Inspection on 19/01/06 for 21 Dimmingsdale Bank

This inspection was carried out on 19th January 2006.

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 17 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

21 Dimmingsdale Bank 21/08/08

21 Dimmingsdale Bank 13/09/07

21 Dimmingsdale Bank 19/07/06

21 Dimmingsdale Bank 01/09/05

21 Dimmingsdale Bank 11/03/05

21 Dimmingsdale Bank 12/10/04

21 Dimmingsdale Bank 26/03/04

21 Dimmingsdale Bank 07/08/03

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Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 Dimmingsdale Bank, 21 Woodgate Valley Birmingham West Midlands B32 1ST Lead Inspector Sarah Bennett Unannounced Inspection 19th January 2006 13:35 Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 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 Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 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. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dimmingsdale Bank, 21 Address Woodgate Valley Birmingham West Midlands B32 1ST 0121 422 7500 0121 422 7500 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) Trident Housing Association Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 1st September 2005 Brief Description of the Service: Dimmingsdale Bank is a purpose built home for seven people who have a learning and additional physical disability. It was first registered in 1995. It is situated in a residential area on the south side of the city known as Woodgate Valley. It is within easy reach of local shops, public transport and local amenities.The property comprises of three linked houses, set out with a pleasing frontage of small areas of shrubs and spacious off road parking. The facilities include a large open plan communal area, which is utilised as a combined lounge and dining room. There is a main kitchen, and five bedrooms, all with en suite facilities, which can be accesssed directly from the combined lounge/dining area. The office, sleep-in accommodation, laundry and a further two bedrooms are loacted on the first floor accessed via a stair lift. To the rear of the property there is a cushioned or astro turf patio with flower pots, surrounded by a raised lawn and shrubbery. Due to the gradient of the lawn service users are not able to access it. Wheelchair access into the house and out to the rear garden is evident. The ground floor facilities are fully accessible. However, the first floor accommodation can only be utilised by those who are able to use a stair lift. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out in one afternoon. Service users, the Manager and the staff on duty were spoken to. Not all service users spoken with were able to give a view of the home due to their communication needs. A partial tour of the premises took place. Care, staff and health and safety records were looked at. This was the second of the statutory inspections for this home for 2005/2006 and not all of the National Minimum Standards were assessed. To get a full picture of the home it is advised to read this report in conjunction with the report from September 2005. Stephen Ellis (expert by experience) and his supporter from ‘Sandwell People First’ were there for part of the inspection. As a service user Stephen has an expert opinion on what it is like to receive services for people who have a learning disability. As part of the Inspection Team, Stephen’s comments are included throughout this report. What the service does well: What has improved since the last inspection? Risk assessments are in place so that staff know how to support service users to make sure that all risks are minimised as much as possible. A Manager has started working at the home that can lead the staff and support them to meet the needs of service users. An order has been placed for a new dining table that all service users will be able to sit at comfortably to eat their meals. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 6 Most of the staff have had training in fire safety so they know how to prevent a fire starting. The picture board showing service users which staff are on duty and what is on the menu is used. 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. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 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 Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 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): These standards were not assessed. Standard 2 was met at the last inspection and since then no service users have been admitted to the home. EVIDENCE: Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 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, 9 Not all the service users have a care plan so staff do not know how to support each individual to meet their needs and personal goals. Service users are supported to make decisions about their lives. Arrangements are generally adequate to ensure that service users are supported to take risks within a risk assessment framework. EVIDENCE: One of the service users records sampled included an individual care plan that detailed the needs, goals and aspirations of the individual. Staff told the Inspection Team that the service users care plans are being updated. A person centred plan has been started for one service user and the others will be started shortly. One service users records sampled did not have a care plan and this could not be found. Staff told the Inspection Team that service users talk about what food they want for the next week on Sundays. Service users told the Inspection Team that they have their own bank accounts and choose what they spend their money on. They said they buy cola, make up and go to get their haircut. