CARE HOME ADULTS 18-65
White Moon Lodge 156 Philip Lane London N15 4JN Lead Inspector
Brian Bowie Key Unannounced Inspection 22nd January 8:15 White Moon Lodge DS0000010821.V327978.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 White Moon Lodge DS0000010821.V327978.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. White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service White Moon Lodge Address 156 Philip Lane London N15 4JN 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) 020 8376 4246 020 8376 4246 Mr Sona Beezadhur Mr Sona Beezadhur Care Home 3 Category(ies) of Learning disability (3) registration, with number of places White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 13th February 2006 Brief Description of the Service: White Moon Lodge is run by Mr Sona Beezadhur who is both the owner and registered manager. It is a small care home for up to three people with learning disabilities. The home is close to local facilities and shops. The house is a terraced property situated in a residential area. Upstairs there are three bedrooms for residents and a small office for staff. Downstairs there is a kitchen-diner, lounge, bathroom with toilet, shower room and another office that is also used for staff sleeping in. There is a small back garden which residents make use of in warmer weather. The home provides support to people who have complex needs, including autistic spectrum disorders, and behaviours that can be challenging. There is a minimum of one staff member available throughout the daytime and sleeping in on the premises at night. The home’s aim is to provide as ordinary a life as possible for residents and to encourage them to be as independent as possible. In 2006 the fees charged ranged from £700-£800/week. White Moon Lodge makes inspection reports and other important information about the home available to residents, their families and professionals. White Moon Lodge DS0000010821.V327978.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 over one day and lasted 6.5 hours. Varuna Beezadhur, the deputy manager of White Moon Lodge, was interviewed and helped with the inspection. The home was looked round and all three residents were seen and spoken to briefly. It was not possible to have any detailed discussion with the residents about their care because of their communication difficulties. The interaction between the 3 residents and a member of care staff before they went to their day centre was observed. A variety of records, including care plans and health & safety documents, were looked at. The overall impression from the inspection was of a home that is providing a very good standard of care to people with complex needs within a homely and supportive environment. One relative had written: ‘I consider the standard of care that my relative receives at White Moon Lodge to be excellent. It provides a caring, comfortable and happy environment for all the residents.’ What the service does well:
Residents feel at home and relaxed at White Moon Lodge because members of staff pay close attention to meeting their individual needs and wishes. They benefit from being supported by staff that have got to know them well since moving into the home five years ago and who they get on well with. The stability of the staff team has been especially valuable since two of the residents have an autistic spectrum disorder which means it takes longer for them to make relationships and they also feel more secure in a situation where they do not have to deal with a lot of different staff members. The social worker for the three residents had written to Mr Beezadhur: ‘The staff are seen as very perceptive and skilled. The home is very welcoming.’ The home has an experienced manager who keeps in close touch with both residents and relatives. As a result residents have frequent visits from relatives and in one case a resident regularly stays with their family. The manager has also built up close links with the consultant psychiatrist and the residents’ social worker so that the home quickly responds to and meets the changing needs of the residents. Residents are helped by staff to take part in a range of activities when they are at home. A high priority is given to training so that member of staff are as competent as possible in their support of residents.
White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better:
5 areas where the home could be doing better were discussed and agreed with the deputy manager. One area is restated. Further information about unmet requirements can be found in the relevant section. Unmet requirements impact upon the welfare and safety of service users. Failure to comply by the revised timescale will lead to the Commission for Social Care Inspection considering enforcement action to secure compliance. 5 areas need improving: • • • • Service user guide must be accurate and up to date. Risk assessments must be updated following any significant incidents. All complaints must be recorded in the complaints book so that there is a clear record of all complaints made, action taken and the outcome. All staff must have training in person-centred planning so that they can support residents in a way that emphasises meeting the individual needs and wishes of each resident. All members of staff must have regular 1-to-1 meetings with the manager so that their practice can be further improved • 2 recommendations to improve practice are made: • Staff should undergo further adult protection training so that they keep fully up to date with current legislation and procedures. White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 7 • The downstairs shower redecorated in 2007. room and upstairs bathroom should be Varuna Beezadhur emphasised that the management team at White Moon Lodge is keen to work closely with CSCI to raise standards further at the home in order to be able to provide the best possible quality of life for residents. 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. White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 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 the following standard(s): 1,2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. • The home is good at assessing and meeting the needs and wishes of residents. The service user guide that tells people about the home and what they can expect needs updating. EVIDENCE: All the current group of residents moved into the home when it opened. The files indicate that residents’ needs had been carefully assessed before they moved in. The residents indicated by their behaviour and their contact with staff that they felt relaxed and at home at White Moon Lodge. The statement of purpose that sets out the aims and objectives of the home had been updated in December 2006. However the service user guide contained some out of date information. The manager must ensure the service user guide is accurate and up to date. White Moon Lodge DS0000010821.V327978.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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • • • Residents benefit by having care plans which set out clearly and in detail how their needs and wishes will be met by the home. Residents are supported by staff so that wherever possible they make decisions for themselves. The home is good at ensuring each resident has detailed risk assessments in place in order to keep them as safe as possible. In order that residents are fully protected risk assessments should be updated following any significant incidents. EVIDENCE: ‘The resident has settled in their behaviour and routine within the house and at their day centre. This should continue.’ This was the assessment of the social worker of one of the residents and indicated that the individual was appropriately placed at White Moon Lodge and benefiting from living at the home. The care plans are detailed and cover all the key aspects of the
