Inspection on 09/11/07 for York Street (32)

This inspection was carried out on 9th November 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

York Street (32) 17/10/06

York Street (32) 23/01/06

York Street (32) 13/07/05

York Street (32) 07/12/04

York Street (32) 06/05/04

York Street (32) 05/02/04

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 York Street (32) 32 York Street Bromborough Pool Wirral CH62 4TY Lead Inspector Beate Field Key Unannounced Inspection 9th November 2007 2:30 York Street (32) DS0000019016.V352447.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 York Street (32) DS0000019016.V352447.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. York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service York Street (32) Address 32 York Street Bromborough Pool Wirral CH62 4TY 0151 643 9196 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) pat.hood@was.demon.co.uk Wirral Autistic Society Care Home 2 Category(ies) of Learning disability (2) registration, with number of places York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th October 2006 Brief Description of the Service: 32 York Street is registered to provide personal care for two adults with a learning disability. The home is a two storey terraced property located in a residential area. On the ground floor there is a lounge, dining room and a kitchen. On the first floor there are two single bedrooms, an office/staff sleep in room and a bathroom. There is a patio and a garden to the rear of the home. Parking is available on the road at the front and side of the home. York Street is close to local shops and to public transport services. The home is run by Wirral Autistic Society who have several care homes for adults with a learning disability in the area. Fees are negotiated at the time of placement and are dependent upon a number of factors including the amount of staff cover required. At the time of the inspection the fees were £1960.00 per week. A copy of the statement of purpose, which describes the services offered at York Street, is made available to relatives and social workers. The service users guide to the home is made available before a prospective resident comes to live at the home and the content is discussed with them, where possible, to ensure their understanding. York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection is based on a visit to the home, information received about the service since the last inspection, a pre-inspection questionnaire completed by the manager that gave essential information about the day-to-day running of the home and questionnaires completed by a resident and relatives. During the visit to the home time was spent looking at a sample of records and policies and procedures and talking to the manager. A tour of the home was undertaken. The inspector spoke with staff and observed the care provided to residents. What the service does well: What has improved since the last inspection? No requirements were made at the last inspection of the service. York Street (32) DS0000019016.V352447.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. York Street (32) DS0000019016.V352447.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 York Street (32) DS0000019016.V352447.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 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process is comprehensive and ensures that the service is only offered to individuals whose needs can be met at the home. EVIDENCE: The home has an up to date statement of purpose that provides information about the services offered at 32 York Street. The document contains information for residents on the terms and conditions of their stay in the home. The home has a single, folded leaflet that is identified as the service user guide and this contains some simply presented information about moving into the home. There are plans in place to review the service user guide to ensure that it is presented in a way that enables the residents to better understand the contents. No new residents have come to live at the home since the last inspection. Records from previous visits to the home show that the assessment process is thorough and ensures that a service is only offered to an individual whose needs can be met at the home. Staff who undertake assessments are York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 9 appropriately trained to do so. The initial assessments indicate the communication, religious and cultural needs of a prospective resident. Prospective residents can make a number of visits to the home to get to know the service, meet the staff and residents. Parents/carers and representatives from placing authorities are also able to make visits to the service. York Street (32) DS0000019016.V352447.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, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal goals and individual needs of residents are in general well documented, providing staff with the information they need to support the residents. EVIDENCE: Care plans were examined and contained clear information to enable staff to provide appropriate support around day-to-day living and personal goals. One of the residents has requested greater levels of independence and this was reflected in the care plans that had been drawn up. Evidence contained on the files shows that annual reviews of care plans are carried out with residents and their relatives (where appropriate) and the placing authority, invited to contribute to, and to attend, the reviews. A six monthly review is carried out with the resident and staff at the home. York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 11 Individual risk assessments and care plans that detail specific behaviour management strategies are in place. Some risk assessments and behaviour management strategies had only recently been reviewed giving a gap of 12 and 18 months between review dates. Some risk assessments state they are to be reviewed every two weeks and this has not taken place. Although the manager said there had been little change to these assessments care needs to be taken to ensure that these assessments are subject to a regular review and that a review takes place in accordance with the level of risks presented. A risk assessment that had recently been amended was unavailable, as it had been sent off to be typed up. The staff spoken with were aware of the content of this assessment, however this information must be readily available for all staff to refer to. From the examination of care plans and from other records in the home it is evident that residents are consulted about their everyday lives and are supported to take identified risks. The needs of the two residents in the home are very different and a staff team has been created around each of them to ensure they can be supported to follow their individual interests and to receive support at the levels specified in their plan of care. Staff on duty were fully aware of the likes and dislikes and of the needs and behaviours of both residents and the ways in which they should respond A resident spoken with said that they are asked their opinion about life at the home. They said that they make choices about their daily lives. A relative said that the home is good and that the staff are caring. Work is taking place to improve the communication aids at the home so that residents can be better assisted to make choices. York Street (32) DS0000019016.V352447.