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 10 Staff told the Inspection Team that service users would be talking about holidays at the next service users meetings. Brochures were available for service users to look at. Service users records sampled included individual risk assessments. These included all the activities that service users are involved in as well as the risk to the individual if there was a fire, the risks at night of being disturbed or not by night staff entering their room and the risks of their health needs such as epilepsy. The risk assessments, apart from one that was dated 2003, had been recently reviewed and updated where necessary to ensure that all the risks to the individual are minimised. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 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, 14, 16, 17 Arrangements are generally adequate to ensure that people living at the home experience a meaningful lifestyle. Service users enjoy their meals but it is not always clear if they are offered a healthy diet. EVIDENCE: All but two of the service users attend day centres from Monday to Friday. Service users told the Inspection Team that they go to Kennedy House on Saturday evenings in a taxi to the disco and sometimes they go bowling. Service users records sampled stated that they go to discos, to day centres, use public transport, go out for walks, to pubs and to restaurants. One service user was getting ready to go to a disco that evening. One service user said that they go to an art class every week and on Sundays they go to church. Service users were observed taking their cups into the kitchen to wash up after they had a drink. All service users have a key to the front door. Service users spoke to the Inspection Team about holidays and where they would like to go. One service user said they would like to go to Wales and another service user said they wanted to go to Blackpool. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 12 Brochures were available for service users to look at. Staff told the Inspection Team that holidays are to be discussed at the next service users meeting. Last year all the service users went to Wales but this year it is hoped that they can go in smaller groups to different places. The service users go out often and seem to enjoy this however the Inspection Team thought that there does not seem to be much for service users to do in the home. The ex by ex said, “I didn’t see any games or arts and crafts materials that could occupy the service users. I think that there needs to be more activities within the home for the service users to do.” Two of the service users had been out with staff to do the food shopping. The ex by ex said, “ I liked the picture board showing the service users what food they could be choosing from.” Staff told the Inspection Team that the service users talk about what food they want to eat for the coming week on Sundays. Staff also said that the service users take it in turns to help prepare the tea. Records of food sampled showed that a variety of food is offered to service users. Not all records of food were completed – in eighteen days sampled only ten records had been completed. These must be completed to evidence that a nutritious and healthy diet is being offered to individual service users. One service user helped to prepare the tea of Lasagne or Spaghetti Bolognese. Service users said that they like pasta and had chosen this menu. Other service users were helping to lay the table. Service users had their tea about 5pm. Staff sat with service users and supported them appropriately. Service users were offered salad to go with their meal if they wanted it as well as sauces. Three choices of drink were available. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 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, 20 Service users receive personal support in the way they prefer and require. Adequate arrangements are not in place to ensure that individual service users health needs are met. Adequate arrangements are in place to ensure that the management of the medication protects service users. EVIDENCE: Service users records included detailed manual handling risk assessments. These stated how the service users were to be supported by staff with their mobility and how the risks to service users and staff are to be minimised when doing this. One service user was observed to get upset. The permanent member of staff said that they might not like the programme that was on the TV and changed the channel. The service user calmed down and seemed contented. Service users were well dressed and their clothes were appropriate to their age, the weather and the activities that they were doing. The Manager said that some work has begun on Health Action Plans for individual service users. The three Health Action Plans sampled had been started but none of them had been completed. