Care Home: The New Inn

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What the care home does well Service users appeared relaxed and happy in the home, the inspector observed staff and service users interacting throughout the inspection. The inspector examined the quality satisfaction survey`s held by the home which have been completed by relatives and visiting professionals, all replies from these were positive, examples of these were. `Overall opinion of the home, good family home always made welcome by staff and residents on visits at all times, excellent well done`, `a well run and pleasant home`, `I am and have always been pleased with the service`. What has improved since the last inspection? Care plans are being reformatted and there is now a policy in place for homely remedies. Accidents were found to be recorded appropriately and risk assessments and care plans were reviewed and up to date. Hot water temperatures within the home were recorded and monitored on a monthly basis. What the care home could do better: Concerns were raised to the inspector by professionals visiting the service. These were in relation to the cleanliness of the kitchen floor, the fact that there was no Acting Manager on site during a review and the lack of activities on that day in the home. Comments were `Very dirty filthy kitchen floor`, `looked thin on staff as two staff were in the review with the social workers and only one staff was on duty outside the review`, `residents sat in the lounge on arrival and departure`. These concerns have been passed to the provider to address. During the inspection the inspector found sufficient staff on duty and a list of activities for residents, however of some concern was the fact that the Acting Manager has still not processed their application for registration, they were not available on the day of the inspection. Further concern was the marks on the hall carpet. The service has not installed liquid soap or paper towels and must risk assess their infection control procedures. CARE HOME ADULTS 18-65 The New Inn Lewes Road Ridgewood Uckfield East Sussex TN22 5SL Lead Inspector Alexis Reilly Unannounced Inspection 11th August 2008 10:30 The New Inn DS0000041154.V369355.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 The New Inn DS0000041154.V369355.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. The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The New Inn Address Lewes Road Ridgewood Uckfield East Sussex TN22 5SL 01825 765425 01825 765425 Ridgewoodcareser@aol.com 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) Ridgewood Care Services Manager post vacant Care Home 10 Category(ies) of Learning disability (0) registration, with number of places The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies 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 categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 10. Date of last inspection 13th September 2006 Brief Description of the Service: The New Inn is a community based home offering a caring, family environment to ten service users with learning disabilities. The New Inn is in Ridgewood, on the outskirts of Uckfield in East Sussex. This is part of the Sussex Weald on the edge of the Ashdown Forest. Uckfield has a railway station, buses linking the local towns and villages, cinema, library and leisure centre. There are churches in the local area. College facilities, for students with learning disabilities, are centred in Ringmer and classes can be accessed in the neighbouring towns. The property is a two-storey building, originally a public house, offering accommodation on two floors. There are at present 10 bedrooms, eight with en-suite facilities. One bedroom has assisted bathing facilities and two have showers. There is a combined lounge/dining area on the ground floor, and a quiet room on the first floor. The garden area is accessible for all service users. Comprising of a lawn area, small vegetable plot, green house and summer house/craft room. The experienced staff at the New Inn endeavour to provide a homely and safe environment where service users are encouraged to reach their potential. The average fee charged by the service is £1200.00 per month. The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 5 The New Inn DS0000041154.V369355.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 2 star. This means the people who use this service experience good quality outcomes. This was an Unannounced key Inspection, which included a visit to the home which took place between 10.30am and 2.45 pm on the 11th August 2008. The inspector examined the following paperwork as part of the inspection; care plans for five residents, four of these were in the original format and one was in the new person centered format, recruitment files for two new staff members, staff supervision sheets and the minutes of staff meetings, minutes of residents meetings, sheet which record the administration of medicines, accident and incident forms, the staffing rota and menus. The inspector had lunch with two residents and saw others during the inspection in the home. The registered Provider and the returned AQAA confirmed that all health and safety and electrical checks are up to date and in order. This inspection focused on assessing whether the home was building upon adequate outcomes, in order to improve the quality of life for the residents placed in the home and meet their individual needs. The home sent back to the Commission a completed Annual Quality Assurance Assessment before the visit, which informed the inspection. Of eight-outcome areas seven areas are judged to be good, and one is judged to be adequate and in need of improvement to ensure good outcomes. What the service does well: What has improved since the last inspection? Care plans are being reformatted and there is now a policy in place for homely remedies. The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 7 Accidents were found to be recorded appropriately and risk assessments and care plans were reviewed and up to date. Hot water temperatures within the home were recorded and monitored on a monthly basis. 