Inspection on 30/10/06 for 183 Ashby Road

This inspection was carried out on 30th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

183 Ashby Road 24/10/08

183 Ashby Road 12/10/05

183 Ashby Road 25/05/05

183 Ashby Road 13/09/04

183 Ashby Road 24/05/04

183 Ashby Road 25/02/04

183 Ashby Road 13/10/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 183 Ashby Road, Burton On Trent Staffordshire DE15 0LB Lead Inspector Mr Berwyn Babb Key Unannounced Inspection 30 October 2006 15:00 183 Ashby Road, DS0000004911.V299574.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 183 Ashby Road, DS0000004911.V299574.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. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 183 Ashby Road, Address Burton On Trent Staffordshire DE15 0LB 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) 01283 533822 F/P 01283 533822 Shaun.mitchell183@robinia.co.uk Robinia Care Homes (2) Limited Mr. Shaun Mitchell Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 LD - aged 18 to 26 on admission Date of last inspection 12th October 2005 Brief Description of the Service: The service is provided from a large semi-detached property, located on a busy main road, in a residential area of Burton-on-Trent. It is close to local amenities and within walking distance of the local shops, park area and pub. The service has its own vehicle but is also close to public transport links. The home provides for up to 5 service users in single occupancy bedrooms: none have en-suite facilities, all have wash hand basins fitted. Communal space is provided in a pleasant lounge, dining room and spacious well-equipped kitchen. The service is registered to provide care for persons over the age of 18 years who have a learning disability. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was carried out during the afternoon and early evening of Monday the 30th of October. Three service users were resident in the home, and the care manager and two members of staff were on duty. Initially, the care manager was out assisting one resident to enhance his community presence, but both returned within a few minutes of the inspector arriving. The home was warm and clean throughout, and there appeared to be good interaction between the residents and staff. There was evidence of the manager and delegating appropriate tasks to senior support workers, and of their ownership of these. Discussion with one resident was not possible, as the unannounced arrival of the inspector made him so distressed that he isolated himself in his room. Staff visited him on numerous occasions to offer reassurance, and to ensure that the effects on his psychiatric and physical health were minimised. The other residents gave a positive appreciation of the home, and were seen being suitably occupied throughout the afternoon. Care plans were comprehensive, informative, and appropriately formulated, containing relevant risk assessments, and details of timely reviews. Hospitality and helpful assistance was received throughout this inspection from both residents and staff at 183 Ashby Rd. What the service does well: What has improved since the last inspection? Mr Shaun Mitchell has now been appointed as Registered Care Manager. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 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. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 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 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 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. The judgement on the outcome for this group of residents was good. This judgment was arrived at using available evidence including this visit to the service. There was evidence of comprehensive assessment of the needs of the residents prior to them being admitted. EVIDENCE: At the time of this inspection there were three men resident in the home, and a detailed examination was made of the care plan of the most recently admitted. A less detailed examination was made of the other care plans. Proper multi agency assessments of need, and recording of individual choice, had been conducted using the care management process. There had been a review of the situation of this young man in his previous accommodation which was closing due to economic pressure, and there was evidence of further work being done to match his choices and abilities with the outcomes that were currently available. He told the inspector: I would really like to get a place of my own, thats what Im aiming for . Triangulation of his situation and favoured future was made by discussion with the care manager, and by confirming what they both said from what was recorded in his care. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 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, 7, and 9. The judgment on the outcome for is group of residents was good. This judgment was arrived at using all available evidence, including that gathered during of this visit to the service. Much of the care planning and recording had been completed to a high standard, enhancing decision making and properly supported risk taking. EVIDENCE: In the care plans examined during the course of this visit there was good use of the material that had been gathered in free admission assessments, and evidence of plans being reviewed both on a regular basis, and as and when necessary. In the plan of one resident there was evidence of work following a risk assessment of his accessing the environment, to provide support to enable him to do this safely, rather than to restrict his freedom of movement. Health and personal care details were set out, together with negotiations initiated by one resident prior to his admission for the decoration of his private bedroom. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 10 In discussion with this resident, it was evidence that he had received the necessary information for him to be able to way out the financial benefits of two opposing courses of action that were open to him, and about which he had previously been unable to decide. His key worker stated that he had a very acute sense of the implications of various financial opportunities, and that he was getting a name for himself as being the best person to take to the supermarket to make the budget stretch further. One resident talked about his participation in organised games, and said this was made possible for him by members of staff dropping him off, because: I dont go out at night . There was evidence from care plans and from discussion with the care manager of steps been initiated to enable him to participate in things that he chose to do that would enable him to do these safely, rather than restricting the spread of his activities. The 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 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, 13,15, 16, and 17. The outcome for this group of residents was be good because they were enabled to have a community presents, to be occupied or stimulated, to maintain affiliate links, and to be able to eat well. EVIDENCE: During an individual discussion with one of the residents the subject of working was approached, and he said to the inspector: I have thought about starting to work, but if I got anything like a proper job I would lose my DLA. I do not want to lose that because if I did it would be very difficult for me to get it back again. It is not as if jobs are safe today, lots of people are in work one day, and then there made redundant, and that would be very difficult to me . Discussion with the care manager and reference to the care plan confirmed that assistance was being received a from employment specialists whose particular remit was helping to place people with disabilities. These discussions were said to be ongoing, to try and find a way around the problem identified by the residents. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 12 As stated in the summary, when this inspection commenced the care manager was engaged in helping one resident to expand the range of his access into the general community. They had been out together (following the one to one program that was seen formulated in his care plan in response to the risk assessment of him being in the community), to a nearby multiple outlet shopping centre, to consider some ideas for Christmas presents, and to have something to eat and drink in one of the cafeterias. The care manager explained that the main focus of this work was to promote behaviour in the resident that was more acceptable among the general public, concentrating on making him aware of not invading other peoples personal space . The recording of the input of various psychiatric service professionals in developing this program will be referred to in the next section under health care needs. One of the other residents talked at length about being part of one of the football teams at the local leisure centre, where he attends for training regularly every week, and has been selected for the teen on occasions when they were playing other teams from local colleges. He also spoke about the contacts he had with his family and the many friends hed had in the local area. He said: My mum came to see me on my birthday. I had a special day out on my birthday, we went to Alton Towers, I enjoyed it a lot . Discussion with staff and reference to care plans confirmed that three other residents maintained close contact with their families, and reveals the concern is that relatives had over the condition in progress of their family member. During a formal interview with a member of staff discussion about assisting with a personal hygiene task reveals the commitment to promoting the independence of the residents, and the extent to which they upheld their right to privacy and dignity. Sample menus have been provided with the pre-inspection questionnaire completed by the care manager, and these were seen to be both balance and varied, and appropriate to the needs and choices of the residents. During the afternoon one of the residents was being counselled and assisted during the preparation of his chosen meal, and this was seen to be part of a life skills education program. He received verbal positive regard where he was performing the task in an appropriate manner, and non-judgemental redirection when things were not going quite so well. The cooking, a food preparation, and eating areas were all clean and tidy with the provision of sufficient and good quality utensils, crockery, cutlery, and the programs for menu and shopping planning were felt to be adequate, and aimed at enabling the residents to enhance their independent living skills. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 13 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, 19, and 20. The outcome of this group of residents was be good because they were seen to receive comprehensive social and Healthcare support in line with their assessed needs and choices, and their programs were reviewed regularly as demonstrated by the record in their personal care profiles. EVIDENCE: Observation of the dynamics between residents and staff during the afternoon revealed an empathetic sensitivity in the way that support was being provided. Mealtimes were seen to be flexible not only to the dietary needs of the resident, but also to the choice of when to eat, and whether to eat alone or in company. This was confirmed in conversation with the care manager. The current group of residents did not require any technical aids or equipment to maximise their independence, but were receiving education, training, and guidance, from staff to enable them to maintain and widen the range of their activities and abilities. As mentioned in previous section, one resident who is behaviour had previously resulted in restricted access to the community, was in a program of enlarging community presents with the support of a mentor. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 14 In the care plans examined during the afternoon there was adequate evidence of the import of appropriate healthcare professionals in the lives of the residents of this town, both those specialists who were involved in their particular needs as indicated by their learning disabilities, and also those who catered to the more general health care needs, such as chiropody, dentistry, eye care, hearing needs, and the Well Man clinic. All residents were assisted with the accurate administration of their medication, and the care manager stated that all current staff had undertaken training to equip them to do this. Medication was being stored in an appropriate metal locked medication Cabinet, with a separate area inside guarded by a second lock for the retention of controlled substances, and this was located centrally in staff office. There were no discrepancies or unexplained omissions in the Medication Administration Record. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 15 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 outcome for this group of residents was good because all staff had been well-trained, and sound policies and procedures were in place to protect these vulnerable adults. EVIDENCE: No complaints had been received by CSCI about this service, and one complaint that had been received previously by the home which was felt to be contributed to by lack of adequate and appropriate communication with relatives, was shown to have been addressed by the new account manager resulting in improved relationships and trust from family. A formal interview was conducted with a member of staff during which a major theme was the subject of abuse. This person has extensive experience of working with younger adults who had a learning disability, and was instantly able to talk knowledgeably not only about who might be able to perpetrate an abuse on any of her residents (absolutely anybody), but also what things might make her suspicious that somebody was being abused, a whole range of things which would be considered abusive, (both acts of commission and acts of omission) and what procedure she must follow if she suspected that abuse had taken place in order to safeguard that person, and initiate the procedure agreed by all agencies for the protection of Vulnerable Adults. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 16 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, 26, 27 28 and 30 The outcome for this group of residents was good as the residents were seen to be living in a homely, comfortable, and safe environment, and that their personal and communal space met their needs and lifestyle, and helped to promote their independence, in an environment that was well maintained, clean, and hygienic. EVIDENCE: A cursory visual examination of the outside of the home did not reveal any matters of concern, and one of the residents conducted the inspector of a full tour of the internal environment. This home is situated in a residential area of Burton upon Trent, and is not stigmatised by any outward signs that it is a care home. There was no evidence of any aids or adaptations having been imported into the environment, which was as near to being domestic as was possible. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 17 There was no detriment noticed in any of the furniture or fittings, but the care manager stated that he was working on an extensive programme for the redecoration of the home, and for taking steps to make it more user friendly to the man living there. The communal spaces, both dining room and lounge, were furnished appropriately, and were fitted with good quality and comfortable looking Chairs, Settees, carpeting, and entertainment systems. One of the residents discussed with the inspector the provision of Sky Television, but said: When we found out how much it was going to cost us we decided to do without it . The stairs and corridors were covered with high-quality carpeting that was in good condition, matching the state of the decoration throughout the house. There were toilets on the ground and first floor, but no sanitary facilities on the second floor. In addition to the domestic bathroom which has a separate freestanding shower, toilet, and wash basin, there was a separate shower room which also had a wash basin and toilet. (These were in addition to the staff bathroom which was situated to the rear of the staff office/sleep in room). Only one of the occupied bedrooms was examined in detail during this inspection, and this revealed to the interests and personal choices of the resident. He was a dedicated England football fan, and had had the St Georges Cross painted over the majority of one wall, and was very pleased with this. His first choice of clothing was one of his football shirts, and he also had various posters on his walls to remind him of different players and different teams. He also had on display certificates to mark his achievements in various courses at a local college, and pictures of members of his family, and favourite mementos. The home was clean and tidy throughout, without any hint of malodour. The laundry was particularly worthy of comment being exceptionally clean and well ordered. This room also contained the COSHH cupboard and the entrance to the cellar, both of which were securely locked. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 18 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): 32, 34, and 35. The outcome for this group of residents was good because there was an adequate number of staff to meet the current needs of the residents. There was also sufficient and appropriate training for, and employment of, experienced and qualified staff. EVIDENCE: There were two members of staff on duty throughout the whole of this inspection, and they were supplemented by Mr Shaun Mitchell who has just been approved is the registered care manager, and he was using his time to enable one resident to experience wider community access. Also during the early evening the home was visited by an outreach worker from a local psychology service to which the providers contract. A formal interview was conducted with a member of the support staff and she confirmed the level of training that was being provided to staff in this home and the appropriateness of the recruitment procedures are being practised by the providers. She had needed to provide two written references, through of her experience and any qualifications, and out undertaken a sea hubby Jack as soon as these became available. She also stated that she has had a proper induction with appropriate mentoring before serving a probationary period prior to receiving a full written offer of a permanent job. She said she had a job description for the work she was expected to undertake, hand-to-hand 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 19 regular updates in such mandatory subjects at first aid, health and safety, manual handling and fire safety, and specialist training to enable her to work with Autism, Epilepsy, Bereavement, and Depression. She confirmed that the new manager was always available to discuss aspects of the work and any other concerns that staff may have, and the supervision was received regularly, and once a real two-way discussion, with members of staff able to contribute towards the agenda. She also stated that staff meetings were held at regular and full is, and that the minutes of these were available to those who had been unable to attend. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 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 outcome from this group of residents was good. All items identified in the last report and made requirements had been satisfactorily attended to, and the minor discrepancy in the record of weekly fire alarm checks will be covered by a recommendation. EVIDENCE: Mr Shaun Mitchell has just been approved is the registered care manager, and he has significant experience as a registered manager in other homes being run by this group of providers. Discussion with members of his staff on duty pointed to him being open and he and his style of management, always supportive of his staff in their role of providing appropriate care to the residence of the home, and confident enough to delegate responsibilities and thereby foster a sense of ownership in staff lower down the hierarchy than himself. When he was being interviewed, he stated that he had a provisional annual plan for both the environment of the home and for the way that support was provided to the vulnerable residents who lived there. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 21 The commission for social care inspection receives regular reports from the monthly visits after you providers to the home where they check on the quality of service provided, and in anticipation of this inspection comments cards were sent out to both relatives and significant other professionals working with residents in the home, and from these the following comments have been extracted: I have found the support offered by the Robinia staff to be very positive Another respondents said the new care manager you was very professional and a good team leader, and someone who worked well with other professionals. From discussion and from observation of the content of care plans it was apparent that risk assessments were undertaken appropriately, and the only issue that was found whilst examining those documents which the home is required to keep to demonstrate how it meets the health safety and welfare of its residents, was that there were two gaps in the recording of weekly for our tests. There will be a recommendation at the end of this report that the registered person is more vigilant in ensuring that these tests are always undertaken weekly, and that the outcome of them is appropriately recorded once per week. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 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 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 3 25 X 26 3 27 3 28 3 29 X 30 4 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 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 X 3 X X 3 X 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA42 Good Practice Recommendations The registered person should ensure that the fire alarms are tested weekly, and that the record of this is always accurate. 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 183 Ashby Road, DS0000004911.V299574.R01.S.doc Version 5.2 Page 25 - 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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