Care Home: May Morning

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What the care home does well Significant time and effort is spent planning to make admission to the home personal and well managed. Prospective residents and their families are treated as individuals and with dignity and respect for the life-changing decisions they need to make. A comprehensive assessment of need is carried out for each prospective resident to ensure the service can meet their needs and that the individual is compatable with the existing residents. Individual support plans, action plans and communication profiles ensure that the resident receives support in the manner they require and prefer. There are opportunities to participate in a range of activities that meet the leisure, social and personal development needs of people living in the home. A communication from a Senior Care Manager to the commission states, "I would like you to record that I have been impressed with the dedication to the caring role that they [staff at May Morning] have shown and with the empathy that they have expressed in supporting Resident ... through such a difficult period in his life". What has improved since the last inspection? As a result of listening to people who live in the home, the home has purchased a pool table and equipment for more garden activities for residents` enjoyment.The home has introduced a photo album including pictures of food items to enable residents` make choices during menu planning. Residents are involved in recruiting new staff members and their views are valued. Residents are now participating in resident meetings that provide another forum for them to express their views and the development of the service. What the care home could do better: There are no requirements arising from this inspection. There are areas of the home such as bathroom/toilets and kitchen that would benefit from refurbishment and make a more attractive environment for people to live in as well as functional. The agreed changes to the location of the bedroom of one particular resident, would benefit their physical and emotional health needs, if work to make the changes progressed at a faster pace than at present. CARE HOME ADULTS 18-65 May Morning Barrow Hill Sellindge Ashford Kent TN25 6JG Lead Inspector Paul Stibbons Unannounced Inspection 28 November 2008 11:00 th May Morning DS0000065338.V372838.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 May Morning DS0000065338.V372838.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. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service May Morning Address Barrow Hill Sellindge Ashford Kent TN25 6JG 01303 813166 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) CareTech Community Services (No.2) Ltd Miss Amanda Clare Ena Waghorne Care Home 8 Category(ies) of Learning disability (0) registration, with number of places May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: 2. Learning disability - LD The maximum number of service users who can be accommodated is: 8 1st December 2006 Date of last inspection Brief Description of the Service: May Morning is a large property which offers care for a maximum of 8 service users who have learning disabilities; current Residents predominately having Autistic Spectrum conditions or Asperger’s syndrome. It is situated in Sellindge, with access to a local shop and pub 10 minutes walk away. The towns of Ashford, Hythe and Folkestone are accessible by the public bus service and by using the home’s dedicated vehicle. The home is owned and operated by Caretech Community Services (No 2) Ltd. Day to day management is conducted by the Registered Manger, Miss Amanda Waghorne. The home is set in approximately 2 acres of ground, and shares some outdoor space with another Care Tech property. The home offers 5 communal rooms, two lounges, one dining room, a sensory room, and an art and activities room, which can be accessed for private use if required. All bedrooms are registered for single occupancy. May Morning has a restricted access policy in place, which is a requirement to manage specific service user behaviour and to ensure no unaccompanied service users come into contact with the busy road nearby. The Home has reviewed safer access to the garden and now is able to offer a greater level of freedom for the residents. Reported fees are £1247-£1760 per week. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 5 May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This unannounced inspection was conducted over a period of three hours. A completed AQAA (Annual Quality Assurance Assessment) had been submitted to the commission prior to the visit. Discussions were held with management, staff and residents and a tour of the building was carried out. A variety of records and documents were examined. What the service does well: What has improved since the last inspection? As a result of listening to people who live in the home, the home has purchased a pool table and equipment for more garden activities for residents’ enjoyment. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 7 The home has introduced a photo album including pictures of food items to enable residents’ make choices during menu planning. Residents are involved in recruiting new staff members and their views are valued. Residents are now participating in resident meetings that provide another forum for them to express their views and the development of the service. 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. May Morning DS0000065338.V372838.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 May Morning DS0000065338.V372838.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): 1,2,3,4,5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents have sufficient information on which to base an informed decision as to whether the home can meet their needs. A comprehensive assessment of needs is carried out prior to admission to ensure the home can meet prospective residents needs. People living in the home have the security of an individual written contract of terms and conditions attached to the placement. EVIDENCE: Significant time and effort is spent planning to make admission to the home personal and well managed. Prospective residents and their families are treated as individuals and with dignity and respect for the life-changing decisions they need to make. There is a high value on responding to individual needs for information, reassurance and support. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 10 The home has a statement of purpose and service user guide that is written in plain English aided with pictures. All new residents receive a comprehensive needs assessment before admission that is carried out by staff with skill and sensitivity. Individuals are supported and encouraged to be involved in the assessment process and information is gathered from a range of sources including other relevant professionals, with the individual’s agreement. The assessment focuses on achieving positive outcomes for people and this includes ensuring that the facilities, staffing and specialist services provided by the home meet the needs of the individual. Before agreeing admission of prospective residents the service carefully considers the impact on people already living in the home. All residents receive a contract to which they have agreed that gives clear information about fees and any extra charges. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 11 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): 6,7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from having an individual plan of care that reflects their assessed and changing needs. People living in the home are consulted and supported in taking risks as part of an independent lifestyle. People living in the home can be confident that information held about them is handled appropriately and their right to confidentiality is upheld. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 12 EVIDENCE: The key principle of the home is that people using the service are in control of their lives and they direct the service. Staff members are fully committed in supporting individuals to lead purposeful and fulfilling lives as independently as possible. The care plan is developed with, and owned by the person using the service and is based on a full and up to date holistic assessment. The plan is person centred and focuses on the individual’s strengths and personal preferences and includes a range of information that is important to them such as who and what is important to them, how they keep safe, their goals and aspirations, their skills and abilities, how they make choices in their life and sets out in detail how all their current requirements and aspirations are to be met through positive individualised support. The service knows and records the preferred communication style of the individual in a communication profile and staff members follow these methods to enable the person to fully participate. Plans are reviewed regularly, and as the individual’s needs change. This process is led by the resident and reflects current and up to date information. Reviews focus on asking questions about what has worked, where there is progress, achievements, concerns and what the plans are for the future. The care plan includes a comprehensive risk assessment, which is regularly reviewed. The service has a ‘can do’ attitude and risks are managed positively to help people using the service lead the life they want. Any limitations on freedom, choice or facilities are always in the person’s best interests. The individual understands and agrees any limitations; they are fully documented and reviewed regularly. The service works creatively and actively with other services and organisations to ensure that the person’s whole life needs are met, and goals addressed. The service recognises its own limitations and when to seek support from others to meet the individual needs of people. For example, there is evidence in individual files of input from speech and language, Psychiatry, Psychology, Epilepsy specialist, GP and community nurses. Residents are continually consulted on how the service runs and are able to influence key decisions in the home whatever their communication style. They are fully involved in decisions about the areas such as staff selection, the dayto-day life of the home, and its future development. Confidential records are kept secure in a locked office with authorised access. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 13 May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 14 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): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home have a range of opportunities that will meet their social, leisure and educational needs and their own personal development. People living in the home are supported in maintaining appropriate relationships with friends and family. People living in the home enjoy a healthy and varied diet that is of their choosing. EVIDENCE: The service has a strong commitment to enabling residents to develop or maintain their skills, including social, emotional, communication, and May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 15 independent living skills. Individuals are supported to identify their goals, and work to achieve them People who use the service are supported in maintaining personal and family relationships. The staff practices promote individual rights and choice, but also consider the protection of individuals in supporting them to make informed choices. The staff team help with communication skills, both within the service and in the community, to enable residents to fully participate in daily living activities. Residents are involved in meaningful daytime activities of their own choice and according to their individual interests, diverse needs and capabilities and they have been fully involved in the planning of their lifestyle and quality of life. Residents can access and enjoy the opportunities available in their local community, such as the local pub, and local leisure facilities. The service is committed to the principles of inclusion and promotes and fosters good relationships with neighbours and other members of the community. All residents in the home are registered to vote at elections and are supported in doing so should they wish. Residents are encouraged to participate in the daily running of the home including, minor maintenance tasks under supervision, cooking, cleaning, gardening, recruitment, shopping and menu planning. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 16 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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home receive personal support in the manner they prefer and require and their physical and emotional needs are met. People living in the home are protected by the homes policies and procedures for dealing with medication. EVIDENCE: People receive personal and healthcare support using a person centred approach with support provided based upon the rights of dignity, equality, fairness, autonomy and respect. Personal healthcare needs including specialist health requirements are clearly recorded in each person centred plan. The manager and staff team along with other health care professionals have worked very hard to improve outcomes for one resident with specific needs May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 17 over the last 12 months. A “Best interest” meeting agreed that a change to the location of a resident’s physical environment would promote a better quality of life for them, regrettably this change has yet to materialise although some work had started at the time of this inspection. Personal support is responsive to the varied and individual needs and preferences. The delivery of personal care is individual and is flexible, consistent, reliable, and person centred. Staff members respect privacy and dignity and are sensitive to changing needs. The service listens and responds to individuals’ choices and decisions about who delivers their personal care. People are supported and helped to be independent and can take responsibility for their personal care needs. Residents have access to healthcare and remedial services. Staff members make sure that those who are fit and well enough are encouraged to be independent, have regular appointments and visit local health care services. The health care needs of residents unable to leave the home are managed by visits from local health care services. The home has an efficient medication policy supported by procedures and practice guidance, which staff understand and follow. Medication records are fully completed, contain required entries, and are signed by appropriate staff. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 18 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): 22,23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home can be confident that their views will be listened to and acted on and they are protected from abuse and neglect. EVIDENCE: The home has an open culture where individuals feel safe and supported to share any concerns in relation to their protection and safety. Policies and procedures regarding safeguarding adults are available to staff and give them clear guidance about what action should be taken. People using the service or their representatives are made aware of what abuse is and the safeguards that exist for their protection. Access to external agencies or advocacy services is actively promoted. The home is clear when an incident needs to be referred to the Local Authority as part of the local safeguarding procedures. It is open and transparent when discussing incidents with external bodies. All staff working within the home are fully trained in safeguarding adults and know how to respond in the event of an alert. Knowledge and understanding in this area is constantly checked at team meetings and during supervision sessions. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 19 Individual staff members are also trained to respond appropriately to physical and verbal aggression and fully understand the use of physical intervention as a last resort. The complaints procedure is supplied to everyone living at the home and is displayed in a number of areas within the service. Residents and others involved with the home understand how to make a complaint and are clear about what will happen if a complaint is made. The home keeps a full record of complaints and this includes details of the investigation and any actions taken. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 20 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): 24,25,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, safe and comfortable environment with sufficient personal and communal space to meet their needs. EVIDENCE: The home provides a physical environment that is appropriate to the specific needs of the people who live there. Residents are encouraged to personalise their bedrooms and residents spoken with said they were happy with their room. As previously mentioned in this report relocation of the bedroom of one particular resident would benefit their physical and emotional health needs. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 21 All the home’s fixtures and fittings meet the needs of individuals and can be changed if their needs change. The environment promotes the privacy, dignity and autonomy of residents. The shared areas provide a choice of communal space with opportunities to meet relatives and friends in private. There are large secure gardens that are accessible to people living in the home. The bathrooms and toilets are in sufficient numbers although they would benefit from refurbishment to make them attractive as well as functional. At the time of this inspection the home was clean and tidy with no offensive odours. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 22 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): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are supported by a sufficient numbers of staff to meet their needs. People living in the home are protected by the services robust recruitment procedures for new employees. An appropriately trained and supervised staff team meet the individual, and joint needs of residents’. EVIDENCE: There are consistently enough staff available to meet the needs of the people using the service, with more staff being available at peak times of activity. The staffing structure is based around delivering outcomes for residents and is not led by staff requirements. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 23 All staff members receive relevant training that is focussed on delivering improved outcomes for residents. The home puts a high level of importance on training and staff spoken with report that they are supported through training to meet the individual needs of people in a person centred way. Staff members undertake external qualifications beyond the basic requirements, for example, over 50 of staff have attained NVQ level 2 in care. Managers encourage and enable this and recognise the benefits of a skilled, trained workforce. Accurate job descriptions and specifications clearly define the roles and responsibilities of staff. There is a good recruitment procedure that clearly defines the process to be followed. This procedure is followed in practice with the home recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of individuals. People who use the service are regularly involved in the recruitment process. Staff meetings and supervision sessions take place regularly with a focus on improving outcomes for people using the service. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 24 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): 37,38,39,40,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from living in a home that is run by a competent and qualified manager and where their rights and best interests are safeguarded. Residents’ benefit from living in a home where their views underpin all selfmonitoring and development of the home and their health, safety and welfare is promoted and protected. EVIDENCE: The registered manager has the required qualification and experience, is highly competent to run the home and meets its stated aims and objectives. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 25 The manager communicates a clear sense of direction, is able to evidence a sound understanding and application of ‘best practice’ operational systems, particularly in relation to continuous improvement, customer satisfaction, and quality assurance. Equality and diversity, human rights and person centred thinking are given priority by the manager who is able to demonstrate a high level of understanding and demonstrate best practice in these areas. Other professionals see the manager as an imaginative and effective leader who consistently provides high quality services. The manager undertakes regular training and understands and values opportunities for their continuing professional development. Staff members have easy access to training materials and resources. Practice and performance are discussed during supervision, staff training and team meetings. There is strong evidence that the ethos of the home is open and transparent and the views of both people who use the service and staff are listened to, and valued. The AQAA contains excellent information that is fully supported by appropriate evidence. It includes a high level of understanding about the importance of equality and diversity and a wide range of evidence showing how they have listened to residents. The home has as appropriate, effective and regular support from the ‘parent’ organisation through a named line manager as required and there are clear lines of accountability. Insurance cover ensures that the home or corporate body are fully insured to meet any loss or legal liabilities. The home has efficient systems to ensure effective safeguarding and management of residents’ money and valuables, including record keeping. Record keeping is of a consistently high standard and records are kept securely. The home has a comprehensive range of policies and procedures to promote and protect residents’ and employees’ health and safety and staff are trained, understand, and consistently follow these. There is evidence of organisational monitoring by corporate providers. May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 26 May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 27 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 4 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 4 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 4 3 4 X 3 X May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 28 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. 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. Refer to Standard YA24 Good Practice Recommendations There are areas of the home such as bathroom/toilets and kitchen that would benefit from refurbishment and make a more attractive environment for people to live in as well as functional. The agreed changes to the location of the bedroom of one particular resident, would benefit their physical and emotional health needs, if work to make the changes progressed at a faster pace than at present. 2. YA26 May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 May Morning DS0000065338.V372838.R01.S.doc Version 5.2 Page 30 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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