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. The New Inn DS0000041154.V369355.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 The New Inn DS0000041154.V369355.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service experience good outcomes in this area. Residents live in a home, which has a good knowledge of their needs. Prospective residents benefit from a comprehensive written assessment which gives consideration to the individual needs of the resident, which in turn informs and provides a good base for the development of their care plan. EVIDENCE: The proprietor explained that prospective residents are assessed prior to them moving into the home. The first three month’s stay is on a trial basis enabling prospective residents to test drive the home and this is specified in the contract. The homes statement of purpose and service user guides were examined, these are in the process of being updated to include the new changes to the registration certificate, and these are also being redone in a easy read format for service user. The New Inn DS0000041154.V369355.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, & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service experience good outcomes in this area. Residents have care plans in place which record their care needs. Residents have comprehensive care plan and risk assessments which are up to date and are regularly reviewed. Routines at the home are person led. Thus ensuring that residents are treated as individuals and are involved in the development of their care. EVIDENCE: The inspector examined the following paperwork as part of the inspection; care plans for five residents, four of these were in the original format and one was in the new person centered format, and risk assessments these were comprehensive and provided guidance for staff to support the residents effectively and appropriately. Residents have access to their own care plans The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 11 and are fully involved in the assessment and care planning processes. Residents’ personal goals are specified in their care plan and progress made towards meeting these goals is documented. All care plans contain a weekly timetable illustrating the activities participated in including the preferred activities for evenings and weekends. Care plans provide guidance for staff to follow when supporting residents or managing behaviours that may be difficult or challenging and also detail guidance on proactive ways of working with residents, thus promoting residents independence. Comprehensive risk assessments were undertaken for each resident in respect of all the activities they participate in. Residents are able to assist in the running of the home and participate in activities such as doing their own laundry, laying the table, setting the menu, shopping for provisions, and preparation of food. Residents meetings are held on a regular basis. The administrator of the service is currently reformatting all the care plans these will now be know as individual personal profile and assessment document, these will be in pictorial form and cover areas such as communication and comprehension, personal care and daily living skills, temperament, behaviours, friends and activities, domestic skills, and money management. The one which was completed looked very detailed and informative for both residents and staff. The resident will have a copy of there individual personal profile which will include personal details, in pictorial form, communication in pictorial form, important people in my life, my life now, my life story, good things about me, things I like, my best weekday, my best weekend, my best evening, things I don’t like, things that are important to me, where I live now, hope and dreams for my future, health and keeping safe, my action plan. My goal progression, circles of support and my circle members. The assessment document will be kept in the office as a care plan document. The New Inn DS0000041154.V369355.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, & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service experience good outcomes in this area. Residents benefit from regular and planned activities. Residents benefit from freedoms and flexible routines. The residents are involved in meal planning and preparation. However the inspector felt that meals could possibly be more varied. EVIDENCE: Through discussions with residents and staff and the examination of daily records it is evident that all the residents lead active lifestyle. Trips out are organised at the weekends and some evenings and in the day during the summer holidays when colleges etc are closed. A supported annual holiday is provided for those who want to go. Residents have timetables as part of the The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 13 care plans which detail all the activities that are participated in. At each shift handover staff are allocated residents to work with and the tasks and activities they are to support them with. Care plans specify family relationships and peer group relationships pertinent to the individual. On the day of the site visit some of the residents were going out to an art exhibition and to do gardening at the sister home in the afternoon. The inspector saw a sample of the menus in the home, and joined two residents and staff for lunch, at this lunch tined soup was provided. The inspector felt there is the potential to offer a more varied range of food, and to involve the residents in preparation with fresh ingredients. The New Inn DS0000041154.V369355.