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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in appropriate activities that provide opportunities for their educational, social and personal development. EVIDENCE: Each resident has an individual range of activities available to them throughout the week. These activities have been drawn up in consultation with the residents and meet their needs, skills and individual preferences. These activities include attendance at a day centre, work experience, college courses or activities with staff in the community or at the home to progress daily life skills. Records and a discussion with a resident and staff indicate that there are opportunities for residents to become involved in the local community in York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 13 accordance with their wishes. Residents visit the cinema, social clubs, local pubs and restaurants and places of interest in the area. Staff, relatives and records indicate that family links and friendships are promoted. Staff are aware that the residents have rights. Residents are fully involved in the development of their own care plans and staff spend time explaining and reminding them of the reasons why support is provided in particular ways. Discussions with the staff and observations confirmed that the home’s routines are flexible as much as possible and fit in with the needs and wishes of the residents. Weekly activity sheets are in place to give some structure to daily routines and guidance for staff. Residents are encouraged to assist staff in tidying their rooms, preparing meals and in sharing responsibility for the general upkeep of the home. Care plans indicate the dietary requirements of residents. Advice is obtained from a dietician if this is required. One resident spoken with said that they go shopping and help with preparing meals. York Street (32) DS0000019016.V352447.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ health care needs are well met but some improvements are needed to the records around the administration of medication in order to fully safeguard the residents. EVIDENCE: Only one of the residents needs regular assistance with personal care and the care plan identifies the ways in which this should be provided. Staff receive training on promoting privacy and dignity during their induction and were able to describe how they promote this when interviewed. During the course of the inspection staff were observed to be sensitive to the residents’ needs. Residents know which members of the staff team are working with them and they receive both consistency and continuity in support. Health passports were located on each of the resident’s care plans together with full and detailed information about past and current medical needs. York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 15 Records are made of appointments with GP’s, Consultants, Community Psychiatric Nurses, Dentists and other health care professionals and of any treatments required. Records show that residents have access to medical/health care professionals as needed. A medication procedure is available which provides clear guidance. Medication is stored securely. The records of training indicate that staff have been trained in the safe handling and administration of medication. A selection of medication administration record sheets and corresponding medication were inspected and were in general found to be in good order. The records of the amount of one type of medication held at the home were incorrect and the administration instructions were not consistent. A record was not made of when this medication leaves and returns to the home when the resident visits family. The medication that goes home to the family had different administration instructions than the medication that remains at the home. Records showed that this medication is to be given on an as and when required basis and is rarely given, however, a clear audit and clear administration instructions are needed in order to safeguard the well being of the resident. York Street (32) DS0000019016.V352447.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. In general, residents are well protected by the staff training and policies and procedures that are in place to ensure that residents’ views are heard and appropriate action taken. Some improvements are needed to the management of residents’ finances to ensure they are safeguarded by the financial and accounting procedures of the home. EVIDENCE: Wirral Autistic Society has a complaints policy and procedure. A copy of the procedure is held in the home and is also detailed in the Statement of Purpose. No complaints have been received by the CSCI since the last inspection of the service. A complaint made to the home had been appropriately managed, however, a record was not made of the feedback given to the complainant on the action that had been taken. This information should be clearly documented. The complaints procedure is available in pictorial form however this is being reviewed to ensure that the residents have access to a procedure that meets their needs. Staff have access to appropriate adult protection procedures. The two staff spoken with were able to demonstrate a clear understanding of how to protect vulnerable adults from abuse. All staff that work at the home have been received appropriate internal training on recognising abuse and of the action to be taken in the event of abuse being suspected. York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 17 One of the residents can manage their own personal allowances with advice and guidance from staff. There was some confusion amongst staff and the manager as to whether the other resident manages their own money with staff support or whether staff manage this. The records relating to this resident’s personal allowances could not be located and it was eventually identified that the resident keeps their money in their bedroom. The manager was not happy with this arrangement and said an audit needed to be maintained to safeguard the resident. The arrangement for supporting the resident to manage their own money and the arrangement for ensuring the resident is safeguarded in doing so needs to be clearly documented. York Street (32) DS0000019016.V352447.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, 27 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards of accommodation are generally good although some improvements could be made to enhance the environment for the residents. EVIDENCE: The home provides a comfortable environment for residents and is generally well maintained. There was evidence of ongoing decoration to maintain standards. Furnishings and fittings are domestic in style and are appropriate for the size and layout of the home. The kitchen in the home is quite small. Kitchen units are old and some are broken. Worktop space is limited. The paint on the kitchen step has worn away showing the exposed wood. The homes washing machine is in the kitchen and an electric clothes dryer is located in a brick outbuilding. The York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 19 kitchen units should be replaced and this would provide the opportunity to use the small space in the best possible way. The carpet in the dining room has a number of marks even though it has been recently cleaned. The manager reported that a refurbishment of the kitchen is to take place and new dining room carpet is to be provided. Resident’s bedrooms are of a good size and fitted with appropriate furniture. Residents have personalised their own rooms and are encouraged to keep them clean and tidy through programmes of activity. The home’s bathroom affords appropriate privacy. One of the residents said the shower does not get very hot, the temperature changes when they are in the shower and that the water flow is not very good. The manager reported that there have been ongoing problems with the water pressure and that she will ask the maintenance department to address this. The lounge and dining area was originally one space but stud walls with an archway were created some time ago to enable them to be used separately when required. Neither of the residents currently living at the home requires specialist equipment to support their day-to-day needs. At the time of this inspection the home was clean and well cared for. York Street (32) DS0000019016.V352447.