Care Home: Lindley Cottage

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What the care home does well There is a very friendly atmosphere at the home. The people who live and work there make visitors feel very welcome. When the staff talk to people they are very patient and they take time to explain things. They encourage people to make choices. Lindley Cottage is a lively place, there is plenty of activity and people are always on the move. People`s health needs are well met. The staff support people to keep in touch with their families. Staff are offered good training opportunities to improve their skills in caring for people who live at Lindley Cottage. Relatives are very much involved in decisions about all aspects of care; they are always invited to reviews. If they cannot attend, the staff keep in touch by telephone. The feedback we received from everyone who completed a survey was very positive, we have included some of their comments in the main body of this report. We asked people what the care home does well; these are some of the responses we received: "Because it is small, it is possible to create a true family atmosphere, in which I think they succeed" "They respond to individual needs and seek appropriate advice, and then follow it and implement it" "They see to all my relative`s needs, they are considerate" "My relative is happy there and always ready to go back after he has been out. It`s his home now". "The service provides a warm, homely environment with friendly staff". What has improved since the last inspection? The first floor bathroom has been decorated and now looks more inviting. One of the bedrooms has been totally refurbished. There has been no turnover of staff. There is less need to use physical intervention because other techniques are used to help manage behaviour. The staff have accessed Positive Behaviour Support Group Training so that they can support people to deal with their emotional health. People who live there are being encouraged to attend house meetings. What the care home could do better: In the AQAA (Annual Quality Assurance Assessment) they told us they want to provide more opportunities for people to sample social and leisure activities that they may not have previously experienced. They are going to improve their service user guide so that it is easier for people to understand. Remove the viewing holes in doors that are no longer required. CARE HOME ADULTS 18-65 Lindley Cottage 6 Lidgett Street Lindley Huddersfield West Yorkshire HD3 3JB Lead Inspector Lynda Jones Key Unannounced Inspection 29th May 2008 09:30 Lindley Cottage DS0000001117.V365125.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 Lindley Cottage DS0000001117.V365125.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. Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindley Cottage Address 6 Lidgett Street Lindley Huddersfield West Yorkshire HD3 3JB 01484 645169 F/P 01484 645169 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) www.st-annes.org.uk St Anne`s Community Services Mrs Dawn Moran Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 2007 Brief Description of the Service: Lindley Cottage, which is operated by St Anne’s Community Services, is registered to provide nursing and personal care and accommodation for up to five adults with a learning disability. It is located within Lindley village close to local amenities. The property is a former family residence backing onto the Lindley recreation ground. There is a large garden to the rear of the property for service users’ use. There is limited parking to the front of the building. St Anne’s Community Services operate the home. The fee for this service is £422.11 per week; this does not include the nursing component, which is paid for directly by health. Additional charges are made for hairdressing, toiletries, and chiropody, hydrotherapy and transport. Information about the home, including the latest Commission for Social Care Inspection report, is available from the home. Inspection reports are also available on the Internet at www.csci.org.uk Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. In addition to visiting the home, in the preparation of this report we have used information from notifications they have sent to us and information supplied by the home in their Annual Quality Assurance Assessment (AQAA). Discussion took place with the registered manager and staff on duty. Time was spent observing care practice and interaction between staff and people living at the home. All communal areas and bedrooms were seen and a sample of records was examined. We received feedback from 4 relatives of people who use the service, from 2 staff who work at the home and from 3 health professional who visit the home and provide a service to people who live there. The inspector would like to thank everyone involved for their co-operation with this visit. What the service does well: There is a very friendly atmosphere at the home. The people who live and work there make visitors feel very welcome. When the staff talk to people they are very patient and they take time to explain things. They encourage people to make choices. Lindley Cottage is a lively place, there is plenty of activity and people are always on the move. People’s health needs are well met. The staff support people to keep in touch with their families. Staff are offered good training opportunities to improve their skills in caring for people who live at Lindley Cottage. Relatives are very much involved in decisions about all aspects of care; they are always invited to reviews. If they cannot attend, the staff keep in touch by telephone. The feedback we received from everyone who completed a survey was very positive, we have included some of their comments in the main body of this report. Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 6 We asked people what the care home does well; these are some of the responses we received: “Because it is small, it is possible to create a true family atmosphere, in which I think they succeed” “They respond to individual needs and seek appropriate advice, and then follow it and implement it” “They see to all my relative’s needs, they are considerate” “My relative is happy there and always ready to go back after he has been out. It’s his home now”. “The service provides a warm, homely environment with friendly staff”. What has improved since the last inspection? What they could do better: In the AQAA (Annual Quality Assurance Assessment) they told us they want to provide more opportunities for people to sample social and leisure activities that they may not have previously experienced. They are going to improve their service user guide so that it is easier for people to understand. Remove the viewing holes in doors that are no longer required. Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 7 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. Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service Anyone considering moving in would always be assessed first, to make sure their needs could be met at the home and to make sure that it is the right place for them live. EVIDENCE: Most people have lived at Lindley Cottage for some time. The last person moved there in 2005, this provides people with a settled home to live in. Two sets of records were examined; they show that people’s needs had been assessed prior to them moving into the home. The Annual Quality Assurance Assessment (AQAA) tells us that anyone new to the service would only move in after a full and thorough assessment has taken place. Information about the service is available on request from the home. The manager said that staff are currently working to produce a written/picture type of guide to the home so that it will be easier for people to understand what sort of service is on offer. Lindley Cottage DS0000001117.V365125.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. People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People are consulted and encouraged to make decisions about their own lives, as far as they are able to. Everyone is supported and encouraged to be as independent as possible. EVIDENCE: Everyone has a person centred plan, which sets out their individual needs. Two plans were examined. Both contained clear information outlining the action staff must take to make sure that peoples needs will be met. The plans are written in plain English and are easy to understand. People are involved in the planning their own lifestyle. Everyone has an annual person centred planning meeting; at these meetings people agree the goals that they want to work towards over the coming year. Relatives, and other Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 11 people who are involved in providing support are always invited to attend; they confirmed this in the surveys they returned to us. Each time someone is involved in an activity that is associated with one of their goals, the details are recorded. This helps to keep track of progress. The plans are working documents that are regularly reviewed. The reviews focus on what has worked for each individual; consideration is given to where there has been progress and whether there are any concerns. From talking to staff and from comments in the surveys, there is clear evidence that people are supported and encouraged to make choices and decisions about their lives, as far as possible. This is sometimes limited due to the nature of people’s learning disabilities. With support from their families and staff, people have personalised their rooms, they make choices about food and drinks and choices about how they want to spend their time. Behaviour management plans are in place for some people. These give clear instructions to staff about how to manage challenging behaviour, the plans identify what can trigger certain behaviours and they focus on positive approaches to behaviour management. Physical intervention plans are in place for two people. The manager said the staff are now much more aware of behavioural triggers and of using distraction techniques to avoid the need for physical intervention. This has resulted in a decrease in its use over the past year; which is a major improvement. Records show that there has been regular, multi disciplinary involvement in physical intervention plans. Seclusion was used with one person as a means of managing challenging behaviour. It has not been necessary since May 2007, as other alternative strategies have proved to be effective. In order to observe this person and make sure this individual was safe during a period of seclusion, a viewing hole was made in the bedroom door. If this is no longer needed, the hole should be filled in order to protect this person’s privacy. Lindley Cottage DS0000001117.V365125.