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, & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service experience good outcomes in this area. Residents benefit from having their health needs met. The procedure for administering medication was found to be in order. Policies are in place for Homely remedies. Thus ensuring that personal support is provided to the resident in a person centred effective way. EVIDENCE: The inspector examined care plans for five residents, four of these were in the original format and one was in the new person centered format, discussion with the Registered Provider also confirmed referrals are made for input from health care professionals when required and residents receive support and treatment in the privacy of their own rooms. Clear and specific guidance is provided in care plans for staff to follow in relation to supporting residents they also detail residents preferences for how they receive personal care. The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 15 All service users have an allocated key worker. Times for getting up, going to bed, having meals etc are flexible. Residents are given the freedom to express themselves through their choice of clothing, hairstyles and make up and are supported to do so by the staff team. The inspector looked at a sample of medication administration sheets, and the medicines storage cupboard was examined, medication was stored appropriately. The sheets which record the administration of medicines were found to be in good order a staff signature sample list was laminated and placed in the front of the records, with full signature and small signatures. There were also pictures of residents, and medication risk assessment, all MAR sheets were signed correctly. Accidents and incidents were recorded appropriately. The New Inn DS0000041154.V369355.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, & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service experience good outcomes in this area. The service has a complaints and concerns recording system in place. There is evidence to suggest that the Proprietor deals with complaints raised effectively. Residents are protected by the homes complaints and recruitment procedures. EVIDENCE: Concerns were raised to the inspector following the day of the inspection and there is evidence to suggest that the proprietor will deal with this effectively. Staff within the service have received comprehensive training which in turn ensures that service users are protected from abuse and neglect. Recruitment files for two staff were examined on the day of the inspection one of these was found to be complete and in order. The second recruitment file had missing documents from it. The Registered Provider assured the inspector that these documents had been sourced by the home but may have been misfiled. The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 17 Residents views about their care and the service are sought through quality questioners and the service has an up to date complaints procedure in place. The service has had no complaints in the last 12 months, and has used the quality assurance systems in place to gain the views of the residents. Adult protection training was completed by staff in July 2007 and the new staff members will be completing Safeguarding vulnerable Adults training in October 2008. The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use this service experience adequate outcomes in this area. Residents live in comfortable home with an accessible garden. However the Registered Manager must ensure infection control procedures are reviewed to stop the spread of infection within the home. Parts of the downstairs carpet require cleaning or replacing. Residents bedrooms are personalised which allows them to live in a homely environment. EVIDENCE: The inspector carried out a partial tour of the home looking at the lounge/dinning area, kitchen, a bedroom on the ground floor, an upstairs bathroom the upstairs office and the garden. The service has bedrooms on both the ground and first floor. Residents own rooms are decorated and furnished to their own tastes and personalised with The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 19 their belongings. All bedrooms are en suite and meet the needs of the residents. Two new bedrooms have been created through the change of use of an office and quiet space on the first floor of the property. No other changes have been made to communal space or communal bathing/toilet facilities as part of this project. The service has a large kitchen, and adjoining the kitchen and off the ground floor hall way is a large lounge/dining area providing seating to accommodate all residents. There is an enclosed garden to the side and rear. In the garden is a summer-house which is used for activities such as art sessions or for a place for service users to sit and listen to the radio. There is also a green house, a large shed and a range of garden furniture. On the day of the inspection the downstairs carpet was marked and requires cleaning or replacing. The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service experience good outcomes in this area. Staff are reliable, friendly interact well with residents and meet basic needs and complete tasks. Staff have regular meetings and a range of training which in turn ensures that residents benefit from a person centred approach to the care they