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): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff available, the training they have received and the manner in which they are recruited support residents. EVIDENCE: Each of the residents has a member of staff allocated to work with them at all times when they are at home, on holidays or on trips into the community. Staff work in two teams to maintain continuity of support for each of the residents in the home. Staff usually work until 11:00pm and one will “sleep in.” Lone worker policies are in place and staff have direct access to senior managers at all times. Bank staff are used to cover absences through sickness and holidays. York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 21 The two staff spoken with said that the staffing levels are sufficient. The staff told the inspector that they have job descriptions and contracts of employment and are supported with regular one-to-one supervision. A comprehensive induction and foundation training programme is provided to permanent and bank staff. The training covers health and safety matters, adult protection, equal opportunities, communications, deaf awareness, moving and handling, first aid, safe handling of medication, autism specific training and promoting the rights of the resident. The induction and foundation training programmes have been developed in accordance with the National Training Organisation training targets. Staff are encouraged to undertake an NVQ in caring for adults with a learning disability. Over 50 of staff hold an NVQ Level 2. Specialist training is provided to staff to assist them to support the residents. Observations indicated that staff are respectful and supportive of the residents. A resident spoken with at the time of the inspection considered that they are happy with the support they receive from the staff and the manager. The records of staff recruitment were examined and found to be well managed and contained all the required information. York Street (32) DS0000019016.V352447.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, 42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from the quality assurance systems in place at the home and from the arrangements for staff support. EVIDENCE: The manager of the home has a number of years experience of management in a care setting. The manager has an NVQ Level 4 in care and has nearly completed the registered managers award. The manager has undertaken periodic training to maintain and update her knowledge skills and competence. The manager has responsibility for two other care homes run by Wirral Autistic Society. An application to be registered with the CSCI has been made. York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 23 The two staff interviewed said that they are well supported by the manager. They reported that they consider their views regarding the running of the home are sought and listened to. They said that they receive regular supervision and that team meetings are held on a regular basis. There are a range of quality assurance systems in place. Wirral Autistic Society is accredited by the National Autistic Society which carries out an inspection of services provided. Wirral Autistic Society conducts an internal audit of the society as a whole every 12 months and on the basis of this prepares an action plan for the next 12 months. The organisations accounts are audited on an annual basis. A copy of the annual accounts has been made available to the CSCI, together with the annual review of the operation of Wirral Autistic Society. Questionnaires are sent to relatives regarding how the home operates. Visits to the home by the representative of the registered provider are made. These reports are made available to CSCI. The manager carries out a monthly house check of all records and the premises. The manager reported that questionnaires for health and social care professionals are in the process of being devised. Training around safe working practices such as manual handling, fire safety, infection control and first aid is made available to staff as part of their induction. There is a rolling programme of training opportunities provided and staff can access this when required. There are a range of policies and procedures available that promote safe working practices. The pre-inspection questionnaire returned by the manager showed that electrical wiring, gas safety and fire detection equipment checks were up to date. Monthly fire drills were taking place. The home is not required to have a fire alarm but instead has smoke detectors. Tests of these have not been carried out weekly on a consistent basis. This was brought to the attention of the manager to be addressed. York Street (32) DS0000019016.V352447.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 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 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 2 X 3 X 3 X X 2 3 York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 25 No 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 YA9 Regulation 13 Requirement The registered person must ensure that risk assessments are reviewed in accordance with the level of risk presented and recorded so that they are available for staff to refer to. Timescale for action 09/12/07 2. YA20 13 The registered person must 09/11/07 ensure that at all times a clear audit of medication is maintained and that the administration instructions are consistent when different containers are used for the same medication. The registered person must ensure that the arrangements for supporting residents to manage their own money and the arrangements for ensuring the resident is safeguarded in doing so is clearly documented. The registered persons must ensure that all fire detecting equipment is tested at suitable intervals. 09/12/07 3. YA23 13 4. YA42 23 09/11/07 York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA24 YA24 YA24 Good Practice Recommendations The registered person should consider the replacement of the home’s kitchen and create a more workable space. The registered person should consider the replacement of the carpet in the dining room. The registered person should ensure that the problems residents are experiencing with the shower are resolved. York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 York Street (32) DS0000019016.V352447.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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