Care Home: St Albans Road (38)

Similar services:

• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Aston Court Nursing Home
• Polesworth Group 70 Long Street
• Breme
• Ravenhurst
• Polesworth Group 64 Long Street

What the care home does well The home is very well presented to people wishing to move into the home both in general appearance and in the excellent sources of information provided to them. The home has very good assessment and care planning procedures in place and the people using the service can be confident that their needs will be understood and met. The plans are devised to assist them to have a full and active life. The staff are seen to enjoy good relationships with the people using the service interacting in a natural way and delivering care as people wish, achieving satisfaction and a sense of wellbeing among them. People who use the service take part in making choices about their meals and staff encourage healthy eating. The home makes sure that the people using the service get routine as well as specialist health care. Staff are recruited and selected in ways that ensure safe, skilled individuals are employed and the home demonstrates a good commitment to staff training. The home has very good quality assurance systems that inform the continuing development of a quality service. What has improved since the last inspection? Since the previous inspection arrangements for promoting peoples health and welfare have been improved ensuring Staff consistently follow the advice of health care professionals. Care plans, behaviour guidelines and risk assessments have been developed using a person centred approach providing staff with up to date information about how to meet peoples needs safely and consistently. People at the home are offered the chance to do leisure activities regularly so that they have an interesting and varied lifestyle. Staff receive training in equalities and diversity and the workforce reflect the diversity and cultural profile within the home and the local community. All staff need training so that they can communicate to residents in makaton Hand washing facilities are now available in the laundry. Fire drills have been introduced on a regular basis so that staff know what to do to keep people safe in the event of a fire. What the care home could do better: The home must ensure that when damage to the building occurs that repairs are undertaken and completed in a timely way. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: St Albans Road (38) St Albans Road (38) Moseley Birmingham West Midlands B13 9AR     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Richard Eaves     Date: 2 1 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: St Albans Road (38) St Albans Road (38) Moseley Birmingham West Midlands B13 9AR 01214493615 F/P01214493615 lillethg@trident-ha.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Trident Housing Association care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: Karen Clarke should complete her NVQ level4 in Management of care by June 2004 Karen Clarke will attend a course on managing challenging behaviour of at least 3 days in duration. The course syllabus should be approved by the NCSC Date of last inspection Brief description of the care home St Albans is a purpose built detached, two storey building situated in a residential road in Moseley. The service accommodates up to six service users who have a learning disability, and a physical disability. Some service users have a behaviour that can challenge. The service is well situated for local amenities. There is a range of shops and Kings Heath shopping centre is close by as is Moseley village. The premises consist of six bedrooms with en-suite level access shower facilities. There is an open plan kitchen and dining room with good access for people with physical disabilities. Two communal areas are available one of which is utilised as a quiet room furnished with beanbags and easy chairs. There is a snoozelen room with a range of sensory equipment including fibre optic lights and lights. On the ground floor there is a Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 0 6 6 Brief description of the care home communal bathroom that has a jacuzzi bath. The first floor is accessed via a passenger lift, with controls at a level people using a wheelchair can access. There is an office on the first floor and a sleep in facility is on the ground floor. This does not include separate staff bathing or toilet facilities. A separate laundry room is located at the rear of the premises. The rear garden has a patio area, which has recently been levelled and re-laid. The back garden is fenced and affords some degree of privacy. There is limited off road parking available. Information is made available using pictures and symbols to the people who use the service. CSCI reports are made available in the Home for anyone wishing to use the service. Weekly fees are £1348 to £1484 per week inclusive of a weekly contribution for toiletries and an annual payment towards the cost of holidays. The fee information given applied at the time of the inspection; persons may wish to obtain more up to date information from the Association. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two star. This means the people who use this service experience good quality outcomes. This key unannounced inspection visit was undertaken by an Inspector from the Commission for Social Care Inspection, over two days using the following information, reports from the organisation relating to the conduct of the home, records maintained at the home, the annual quality assurance self assessment, reports by other agencies and survey responses from the people who use the service. The inspection involved looking around the home including, a number of bedrooms, the communal rooms and service areas and provided an opportunity to speak with the people who use the service and the staff. Care Homes for Adults (18-65 years) Page 6 of 30 Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: The home must ensure that when damage to the building occurs that repairs are undertaken and completed in a timely way. Care Homes for Adults (18-65 years) Page 8 of 30 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with good sources of information to help them make informed choices. People accepted to move into the home can be confident that their needs can be met and they are invited to visit the home before making a decision. Evidence: The home provides information in formats appropriate to those people who use the service including pictorial format, which is easy to follow and recently reviewed. The service undertakes in-depth assessments; including an extended trial period to ensure the service is appropriate and needs are identified and can be met. The service assessment is complemented with inputs from specialist services. The self-assessment (AQAA) by the service identifies that the assessments are used to inform the development of person centered plans and health action plans. The full involvement of the people who use the service and their families is demonstrated throughout the process with detailed information on likes and dislikes and how to communicate using a communication passport picture format, and interpreting of physical signs such as agitation and restlessness. The level of communication ability is identified during the Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: assessment process and examples seen showing limitations to signing yes or no. The assessment process also prioritises needs and wishes for inclusion in the person centered plan. The whole process is subject to regular quality review. All people in the service have a social services contract and their involvement is shown by writing their name to accept the terms of the contract. