Inspection on 11/10/05 for 15 Oaklands Road

This inspection was carried out on 11th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

15 Oaklands Road 20/05/08

15 Oaklands Road 14/06/06

15 Oaklands Road 16/01/06

15 Oaklands Road 25/01/05

15 Oaklands Road 17/08/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 15 Oaklands Road 15 Oaklands Road Bedford Bedfordshire MK40 3AG Lead Inspector Georgia Chimbani Unannounced Inspection 11th October 2005 12:00 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 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 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 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. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 15 Oaklands Road Address 15 Oaklands Road Bedford Bedfordshire MK40 3AG 01234 347822 01234 352427 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) Community Care Solutions Limited Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One resident may have an additional physical disability The manager must complete an NVQ 4 in care and registered manager`s award by 31 August 2006. 25 January 2005 Date of last inspection Brief Description of the Service: Oaklands is a detached house situated in a residential area of Bedford owned by Community Care Solutions Ltd. The home is approximately one mile from Bedford town centre and is close to a bus route into the town. There is a shop/post office close to the home and pubs and places of worship nearby. The accommodation is on two storeys, with two bedrooms, shower room, lounge, kitchen/diner, activity room and conservatory on the ground floor. There are a further five bedrooms and a bathroom and shower room on the first floor. The home has an attractive garden to the rear. The home is registered for 7 adults with learning disabilities. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Present at this unannounced inspection was the manager Ms Sheira Plentie and two inspectors. The inspection was 4 hours and 15 minutes in duration. As part of the interview process the inspectors attempted interviews with all seven service users. The detail of information shared with the inspectors varied depending on the communication skills of the service users. Feedback from service users indicated that the home must improve in the areas of food and activities. This has been addressed under standard 12 and 17 in the body of this report. 7 requirements were made at the last inspection. 4 requirements were met and 3 are restated. Restated requirements relate to activities, service user care planning documentation and staff records. The requirement regarding staff records is restated for the third time. The registered persons are urged to give priority to restated requirements to avoid the possibility of enforcement action by the CSCI. A further 10 requirements are made following this inspection bringing the total number of requirements following this inspection to 13. What the service does well: What has improved since the last inspection? Service user’s personal care needs are attended to promptly. The flooring in the small dining area and on the landing has been replaced. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 6 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. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Pre-admission assessments ensure that the home can meet service user’s needs before they are admitted to the home. EVIDENCE: The last service user to be admitted to the home was admitted approximately two years ago. Records examined confirmed that pre-admission assessments were sought before the current service users were admitted to the home. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9 Care planning documentation must be improved to ensure that service user’s needs are not overlooked and are kept up to date. EVIDENCE: A sample of 3 service user files was examined. All contained a comprehensive care plan and risk assessment that had been recently reviewed but information contained in these documents had not always been followed up satisfactorily. For example a service user was described as having a history of sexually inappropriate behaviour but it was not clear how long ago this behaviour had occurred. The risk assessment had last been reviewed in June of the previous year so the current level of risk could not be determined. The manager informed the inspectors that the service user’s inappropriate behaviour had occurred before they moved to the home, however she acknowledged that the recording on their file was misleading and a review was required. Of the 3 files examined, one contained comments by the service user indicating they had been involved in the review of their care. There was a signature by another service user on their care plan but given the level of disability of this service user, the inspectors questioned whether they had actually understood what they were signing. The registered person must ensure that service user’s care needs and areas of risk are recorded in sufficient detail. Care plans must show 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 10 evidence of consultation with service users. A restated requirement is made for risk assessments to be reviewed regularly. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15, 16 and 17 Activities in the home fall short of service user’s expectations and call into question the home’s ability to meet the social needs of service users. Service users are able to maintain important links with the community through regular contacts with their family. The health and well being of service users is being put at risk by the provision of an inadequate and unsatisfactory diet. EVIDENCE: At the previous inspection, a requirement was made for activities to be reviewed in accordance with service user’s individual preferences. Individual activities timetables were available for all service users however these were not dated therefore it was difficult to establish the time period they covered and the last time they had been reviewed. The inspectors observed that there appeared to be a lack of activities or stimulation for service users despite the fact that there were about four staff on duty. One service user was observed playing a board game with a member of staff while the remaining 5 service users seemed at a loss as to what to do with themselves. A service user was 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 12 observed standing alone in the bathroom on two previous occasions with no staff in attendance. When asked why they were in the bathroom this service user said they were bored and added that they wanted to take a shower. Interviews with another two service users revealed that they too were bored and spent their free time in the home doing their laundry or cleaning their bedroom, as there was nothing better to do. Another service user showed the inspectors a pictorial activities timetable displayed in their room however the information on this was inaccurate and indicated that it had not been reviewed for some time. For instance the timetable indicated that they went to college three times a week on a Thursday, Saturday and Sunday. The inspection was on carried out on a Tuesday and the service user and