Inspection on 05/11/05 for Whitehaven

This inspection was carried out on 5th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 15 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Whitehaven 21/08/07

Whitehaven 15/12/06

Whitehaven 16/05/06

Whitehaven 17/05/05

Whitehaven 18/10/04

Whitehaven 27/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Whitehaven 43 Summerley Lane Felpham Bognor Regis West Sussex PO22 7HY Lead Inspector Annie Taggart Unannounced Inspection 10:00a 5 November 2005 th Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 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 Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 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. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whitehaven Address 43 Summerley Lane Felpham Bognor Regis West Sussex PO22 7HY 01243 587222 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) Allied Care (Mental Health) Ltd Post Vacant Care Home 14 Category(ies) of Learning disability (14), Learning disability over registration, with number 65 years of age (1) of places Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Learning Disability aged 18-65 years (LD) One service user in the category Learning Disability LD(E), over 65 years of age may be accommodated. Only service users aged 18-65 years may be admitted. Date of last inspection 17th May 2005 Brief Description of the Service: Whitehaven is registered to provide care for fourteen people who have a learning disability. The additional conditions of registration are that one named person in the service user category Mental Disorder (MD) under the age of sixty-five may be accommodated and one service user in the category Learning Disability (LD), over the age of sixty-five years may be accommodated. Only service users aged eighteen to sixty-five may be admitted. Whitehaven is a detached, two storey building in a residential road in the village of Felpham. There are thirteen rooms with hand-basins, one bathroom and one shower room. There are two adjoining communal rooms, one of which is used as a dining room. There is a separate room that is accessed via the patio area and is used for activities and staff training. Whitehaven is a non-smoking house. There is a car park at the front of the building and a garden for the use of service users at the back of the building. Allied Care (Mental Health) Ltd own Whitehaven. The responsible individual for the company is Mr Aslam Dahya. There is a designated manager who is responsible for the day-to-day running of the home. The designated manager has submitted an application to become the registered manager. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit was carried out by a Regulation Manager and an inspector at 10am on Saturday 5th November and lasted for six hours, which covered both the early and late shifts at the home. As the acting manager was not working at the time of the visit, the inspectors returned on Thursday 11th November and spent a further four hours speaking to the manager and checking staff records, policies and procedures. The visit had been brought forward because of the increasing number of complaints that are being received about the service and also because of the increase in the number of incidents/accidents being reported. An Adult Protection procedure is also currently being undertaken regarding an incident at the home. During the course of the two visits the inspectors spoke to most of the people living in the home, on the first visit three people had gone out for the day and two people were in bed. On the second day other people were out at day care activities. A tour of the home was undertaken during which all rooms with the exception of two bedrooms were seen and the inspectors saw lunch being served. The care plans regarding all of the current residents were seen with any relevant issues tracked and the administration and recording of medication was also seen. Seven staff files were seen along with other documentation including incident/accident forms, health and safety records and policies and procedures. What the service does well: What has improved since the last inspection? Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 6 Care plans have been improved and staff are being supported to take responsibility for recording in the care plans. Staff have been encouraged to monitor behaviour and record incidents during the day and night. 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. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 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 Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 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): 123 Although the home provides information to allow service users to make a choice, the information regarding staffing is out of date. EVIDENCE: There is a statement of Purpose and Service User guide available but the information regarding staffing is now out of date. To ensure that potential service users have accurate information, the documents need to be reviewed and updated. Pre-admission assessments are carried out prior to people moving to the home but there is a need to review the procedures to ensure the compatibility of service users, therefore minimising risks in the home. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 9 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 The care plans in the home are comprehensive and informative. However to ensure that all of the information contained in the documents are current, regular reviews and updates should be recorded. EVIDENCE: Service users have all have a plan of care in place, which sets out the personal and social care needs of each person. The documents contain comprehensive information regarding the lifestyle wishes of each person and include risk assessments, healthcare needs and behaviour management plans. There is no evidence of regular internal reviews of the plans being in place and risk assessments have also not been reviewed and updated. The recording of incident/accidents and other events of importance regarding service users is not consistent, especially when recording events of challenging behaviour. The manager and staff team can therefore not track events in order to provide current information regarding each individual service user, this leads to increased risks for both service users and the staff team. There is no process in place, such as service users meetings or regular reviews to ensure that service users views are taken into consideration. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 10 One service user has a physical intervention plan in place and the staff team have received relevant training. However recording is poor and dispersed around different files and there is no log in place to record how often physical interventions are used. The management of challenging behaviour by some residents has had an effect on the manager and staffs ability to carry out resident and staff meetings, regular reviews and keep consistent records. Care plans and other documentation regarding service users was kept in a locked office. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 11 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): 13 15 16 17 Service users have contact with family and friends and access community facilities. There is a conflict between rights and responsibilities with regards to incidents of aggression occurring in the home and the food provided could be improved. EVIDENCE: There is evidence of a variety of community activities being available for service users and one person said that they went to the pub, a club and out for meals. During the first visit one person was being escorted home to visit their family and three others were out shopping and for lunch. On the second visit other people were out at day care facilities. Staff members said that people could bring friends home if they wished to do so and said that personal relationships would be respected and supported. There is a conflict within the home in that it is clear from accident/incident forms completed and complaints received that service user’s lifestyle choices are not being respected. There is evidence that service users are verbally and physically abused on a regular basis by other service users and the conflict and Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 12 noise cause nuisance to neighbours. The effect of this that service users in the home are not made welcome in their local community. An example of a situation not being suitably managed was seen during the visit. A service user who has a history of being very violent towards both other service users and staff members has recently been removed to another home on a trial basis. During the visit the service user returned to the house with a staff member to pick up some belongings. The service user was not observed and monitored by staff at all times and was then taken in the home’s vehicle along with other service users therefore posing further risks. There is a menu available in the home, which staff members say is compiled with service users. Staff members say that there is fruit and fresh vegetables available but there was no evidence of this from the menus seen or the food provided for lunch on the two days. During the current week there was pasta dishes for the main meal on three days and a large selection of “fast foods” such as burgers and chips was also seen. The menus were not balanced and did not appear healthy or nutritious. Lunch on the first day of the visit was burgers in a roll, chips and beans. No sweet was served. Several people had their lunch much later than others and the food was kept warm for a long time in the oven. On the second day sausages and mashed potatoes were served with no added fresh vegetable. The majority of food provided in the home appears to be frozen tinned or dried foods. As most people’s care plans show a need for weight loss and other people need nutritional supplements a requirement has been made for the home to seek advice from the local Dietician. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 13 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 There are risks to service users in respect of healthcare needs and the administration and recording of medication. EVIDENCE: Care plans record the personal care support required by each service user and there is evidence of input from a variety of healthcare professional. Service users have access to district nurses, local doctors, psychiatrists, psychologists and the local mental health team. An incident was recorded where the physical health of a resident deteriorated to the point where they lost consciousness before staff were aware of their condition, leading the person to require emergency treatment at the hospital. Care plans and staff awareness of symptoms of medical conditions needs to be reviewed and updated to ensure this does not happen again. There are policies and procedures in place with regard to the administration of medication and all staff members who administer medication receive the relevant training. However gaps were found in the medication recording sheets with no code in place to show why they had not been completed. Medication awaiting return to the pharmacy was left mixed up in an open pot in the drugs cupboard with no record available to show what they were or why they had not been used and “extra” medication had been administered to one Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 14 service user from a bottle of medication that should have been returned to the pharmacy as the tablets are now included in the blister packs. A requirement has been made in respect of this standard. The home has a policy in place regarding death and dying but there are no procedures in place to inform staff how to deal with this or how to respond should a “sudden death” occur. A requirement has been made in respect of this standard. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 15 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 The home does not have a system in place to protect all service users and this is mainly because of the complex needs and incapability of residents. Steps are being taken to reduce the level of risk between resident and resident and resident and staff member. Some residents are able to express their views individually and they are listened to. EVIDENCE: One service user has been abusing other residents, another resident makes it clear that he doesn’t like some residents and it was recorded that he had hit another resident. There have been incidents of abuse that have been dealt with under the Adult Protection procedures. Staff were seen to be able to manage appropriately times of tension between residents but these are stressful periods and use much of the staff resources. One resident has now moved to another home within the company. Complaints are recorded but they are mainly from outside agencies and neighbours. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 16 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 The home is clean and comfortable and service user’s private bedrooms have been personalised with their own belongings. The bathroom is in need of refurbishment and communal space would benefit from some redecoration. EVIDENCE: The home was warm and comfortable and staff members were carrying out cleaning duties throughout the building. A cleaning schedule was in place and “wet floor” signs were in use. Private bedrooms have been personalised with belongings, TV’s and music equipment and people said that they were happy with their private space. In one bedroom, which overlooks the public road and other residential houses, there were no curtains on the window. A staff member said that the service user did not like curtains and pulled them down. To ensure privacy and respect for both the service user and neighbours some other form of covering for the window should be found. In another bedroom, where the service user was lying on the bed, the door had been propped open with a stool therefore putting the person at risk should a fire occur. The fire extinguisher nearest to the room was missing and a staff member was not fully aware of the evacuation procedure. To ensure that both service users and staff members are kept safe at all times, risk assessments Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 17 should be carried out for service users who wish to keep their doors open and consideration given to fitting magnetic closures or other safety devices. An unpleasant odour was also noticed in one bedroom and this was brought to the attention of the manager. The bathroom in the home is in need of refurbishment as it is old, in a poor condition and the shower is broken. To ensure that service user’s mobility needs are met, consideration should also be given to fitting more modern hand and grab rails. The communal areas of the home were clean and had comfortable furniture in place. However the décor now is beginning to look “tired” and drab and would benefit from some redecoration. The manager of the home discussed some proposed changes to the environment in order to provide one service user with a private flat in order to better meet their needs and minimise risk. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 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): 31 32 33 34 35 36 The staff team are caring and committed, and are keen to improve their skills by undertaking an NVQ course. However communication, in-house training, supervision and direction need to be improved to ensure they are fully effective in their roles. EVIDENCE: All staff members receive a job description setting out their roles and responsibilities. There were seven staff members on duty, one person was carrying out escort duty with three service users and the other members of staff, as well as cleaning, cooking, laundry and offering personal care were also providing one-to-one support with one service user at all times. New staff members undertake the Learning Disabilities Award Framework induction during which time they undertake mandatory training. There is also a wide variety of other training courses available including training specific to the needs of people with a learning disability and mental health needs. Seven staff files were seen and all contained the required documentation including two references and Criminal Bureau Checks. The rota shows that the staff team at the home work very long shifts, sometimes over twelve hours which is excessive considering the stressful Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 19 nature of the home and records show that staff members are routinely subjected to verbal and physical abuse from the people they support. During the visit a situation arose where another service user verbally attacked the service user who was receiving one-to-one support. The stress levels in the home rose considerably while staff members were trying to divert the situation and this takes considerable time by a number of staff. Staff supervision in the home is sporadic with one staff member having only received one supervision session in the year they have been employed. In order to ensure that the staff team are aware of their responsibilities, are kept safe and are supported, it is of the utmost importance that they receive regular supervision and support. There are ten out of the fifteen staff team employed for whom English is not their first language. The home used to provide English lessons for staff but this is not happening at the moment. There is a need for systems to be in place to ensure that communication is improved and information is cascaded to all staff members. A system should also be found that informs each staff member about the main policies and procedures in the home to ensure that safe working practices are followed at all times. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 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 38 39 40 41 42 Although the acting manager and staff team are caring and committed, working practices, communication and staff support needs to improve in order to ensure that that a safe and effective service is offered to the people living in the home EVIDENCE: The acting manager has a background of working with people with a learning disability and is an NVQ assessor. Currently Ms. South is undertaking the NVQ4 and the Registered Manager’s Award and has applied to be the registered manager of Whitehaven. The acting manager and the staff team are caring and committed, but there is a need for an improvement in communication, direction and staff support within the home. Ms South has worked hard to improve the systems and procedures in the home but due to the high level of challenging behaviour by at least one individual which affected the behaviour of others has taken most of their time to manage this situation. Issues such as addressing improving Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 21 communication and monitoring of staff competencies to ensure that there are no risks to residents and the staff team have not taken place. There is no process in place to enable service users to express their views or to allow them to be involved in the running of the home. There are no service user meetings and there is no evidence of regular in-house reviews or annual reviews with the funding authorities At the present time there can be no confidence that service user’s rights and best interests are safeguarded by the homes policies and procedures and record keeping. Communication between the staff team needs to improve and staff members are not receiving the support required for them to be competent in completing paperwork and reporting incidents of concern to the manager Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 1 2 x x Standard No 22 23 Score 1 1 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 1 3 2 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 1 2 3 2 2 LIFESTYLES Standard No Score 11 3 12 3 13 1 14 3 15 3 16 1 17 Standard No 31 32 33 34 35 36 Score 1 1 1 3 1 1 CONDUCT AND MANAGEMENT OF THE HOME 1 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Whitehaven Score 3 1 1 1 Standard No 37 38 39 40 41 42 43 Score 2 2 2 1 1 1 x DS0000048443.V258946.R01.S.doc Version 5.0 Page 23 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 YA3 Regulation 14 (1) Requirement The home admissions procedure should be reviewed to ensure that the home can demonstrate that it can meet the assessed needs of each service user The registered manager ensures that care plans are regularly reviewed and updated. To ensure that the nutritional needs of service users are met the registered manager should request advice from a Dietician. The registered manager should ensure that the physical, healthcare and emotional needs of service users is met. The policies, procedures and staff training regarding medication should be reviewed and revised Procedures to follow in the event of death should be recorded in each persons plan of care and must be communicated to all staff Service users must be protected from the risk of physical, psychological and sexual abuse and from the risk of DS0000048443.V258946.R01.S.doc Timescale for action 30/11/05 2. YA6 15 (2)(a) 30/11/05 3. YA17 16 (2)(I) 30/11/05 4. YA19 12 (1) 25/11/05 5. YA20 13 (2) 25/11/05 6. YA21 15 30/11/05 7. YA23 13 (6) 25/11/05 Whitehaven Version 5.0 Page 24 discrimination at all times. 8. YA24 23 (4)(a) Risk assessments should be carried out and safety action taken for service users who wish to keep their bedroom doors open and suitable coverings for windows found to ensure privacy The bathroom should be refurbished with guidance from an occupational therapist to ensure equipment meets assessed needs. Communication needs to improve to ensure that all staff have clear roles and know their responsibilities. In order to carry out their responsibilities, all staff must receive regular supervision and appraisal. An effective quality assurance system should be in place in order to allow service users comment on the service they receive. Policies and procedures in the home should be regularly reviewed and systems must be in place to communicate them to all staff Records for the running of the home should be current, kept under review and communicated to all staff. The registered manager should ensure the safety of both service users and the staff team 25/11/05 9. YA27 23(2)(I) 01/03/05 10. YA31 18 25/11/05 11. YA36 18(2) 30/11/05 12. YA39 17 01/01/06 13. YA40 24 01/01/06 14. YA41 17(3)(a) 25/11/05 15. YA42 13 and 17 25/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 25 No. 1. Refer to Standard AD17 Good Practice Recommendations Consideration should be given to redecoration in the areas of the home that are looking “tired” and dated. Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Whitehaven DS0000048443.V258946.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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