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. People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People have good opportunities to take part in activities in the local community; they are supported to do the things they want to do. EVIDENCE: There is evidence that people are supported to work towards the goals that are set out in their personal plan, and that everyone takes part in meaningful activities that are in keeping with their own interests. In the Annual Quality Assurance Assessment (AQAA) the home told us that over the past 12 months they have provided opportunities for people to use the local community to a greater extent than previously and more community links are being encouraged. One person who likes walking has joined a local walking group that meets every month. This person also meets up with people Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 13 with similar interests who live in another St Anne’s home. People go out to the pubs and local cafes and they use all of the local amenities. The AQAA tells us that more time is now allocated for staff to support people on activities on a 1:1 basis. People are using public transport and walking more, rather than just using the transport that the home has available. Everyone is going on a holiday of their choice this year, for a length of time that suits them. People are going to Centre Parcs, on a walking holiday, renting a cottage and going to the Military Tattoo in Edinburgh. All of the relatives who wrote to us said that in their opinion people are always supported to live the life they choose. People are supported to maintain links with their families. Everyone who contacted us said they were very happy with the performance of the home in this area. These are some of the comments we received from relatives: “We have plenty of contact, my relative looks forward to phone calls and visits” “ My relative comes to tea every week. I have no transport so I find Lindley Cottage very helpful in this respect! There is plenty of choice on the menu and everyone is offered a healthy diet. Everyone chooses what they want for breakfast, lunch and supper, in the evening people usually have the meal that is on the menu for the day. Lindley Cottage DS0000001117.V365125.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. People receive care and support in appropriate ways; their health care needs are well met; and medication is managed safely. EVIDENCE: People living at the home require different levels of support. Their support needs are well documented and easy to follow. This means that care is delivered with consistency, in a way that suits people. Preferred routines are also well documented; this provides people with stability and consistency. Whenever there is any change to a persons support needs, the records are promptly updated to reflect this. Staff are clear about their roles and responsibilities, they talked about how they support people on a day-to-day basis and about their involvement in person centred planning. The staff know people very well; relationships between staff and people living at the home are good. Throughout the day the staff were observed offering personal care discreetly and respectfully. Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 15 The records show that people attend regular healthcare appointments with staff support. An “OK health check” is completed annually to identify any healthcare matters that need addressing. Evidence shows that a wide range of healthcare providers are consulted when specialist advice and guidance is needed. The providers who completed surveys told us that they felt that individuals’ health care needs are being met by the service. When we asked them whether the service respected people’s privacy and dignity, one person said, “The level of respect always appears exemplary”. Relatives said they were satisfied with the service, they said the staff have the right skills and experience to look after people properly and they said they were always kept up to date with any issue affecting their relative, “we are always told about appointments”. Medication management is good. Records are signed contemporaneously and were up to date. The records show that people are being given their medication at the prescribed times. Lindley Cottage DS0000001117.V365125.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. Appropriate systems are in place to ensure that complaints are dealt with properly, and that people are safeguarded against abuse and harm. EVIDENCE: There is a clear policy and procedure about the management of concerns/complaints. Most people who completed surveys said they knew how to make a complaint, one person had forgotten. No complaints have been made since the last inspection. Everyone said they were confident that any concerns would be dealt with appropriately; they then went on to say they had not needed to make a complaint. Relationships are good and relatives have a lot of contact with staff, they said they would talk to the manager if they needed to. All staff have had relevant training and know about their responsibility to make sure that people in their care are safe and protected. The manager is aware of how the organisation links in with the local authority adult protection procedures. The home continues to notify us of any event that affects the wellbeing of anyone living there. Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is secure and safe and provides a pleasant and comfortable place for people to live. EVIDENCE: All parts of the home were seen during this visit, including all communal areas and each person’s bedroom. One person took us to see her room. The house was clean and tidy throughout, cleaning rotas are in place to address hygiene issues. Since the last inspection the bathrooms and toilets have been improved. There are blinds at the windows; bathrooms look more inviting now that they have been decorated and pictures and mirrors are now in place. Everyone has a room that suits their own needs and tastes and everyone has had support to personalise them. A bed that needed to be repaired has been Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 18 replaced and the bedroom has been refurbished. Another recently decorated room is in the process of being fitted with shelves. It is disappointing that one person has had to wait for a year for a new carpet to be fitted in her bedroom. We were told that the maintenance service provided by St Anne’s is poor. Staff told us that months can pass by between repairs first being identified to when work actually takes place. The home is allocated one day a month for maintenance but this is often cancelled at short notice. This means that repairs are not being dealt with in a timely way. Work is underway to re-locate the staff sleeping in room, this will create an additional quiet sitting area for people to use. The home has a superb, large lawned garden. As some of the staff are experienced gardeners, part of the garden is being used to grow vegetables. People living there are involved in this project. As there is only limited parking space at the front of the house, there are plans to create a larger area for visitors and staff to use. Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 19 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. This judgement has been made using available evidence including a visit to this service. People’s best interests are promoted and protected by a competent staff team that is well trained. EVIDENCE: The staff have good, positive relationships with people who live at the home and with their relatives. They know people very well, some staff have known people for several years and commented on how much progress people have made since moving to Lindley Cottage. There are enough staff on duty to make sure that people’s needs can be met. The manager said there is flexibility within the rota to ensure that additional staff can be available if people attend a special event or go on holiday/days out. Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 20 A member of the team said, “staffing is very stable and rotas are made out to cover all regular shifts and any special events”. Training needs are identified through supervision, which is planned in advance and takes place regularly. Staff confirmed that they meet with the manager every 4-6 weeks on a 1:1 basis for supervision, they said they have the opportunity to discuss their role within the staff team and any concerns they might have. All staff receive mandatory training in areas such as health and safety, moving and handling, safeguarding and first aid, and other specialised training that is needed is made available. Systems are in place to ensure that mandatory training is regularly updated. All staff undertake LDAF training (Learning Disability Awards Framework). We were told “St Anne’s are very good at training, it is of a high standard” Staff meetings take place regularly and communication within the team is good. No new staff have been recruited recently as there have been no vacancies over the past 12 months. We were told that St Anne’s offers a comprehensive induction programme to new staff, although one person said they did not receive their induction until some time after they started. We do not know which period this relates to. Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 21 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 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 well managed, and there are appropriate quality assurance and monitoring systems in place that ensure that people’s health, safety and welfare is promoted and protected. EVIDENCE: The manager is a registered nurse for people with learning disabilities. She is experienced and has held a management post since 2004. She is well regarded by her colleagues and by relatives of the people who live there. People said she is approachable and professional, and they have confidence in her. We were told “the manager is always willing to make time to speak with staff if they request it outside of their scheduled supervision” Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 22 Since the last inspection, the staff team have worked to improve outcomes for people living at the home, and there is a strong ethos of being open and transparent in all areas of running of the home. We are notified of any event that affects the well being of people living there and the area manager regularly monitors the home. The information supplied by the organisation on its Annual Quality Assurance Assessment (AQAA) was found to be clear, relevant and supported by a wide range of evidence. The AQAA gave the Commission information about changes that the organisation has made and where they still believe they need to make improvements. The AQAA also provided us with information about the maintenance of equipment and shows that all servicing is up date. Information held within the records at the home shows that there are good policies and procedures in place that are regularly reviewed and updated. People are consulted about the running of the home through the annual quality assurance questionnaires. All of the people who completed surveys said they had regular contact with the home and felt that their views are taken on board. Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 23 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 X 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 2 25 3 26 3 27 3 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 18 PERSO3NAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 x Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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. Refer to Standard YA24 YA24 Good Practice Recommendations In order to protect an individual’s privacy, consideration should be given to blocking the viewing hole in the bedroom door as it is no longer required. Repairs should be carried out in a timely way so that people can live in a safe, well maintained home. Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Lindley Cottage DS0000001117.V365125.R01.S.doc Version 5.2 Page 26 - 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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