staff confirmed that they had just returned from college. The inspectors thought it was unlikely that the service user attended college over the weekend but were unable to verify with the service user. The registered person must ensure that service users are provided with a variety of activities that meet their individual needs. Accurate and up to date records must be maintained of any activities that service users participate in. Through discussion with a service user, the inspectors were able to ascertain that they had regular contact with their family. Records of this and other service users confirmed this. Restrictions are in place for some service users relating to leaving the home on their own or holding keys to their bedroom. Service users affected by these and other restrictions had the reasons clearly documented on their files. A tour of the kitchen revealed very little in the way of fresh fruit or vegetables. There was no fruit and fresh vegetables comprised of 3 onions and a few small potatoes. The fridge was largely empty except for various frozen foods. Care plans examined indicated that a number of service users are on a healthy diet to control their weight gain however the inspectors questioned how effective this would be if the only snacks available in the home were crisps. A service user told the inspectors that if they were hungry they would prepare a jacket potato with cheese or baked beans or make toast. The inspector noted that there were no baking potatoes in the home, the baked beans had supposedly run out earlier that day and there was no bread at all. A member of staff informed the inspectors that shopping was usually done that day but despite this explanation the inspectors were concerned at the small amount of food in a home that caters for seven service users. The menu for the evening meal was examined. It detailed the options as “pancakes, mash and spaghetti” with ice cream and fresh fruit for dessert. It had already been established that there was no fresh fruit and the potatoes were not enough to meet the needs of all service users. There was no indication from the menu that service users would be offered meat and or vegetables with the carbohydrate options. Three service users were asked by the inspectors what their favourites foods were. Responses included, jacket potatoes, sausage and chips, toad in the hole and spicy food. The menu that was viewed did not contain any of these foods. A service user informed the inspector that choices of food at mealtimes were 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 13 sometimes available depending on the member of staff on duty. Some staff would offer an alternative if service users did not want the set menu while others would demand that they ate what was offered to them. This service user also advised the inspectors that the menu did not vary and it was the same food week after week. The registered person must ensure that sufficient quantities of fresh fruit and vegetables are available in the home at all times. Meals offered to service users must be nutritionally balanced and take into account service users’ food preferences. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 19 Service users have confidence in the staff’s ability to meet their personal care needs. The home must improve health related documentation to fully demonstrate its commitment to promoting the health of service users. EVIDENCE: At the previous inspection the registered person was required to ensure that service user’s personal care needs are attended to promptly. The inspectors saw no evidence to indicate that this requirement was not being met. Service users were observed to be clean and well dressed. A service user who had asked for a shower was reassured that this would be provided at the usual time of 6pm. There was detailed information confirming that service users had access to both preventative and emergency healthcare. Care plans of a number of service users stated that they required regular monitoring of their diet and weight to prevent further weight gain. Weight monitoring records were available however for two service users but these had last been updated in July and August 2005. The inspectors noted that there were diagrams of exercises pinned to the wall of a bedroom of a service user who had had a hip operation. An examination of this service user’s care plan showed that there was no 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 15 reference to daily exercises. A discussion with the manager revealed that staff were supposed to support this service user to perform exercises regularly however this did not always happen. The manager advised that more often than not the service user was reluctant to perform their exercises so staff found other activities that would provide them with the necessary exercise. There was however no documentary evidence to confirm the various interventions being taken by staff therefore a requirement is made relating to this. The registered person must ensure that the health care needs of service users are regularly reviewed and appropriately met. Records must be maintained of any interventions. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The complaints system in the home ensures that service user’s complaints are dealt with effectively. The current state of the adult protection policy calls into question the home’s ability to deal with adult protection issues. EVIDENCE: The complaints record indicated that there had been no complaints received by the home since the last inspection. The manager confirmed this. The complaints procedure was examined and it was found to be satisfactory, however the name National Care Standards Commission [NCSC] must be changed to Commission for Social Care Inspection [CSCI]. This is required. The manager advised that most staff have received adult protection training however training records are maintained at the organisation’s head office and were therefore not available for inspection. In the absence of documentary evidence a requirement is made for all staff working in the home to receive adult protection training. Certificates confirming successful completion of training must be available for inspection. The adult protection policy was also examined. This contained details of the process to be followed in the event of an allegation of abuse being received by the home. The inspector noted that this contained misleading and inaccurate information. For example the procedure stated that on receipt of an allegation of abuse an internal investigation would be conducted. If it were felt that the allegations could not possibly be founded then further in-house investigations would be made to establish the reasons behind the allegations. Results from these allegations would then be sent to the person making the allegation, their family, members of staff, the CSCI and Social Workers as appropriate. In light of the 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 17 inadequacies of the home’s adult protection procedure, the inspectors consider that priority should be given to staff training. The registered person must also ensure that the homes adult protection policy is reviewed in accordance with local authority procedures. