Inspection on 04/12/07 for Sycamore Lodge

This inspection was carried out on 4th December 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 14 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sycamore Lodge 30/09/08

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Sycamore Lodge 54 Greenheys Road Wallasey Wirral CH44 5UP Lead Inspector Helen Carton Key Unannounced Inspection 4th & 6th December 2007 11:30 Sycamore Lodge DS0000069979.V348221.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 Sycamore Lodge DS0000069979.V348221.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. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamore Lodge Address 54 Greenheys Road Wallasey Wirral CH44 5UP 0151 489 5501 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) cath.keenan@alternativefuturesgroup.org.uk Alternative Futures Catherine Keenan Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home with Nursing- code N, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of people who can be accommodated is: 12 Date of last inspection Brief Description of the Service: Sycamore Lodge is a single storey building separated into two units. Both have their own lounge, kitchen and bathroom areas. Each unit has six single bedrooms. There is a car park area to the front of the building and two separate garden areas at the rear for residents use. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of the inspection process we sent the service an Annual Quality Assurance Assessment (AQAA) document, which was to be completed prior to the site visit. This document was to provide information about the service at Sycamore Lodge and to tell us where they felt they had made improvements to the way they support residents and the staff team. The manager completed and returned the document before the site visit took place. Two site visits where made to enable us to examine documentation and to discuss how the service supports residents’ in all aspects of their lives. Part of this process involved speaking with the manager, members of the staff team and spending time with residents to find out their views on living at Sycamore Lodge. We spent approximately 11 hours at the service. As part of the inspection process surveys were sent to residents their relatives and members of the staff team to gain their views of the service being offered, a total of 5 responses were received. This was the services first site visit since being registered with us on the 22/05/07. What the service does well: What has improved since the last inspection? This is Sycamore Lodges first site visit since it was registered with us on the 22/05/07 Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 6 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. Sycamore Lodge DS0000069979.V348221.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 Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3&5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The statement of purpose provides good information about the service however it does not appear to form part of the pre admission assessment processes. Resulting in inappropriate admissions leaving residents at risk of receiving a care service that does not meet their assessed needs. EVIDENCE: The statement of purpose provides good information in an easy read format about the services both units at Sycamore Lodge can provide. More detailed information about the company who own and run Sycamore Lodge is held at the back of this document. Since the service was registered with us on the 22/05/07 two people have been admitted. Examination of pre admission assessments indicates the service is not always assessing the social and emotional needs of residents prior to admission. Resulting in the service not being able to meet their holistic needs. Examination of daily records indicates the complex needs of individuals are having a detrimental effect on other residents. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 9 The pre admission assessment must look at the compatibility of the people already being supported with those of any prospective resident. This is to ensure the needs of one group do not have a negative impact on others. Each resident has an individual written contract however at the time of the site visit they were being updated to reflect new fee charges. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7&9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning and risk management strategies do not always accurately reflect the care and support needs of residents. Resulting in some residents not receiving the most appropriate level and type of care and support. EVIDENCE: A sample of residents care files were examined they provided a lot of information however they were disorganised with no structure or consistency about how information is recorded or reviewed. With much of the information undated making it impossible to provide a time line to the onset of specific behaviours and possible triggers. Potted histories focused on health care needs and behavioural issues and did not provide the staff team with much information about the personalities and positive characteristics of residents. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 11 Daily records did not provide detailed information particularly when residents had presented with aggressive or self- harming behaviours resulting in only a limited review of incidents taking place. The home has carried out multiple environmental risk assessments and behavioural risk assessments where necessary. However daily record entries indicate that on occasions members of the staff team have not effectively recorded the origin of an incident, interventions used and the length of time physical restraint has been applied to support the resident to regain control. Lack of detailed information makes it difficult to assess and review the effectiveness of support plans and risk management strategies leaving residents at risk of receiving inappropriate support and care. Communication plans have been produced for some residents however the details provided varied with some information about communication methods of residents being held verbally by staff. This leaves residents at risk of receiving an inconsistent care service, which is reliant on the individually held information of members of the staff team. The manager acknowledged the issues raised and feels confident all issues will be resolved within the timescale agreed with us. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16&17 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Inappropriate admissions to the service result in restrictions in the ability of the staff team to support some residents to engage in community and social activities regularly. Resulting in the therapeutic benefit being marginalised. EVIDENCE: The manager and staff team work hard to provide appropriate leisure and community based activities for residents in line with their care and support needs. However due to high levels of inappropriate behaviour occurring daily and over a significant period of time the quality of daily living and the ability to access community and leisure facilities has reduced. Examination of records, direct observations and discussion with members of the staff team indicates inappropriate and challenging behaviour of some residents is having a detrimental impact on others emotional, social and Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 13 mental wellbeing. However this information is not being considered during the formal review process. As detailed earlier in the report inappropriate placements have taken place resulting in residents not being able to build and maintain relationships with fellow residents with similar needs and communication methods. Resulting in some residents feeling isolated and lonely. The manager and the staff team support residents to maintain positive relationships with family and friends. Staffing levels currently in place at the home do not recognise the significant impact the inappropriate behaviour is having on the ability of the staff team to support residents to access community facilities regularly and safely. Resulting in residents’ ability on a daily basis to go out when they choose being dependent on the behaviour of others. The manager acknowledged these concerns and was able to demonstrate she has raised them with senior managers and placing authorities. The registered persons must review the care packages of the people living at the home to ensure they can meet all care needs safely and proactively and that in supporting one individual others needs are not marginalised. Both units have dining areas for residents to eat their meals however a significant number of residents receive food supplements through a PEG tube. The manager said that early in the new year all menus were being reviewed to ensure meals provided offer those residents receiving food supplements tasting opportunities. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19&20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lack of detailed information and disorganised working practices leave residents at risk of receiving inappropriate medical and personal care. EVIDENCE: Care plans provide some information about how residents like to be supported with their personal care needs however further detail would ensure a person centred approach is offered to residents. As detailed earlier in the report the manager and staff team are supporting residents who are presenting with a high level of challenging behaviour in a sensitive and caring manner. However record keeping regarding the impact these behaviours have on other residents and staff is poor. Resulting in no formal strategies applied to reduce their impact on the health and mental well being of residents, particularly with regard to the impact of physical aggression. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 15 The registered persons must carryout formal reviews of all residents holistic needs to ensure the home can meet them also as part of the reviews the compatibility of the residents living at the home should be looked at. This is to ensure the needs of one resident are not having a negative impact on another. There is documentary evidence that health care professionals are contacted and their advice sought. At the time of the site visit there was no need for active treatment plans for pressure area management. We looked at the way in which residents medication and accompanying records were maintained. They were disorganised and did not hold important information in one central place. A sample of residents’ medication and accompanying Medication Administration Record (MAR) sheets were examined on occasions they did not correspond with each other. Residents’ medications are administered by qualified nursing staff. Where PRN medication had been administered there was no clear information about the reason why the medication had been administered and how the resident had reacted following the administration. The manager told us she would be reviewing all medication procedures and providing further training to the staff team. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22&23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a comprehensive complaints procedure in place. However the registered persons do not proactively manage risky or challenging behaviour that has a negative impact on the resident group. EVIDENCE: The service has a detailed complaints procedure with timescales for action and responses to concerns raised. There is also a shorter version that is made available to service users and their family/advocates. At the time of the site visit Alternative Futures who own and run Sycamore Lodge were investigating a complaint made about the service. The home has a safeguarding adults’ procedure and a copy of the local adult social services safeguarding procedures with contact names and telephone numbers. A whistle blowing policy is available. Staff members spoken with confirmed they had received safeguarding adult training and understood their roles and responsibilities. During the site visit a safeguarding issue was raised and was being dealt with by the manager in a sensitive and professional manner. The staff team have received specialised crisis intervention training. Issues regarding the lack of detailed information being recorded where physical Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 17 interventions have been used to keep residents safe were raised with the manager. Detailed records support the staff team to review care and support practices and to ensure residents receive a consistent approach during crisis situations. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,29&30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall Sycamore Lodge provides an adequate living environment for residents’, which meets their physical needs. EVIDENCE: Overall the units’ environments adequately meet residents needs however the following issues were highlighted during a tour of the building: Bedroom A This room had a bed fitted into a wardrobe that is pulled down each night. This was to accommodate and meet the needs of a person who has since left the home and does not necessarily meet the needs of the resident currently using the room. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 19 Curtains A number of curtains were badly hung with hooks missing causing them to look untidy. In one room part of the curtains were missing and a towel was being used to maintain a resident’s privacy. The manager told us she was in the process of resolving these issues. Bedrooms viewed during the site visit had been personalised to reflect residents’ interests and personalities. The service has a range of specialist equipment to support residents with their personal care and mobility needs. Areas of the home viewed were clean. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,34&35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are central polices and procedures in place to ensure that staff are safely recruited and vetted. However records held by the home are disorganised and do not hold sufficient information to be used as an effective audit tool by the management team. EVIDENCE: The AQAA document indicates the service employs 28 full time nursing/ care staff, six part time nursing/care staff and six ancillary staff. Examination of records indicates at times the staffing levels are fully focused on those residents whose behaviours challenge the service. Resulting in the remaining resident groups ability to access community facilities and activities being restricted. Alternative Futures who own and run Sycamore Lodge have a central human resource department who manage the selection and recruitment of staff with the manager of the service being involved in selection and interviewing candidates. Following recruitment staff files are maintained at the service we Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 21 found these records to be disorganised and did not all hold the same information such as application forms, references and completed training records. It was therefore not possible to form an opinion as to whether the staff team have received appropriate training to enable them to support residents’ complex needs. The manager acknowledged this issue and told us she would ensure the required information is held in each staff file within the required timescale. Completed surveys and discussions with members of the staff team indicate they enjoy working with and supporting residents and feel supported by the management team. We observed members of the staff team supporting residents in a supportive and respectful manner. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,40&42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Shortfalls in the management systems and maintenance of records impact on the level and consistency of care offered and provided to residents living at the home. EVIDENCE: Issues regarding the information held in residents care plans and risk management support plans are detailed earlier in the report. As are concerns about the frequent incidents of challenging behaviour occurring and the impact they are having on residents abilities to access community facilities and enjoy time in their home. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 23 A sample of residents financial records maintained by the service were examined irregularities were found and discussed with the manager who assured us they would be rectified as a matter of urgency. The quality and level of detail of the information recorded about significant events in residents’ daily lives are raised in this report and the impact this has on the consistency of the care and support provided to them. A sample of health and safety records including equipment maintenance logs were examine and on the whole were appropriately maintained. During the site visits the manager and her deputy were honest and professional in their dealings with us and demonstrated a commitment to continue to improve Sycamore Lodge. To ensure the service provided meets the needs and expectations of residents in an individualised person centred manner. Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 1 3 2 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 2 26 X 27 X 28 X 29 2 30 3 STAFFING Standard No Score 31 2 32 2 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 2 12 2 13 1 14 1 15 3 16 1 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 1 X 2 X 2 2 X 2 X Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 25 NA 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 YA2 Regulation 14 Requirement Assessments of prospective residents must take into consideration their emotional and social needs. This is to ensure a placement enables people to maintain and develop life skills rather than restrict and limit their ability to maintain their independence. An admission to the home must not have a negative impact on the care and support provided to the existing resident group. Full reviews must take place where incompatibility issues have been identified that the service can no longer safely meet the complex needs of individual residents. Timescale for action 30/12/07 2. YA3 14 30/01/08 3. YA6 15 Care planning systems within the 30/03/08 service must provide detailed and consistent information about each resident. This will ensure the staff team are providing care in a structured, safe and consistent manner. Risk management strategies must provide full details as to DS0000069979.V348221.R01.S.doc 4. YA9 13 30/03/08 Sycamore Lodge Version 5.2 Page 26 the actions to be taken if residents present with challenging or risky behaviours. This must include an expectation of detailed recording of each incident. This allows for an effective review of the intervention to ensure it is effective and safe. 5. YA13 16 The ability of a resident to access community based activities and to engage in social events of their choosing must not be restricted by the behaviours of other residents. The ability of a resident to access community based activities and to engage in social events of their choosing must not be restricted due to the manner in which the staff team are deployed. 30/12/07 6. YA14 16 30/01/08 7. YA16 15 The needs of one resident must 30/01/08 not have a detrimental impact on the needs of another. With particular regard to being supported to maintain an active lifestyle. Medication practices within the home must safeguard residents at all times. With particular regard to ensuring detailed information is held about residents’ medication needs and the manner in which they are to be administered. Reviews of care packages and support must also include reviewing all safeguarding issues. This is to ensure importance is placed on the impact aggressive behaviour is having on the individual DS0000069979.V348221.R01.S.doc 8. YA20 13 30/12/07 9. YA23 13 30/01/08 Sycamore Lodge Version 5.2 Page 27 presenting with the behaviour, the victim of any assault and those witnessing the behaviour. 10. YA24 23 The environment must be 30/01/08 maintained with particular regard to curtains being properly to maintain an attractive and homely environment for residents to live in. Staff records must be well maintained and available for inspection when required. This is to ensure the service can demonstrate they are proactively safeguarding residents from being supported by people who do not posses the skills and expertise required to work with vulnerable people. Staff training records must be well maintained. This is to ensure the service can demonstrate they are supporting the staff team to gain the skills and expertise to enable them to support residents with complex needs appropriately and safely. A management review must take place with regard to how information is recorded in line with the services policies and procedures. This is to ensure the care service being provided is effective and safe. Residents financial transactions managed by the service must be well maintained. This is to ensure residents are not left at risk of being financially abused. 30/03/08 11. YA34 19 12 YA35 19 30/03/08 13. YA40 17 30/01/08 14. YA40 13 30/01/08 Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 28 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA25 Good Practice Recommendations Prior to a resident moving into the home every effort should be made to ensure the bedroom meets their needs and expectation. Particularly when the room had been adapted to meet the specific needs of another resident. Further information on the residents preferred methods of communication should be documented for all the residents’ as this will ensure the staff team are able to communicate effectively with residents living at the home. 2. YA7 Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 Sycamore Lodge DS0000069979.V348221.R01.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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