Inspection on 25/09/06 for Sahara Lodge

This inspection was carried out on 25th September 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sahara Lodge 28/01/09

Sahara Lodge 28/01/08

Sahara Lodge 21/02/06

Sahara Lodge 13/10/05

Sahara Lodge 05/07/04

Sahara Lodge 17/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Sahara Lodge 143 Earlham Grove Forest Gate London E7 9AP Lead Inspector Unannounced Inspection 25th September 2006 10:00 Sahara Lodge DS0000022847.V312020.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 Sahara Lodge DS0000022847.V312020.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. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sahara Lodge Address 143 Earlham Grove Forest Gate London E7 9AP 0208 555 3735 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) Sahara Homes (UK) Limited Mr Fusheini Sualisu Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registration inclusive of basement flat at 141a Earlham Grove The home can accommodate one (1) named service user over the age of 65 years. 21st February 2006 Date of last inspection Brief Description of the Service: Sahara Lodge is run by Sahara Homes (UK) Limited and is registered to provide accommodation, care and support for nine people with learning difficulties. It consists of two separate units, a semi-detached care home for eight service users and an adjacent basement flat accommodating one service user. Sahara Lodge is aimed at service users with learning disabilities who may also have challenging behaviours. It provides twenty-four hour supervision and support in a secure and safe environment. This includes one wake in and one sleep-in member of staff. The basement flat is also provided with twenty-four hour support by staff from the care home. At present this includes one sleep-in staff member at night. Sahara Lodge is close to local amenities including a park, shops and leisure services. Forest Gate station is close by and there are good bus routes to Stratford. The Provider, Sahara Homes (UK) Limited, also owns two other homes in East London for people with learning disabilities, Shrewsbury Road and Cranbrook House. The home’s current fees range from £950 to £1,200 per week after which there are individually assessed specialist fees. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 25th September 2006. The manager was approved by the CSCI as the Registered Manager in June this year and was present to assist the inspector. There are seven service users resident in the home at present and two vacancies. Three of the service users were at the home, the other four were at day centres on the day of inspection. There was three care staff on duty at the time of the inspectors’ arrival. The inspector toured the premises and spoke with the manager, two service users and all three staff members. The inspector also examined three service user files, three staff files and examined a range of records and documentation. The inspector reviewed all requirements given at the last inspection for compliance. What the service does well: What has improved since the last inspection? What they could do better: The Registered Manager must address all requirements given within timescales specified in reports. Compliance has not been achieved in four requirements given at the last inspection, including risk assessments, which had been identified as an area needing improvement over the last two inspections. Standards must be raised where shortfalls are identified. Six new requirements are also given and are related to the improvement of the health, safety and welfare of the service users. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 6 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. Sahara Lodge DS0000022847.V312020.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 Sahara Lodge DS0000022847.V312020.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users’ needs are assessed. The home demonstrates its capacity to meet assessed service users’ needs. Information for Service users concerning the home’s services and facilities has improved. EVIDENCE: The Registered Manager informed that the Statement of Purpose had been updated following the last inspection as required. The inspector was informed that the document had been updated twice, more recently to reflect new recruitment procedures and was currently at the printers. The Statement of Purpose must be available at the next inspection. The Service Users Guide was satisfactory. The inspector has viewed service users’ assessments at previous inspections and is satisfied that service users’ needs are assessed prior to admission. No new service users have been admitted. Prospective service users are able to visit the home prior to admission. Pictorial contracts are available to service users in Makaton. The home has shown its capacity to meet assessed needs evidenced through records kept in service users’ files, the knowledge, skills and commitment demonstrated by staff and in the ongoing development of service users in the home. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 9 Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported to take risks as part of an independent lifestyle. Care plans have generally improved however more work is required to bring them up to standard. A requirement from the last inspection for the improvement of service users’ risk assessments remains outstanding. An effective system of risk assessment must now be developed. EVIDENCE: The inspector was satisfied that the home consults with service users on personal matters and matters affecting living in the home. Service users’ decision making and personal development is encouraged and supported by staff. At the last inspection requirements were given to improve care plans to include all service users’ needs identified through risk assessments and both for the system of risk assessment and for the identification of risks to service users to improve. Four service users’ care plans and risk assessments were examined. Care plans seen had outlined service users’ needs. However actions required to meet identified needs must improve, i.e, the recorded action Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 11 required for one service user with agitated behaviour was ‘to supervise when necessary’. In contrast a need for one to one support and supervision had been identified elsewhere in the care plan. Generic terms such as ‘when necessary’ are not specific enough therefore support needs must specifically outline actions required. Two of the care plans were not signed by the service users or their representatives. The manager must ensure good record keeping in files. In one file, an old care plan and new care plan were stapled together, however there were no dates, the pages were not numbered and it was unclear which was the old and which was the new plan. At