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Priority must be given to improvements and repairs in specific areas to ensure a comfortable, clean and safe environment for all service users. EVIDENCE: At the previous inspection requirements were made for the flooring in the dinning area and the carpet on the landing to be replaced. A tour of the home confirmed that these requirements had been met. The home is generally well maintained and no offensive odours were detected, however there are areas that need to be addressed. The carpet in the lounge must be cleaned or replaced and the curtains require more hooks to prevent them hanging down in some sections. The chair in the conservatory must be replaced as the cover has been torn away to reveal the stuffing. The window in the shower room also requires attention as it slides shut rather than remaining open. The curtains in the room of a named service user on the ground floor require more hooks to prevent the curtain hanging loosely in some sections. The home has a wellmaintained garden at the rear that is easily accessible for all service users. Control of substances hazardous to health [COSHH] chemicals were stored in a locked cupboard. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 The absence of documentation relating to staff working in the home leaves service user vulnerable to harm and abuse. EVIDENCE: The inspectors asked to see a sample of staff files from the manager however they were informed that these were unavailable as they are all stored at the organisation’s head office. Three members of staff were observed receiving induction training in the home at the time of the inspection. The inspectors were unable to verify that all the required pre-employment checks had been carried out as their files were held at the head office too. The registered person must ensure that information is held in the home on each member of staff as detailed under schedule 4 of the Care Homes Regulations 2001. Despite requirements at the previous two inspections this requirement still remains outstanding. The registered person is urged to comply with this requirement to avoid the possibility of enforcement action. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 The manager of the home must undergo registration with the CSCI to ensure that they have the qualifications, skills and experience to effectively manage the home for the benefit of service users. The home must actively seek the views of service users and make policies accessible to them to ensure that service users views are heard and acted upon. Health and safety checks must be consistent to ensure the safety of service users is not compromised. EVIDENCE: The manager has been working at Oaklands since June 2005. Previously she worked at another home owned by the same organisation. The manager advised the inspectors that she was aware of the requirement to register with the CSCI. The manager informed the inspectors that a quality assurance exercise might have been carried out earlier in the year but there was no evidence available to confirm this. The registered person must ensure that a 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 21 quality assurance system is implemented. This must seek the views of service users, their relatives and other professionals. A report of the findings and any recommendations must be compiled. Documentation was seen confirming satisfactory and up to date completion of the gas safety checks, fire alarm system. There was evidence of weekly fire alarm tests and regular fire drills. There was however no documentation confirming recent checks had been carried out on electrical installations or portable appliances. This is required. 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 2 1 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 1 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 1 X X CONDUCT AND MANAGEMENT OF THE HOME 1 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 15 Oaklands Road Score 3 2 X X Standard No 37 38 39 40 41 42 43 Score 2 X 1 X X 2 X DS0000014940.V257612.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 15 Requirement The registered person must ensure that service user’s care needs and areas of risk are recorded in sufficient detail. Care plans must show evidence of consultation with service users. The registered person must ensure that risk assessments are reviewed regularly. [Previous timescale of 30/4/05 not met.] The registered person must ensure that service users are provided with a variety of activities that meet their individual needs. Accurate and up to date records must be maintained of any activities that service users participate in. [Previous timescale of 31/5/05 not met.] The registered person must ensure that sufficient quantities of fresh fruit and vegetables are available in the home at all times. Meals offered to service users must be nutritionally balanced and take into account service users’ food preferences. DS0000014940.V257612.R01.S.doc Timescale for action 11/01/06 2 YA8 13(4)(c), 14 11/12/05 3 YA12 16(2)(m) 11/12/05 4 YA17 16(2)(i) 11/11/05 15 Oaklands Road Version 5.0 Page 24 5 YA19 6 YA22 7 YA23 8 YA23 9 YA24 10 YA34 11 YA37 12 YA39 12(1)(a)(b) The registered person must ensure that the health care needs of service users are regularly reviewed and appropriately met. Records must be maintained of any interventions. 22 The registered person must ensure that the name NCSC in the complaints procedure is changed to CSCI. 13(6) The registered person must ensure that all staff working in the home to receive adult protection training. Certificates confirming successful completion of training must be available for inspection. 13(6) The registered person must ensure that the homes adult protection policy is reviewed in accordance with local authority procedures. 23(2)(b)(d) The registered person must ensure that the areas detailed under standard 24 in the body of this report are addressed. 19 The registered person must Schedule 2 ensure that information is and 4 maintained in the home on each member of staff as detailed under schedule 4 of the Care Homes Regulations 2001. [Previous timescales of 30/9/04 and 31/3/05 not met.] 8 and 9 The registered person is required to ensure that the manager of the home submits an application for registration to the CSCI. 24 The registered person must ensure that a quality assurance system is implemented. This must seek the views of service users, their relatives and other professionals. A report of the findings and any recommendations must be DS0000014940.V257612.R01.S.doc 11/01/06 11/01/06 11/01/06 11/01/06 11/01/06 11/01/06 11/11/05 11/01/06 15 Oaklands Road Version 5.0 Page 25 compiled. 13 YA42 23(2)(c)(4) The registered person must ensure that documentation confirming up to date and satisfactory checks on electrical installations and portable appliances is available. 11/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF National Enquiry Line: 0845 015 0120 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 15 Oaklands Road DS0000014940.V257612.R01.S.doc Version 5.0 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. 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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