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported to make decisions about their own lives including taking risks, a record of these are kept within the individual plan. Evidence: We selected two files to check in detail, we call this case tracking, the others were also checked to ensure they are completed to the same standard. Each file contained a range of plans for the care and support of the people who use the service. The plans were person centered and included risk assessments and risk reduction plans. Person centred means the plans are prepared from assessed needs in an individual way that shows understanding of every aspect of the persons life. The contents of the plans cover such areas of support as personal care, health, medication, communication, mobility, finance, leisure and recreation. Routines are outlined as well as involvement in such aspects of daily living as laying of tables before meals, tidying their own room. Being person centred in approach the diverse needs of each person are clearly identified and addressed. Individual support is provided to meet spiritual needs and Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: one service user is assisted to attend the temple for festivals and ceremonies and there is good co-operation with the family to enhance understanding of cultural needs. The service self-assessment identifies that the workforce reflects the diversity of the people who use the service and of the local community. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to achieve meaningful lives through personal development and access to leisure, social and recreational activity. People using the service are provided with healthy food, which they enjoy. Evidence: The opportunity to learn and use practical living skills is an important element in the person centred plan for each person and includes maintaining family relationships and taking opportunity to fulfil spiritual needs. One person attends the temple regularly where the family attend but accesses this with staff support independently, confirming a personal choice to attend. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: People are supported to make their own choices about taking up educational opportunities; currently one attends college while the others attend day centre Monday to Friday where they have opportunity to develop life skills. This continues at home with good emphasis given to self help and independance. Individually the files show how people like to be involved at the home assisting with own laundry, kitchen help in preparing meals, loading dishwasher or light washing up after self and laying and clearing tables at meal times. The service self assessment identifies that the people who use the service take part in a range of activities arranged by the home during evenings and weekends. This is evidenced by good records and a broader plan has been arranged to cover the day when others are attending day centre. The provision of evening activities such as table games, art and crafts also promote free choice as some prefer to relax with their own music or watch television. Activities in the community include attending a disco, the library, cinema trips, walks in the local area with visits to cafes and restaurants and shopping trips. Over the past year day trips and holidays have been taken. Three people are currently planning a further short break. There has been much progress in developing appropriate activities and establishing that people have enjoyed the event and want to do again. Individual files provide details of family links and friendships and show that good links are maintained and people are supported to be involved in family events and take occassional weekends. The service arrange regular parents meetings and families are welcome to visit at any time. There is a three-week rotational menu in place and since the previous inspection this has been prepared in picture format making it more accessible to the people using the service. Records are maintained the meals taken and communications established with the day centre to confirm meals taken. One person likes to take sandwiches the others take the meal served. The one person not attending has a choice of meals, light cooked or sandwiches, the main meal is served in the evening. On the evening visit we saw a choice of meals served from fishermans pie and cottage pie. Lunch at the home had been macaroni cheese or ravioli. Breakfast and supper are on the menu and includes a full cooked breakfast at weekends. People who use the service were seen to enjoy their meal and one was able to confirm that he enjoyed meals at the home. A healthy and nutritious diet is provided with fruit readily available. Staff were observed to provide support with the meal sensitively and Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: spoke to us of the importance of maintaining the individuals dignity. There is good evidence of the involvement of specialists to assist in meeting individual needs. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home meets the health and personal care needs of the people using the service with detailed assessments and care planning, respect and privacy and access to health care. Medications are well managed, facilitating the promotion of peoples health. Evidence: Staff receive training during their induction on the need to promote privacy, dignity and respect in all their interactions with the people who use the service. This was observed during the evening of the second day and approached sensitively and in a natural way. Clear plans identify routines and personal choices and the involvement of health care specialists are clearly identified. Each person has an identified key worker and peoples preferences identified and choices in detail. Each person has a health action plan that is also provided in user friendly pictorial format. The plan provides detailed guidance on how the individual might present symptoms of pain and other distress. It includes full information about the persons general health issues and any appointments with health services. Individual aids and adaptations are identified and a range of health risks assessed including moving and Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: handling, nutrition and health conditions. The health action plan is reviewed regularly. Good involvement of specialists such as Speech and Language and dietitians to meet needs such as dysphasia and weight problems. Reports were seen and action plans implemented. All staff involved in administration of medicines have received accredited training in the management and administration of medication and have a competency assessment annually. The service has support and independent audits from their Pharmacist. Inspection of the records of administration, storage and disposal are completed thoroughly. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service and their supporters can be confident that their views will be listened to and acted upon. Staff are taught how to uphold the welfare of the people using the service. Evidence: The home has a complaints procedure, which includes pictures and symbols to make the information easier to understand. Residents at the home have limited communication skills and rely on staff to know their needs and know about things that make them unhappy or upset. There have been no complaints received by the home or us since the last inspection. Regular meetings for people using the service provide opportunities for them to raise items that cause them concern and regular surveys of views both of them and their families provide them further opportunity. The home has policies and procedures in place to protect the people using the service from abuse, and a whistle blowing policy. They also have a copy of the local multi agency policy for responding to abuse. Staff have all received training in the Protection Of Vulnerable Adults and arrangements are in place for updates. The staff we spoke with said they were Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: confident that they know what constitutes abuse and that they would respond to any signs that they may observe. There have not been any safeguarding referrals during the past year. All staff have been checked by the Criminal Records Bureau and Protection of Vulnerable Adults list as part of their appointment. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in a comfortable home that offers them a life style suited to their needs. Equipment consistent with the needs of the people at the home is available to facilitate the provision of care. Evidence: People using the service live in a well maintained, modern, detached property in a residential area close to shops and local community facilities. Accommodation is provided on the ground and first floor, which is accessed by stairs or passenger lift. All bedrooms have en-suite facilities including shower and toilet, each bedroom reflects the persons interests and had mementos of activities undertaken over time, each room was homely and attractive. There is an assisted bath that has a jacuzzi facility. A recent leak into the ceiling space above the lounge has been repaired and the area is drying out before the work can be completed. The building remains in good decorative and furnished order following last years refurbishment and redecoration, people live in a pleasant home. A formal cleaning schedule is in place with details of tasks to be completed. We saw that the home is being kept clean and hygienic and that staff receive infection control training. The laundry is modern and allows for the people who use the service to assist Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: with doing their own laundry. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are clear as to their individual roles and responsibilities and are enthusiastic, sufficient in numbers, well trained and committed to maximising the quality of lives of the people using the service. The recruitment practices, staff training and supervisions contribute to ensuring the needs of the people using the service are met. Evidence: The service has made progress in providing consistency of staffing with full staffing that ensures that people who use the service know the staff who support them. Staffing levels are allocated in numbers that reflect who is at the home at differing times of the day. There are three staff in the evening to provide meals and evening activities following the return from day centre. Overnight there is one waking staff and one sleeping in, there are on call arrangements from senior staff. A sample of two staff files including the most recently employed staff, show these to be completed to a very good standard with all appropriate pre-employment checks being undertaken such as Criminal records Bureau (CRB) and Protection Of Vulnerable Adults (POVA) first. This ensures that the people using the service are supported by the right people. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Appropriate emphasis is given to mandatory training and an inspection of the training matrix show this to be complete and up to date. Training certificates were available on each of the staff files viewed and included fire safety, moving and handling, first aid, infection control and safeguarding. Other training provided for all included accredited medication administration, behaviour management and food hygiene. Good progress has been made to train people in the specific health needs of the current people who use the service including managing swallowing difficulties, understanding of autistic spectrum disorder and challenging behaviour. Other necessary training in epilepsy and makaton signing is given. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management systems in the home are open, positive and protect the people using the service. Evidence: The Manager is well qualified and experienced working with people with autism, learning disabillities and challenging behaviour and whose leadership style promotes an efficient and relaxed home and is well regarded and liked by the people using the service and staff alike. The manager receives support from the appointment of an experienced deputy. There is a quality assurance system in place the results of which are displayed and accessible to people who use the service, families and other stakeholders. A range of audits are undertaken on a weekly and monthly basis and the views sought of those who use the service and their families. Meetings are held each month with families and is said to have contributed to the development of strong family links. One person has an independent advocate. Monthly visits in line with regulation 26 are undertaken by a Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: representative of the organisation. Health and Safety is given appropriate priority with a broad range of monitoring and maintenance in place with all staff receiving health and safety training at induction and on annual mandatory up dates. During the tour of the building it was observed that all corridors were clear of obstructions and the premises are kept in a safe condition. Appropriate arrangements are in place for the monitoring, recording and reporting of accidents. An inspection of the service and inspection certificates identified these to be up to date. Documentation also show that staff working at the home hold up to date certificates in health and safety, first aid, manual handling, food hygiene and fire safety. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 24 Repairs to the lounge ceiling should be undertaken without undue delay. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!