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 14 Service users records sampled stated that they go to the weight clinic, epilepsy clinic, chiropodist and dentist. Service users have had regular medication reviews. One of the service users records stated following an appointment with the GP that they were overweight however there was no record that they have been referred to the dietician for advice. The Manager said that the service users key worker had recently left and this would be followed up. Another service user had been referred to the dietician, as they were underweight. Their records indicated that advice from the dietician is being followed. Medication is stored in a locked cabinet. Boots supply the medication to the home in blister packs using the monitored dosage system. The Pharmacist from Boots visits regularly. All medication administration records (MAR) were signed and these cross – referenced with the blister packs indicating that medication had been given as prescribed. Separate storage is provided for Controlled Drugs (CD’s). There were no CD’s. The Manager said that all permanent staff have been assessed as competent to administer medication and one of the agency staff is currently being assessed. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 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, 23 The arrangements for making complaints are adequate to ensure that service users views are listened to and acted on. Arrangements for protecting service users from abuse are not adequate and could compromise their safety and well being. EVIDENCE: There have been no complaints about the home since the last inspection. The Inspection Team saw the complaints procedure displayed in the home. This is produced using easy words and pictures making it more accessible to the service users. The Manager said that staff have not received training in adult protection and the prevention of abuse. This remains outstanding from the previous inspection. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 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, 28, 29, 30 Adequate arrangements are not in place to ensure that service users live in a homely and comfortable environment that meets their individual needs. EVIDENCE: At previous inspections it has been found that the dining table is not suitable for all service users as it is not high enough for some service users to sit at in their adapted wheelchairs. Staff said that they have recently found a manufacturer who is going to make a table that will be the right height. The paintwork in the lounge and dining room looked worn and was marked by service users wheelchairs in various places. A requirement was made at the last inspection for a hole in the lounge wall to be filled. This has been filled but not repainted. The carpet in the lounge had some stains on it. The Manager said that a cleaning company regularly cleans it but they have asked for a carpet cleaner so that it can be cleaned regularly. The Manager said that the furniture in the lounge was recovered about two years ago. The frames of the chairs and sofas were worn and damaged. The ex by ex said, “ The arms of one service users chair were quite dirty and the furniture needs replacing.” Each service user has their own bedroom and en suite shower or bathroom. However, as raised in previous inspection reports, the home has been well planned for people who have a disability, but it lacks communal space. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 17 As the home is registered for people who have a physical disability it is disappointing that a vertical passenger lift is not provided, to facilitate access throughout the home. The addition of a conservatory would greatly enhance the opportunity for service users to receive visitors in private, without having to use their bedrooms. The home was generally clean with the exception of the lounge carpet and was free from offensive odours. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 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): 33, 35 The arrangements for staffing and their support and development are not sufficient to ensure that an effective staff team supports service users and meets their individual needs. EVIDENCE: The Manager said that two members of staff have left since the last inspection. One member of staff is currently on maternity leave. A Deputy Manager has been recruited and will be starting work at the home in February 2006. There are no permanent night staff and regular agency staff cover these vacancies. Rotas showed that agency staff covered thirteen of the day shifts in one week. On the late shift there was one permanent staff and two regular agency staff who obviously knew the service users well. Service users told the Inspection Team that they liked the staff and they have a key worker. The ex by ex said, “ The staff seemed to communicate well with the service users.” The Manager said that staff have not received training in adult protection and the prevention of abuse. The Manager said that training for staff in first aid, manual handling, health and safety and food hygiene has been booked for all staff in February, March and April. All but one member of staff has completed fire safety training. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 19 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, 38, 39, 42 The Manager communicates a clear sense of direction and leadership, if this continues service users will in time benefit from a well run home. Adequate arrangements are not in place to ensure that service users are confident that their views underpin all self-monitoring, review and development by the home. Service users health, safety and welfare are not adequately promoted and protected. EVIDENCE: The Manager is not yet registered with the CSCI and has not yet made an application for registration. The Manager has been in post since October 2005. It was clear from looking at the staff communication book that the Manager directs staff to ensure that service users needs are met and they are kept safe. The Manager is leading key workers to take responsibility and ensuring that they make appointments for service users to have health checks and keep their records up to date. The Manager gives key workers a date by which tasks need to be completed. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 20 In the office there were some completed service users satisfaction surveys but these were not dated so it was not clear when they were completed or by whom. A Quality Assurance Framework is in place that looks at the quality of staff, of the environment, of the care provided and of the management and organisation. In all areas the previous manager had completed some but it was not dated so it was not clear when it was completed. Fire records showed that staff had tested the fire alarm only twice in December and not at all in January. Staff had not tested the emergency lighting since November 2005. The fire alarm must be tested weekly and the emergency lighting monthly to make sure they are working. The fridge and freezer temperatures are taken daily and these were within safe food storage limits. Water temperature records showed that staff test these weekly. They were generally between 35 – 42 degrees centigrade. The recommended safe water temperature is 43 degrees centigrade. One service users shower recorded at 45 degrees centigrade. The Manager said that staff test the water temperature and supervise the service user until this temperature is lowered. The upstairs bathroom recorded at 50 degrees centigrade however, this is only used by staff and cannot be accessed by service users. A vehicle is provided for residents use. A valid MOT and insurance certificate were available for the vehicle. An electrician completed the five - year electrical wiring installation test in July 2001 and stated that it was in a satisfactory condition. An electrician tested the portable electrical appliances in April 2005 and stated that they were safe to use. A Corgi registered engineer tested the gas equipment in May 2005 and stated that it was in a satisfactory condition. Hoists are provided to help service users to move. These are regularly serviced. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 21 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 X 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 1 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 3 28 2 29 2 30 2 STAFFING Standard No Score 31 X 32 X 33 2 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 X 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 2 2 2 X X 2 X Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 22 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(1)(2) Requirement Timescale for action 19/02/06 2. 3. 4. YA9 YA17 YA19 5. 6. YA19 YA24 7. 8. 9. YA24 YA24 YA29 All service users must have a current care plan. (Previous timescale of 31 October 2005 not met). 13(4)(a-c) All risk assessments must be regularly reviewed and updated as necessary. 17(2) Records of food provided to each Sch 4(13) individual service user must be kept. 12(1)(a) Each service user must have a Health Action Plan in line with Valuing People. (Previous timescale of 31 December 2005 not met). 12 (1)(a) Where appropriate service users must be referred to the dietician. 23 (2)(d) A carpet cleaner must be provided so that carpets can be cleaned regularly and at the time that spillages occur. 23(2)(b,d) The lounge and dining room must be redecorated. 23(2)(b,c) The furniture must be replaced in the lounge. 23 (2)(n) A suitable dining table must be provided as access for some of the service users who use a wheelchair is problematic. (Previous timescales of 30 April DS0000016927.V279842.R01.S.doc 28/02/06 28/02/06 31/03/06 28/02/06 31/03/06 31/07/06 31/08/06 19/02/06 Dimmingsdale Bank, 21 Version 5.1 Page 23 10. 11. 12. YA33 YA35YA23 YA37 13. YA39 14. 15. 16. YA42 YA42 YA42 2005 & 31 December 2005 not met). 18(1)(a) Staffing vacancies must be recruited to. 18(1)(c) All staff must receive training in adult protection. (Previous timescale not met) 8(1)(a)(b) A registered manager application must be submitted to the CSCI. (Previous timescale of 31 December 2005 not met). 24(1)(a,b) The quality assurance system (2)(3) must be completed and dated. This should include seeking the views of service users and their representatives. 23(4,c,v) The fire alarm must be tested weekly and a record kept. 23(4,c,v) The emergency lighting must be tested monthly and a record kept. 13(4)(a-c) The temperature of service users showers must be maintained at 43 degrees centigrade. 30/04/06 31/05/06 28/02/06 30/04/06 20/01/06 20/01/06 20/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA14 YA28 Good Practice Recommendations A wider choice of activities should be offered to service users inside the home. The organisation should review the communal space for service users and the lack of a private area for service users to meet relatives/ friends other than their bedrooms. Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Dimmingsdale Bank, 21 DS0000016927.V279842.R01.S.doc Version 5.1 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. 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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