receive. EVIDENCE: All staff, including the manager, receive formal documented supervision at least 6 times a year plus an annual appraisal. All mandatory training has been provided for the staff at The New Inn this year. Further training needs are identified through supervision and additional courses are sourced according to individual residents changing needs. The service has employed three new staff, two are in process of enrolling on NVQ level 2 and one will be enrolling shortly, the other staff are all qualified to NVQ level 2 or above. Of the current staff list three staff have NVQ levels 2 & 3 and the RMA award and they be doing level 4 as their next NVQ training. In The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 21 addition to these staff members a further three are in the process of completing level 3. The training diary was seen and a discussion with the Registered Provider confirmed a list of the training undertaken in the last 12 months; Sensory issues for people with autistic spectrum disorder, fire safety, person centred approach and planning, choice right capacity and supported decision making, time management, overseeing care plans, equality and diversity for managers, understanding challenging behaviour, active support, first aid, recruitment and retention, responding to violence and aggression, makaton, supervising and motivating your staff, developing your staff, key worker skills, employment practice, communicating with diplomacy and professionalism, managing change, assessors workshop for medication handling, long distance training in dementia, equality and diversity, infection control, healthy eating, first aid, medication training, administration of medication training and manual handling. Two staff recruitment files were examined, and a sample of the supervision files, and team meeting notes were viewed. The recruitment procedures adopted by the home are safe and all the required security and identity checks are undertaken prior to staff being deployed to work in the home. However one recruitment file was incomplete the Proprietor assured the inspector that this information was at the service, but had possibly been filed in a different staff folder. Staffing rota on the day of the inspection confirmed that on duty were three staff in the morning and three staff in the afternoon plus the activities coordinator, the Registered Provider was also in the service and part of the inspection process. . The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service experience good outcomes in this area. Service users benefit from a home which has well trained staff and a Provider who is very much involved in the running of the service and knows the residents placed in the home, the home is run for the service users and care plans would suggest this is in a person centred way. However the Acting Manager must ensure they continue with the application process to the CSCI to register their application as Manager of the service. EVIDENCE: The Acting Manager is still to submit an application for registration to the CSCI, and initially started this process in January 2008. The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 23 In addition to the Acting Manager the service has employed an Administrator who has recently updated all policies and procedures, formatted care plans, compiled residents’ pictorial satisfaction survey and is redoing a pictorial statement of purpose. They will shortly be taking over the quality assurance role from the owner. The homes record keeping is in order. The records examined were all up to date and accurate. The proprietor undertakes monthly unannounced visits to the home to monitor their performance and the information gathered from this process is then used to identify the homes shortfalls and ways in which the home can improve the service they provide. Residents are regularly consulted over how they think the service is performing, this is by means of regular residents meetings monthly, key worker meetings monthly, and by their completion of questionnaires; the questionnaires are collated and the results used to make improvements to the services provided. The proprietor has introduced a policy in relation to children being on the premises, to ensure that the relevant risk assessments are completed and the appropriate level of supervision is provided. This was discussed with the proprietor who was able to demonstrate they had a sensible understanding to children visiting the service, and that this only happens sporadically. The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 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 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 X 3 X X 3 x The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 25 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. YA30 Standard Regulation 13(3) Requirement The service must review and carry out risk assessments on their infection control procedures and make suitable arrangements to stop the spread of infection in the home. The Acting Manager must complete their application and registration with the CSCI. That all parts of the home are clean are free from the spread of infection, that the downstairs carpet is cleaned or replaced. Timescale for action 01/10/08 2 YA37 3 YA24 8(1)(a) 23(2)(d) 01/11/08 01/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 YA17 Refer to Standard Good Practice Recommendations Consideration is given to introducing a more varied diet in the home. The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 26 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 The New Inn DS0000041154.V369355.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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