White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 11 resident’s life. Arising out of the care plan for each resident there was a daily schedule of activities that the resident likes to take part in. Residents were relaxed whilst waiting for the day centre transport to pick them up in the morning. The care plans do not yet have a sufficiently person-centred approach that focuses on responding to the individual needs and wishes of each resident. For this reason a requirement is made later in this report for staff to attend training in person-centred work with adults with learning disabilities. The residents at the home all have high needs and it requires staff to be skilful at finding opportunities for the residents to make decisions and have choices in their life. Guidance to staff is clear about giving residents choices wherever possible. One care plan had the manager’s direction to staff as follows: ‘If at any point or any day this resident does not wish to participate in any of the activities staff should respect their wishes.’ Residents are supported to make decisions about what they have to eat and how they spend their time at home. The manager has completed detailed risk assessments for each resident to ensure that any risks identified could be managed by the home. As a result residents benefit from being supported to be as independent as possible whilst minimising risks to their welfare. Following a recent incident in the home a detailed record had been made. However the risk assessment had not been updated. The home needs to ensure that following any significant incident involving a resident the risk assessment is reviewed to see if it needs to be revised in order to ensure the home is managing the risks involved in the best possible way. White Moon Lodge DS0000010821.V327978.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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • Residents are getting a better quality of life because they take part in a range of stimulating activities, including getting out and about in their local community. Residents are getting a better quality of life because of their close contact with friends and family. Residents benefit by having staff who allow them wherever possible to make choices for themselves and to have as much control over their life as possible. The home is good at providing meals that the residents enjoy and which ensure they have a healthy diet. • • • EVIDENCE: Residents take part in a variety of daytime activities, including attending day centres and college classes. Outings and short break holidays are also
White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 13 provided by the home. Residents are also encouraged by staff to help with domestic tasks in the home such as cleaning. Feedback from the manager showed that residents get out and about in their local community, including going shopping, to the cinema, local cafes and leisure centre. The placing authority provides extra funding at weekends. As a result residents are going out more on a one-to-one basis with staff into the local community, including in one case having their hair done at a local hairdresser’s. A member of care staff described the regular contact each resident had with their family. In one case the resident has regular stays at their family home. The home is good at supporting residents to keep in touch with their families. The interview with the deputy manager and the care plans indicated that the home is giving careful thought to how they can empower the residents and increase the choices they can make over how they live their lives. During the inspection the residents were given choices about what they had for breakfast and what they did whilst waiting for the day centre transport to come. Members of staff have attended nutrition training and encourage healthy eating by residents. The menu was seen and showed that residents have a variety of healthy meals offered to them that take account of cultural preferences. Care staff know what each resident likes to eat. As a result residents enjoy the meals provided by the home. White Moon Lodge DS0000010821.V327978.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • • • Staff are good at supporting residents in a way which the residents are happy with. Staff make sure the physical and emotional health needs of residents are met. Residents benefit from effective arrangements regarding medication in the home. EVIDENCE: Residents indicated by their manner and behaviour that they felt relaxed in the home and felt supported and cared for when staff were around. The close family-like atmosphere in the home helps individuals with challenging behaviours and high anxiety levels to feel more relaxed which in turn enables them to have improved relationships both with other residents and with staff. White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 15 One relative had written: ‘I consider the standard of care that my relative receives at White Moon Lodge to be excellent. It provides a caring, comfortable and happy environment for all the residents.’ A member of care staff was observed supporting the residents having breakfast and getting ready for their day centre. The residents were guided on what they needed to do in terms of what they had for breakfast and putting coats on before going out. The residents responded well to their careworker and were very comfortable with her support. One resident who gets agitated at times was gently supported so that they became more relaxed. The medication cabinet and medication records were looked at and were satisfactory. Medication profiles corresponded to what was on the administration sheet. The deputy manager demonstrated she had a good knowledge of medication procedures, with all medication returned being recorded and signed for. Dosette boxes are used to ensure safe arrangements are in place. White Moon Lodge DS0000010821.V327978.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 adequate. This judgement has been made using available evidence including a visit to this service. • The home deals well with complaints so that residents and relatives feel confident their complaints and concerns will be listened to and acted on. However not all complaints are clearly recorded in the complaints book. The residents benefit from effective adult protection measures that make sure that they are safe and secure whilst living at White Moon Lodge. • EVIDENCE: The home has a satisfactory complaints procedure. Feedback from relatives indicated that they felt able to raise concerns with the manager. Records showed that when complaints are made they are properly investigated. However one recent complaint by a relative had not been recorded in the complaints book. The manager must ensure all complaints are recorded in the complaints book so that there is a clear record of all complaints made, action taken and the outcome. Staff have attended training courses on how to protect vulnerable adults from abuse and know what to do if they think a resident has been the victim of any form of abuse. The member of care staff knew what to do if an incident, or allegation, of abuse took place in the home. It is recommended that staff undergo further training in this area so that they keep fully up to date with current legislation and procedures. White Moon Lodge DS0000010821.V327978.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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • Residents at White Moon Lodge enjoy an attractive, comfortable and clean living environment that adds considerably to their quality of life. EVIDENCE: White Moon Lodge is homely and comfortable with plenty of space in the downstairs area which enables residents to be on their own, when they want to be, downstairs as well as in their own bedroom. This is particularly helpful for those residents with an autistic spectrum disorder. In 2006 most areas of the home had been redecorated and new carpeting fitted. As a result the home is looking particularly attractive and well maintained, with bedrooms reflecting the individual tastes and preferences of each resident. The downstairs shower room and upstairs bathroom are due for redecoration and it is recommended that this takes place in 2007. On the day of the inspection the home was being cleaned to maintain its tidy and hygienic appearance. Feedback from relatives was positive about the cleanliness of the home.
