Care Home: 134 Ashland Road

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What the care home does well A Service Users Guide (SUG) is made available, which provides residents and their representatives with up to date, comprehensive details relating to the service. Potential residents are assessed before they are admitted to the home to make sure their identified needs can be met. Residents are assured that their changing needs and aspirations are reflected in their care plan, which supports them to take risks and have an active independent lifestyle.Resident`s rights and responsibilities are upheld and they can maintain contact with their family and friends. A comprehensive well-balanced menu is provided which is based on the preferences of the residents. Medicine management promotes the resident`s safety. Complaints, concerns and allegations are taken seriously and acted upon. 143 Ashland Road is well maintained, pleasant, comfortable and clean throughout. Appropriately trained and supervised staff support residents and recruitment practices are effective in promoting the safety of residents. The home is managed by a person who is fit to be in charge although the acting manager will be required to register with the Commission for Social Care Inspection (CSCI). Residents have the opportunity to contribute to developments within the home. The health, safety and welfare of residents is promoted through effective routine maintenance. What has improved since the last inspection? An uneven and cracked outside pathway has been repaired. A staff recruitment pro-forma, which has been agreed with CSCI is being utilised effectively. What the care home could do better: Policies and Procedures should be reviewed to ensure that they are up to date. The acting manager should initiate the registration process with CSCI. Window restrictors should be fitted/repaired. CARE HOME ADULTS 18-65 134 Ashland Road Sutton In Ashfield Nottinghamshire NG17 2HS Lead Inspector Steve Keeling Unannounced Inspection 17 March 2008 09:00 th 134 Ashland Road DS0000008619.V360377.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 134 Ashland Road DS0000008619.V360377.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. 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 134 Ashland Road Address Sutton In Ashfield Nottinghamshire NG17 2HS 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) 0115 8443538 01623 401668 nicola.turner@ncha.org.uk www.ncha.org.uk NCHA Vacant Care Home 10 Category(ies) of Learning disability (10) registration, with number of places 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within category LD Date of last inspection 1st August 2006 Brief Description of the Service: 134 Ashland Road is a purpose built bungalow providing personal care and accommodation for up to ten adults with learning difficulties who may have additional physical disabilities. The home is situated in a residential area, close to the town centre amenities of Sutton in Ashfield. The home has its own vehicle, which enables residents to access a variety of activities within the broader community. The accommodation is maintained to a high standard and is homely and comfortable throughout. The fees currently charged range from £724 to £974 per week depending on the needs of the resident. 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views on the quality of service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The main method of inspection used is called ‘case tracking’ which involves selecting residents and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. The manager, one member of staff and visitor to the home were spoken with as part of the visit. Documents were read as part of this visit and medication management was inspected to form an opinion about the health and safety of residents at the home. A partial tour of the building was undertaken which included the case tracked resident’s bedrooms and the communal areas they frequent to make sure that the environment is homely and safe. A review of all the information we have received about the home since the last inspection was considered in planning the visit, which included an Annual Quality Assurance Assessment (AQAA), provided by the acting manager. The quality rating for this service is 2 star this means the people who use this service experience good quality outcomes. What the service does well: A Service Users Guide (SUG) is made available, which provides residents and their representatives with up to date, comprehensive details relating to the service. Potential residents are assessed before they are admitted to the home to make sure their identified needs can be met. Residents are assured that their changing needs and aspirations are reflected in their care plan, which supports them to take risks and have an active independent lifestyle. 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 6 Resident’s rights and responsibilities are upheld and they can maintain contact with their family and friends. A comprehensive well-balanced menu is provided which is based on the preferences of the residents. Medicine management promotes the resident’s safety. Complaints, concerns and allegations are taken seriously and acted upon. 143 Ashland Road is well maintained, pleasant, comfortable and clean throughout. Appropriately trained and supervised staff support residents and recruitment practices are effective in promoting the safety of residents. The home is managed by a person who is fit to be in charge although the acting manager will be required to register with the Commission for Social Care Inspection (CSCI). Residents have the opportunity to contribute to developments within the home. The health, safety and welfare of residents is promoted through effective routine maintenance. What has improved since the last inspection? 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. 134 Ashland Road DS0000008619.V360377.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 134 Ashland Road DS0000008619.V360377.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 and 2. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Information relating to the service provision is contained within the Service Users Guide (SUG), which provides residents and their representatives with up to date, comprehensive details relating to the service. People are assessed before they are admitted to the home to make sure their identified needs can be met. EVIDENCE: A SUG is made available to all potential residents or their representatives so they can decide on the suitability of the service in meeting the resident’s needs. A copy of the guide is made available in all the residents’ bedrooms for additional reference. Residents records showed and a resident confirmed that the acting manager obtains a full needs assessment from Social Services departments prior to people gaining residency. The acting manager also performs additional needs assessments which incorporate teatime visits and over night stays, to enable potential residents to meet and socialise with others at the home prior to 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 9 gaining residency. The assessments are detailed, and provide good information about the background, support needs and lifestyle preferences of the residents. 134 Ashland Road DS0000008619.V360377.