Inspection on 29/01/08 for Lyndon Hall Nursing Home

This inspection was carried out on 29th January 2008.

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 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

Lyndon Hall Nursing Home 14/10/09

Lyndon Hall Nursing Home 23/06/09

Lyndon Hall Nursing Home 11/09/06

Lyndon Hall Nursing Home 29/11/05

Lyndon Hall Nursing Home 05/05/05

Lyndon Hall Nursing Home 11/10/04

Lyndon Hall Nursing Home 27/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Lyndon Hall Nursing Home Malvern Close West Bromwich West Midlands B71 1PP Lead Inspector Mrs Mandy Beck Unannounced Inspection 29th January 2008 09:00 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 Lyndon Hall Nursing Home DS0000004800.V358394.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. Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyndon Hall Nursing Home Address Malvern Close West Bromwich West Midlands B71 1PP 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) 0121 500 5777 0121 500 5551 lyndonhall@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Ltd Kerry Bridget Jackson Care Home 80 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (40) of places Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Poppy Unit accommodates 20 DE (E). Sunflower Unit accommodates 20 DE (E). Rose Unit accommodates 20 OP. Bluebell accommodates 20 OP. Date of last inspection 11th September 2006 Brief Description of the Service: Lyndon Hall Nursing Home is a purpose built three-storey building, which was constructed approximately eight years ago. The Home is set in attractive grounds surrounded by mature trees. There are ample car parking facilities available. Entrance to the home is through a secure door that leads into a small reception area. Accommodation is provided on the ground and first floor with staff room and meeting room on the second floor. The home is divided into four 20 bedded units, namely Poppy, Rose, Sunflower and Bluebell. Poppy unit and Sunflower are registered for the care of service users with Dementia and are situated on the first floor. Rose and Bluebell are situated on the ground floor and are registered to accommodate residents who are elderly and frail. Each unit has a large lounge and separate dining room for communal use. There is also a quiet lounge situated on Bluebell. There are seventy-eight bedrooms in total, sixty-six single rooms with en-suite facilities and two double bedrooms both also having en-suite facilities available on Sunflower and Rose units, and ten single rooms without en-suite facilities, five on Poppy and five on Bluebell. Assisted baths are available on each unit. A shaft lift is available to provide access to all floors. Lyndon Hall Nursing Home DS0000004800.V358394.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 to the home. It was undertaken by two inspectors and lasted from 09:30 to 17:00 hours. We used various methods of information gathering to help us make the judgements in this report. The home has given us information about the service they provide in their Annual Quality Assurance Assessment (AQAA) we have used this information in the body of this report. We have also used information from the thematic inspection the home was involved in with the Commission for Social Care Inspection (CSCI). The Thematic inspection looked specifically at how the home upholds the rights of privacy and dignity for people with dementia and how they support them in their daily lives. Copies of this report are available upon request from the Commission for Social Care Inspection. We spent time talking to staff and the people who use this service to find out what life is like at Lyndon Hall. We looked in depth at the care records of some of the people who use this service. This forms part of our case tracking process and enables us to make decisions about whether the home is meeting the needs of the people who live in the home. We would like to thank all of the people at Lyndon Hall for their hospitality throughout this inspection. The quality rating for this service is 3 stars. This means that people who use this service experience excellent quality outcomes What the service does well: The home will give you good sources of information about the service they provide and what you can expect when you move in. People’s needs are assessed in full prior to admission so that when they move in they are confident the home will know their needs and be able to care for them. Care planning and healthcare are good and people can expect to be treated with respect and dignity at all times. Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 6 There are plenty of activities in the home to keep people occupied and the home will support people in keeping in touch with friends and family. The manager told us “Lyndon Hall is trying to move away from the stereotype of a nursing home, we want it to feel more homely for people”. People can feel confident that any concerns or complaints they have will be listened to and acted upon. People can expect to be kept informed about the progress of their complaint and the findings of an investigation in to it. The home is well maintained; it offers a relaxing place to live. It has also taken recommended good practice and used it to develop “touch and tell” corridors in the home for the benefit of the people who live there. This is particularly well received on the two units that offer care for people who have dementia. The staff group at Lyndon Hall are very welcoming and friendly. They are eager to help and to listen. They have regular training that makes sure that they are kept up to date with current best practice. What has improved since the last inspection? The home now has an excellent manager who is motivated and very enthusiastic about moving the service forward in the best interests of the people who live there. The manager has addressed the outstanding requirements from the last inspection. For instance staff now received supervision on at least a two monthly basis. This means that staff are supported, their training needs are readily identified, any difficulties in care provision are highlighted and addressed. The storage provision for continence products has been resolved and now showers are no longer packed with excessive equipment making bathing time a more relaxing experience for the people who live there. The garden has been improved and is now a much more relaxing place for people to be. The manager said “it so nice to have such a relaxing place for our residents to visit, its cold now but they’ll be using it in the summer”. Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 7 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. Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 8 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 Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4,6 Quality in this outcome area is good. People who may choose to live at this home will have good sources of information to help them make choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The information the home provides to people who are thinking of living there is very good. During the thematic inspection we recommended that the Statement of Purpose be updated to include the details of the specialist dementia care the home provides and the training staff have as a result. It was pleasing to see that the manager has done this. This means that people will now have a comprehensive and clear idea about the service the home will provide. We looked at several people’s care plans as part of our case tracking process. People have their own assessment of need. This helps the staff and the people who use this service plan the care they need and forms the basis for person Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 10 centred care. The manager visits people in their own home or hospital prior to admission being agreed, she does this to make sure the home is able to meet the needs of the people she is assessing and the answer any questions they may have. The manager told us in the homes AQAA “we encourage all potential residents to take the opportunity to come with their next of kin for lunch or to dinner and to spend the day with us”. People do receive a contract of residency. This document outlines the roles and responsibilities of the Southern Cross Healthcare as providers and of the service user. The manager told us that fees are included in this contract but the Registered Nursing Care Contribution (RNCC) is not included because they are not aware of this at the point of admission. People are usually assessed for the RNCC following admission. She also told us that those people who pay for their care privately are expected to pay more for their care than those who are funded by social services. This home does not provide Intermediate care services. Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10,11 Quality in this outcome area is good. People who use this service can feel confident that their healthcare needs will be met. They will be treated with respect and dignity at all times This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person has their own individual plan of care based upon their needs. The home screens people for their risk of developing pressure sores, falls and moving and handling. Each of these risk assessments is kept up to date with people’s changing needs. The manager said in the AQAA “care within Lyndon Hall has dramatically improved with the introduction of more care plans”. We found that each person has around 18 care plans on average. We found in some cases care plans were repeated and could potentially be reduced. For example one person had three care plans that addressed dementia care and another had three care plans for risk of falling. People can expect that their care plans will be reviewed regularly and their families will be included if required. Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 12 We saw that people have access to their doctor when they need it. They also receive care from specialist nurses such as the Tissue Viability Nurse, community mental health nurses and other health professionals. Medication systems within the home are good. Trained staff administer medication and there are systems in place to make sure people have the right medication at the right time. If people require medication on an “as required” basis there are care plans in place that describe when medication should be given and staff will then record if this medication has been effective. The home has effective systems in place for ordering, receipt of and storage of medication. They are recording the temperature of the treatment rooms and medication fridges. This makes sure that all medication is stored within the recommended ranges. People who live in this home can expect to be treated with respect and dignity at all times. Staff are aware of the importance of this and they have training in Privacy and Dignity during their induction. When we spoke to staff they were able to give good examples of how they would help maintain someone’s dignity such as knocking doors before entering rooms, covering people up when carrying out personal care to avoid embarrassment. The home is also trying to improve the end of life care it gives to its residents by arranging training for staff with the local Primary Care Trust. The manager told us “this is give staff a greater awareness of the importance of care given during the last days of a residents life”. Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15 Quality in this outcome area is good. People are supported to take part in activities and to maintain their relationships with friends and family. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has been a lot of improvement in activity provision within the home. The home has told us “ we have introduced more daily outings for a lot more residents, use of public transport and we are organising more shopping trips or those residents who want to get out and buy their own clothing”. During the inspection we saw people taking part in a variety of activities such as skittles, singing along to music, reminiscence chats and playing ball. Throughout each of these it was clear to see that people were enjoying it. In addition to this the home has taken steps to provide a stimulating environment for the people who live there. There are also “touch and tell” corridors and doll therapy for people to take part in. The home also produces a newsletter to keep people informed of events taking place in the home and of any changes that may be happening they should be aware of. Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 14 The home is host to coffee mornings where they invite members of the local community to come into the home and spend time with the residents. The manager said that this have proved very successful. Visitors are encouraged to come to the home when they wish or as residents allow. The manager holds monthly residents meetings and the minutes are left in reception for people to read. People are encouraged to take control of their finances should they choose to do so. The home will support them in doing this. The manager has also arranged for staff to have training that will give them an understanding of their roles and responsibilities under the Mental Capacity Act 2005. This will help those people who may not have the capacity to make decisions about their care and treatment. In order to improve the nutritional content of the food the home supplies to the people who live there, they have introduced the “nutmeg system”. This system helps staff plan meals that are nutritious and healthy. People we spoke to said the food was very nice. We sampled some of the food and thought it was very tasty. Each person has a choice of two meals at each mealtime; the home will also cater for people who require specialised and cultural diets. Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 15 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): 16,18 Quality in this outcome area is good. People can feel confident that their concerns, complaints will be addressed. The can feel safe and protected by the staff who work there This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has received complaints and has responded to them. People who contacted the CSCI said that the home had been very helpful in meeting their needs and addressing their concerns. The complaints procedure is visibly displayed for service users to access. The manager told us “all complaints no matter how small are dealt with within 28 days and the person making the complaints is invited to a meeting with myself, complaints are dealt with very seriously”. All of the staff in the home have received training Adult Protection and are aware of the signs of abuse. They are also aware of what to do if an allegation of abuse is made to them. Training in undertaken in the home by the home’s trainer and includes guidance from the local authority. The home has had no allegations to deal with in the last twelve months. Lyndon Hall Nursing Home DS0000004800.V358394.