White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 18 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): 32,34,35,36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. • • • Residents benefit from a committed and experienced team of staff who have the skills to meet their needs. Residents are protected by the home having rigorous recruitment procedures for new staff. Residents benefit from staff who have undertaken training in most essential areas. However members of staff need to be trained in personcentred planning. Residents do not have the benefit of being supported by staff who are regularly guided on how to improve their practice. • EVIDENCE: ‘I consider the standard of care that my relative receives at White Moon Lodge to be excellent. It provides a caring, comfortable and happy environment for all the residents.’ This was the view of one relative. Staff at the home have got to know the needs and wishes of the residents over time and learnt how best to respond to and meet the complex needs of all three residents. As a
White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 19 result residents who previously had had their placements break down because of their challenging behaviours are getting a stable and supportive home to live in. Staff meetings are held so that member of staff can raise issues to do with the welfare of the residents and the running of the home. White Moon Lodge has three full time staff with support as needed from the manager. An additional member of staff is being recruited so that the home can manage better any staff shortages. Staff files were looked at and contained the information needed to confirm that all new staff in the home have the appropriate checks made. The social worker for the home had written: ‘Staff are perceptive and skilled.’ Members of staff have attended a range of relevant courses and are undertaking appropriate NVQ training in Health & Social Care for adults. More specialised training appropriate for staff to work with the current group of residents has been undertaken, including ways of managing challenging behaviours. However staff must have training in person-centred planning so that they can support residents in a way that emphasises meeting the individual needs and wishes of each resident. The staff files showed that members of staff are continuing to have one-to-one supervision meetings with the manager now and again, and not on the regular two-monthly basis needed to ensure staff are fully supported and guided on how to improve their practice. The manager must ensure that he supervises all care staff at least two-monthly so that they are supported and developed in their demanding role. This requirement is therefore made again in order to ensure all staff have supervision at the appropriate frequency. White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 20 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • Residents really benefit from living at White Moon Lodge because the home provides a very personalised service to each of the residents in order to meet their needs. The home is run in the best interests of the residents with their views and wishes shaping how the home is run. The home is good at making sure residents are kept safe and secure whilst living at White Moon Lodge. • • EVIDENCE: ‘I’m very happy with your standard of care procedures.’ This was the comment of the social worker who reviews how each resident is getting on at the home. The manager and staff work closely together to achieve high
White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 21 standards for the home. As a result what the residents get out of the home is a very caring and supportive place to live where they are being helped to get as much as possible out of life. An annual survey is carried out to get feedback from residents, relatives and professionals on how they think the home is doing. These surveys contained positive feedback about the home. Members of staff help residents to complete questionnaires so that they can give their views about the home. Written feedback from relatives was positive. Where a relative has concerns they are able to raise these directly with the home. A range of records was looked at, including health & safety and accident reports. These records were detailed, up-to-date and accurate and confirmed that the home is being run responsibly with essential checks being made and acted on. Fire safety procedures are being carried out regularly and responsibly by the home. White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 X X X 3 x White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 23 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. Standard YA1 YA9 Regulation 5 13 (4) (c) Timescale for action The registered person must 31/03/07 ensure that the service user guide is accurate and up to date. The registered person must 12/02/07 ensure that risk assessments are updated following any significant incidents. The registered person must 12/02/07 ensure that all complaints are recorded in the complaints book so that there is a clear record of all complaints made, action taken and the outcome. The registered person must 31/05/07 ensure that all staff have training in person-centred planning so that they can support residents in a way that emphasises meeting the individual needs and wishes of each resident. The registered person must 28/02/07 ensure all members of staff are supervised by the manager at least 6 times each year. Requirement restated. Timescale of 31/3/06 not met. Requirement 3. YA22 22 4. YA35 18 (c ) (i) 5. YA36 18 White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 24 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 YA23 Good Practice Recommendations The registered person should ensure that members of staff undergo further training in adult protection so that they keep fully up to date with current legislation and procedures. The registered person should ensure that the downstairs shower room and upstairs bathroom are redecorated in 2007. 2. YA24 White Moon Lodge DS0000010821.V327978.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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