the last inspection, the inspector recommended that only the current documents should be stored in service users’ files, or for a clearer system of filing documents. A clearer system of filing old and updated documents is now a requirement. The inspector was disappointed that the requirement for service users’ risk assessments to improve had not been addressed. The risk assessment, which remains combined with care plans, method remains inadequate compared with the old method of risk assessment used by the home. As stated in the previous report, service users’ risk are not adequately identified, they may not be comprehensive according to assessed needs and in some cases the risks may not be identified at all. For example, one service user who was doubly incontinent had no associated risk linked to this. This format could also encourage a lack of consistency among staff in completing assessments in terms of how risks are identified without a formal system of risk assessment and adequate training. This requirement is restated and must be complied with within the timescale specified. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have opportunities to improve their personal and social development through appropriate individual and social activities. Staff are committed to meeting the individual and collective needs of service users and uphold their rights to privacy, dignity and respect. EVIDENCE: Records of activities examined in service users’ files evidenced that service users are supported to exercise their independent living skills where capable, as in their participation in cooking; shopping; laundry; washing up and in their personal care. The inspector observed a service user preparing some food in the kitchen on the day of inspection. Service users are encouraged to develop their social and communication skills, with support for the particularly vulnerable from the Community Team for people with Learning Difficulties. Currently service users attend four different daytime clubs for people with Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 13 learning difficulties as well as attendance at college, to engage in art, social events, sports and other leisure activities, according to their preferences. Other service users who have declined such activities are encouraged to engage in other social and community activities inside and outside of the home with the support of staff. These include golf, bowling, going to the cinema, meals and drinks out to a restaurant or pub; trips in the minibus and visits to church. Inside the home there are various activities such as arts and crafts. Two service users made significant progress in the home and had moved on towards semi independent accommodation. Contact with family and friends is encouraged. Meals are discussed at service users’ meetings and a range of healthy food was available on the menu, including culturally preferred choices such as African food. Foods consumed by service users are recorded. Staff show sensitivity and respect to service users who require privacy within their rooms. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to maximise their personal development with dignity and respect. Their physical, mental and emotional health needs are met. Medication practises are safe. An outstanding requirement regarding service users’ views on death and dying care needs has not been met. EVIDENCE: Service users interviewed indicated that they are treated well and with respect by staff. Staff were knowledgeable of the support needs of individual service users and demonstrated appropriate interaction showing sensitivity and respect to service users. Files contained correspondence and reports from multi-disciplinary professionals through the local health services and Local Authority, including professional assessments and health appointments. The consultant psychiatrist reviews service users with behavioural or emotional needs. Medication administration and records were checked and deemed to be correct at the time of inspection. An outstanding requirement to obtain signed statements from each service user concerning their views and preferred arrangements in the events of ageing, illness or death has not been met. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 15 Some signed statements were available in the files, however the manager informed that consultation with service users’ representatives had not produced the feedback required. It is essential that this information is obtained for each service user and this requirement is restated. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know how to complain and are currently satisfied with the home. Their views are responded to on an ongoing basis which results in a lack of complaints. Adult Protection matters are investigated and dealt with. EVIDENCE: There were no recorded complaints since the last inspection. The manager and staff informed that service users were satisfied with the home and that no complaints had been expressed. This view was supported by documents and minutes of service users’ meetings seen by the inspector and by positive statements given by service users directly to the inspector, who stated that they liked the staff and the home. The complaints policy is satisfactory and also available in pictorial form seen on the wall in the lounge. The inspector checked service users’ personal finances and receipts were available for transactions and and balances were accurate. Two respective adult protection referrals from two service users were investigated by the manager. The investigation was inconclusive on both occasions. The manager informed that one of the service users had a history of making similar complaints both in the home and prior to her admission. Staff receive protection of vulnerable adults training. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a homely, comfortable and safe environment, which is suitable to meet their needs. The bathroom in the adjacent flat needs to improve to create a more homely and less clinical atmosphere. EVIDENCE: Service users live in a comfortable, clean environment. There are pictures of staff and service users mounted on the wall in the lounge. There were new sofas in the lounge. Holiday photographs are framed, providing an improved homely atmosphere. Service users’ rooms are furnished with personal items such as photographs, pictures, furniture. There are sufficient toilet and bathroom facilities. There is a combined lounge and dining room with a large television and 3 sofas. There is a kitchen and laundry room sufficient to meet service users’ needs and a garden, which is well designed with a patio, table and chairs. An outdoor golf pitch is in the process of being completed in the garden. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 18 The inspector viewed the adjacent flat. The bathroom had bare white walls and there was a sterile feel to the room. The room would benefit from a bathroom cabinet as personal items were left out to view. The manager needs to promote a homely environment for all areas occupied by service users in their home as specified in National Minimum Standards. There is a gate into a second garden at the back of the house. Once through the gate, there is a railway line at the back which is easily accessible. Access to the railway line must be blocked off and prevented to ensure the safety of service users. The home is unable to cater for service users with physical disabilities who require adaptations. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from staff who are clear on their roles and responsibilities and who receive ongoing training and are knowledgeable in responding to their needs. However outstanding requirements regarding staffing are restated. Evidence of how staff are deployed in the home must be available. EVIDENCE: The inspector had discussions with three staff members. Staff interviewed confirmed that they attend team meetings, receive support from their manager and regular training. However regular supervision, a minimum of six times a year, is required. The inspector was satisfied that staff were knowledgeable about their roles and responsibilities and the individual needs of the service users. There are fifteen permanent staff members in all. The inspector viewed that there are sufficient staff numbers to meet the needs of the service users. The care staff working shift system has been simplified. Also only full- time staff, not part- time, are allocated to service users for consistency and for knowledge required to work with service users. There is now continuity of care staff in the flat for the provision of night time care and sleep overs. Staff files examined contained all necessary information as required. There were three staff members working on the day of inspection to three service users. There is one wakeful and one sleep-in staff member in the main home and additional sleep-in staff overnight in the adjacent flat. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 20 However on the day of inspection, the staff member who was the assigned key worker to the service user who required one to one supervision went out to take service users to their day centres. The manager informed that the remaining two staff were able to support him. However in the absence of this service users’ key worker the manager must ensure that a named staff member is responsible for the service users’ supervision in order to ensure that his needs as set out in his care plan are met. Written records of this staff member must be available, for example, in the staff rota. The staff rota has improved but requires further improvement. Codes used in the rota need definition, as required at the last inspection and is outstanding. S/O is used interchangeably for staff sleep overs and for staff being off sick. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 42, 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from good health and safety practises within the home and their rights and best interests are safeguarded by the homes’ policies and procedures. EVIDENCE: The registered manager was approved in June 2006 and has a background of relevant experience in management within the care industry and with service users with learning difficulties. Staff informed that good management support had been available and the manager was knowledgeable and approachable. The manager has made some improvements around systems in the home, however there is an unacceptable number of restated requirements from the last inspection and compliance must now be achieved within timescales to ensure that all requirements are met. Monthly quality assurance management reports are being achieved. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 22 All health and safety documents, such as water, gas and electrical safety and other health and safety records were available, current and all in order. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 3 32 3 33 2 34 3 35 3 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 2 3 3 3 3 x 3 3 Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 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. Standard YA6 Regulation 15 (1) Requirement Care plans must state specific rather than generalised actions which are identified to meet service users’ needs. All care plans must be signed by the service users or their representatives. The Manager must ensure that the system of service users’ risk assessments is reviewed and improved. The timescale of 05/05/06 from the previous inspection has not been met. The Manager must ensure that signed statements are obtained from each service user or their representative concerning their views and requested arrangements in the events of ageing, illness or death. The timescale of 05/05/06 from the previous inspection has not been met. The manager must find ways of making the bathroom of the adjacent flat a more homely and less sterile environment. DS0000022847.V312020.R01.S.doc Timescale for action 16/12/06 2. 3. YA6 YA9 15 (2)(c) 13 (4) 16/12/06 16/11/06 4. YA21 12(1) 16/11/06 5. YA24 23 (2)(a) 16/12/06 Sahara Lodge Version 5.2 Page 25 6. YA24 23 (2)(o) 7. YA33 18 The manager must ensure that access to the railway line at the back of the garden is blocked off and secured for safety. The manager must provide written records to evidence that the service user in the basement flat always receives 24 hour supervision at all times. The timescale of 08/03/06 from the previous inspection has not been met. The staff rota must provide clear information concerning staff on shift as follows: Define any codes used in the rota (ie S/O). The timescale of 08/03/06 from the previous inspection has not been met. The manager must ensure that all staff receive supervision, a minimum of six times a year. The manager must ensure that there is a clearer system of filing old and new documents, such as care plans and risk assessments, to avoid the potential for confusion. 16/12/06 20/10/06 8. YA33 18 20/10/06 9. YA36 10. YA41 18 (2) 13(a) 16/11/06 16/11/06 Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 26 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 YA17 YA24 Good Practice Recommendations The menu could be improved to outline specific food choices, for example, ‘pancake’ should outline foods available with it. The inspector recommends a bathroom cabinet to store personal items in the adjacent flat and decorative accessories on the walls. Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford Essex IG1 4PU 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 Sahara Lodge DS0000022847.V312020.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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