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): 19,26 Quality in this outcome area is good. The home is well maintained and a pleasant place for people to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well maintained and staff have worked well to brighten up the environment for service users. There are themed corridors and rooms. The manager told us “rooms are decorated on a monthly basis, all nursing equipment such as hoists are monitored 6 monthly”. People who need specialist equipment receive it. For instance those people who need pressure relieving equipment or specialist beds. Each person is encouraged to personalise their room so that it feels for familiar for them. “Lyndon Hall is coming away from the nursing home stereotype and more of our rooms are of a homely nature”. Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 17 Out side of the home the garden has been completely refurbished and although it is still cold some of the service users have made good use of it. It is designed to offer sensory stimulation to service users along with a relaxing place to sit and enjoy the garden. There are good infection control procedures in the home. Staff receive regular training so that they are aware of current good practice in preventing the spread of infection. There is liquid soap and paper towels in toilets and bathrooms for people to wash their hands with. Staff have access to gloves and aprons. All of the above will help reduce the spread of infection. There is good laundry provision. Each of the washing machines have a sluice cycle on them, this means that bedding, towels and other items are washed at temperatures to rid them of bacteria. Lyndon Hall Nursing Home DS0000004800.V358394.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): 27,28,29,30 Quality in this outcome area is good. Staff are available in sufficient numbers to meet people’s needs. They have the required skills and knowledge to meet people’s needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Throughout this inspection there were sufficient staff on duty to meet the needs of the people who live there. We spoke to one relative who said, “sometimes staff can be a bit difficult to find but they are usually busy with other residents”. “The staff are always very helpful”. The manager has worked hard to source free training for her staff. At present all of the current staff group have achieved their National Vocational Qualification level 2 (NVQ) in health and social care. It is hoped that all the staff will progress to do their level 3 this year. The qualified nursing staff are being encouraged to take on more training, all of the unit managers at Lyndon Hall are now in the process of completing their Registered Managers Award (RMA). This will give them an increased managerial skills and knowledge to assist them in day-to-day practice. The home also has dedicated trainers who responsible for training the rest of the staff. Subjects include mandatory Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 19 topics such as infection control, moving and handling and fire safety. This is an excellent achievement for both the manager and staff alike and they should be commended on their achievements. New workers continue to be recruited safely, the home will make sure that all new staff have the required Criminal Record Bureau (CRB) and Protection of Vulnerable Adults list (PoVA) checks before they begin employment. All new staff are supported through a comprehensive induction and are supported by senior staff until they are competent. Lyndon Hall Nursing Home DS0000004800.V358394.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): 31,33,35,38 Quality in this outcome area is excellent. People live in a home that is managed well and run in their best interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home is Kerry Jackson. Since her appointment she has worked very hard to improve standards of care for the people who live there. She has taken time to listen to her staff and is respected by them. She ahs sourced a lot of training for staff to do; this means that their knowledge and skills have been enhanced. Staff told us “Kerry helps us to expand our minds, it great we are doing more training. The home is now much more stable and a nice place to work”. The manager has increased the frequency that staff have supervision. This means that training needs and areas of difficultly are identified and addressed promptly. Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 21 In order for the home to meet the needs of the people who live there, regular monitoring of standards is undertaken. The manager also meets with residents and their families so that she can talk to them directly and get a better understanding of the service they would like to see provided. It is disappointing that none of the people we invited to answer our questionnaires did so. This is also something that concerns Mrs Jackson who said, “it is a historical problem, people have never filled in questionnaires, we recently had a visit by the Commissioners and because none of our relatives answered their questionnaires our quality rating dropped with them”. Mrs Jackson is working hard to change this by holding manager surgeries and relative meetings but she said that they were poorly attended. We spoke to one relative during this inspection that told us “they are so good here, I have heard about the meetings but to be honest if I have concerns I’d go straight to the manager anyway, she’s very helpful”. Recently a new system has been introduced for dealing with service users monies. The BIFFS system keeps individual records of each person’s money and is a computerised system. Each person is encouraged to keep a small amount of cash for “just in case items” such as hairdressing, outings or events. Money is easily accessible for service users. The home is regularly audited to make sure that records are up to date and service users money is handled safely. The organisation now has a “Trained Trainer” in each of its homes. Lyndon Hall is no exception and had staff qualified to deliver training to staff. This means that there is an excellent record of staff training. Each person has training in health and safety, moving and handling, food hygiene, first aid and fire safety. We also looked at the safety records in the home, such as gas safety, hoist servicing and other equipment. All of them were up to date this will also contribute to the health and safety of service users in the home. Lyndon Hall Nursing Home DS0000004800.V358394.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Lyndon Hall Nursing Home DS0000004800.V358394.R01.S.doc Version 5.2 Page 25 - 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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