more specialised training. Not all members of staff received regular formal supervision. There were not always sufficient numbers of staff on duty to meet residents’ needs. EVIDENCE: On the days of the inspection there were sufficient numbers of staff on duty; examination of staffing rosters indicated the home was always adequately staffed, however comments received from staff and family members indicated that although there were always sufficient staff on duty to attend to care needs it was sometimes difficult for social needs to met. Examination of five personnel files revealed poor recruitment practices in that: * Two suitable references had not always been received. * Criminal Records Bureau (CRB) checks were not always obtained prior to commencement of employment. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 21 * Various personnel documents had not been signed by the employee and employer. * One file contained an uncompleted application form. Training records and conversation with the manager and members of staff revealed all new staff received induction training and there was ongoing training in: Fire Safety, Infection Control, First Aid, Food Hygiene, Health & Safety, No Secrets. Nine of the twenty five members of staff had successfully completed the NVQ level 2 in Care, and a further five had been registered for the award and were currently working toward achieving it. Although mandatory training was provided there was little evidence of service specific training being offered. There was evidence of some formal staff supervision sessions taking place, however not all members of staff received sufficient to meet the National Minimum Standard. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 41, 42, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager has appropriate qualifications and experience to manage the home. Policies and procedures were in place to protect the health, safety and welfare of residents and staff. Records were generally satisfactory however there were some omissions and not all documents were dated. EVIDENCE: The manager has the necessary qualifications and experience to manage the home, has good knowledge of the legislative framework and the National Minimum Standards. Residents, their families and staff held him in high regard Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 23 and said that he was approachable and would always listen and consider others views and opinions. They felt that the home was well managed. Policies, procedures and records were in place covering all aspects of the health, safety and welfare of residents and staff. The building, furnishings and equipment were regularly checked and serviced to maintain a safe environment. Examination of records revealed them to be generally up-to-date and satisfactorily maintained however there were some omissions and not all documents were dated. Quality monitoring was largely informal however regular residents meetings and the parents questionnaire ensured a more formal measure of service user satisfaction and of the homes ability to meet assessed need. The following comments were received from family members: “My daughter is very happy at Lorne House and I am satisfied with the care and attention she receives.” “The staff look after my son very well, I have no complaints about the home.” Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 1 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 2 25 3 26 3 27 2 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 1 35 2 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 X LIFESTYLES Standard No Score 11 3 12 3 13 2 14 3 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 2 3 X Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 25 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 YA5 Regulation 5 Requirement The Registered Person must ensure that the Residents’ contracts include information relating to additional cost; and reflect the actual cost of the placement. THIS IS OUTSTANDING FROM THE INSPECTIONS IN OCTOBER 2004 AND JUNE 2006. Timescale for action 30/11/07 2 YA6 24 3 4 YA9 YA13 13(4) 16 The registered person must ensure that the resident and/or their next of kin are involved in assessing, planning and evaluating care and that the 30/11/07 information is up to date and reflects the current needs of the resident. THIS IS OUTSTANDING FROM THE INSPECTIONS CONDUCTED IN JANUARY 2006 & JUNE 2006. Risk assessments must be developed to show how identified 30/11/07 risks will be addressed. The registered person must 30/11/07 ensure there are sufficient members of staff on duty to enable residents to engage in local, social and community activities. DS0000000011.V348633.R01.S.doc Version 5.2 Page 26 Lorne House 5 6 YA32 YA34 18 Sch 2 7 YA41 Sch 4 8 9 10 11 12 13 14 YA35 YA23 YA24 YA24 YA24 YA24 YA24 18 13(6) 23 23 23 23 23 15 YA24 13(4) All staff must receive training appropriate to the work they are to perform. Personnel records must provide evidence that the registered person operates a thorough recruitment procedure. Records required for the protection of service users and for the effective and efficient running of the business must be maintained, up-to-date and accurate. All members of staff must have recorded supervision meetings on at least 6 occasions per year. The homes Protection of Vulnerable Adults (POVA) procedure must be redrafted. The damp patch and stained floor covering in the 2nd floor shower room must be remedied. An attaching chain must be fitted to the bath plug in the first floor bathroom. The stained floor covering in the ground floor toilet must be replaced. The damp patch in a resident’s bedroom must be remedied. Repairs must be carried out to the fire door at the foot of the main staircase to ensure that it closes properly A risk assessment must be carried out on the unlocked laundry room door to ensure the safety of residents. 30/11/07 30/11/07 30/11/07 30/11/07 30/11/07 30/11/07 30/11/07 30/11/07 30/11/07 15/11/07 15/11/07 Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA24 YA27 Good Practice Recommendations The stained carpet in the entrance porch should be cleaned or replaced. The bathrooms and shower rooms throughout the home would benefit from a facelift to make them more welcoming. Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Lorne House DS0000000011.V348633.R01.S.doc Version 5.2 Page 29 - 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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