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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assured that their changing needs and aspirations are reflected in their care plan. Residents are supported to take risks and have an active independent lifestyle. EVIDENCE: The care plans seen had been drawn from the information acquired via initial assessments and covered the holistic needs of residents. The care plans adhere to equality and diversity requirements offering support to residents with for example, emotional needs, hygiene, life skills and independence, as well as health care needs. A resident’s pre admittance assessment indicated that a resident had a history of verbal aggression and “throwing things”, but it was not evident that a care plan had been formulated to address the concerns. 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 11 Although the resident had not exhibited these behaviours since gaining residency, the acting manager amended the care plan on the day of the inspection to ensure that should the resident became anxious, staff were provided with details on how to support the resident. The case tracked care plans showed that residents are involved in the care planning process and a resident reported feeling consulted with about how his needs can be met by staff at the home. Plans are reviewed regularly and staff spoken with confirmed that residents are asked about their care and if they feel there are any changes required. The care planning documentation is well organised and stored securely on a password protected computerised system to protect the resident’s confidentiality. A resident said that he was able to take risks and his independence is promoted within the home environment and the broader community. The resident confirmed that staff provide appropriate guidance and encouragement to develop “life skills”. A resident confirmed, and a rota showed that residents can participate in tasks such as the planning and preparation of meals and domestic duties within the home. Residents are also provided with the opportunity to interact within the local community as they attend day centres and voluntary work placements within the local area to further develop their independence. 134 Ashland Road DS0000008619.V360377.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 can participate in a range of activities. The resident’s rights and responsibilities are upheld and they can maintain contact with their family and friends. A comprehensive well-balanced menu is provided which is based on the preferences of the residents. EVIDENCE: Residents can participate in a range of educational and recreational activities within the home and the broader community. As mentioned earlier in the report, residents attend day centres and voluntary work placements to promote interactions within the broader community and encourage their independence and living skills. 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 13 Residents are also provided with the opportunity to participate in arts and crafts, dancing sessions, yoga, bowling, cookery, regular walks in the town, going to the pub for meals and going to the cinema. Residents also confirmed that they could utilise the mini bus to access trips to areas of interest and annual supported holidays if they wish. In house entertainment systems are provided, such as a television, music centre, DVD player and a computer. Residents confirmed that the routines are flexible in the home and residents often stay up late to watch the television if they wish. An “open door policy” is encouraged at the home and residents confirmed that support is given to maintain relationships with their family and friends. A visitor to the home confirmed the open access and said “The staff are fantastic, I am always made very welcome at any time of day”. The residents, in relation to meal planning and preparation are encouraged to plan a weekly menu on Sunday nights. Residents take responsibility, under the guidance and supervision of staff, to purchase food products and prepare meals and snacks thus promoting their independent living skills. Residents said that the meals are very good and a choice is always made available. Residents also confirmed that drinks and snacks are readily available. Residents confirmed that their respect and dignity is always promoted and indicated that the routine in the home is flexible and their choice is respected. We observed that the interactions between the staff and residents were very respectful, unrushed and considerate to the needs and wishes of the residents. Residents are provided with keys to their bedrooms if they wish, to further promote their privacy. Lockable facilities are also available in the resident’s bedrooms, to store personal possessions. 134 Ashland Road DS0000008619.V360377.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. Resident’s health and personal care support is of a good standard. Medicine management promotes the resident’s safety and independence. EVIDENCE: Support plans viewed show that residents are able to receive their care as they wish, staff spoken with understood the different needs and preferences of residents and understood the importance of ensuring residents needs were met in an individual manner. A resident said that staff always respect his wishes and promotes his choice and preferences at all times. There was evidence in support plans and diary notes of residents attending General Practitioner (GP) appointments and other health care visits such as dentists and opticians. A resident and a visitor confirmed that that staff at the home always responded quickly to requests to see general practitioners if residents are feeling unwell. 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 15 A Monitored Dosage System (MDS) is provided by a large pharmaceutical retailer. Medication is stored in a secure environment to promote the resiednts safety.The case tracked residents Medication Administration Records (MAR) were examined. The records had no gaps present and medication administration was recorded effectively. Photographs of each resident were attached to the MAR sheet to aid the administration process. Medication, which requires refrigeration, was stored securely within a fridge. The temperature within the medication fridge is recorded on a daily basis and the temperature was maintained within the required 2-8 degrees centigrade. 134 Ashland Road DS0000008619.V360377.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. Residents and their representatives are assured that their complaints, concerns and allegations are taken seriously and acted upon. EVIDENCE: Residents spoken with said they felt safe and very well looked after. A visitor to the home said that should he have any concerns or complaints he would speak with the acting manager and felt confident that any issues would be addressed effectively. A complaints procedure is displayed in a prominent position in the home to enable residents or their representatives to access it. The procedure is also provided to all residents within the SUG and is available in a signs and symbol format to aid residents in highlighting concerns or making complaints. The complaints procedure within the SUG clearly identifies whom the complainant should contact and specifies times scale in which the complainant will receive a response. To further promote the safety of the residents the revised Nottinghamshire Safeguarding Adults policy is available in the home and staff confirmed that the policies are accessible at all times. 