Inspection on 23/08/05 for New Lodge

This inspection was carried out on 23rd August 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

New Lodge 09/03/09

New Lodge 29/01/08

New Lodge 03/10/06

New Lodge 20/02/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 New Lodge 971 Lightwood Road Longton Stoke on Trent Staffordshire ST3 7NE Lead Inspector Jane Capron Announced 23 August 2005 9:30 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 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 Stationary 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. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service New Lodge Address 971 Lightwood Road Longton Stoke on Trent Staffordshire ST3 7NE 01782 208590 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Delam Care Ltd Phillip Paul Baddeley Care Home 4 4 Category(ies) of LD registration, with number of places New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8/2/05 Brief Description of the Service: New Lodge is registered for four younger adults with learning disabilities. The home was commissioned specifically for the four current service users. The service users have complex needs that include autism, severe learning disability, challenging behaviour and physical disability. The home is located on the main road in a semi rural location on the outskirts of a small village. The home is a spacious four bedroomed detached house with a large front and a paved patio area at the rear. The home is set back from the road with parking facilities for staff and visitors. The home was generally well decorated in a domestic and homely manner whilst considering the needs of the service users. There are few facilities in the immediate area and the service users have their own transport that they fund that enables them to access a range of educational, social and leisure activities away from the home. The home provides single bedroom accommodation for all the service users. Three bedrooms are provided upstairs and one on the ground floor. However the home is not suitable for permanent wheelchair users. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day lasting approximately four hours. The home’s facilities were inspected. The staff on duty were spoken to as well as the registered manager. On the day of the inspection two of the residents were away with three staff on holiday in Wales. The other two residents were at the home. During the inspection the staff were observed interacting with the residents and supporting them in undertaking activities. The procedures for the administration of medication and for managing residents’ finances were inspected. A relative survey was undertaken prior to the inspection and the responses received were positive about the care provided by the home. One relative was spoken to during the inspection and they were satisfied with the service provided and spoke highly of the staff. Since the last inspection there have been no complaints received and there have not been any additional visits made to the home. What the service does well: The residents receive a good standard of care having their personal care and health care needs met in way that respects their privacy and wishes. Staff ensure that residents have their hair and nail care attended to. Residents clothing is of a high standard being appropriate for their age. The home provides varied meals that meet the residents’ preferences and their health needs. Residents have a varied and fulfilling lifestyle and undertake a wide range of educational, leisure and social activities and go out of the home on a near daily basis. Residents are supported to make the decisions they can about their lives and staff are aware of their individual methods of communicating their likes and dislikes. Staff have developed positive relationships with residents and are fully aware of their individual needs and how these should be met. Staff have the necessary knowledge and skills to meet the needs of the residents and are aware of their role in supporting the residents to be as independent as possible and to provide them with a good standard of care. Staff are committed to the residents’ welfare and have a caring attitude. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 6 The resident’s benefit from a home that is well run with the manager and deputy providing the staff with support and supervision. The home’s recruitment and selection procedures were adding to the protection of residents through ensuring that staff had the necessary pre employment checks. The home provides suitable accommodation with bedrooms being of good size and suitable communal rooms. What has improved since the last inspection? What they could do better: Whilst overall the home was providing a good standard of service to the residents there were certain areas that needed to be addressed. There was evidence that some care plans needed to be reviewed to ensure that staff had the necessary information to be able to meet the needs of the residents. There were some environmental issues that could be a hazard that needed to be addressed including repairing or renewing the stairs’ carpet and ensuring suitable locking was on bedroom doors that ensured privacy whilst allowing the easiest exit possible. The home also needed to continue to pursue suitable seating to remove the need for a resident to sit at the dining table in their wheelchair. The home also needed to ensure that the moving and handling updates are completed. This requirement was made at the last inspection and has not yet been addressed. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 7 Two recommendations were made. Firstly that the home consider looking at an alternative method of hanging curtains due to residents pulling them down and secondly that consideration be given to redecorating the back bedroom. 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. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 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 standard(s) 2,3,4,5 Whilst there have been no admissions the home’s policy was to undertake assessments to ascertain a person’s suitability for the home and to provide opportunities for prospective residents to visit the home before a decision was made over admission thus ensuring that the home was best placed to meet a service users’ needs. Local Authority contracts were provided ensuring that the representative of the resident was aware of the service to be provided and the rights and responsibilities of all parties involved. EVIDENCE: New Lodge was commissioned specifically for the current residents and all were subject to assessment prior to admission to the home. Therefore the home was specifically designed to meet the needs of the current residents. Assessment documents were on file. There have been no new admissions since the home was registered however it is the home’s policy to undertake any assessments prior to consideration of a resident moving to the home and to have a programme of introductory visits. Contracts from the local authority were provided and were present in the resident documentation. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9 The care planning process identified the needs of the residents and how these should be met but certain elements did need to be reviewed to ensure that staff had the current information to meet the needs of the residents. The staff supported the residents to make decisions and to participate in activities within the home providing them with activities they liked and ensuring that where possible their wishes were respected. The residents were supported to live their lives in a manner where risks were minimised and where there were no unnecessary restrictions in place. EVIDENCE: Plans of care were present on files. These identified the needs of the residents including health, personal care, leisure, occupational and social needs including contact with family members. Individual procedures were in place to respond to any incidents of aggression and self-harming behaviour. The methods of residents’ communication were identified. Advocates had been involved in the care planning process. Whilst there was evidence of review there were some elements of the care plans that needed review. The home had a key worker system in place. Risk assessments had been developed covering issues such New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 11 as accessing the community, bathing, undertaking social activities and using the kitchen. These had been regularly reviewed. Staff supported residents in taking the decisions that they were able. The staff were aware of the residents’ individual method of showing their preferences through non verbal methods of communication. Residents for example decided when to get up and go to bed. Staff took note of individual preferences when organising day outs, activities and menu planning. The home involved family members and/ or social workers in the taking of some decisions. The home completely managed the finances of two residents and managed small amounts for the other residents. Suitable records were being kept with receipts supporting expenditure. The residents’ ability to be involved in the day-to-day running of the home was limited but all had some involvement. All were involved in doing the weekly shop and some undertook some tasks such as taking a plate to the sink or putting something in the dishwasher. Even if they were not able to assist they were present with staff when for example their bedrooms were cleaned or when meals were cooked. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 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 standard(s) 12,13,14,17 The arrangements for educational, social and leisure activities were good providing residents with a varied and fulfilling lifestyle. The home provided a varied menu that responded to the preferences and dietary needs of the residents. EVIDENCE: All the residents had attended college three days a week over the last year undertaking a range of courses relating to leisure, arts and crafts and independent living tasks. From September one resident will no longer be attending college and the home has developed a schedule of activities for this resident that included activities such as dog walking and helping at a farm every week as well as leisure and social activities. The home organises a range of social and leisure activities for all the residents including going out for walks, going out for meal and drinks, swimming, shopping and out on day trips. All the residents had been on holiday this year. The residents funded their holidays. Within the home staff support individual residents to undertake activities, which they enjoy such as baking, drawing and painting, board games, puzzles, watching T, videos and listening to music. One resident with New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 13 sensory needs had a range of sensory equipment such as musical instruments and lights. The home had a car that was funded by the residents. The home provided a varied menu based around the residents’ preferences and health needs. The home provided an individual menu for one of the residents with specific dietary needs. All the food and fluid intake of the residents’ was monitored and they were weighed regularly. The time for meals varied depending on the activities and schedules of the residents. Breakfast was taken whenever a resident got up which varied from around 8 am to 11am. Lunch was of the snack type with the main meal being in the early evening. Lunch could be at the home or often was taken at college or out whilst on an activity such as shopping. The menu for evening meals showed variety and the use of fresh fruit and vegetables. Snacks were available between meals and a supper was provided. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 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 standard(s) 18,19,20 The home’s procedures for providing personal care ensured that residents received the care they needed and that their preferred routines were respected. The home was meeting the health care and medication needs of the residents. EVIDENCE: The personal care needs of all the residents was identified in the care plans. Staff spoken to were aware of the residents’ individual routines and preferences over how they liked their personal care tasks to be undertaken. Staff were observed explaining to residents what tasks were to be undertaken and how these were to be completed. Residents’ hair and nail care was being attended to and residents were suitable dressed in age and weather appropriate clothes. Residents went shopping with staff to buy personal items such as clothes and toiletries. The home ensured that wheelchairs were serviced and that reassessments took place to ensure that residents had the correct equipment. The home was in the process of trying to find a suitable chair for one of the residents and this action needs to be pursued and the views of an OT sought. The residents attended the GP or consultant when necessary. Residents received dental and eye checks and attended for chiropody. Staff also supported residents with nail care. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 15 All the residents were receiving medication administered by the staff and the home had a monitored dosage system in place. The necessary records were in place and these showed that medication was being administered as prescribed. Where medication had to be placed in food the reasons for this was recorded and the resident was informed at the time that medication was being given. Staff had received some training in medication and all staff were assessed by senior staff before starting to administer medication. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 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 standard(s) 23 The home had adult protection procedures in place that should provide the residents with protection from abuse and should ensure that any concerns are responded to appropriately. EVIDENCE: The home had procedures in place to respond to potential incidents of adult protection. Staff had received training in adult protection and staff were aware of how to respond to concerns. The home’s staff were aware of issues over aggression and self harm and had individual procedures in place to deal with any incidents. The home had procedure to safeguard the residents’ finances. Suitable records were being kept, receipts supported expenditure and the accounts were regularly checked. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 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 standard(s) 24,25,26,27,28 The home’s premises were satisfactorily maintained and provided residents with a good domestic and homely environment having suitable bathing and communal accommodation however the upgrading of the stair carpet would enhance the home and remove a potential hazard. The bedrooms were of a good size and were suitably furnished and decorated providing residents with good private accommodation, however there was a need to address the locking systems of bedrooms to ensure they combined privacy with the ability to exit the bedroom as easily as possible. EVIDENCE: The care home premises were in a detached family home that was indistinguishable from other properties in the area. The location of the home meant that there were few services in the area and to access resources the home used the home’s car. The home was decorated in a homely and domestic manner throughout. The home provided single bedroomed accommodation, one of which had ensuite facilities. All were of a good size. The home had a large lounge and a kitchen/ diner. There were bathroom facilities with bath, shower and toilet both upstairs and downstairs. The laundry facilities were in the garage. The home had a large front grassed area and a patio area suitable New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 18 for sitting at the rear. The home had the use of a maintenance person and the level of general maintenance had improved with the exterior in the process of being painted and some internal decorating, including one bedroom taking place. Some curtains were not hanging correctly due to residents pulling them and the stairs carpet was badly worn in areas. Previous issues identified at the last inspection had been addressed. The bedrooms were furnished and decorated to meet the specific needs of their occupants. All rooms had suitable bed and clothes storage space. Bedrooms were lockable and provided privacy and prevented other residents from accessing other’s bedrooms. Due to residents accessing other’s room during the day and night resident’s bedrooms were kept locked. Whilst one resident was able to use the lock to exit the bedroom the home needed to ensure that the lock fitted enabled the resident to exit their bedroom in the easiest manner possible and this room would benefit from a system whereby although the room is locked from the outside the door is never locked from the inside. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,36 The knowledge, attitude and skills of the staff and the amount of staff on duty provided the type and level of support that was required for the residents to have their needs met. The residents were benefiting from staff that were supported and supervised by the managers of the home. The residents were protected by the recruitment procedures of the home. EVIDENCE: Staff files confirmed that the home undertook the necessary pre employment checks. Staff were provided with job descriptions and a contract. Discussions with staff confirmed that they were clear of their role in supporting the residents to be as independent as possible and to live a fulfilling and varied life. Staff spoken to were fully aware of the residents’ needs and of their preferences. They were aware of the individual communication methods of the residents. Staff were observed interacting with residents in a positive and caring manner. Staff were approachable and seen to be well motivated and committed to the residents. The home had a number of staff qualified to NVQ 2 and 3 (28 ) and was working to achieve the standard of 50 qualified with some staffing commencing training in September. The home has a core of staff that had worked at the home for a number of years. There have been New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 20 some staff changes with some leaving and some new staff starting over the last six months. The home is looking to recruit to further staff. The current staff group make up the shortfall of hours. The current staffing levels allowed for a minimum of two staff on duty but an examination of the rosters shows that this level of staff occurred rarely and such a level of staff would not be able to meet the needs of the four residents over anything but a few hours. The usual level of staff was three on duty with at times five on duty during the day. The staffing hours allowed the flexibility for increased staff to be rostered on duty at times when they were needed for example when all the residents were in the home or for specific activities. At the time of the inspection three staff were on holiday with two residents and three staff were on duty in the home. Night cover was for one waking staff member and a sleep in staff member. Staff were provided with support receiving regular individual formal supervision. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,42 The residents were benefiting from a home that was well run with a manager that had the necessary knowledge, experience and skills and had the necessary qualification. The home’s health and safety procedures were in the main providing the residents with an environment that was safeguarding their health and welfare. EVIDENCE: The Care Manager was qualified to NVQ Level 4 and had the knowledge and skills to be an effective manager. He had a relaxed and open management style and was approachable. He undertook periodic training to ensure his knowledge and skills were up to date. The home had a health and safety policy in place and had developed a range of risk assessments for safe working practices. The home had policies in place for the storage and use of hazardous substances. Fire procedures were in place and the fire risk assessment had been reviewed. The necessary testing and servicing had been completed. Staff had undertaken a range of training including fire, food hygiene and first aid. Manual handling training updates New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 22 were overdue. Some infection training was completed as part of induction training. The temperature of water was regulated and records of temperatures were being kept. The home had received a satisfactory inspection from the local authority environmental department. The home had the necessary insurance in place. New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 2 3 3 x x Standard No 11 12 13 14 15 16 17 x 4 4 4 x x 4 Standard No 31 32 33 34 35 36 Score 3 3 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 New Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 4 3 x x x 2 x E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 24 yes 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. 2. 3. Standard 6 24 26 Regulation 15 13(4)(a) 13(4)(a) Requirement To ensure that care plans are reviewed To repair or replace the carpet on the stairs To ensure that suitable locks are fitted on bedroom doors that combine privacy with easy exit from the room. The home to contunie to pursue suitable seating for the resident that was currently sitting in their wheelchair to eat meals. To ensure that lifting and handling updates areprovided to all staff. Timescale for action 23/9/05 23/11/05 5/9/05 4. 29 23(2)(n) 23/11/05 5. 42 18(1) 16/9/05 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 24 24 Good Practice Recommendations To consider changing the method of hanging curtains to respond to residents pulling them down. To redecroate the back bedroom New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 New Lodge E51-E09 s64018 New Lodge 230805 v240604 Stage 4.doc Version 1.40 Page 26 - 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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