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 17 The acting manager was not investigating any complaints at the time of the visit and CSCI has not received any complaints relating to the service provision at the home since the last unannounced visit. The complaints file was examined and showed that one concern had been made since the last inspection, which had been documented with actions and outcomes recorded. Training records showed that staff have received training in relation to the Safeguarding Adults and staff spoken with were able to confirm this. Residents are encouraged to manage their own financial affairs. Secure facilities are available for residents to store small amounts of spending money in their bedrooms. Records showed that all transactions are recorded for expenditures thus protecting the residents from financial abuse. 134 Ashland Road DS0000008619.V360377.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a safe, well-maintained environment, which is pleasant, comfortable and clean throughout. EVIDENCE: Residents expressed satisfaction in relation to the standard of cleanliness throughout the home. Resident’s bedrooms were homely, safe and personalised with many personal possessions such as family pictures, small items of furniture, a television, radio and ornaments. Residents can benefit from a pleasant garden area, which incorporates a BBQ for residents to use in the summer months. A path leading from the house 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 19 round the side of the home has been repaired in response to a previous requirement and the area was assessed as safe. The homes internal environment, which included the dining room, kitchen and lounge area, are clean, fresh and homely. Bathrooms were well maintained and odour free. Not all windows have window restrictors in place to promote the security and safety of residents. The acting manager addressed the shortfall on the day of the inspection by arranged for window restrictors to be repaired where required. In addition the window restrictors were entered on the environmental quality audit procedure, which is performed on a monthly basis to ensure faulty window fittings are identified and repaired effectively. It was noted that the radiator cover in bathroom three has an areas of rust, which will require painting at the earliest opportunity to promote infection control within the area. A visitor to the home said that he was very impressed within the quality of the home environment and also highlighted that residents are actively encouraged to have personal belongings in their bedrooms. 134 Ashland Road DS0000008619.V360377.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. Residents are supported by appropriately trained and supervised team of staff and recruitment practices are effective in promoting the safety of residents. EVIDENCE: Residents and a visitor spoken with said there is always enough staff on duty and staff are always available when they need them. A residents and a visitor said that staff are very competent and confident in performing their duties. Staff recruitment records showed that members of staff only commence employment once satisfactory Protection of Vulnerable Adult (POVA) checks and Criminal Record Bureau (CRB) checks have been obtained, together with two satisfactory references, thus promoting the safety and wellbeing of residents. Information provided by the manager, within the AQAA showed that the service has achieved a target of 100 of staff trained, to National Vocational 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 21 Qualification (NVQ) level two and above to ensure a suitably qualified workforce is employed at the home. Staff records showed that a staff-training programme is also provided in relation to Food and Nutrition, Moving and Handling, Basic Food Hygiene, Safeguarding Adults, infection control, Health and Safety and Control of Substances Hazardous to Health (COSHH). 134 Ashland Road DS0000008619.V360377.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): 37,29 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run and managed by a person who is fit to be in charge although the acting manager will be required to register with CSCI. A resident’s consultation process is performed on a monthly basis to provide residents and their relatives with the opportunity to contribute to developments within the home. The health, safety and welfare of residents is promoted through effective routine maintenance. EVIDENCE: The acting manager is experienced in social care and has recently attained the degree level Registered Managers Award (RMA). To date the CSCI has not 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 23 received an application from the acting manager to register with CSCI as the manager at 134 Ashland Road although the acting manager confirmed that the application will be made within the next two weeks. Staff spoken with were very confident in the acting managers leadership and managerial skills and said they felt supported and valued. Residents and visitors to the home also expressed a great deal of satisfaction in relation to the management structure saying that the acting manager and the staff at the home are very good. The acting manager performs effective quality auditing procedures relating to the environment and documentation. In addition yearly resident surveys are performed to determine the satisfaction levels of residents at the home. Staff confirmed that the policies and procedures are readily accessible for guidance, but information provided within the AQAA showed that some Policies and Procedures had not been reviewed on an annual basis. Residents said that residents meetings are performed on a regular basis to allow residents to be involved in any development within the home. the residents meetings are documented effectively. Information provided within the AQAA showed that resident’s health, safety and wellbeing is promoted by the provision of effective routine maintenance, which includes weekly fire alarm tests. 134 Ashland Road DS0000008619.V360377.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 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 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 2 x 3 x x 3 x 134 Ashland Road DS0000008619.V360377.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 YA37 Regulation Schedule 2 Requirement To promote the health and wellbeing of service users the registered person must make arrangements to ensure that the acting manager applies for registration with the Commission for Social Care Inspection. To promote the health and wellbeing of service users the registered person must make arrangements to ensure that policies and procedures are regularly reviewed in light of changing legislation. Timescale for action 31/05/08 2 YA37 12 31/05/08 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 YA30 Good Practice Recommendations The radiator cover in bathroom three has an area of rust, which will require painting at the earliest opportunity to promote infection control. 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 134 Ashland Road DS0000008619.V360377.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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