Inspection on 29/08/07 for 25-27 Haymill Close

This inspection was carried out on 29th August 2007.

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

Other inspections for this house

25-27 Haymill Close 04/05/06

25-27 Haymill Close 19/12/05

25-27 Haymill Close 24/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 25-27 Haymill Close 25-27 Haymill Close Greenford Middlesex UB6 8HL Lead Inspector Clare Henderson-Roe Key Unannounced Inspection 29th August 2007 11:00 25-27 Haymill Close DS0000044301.V348486.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 25-27 Haymill Close DS0000044301.V348486.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. 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 25-27 Haymill Close Address 25-27 Haymill Close Greenford Middlesex UB6 8HL 0208 998 8856 0208 810 9531 hm2527haymill@ealing.org.uk 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) Ealing Consortium Limited Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th May 2006 Brief Description of the Service: 25-27 Haymill Close was registered in 2004. It had been formally registered as Perivale Supported Housing and had comprised of four houses linked by an administration block. The service is for nine adults who have learning disabilities. One house, number 25 is for four female service users and the other house, number 27 is for five male service users. Male and female staff work in the male service users house and female only members of staff work in number 25. A small office connects the houses. There is some parking to the front of the home and a communal garden that is shared with another registered home. This is mainly a lawn with a patio area. All bedrooms are single and are on both the ground and first floor of the home. The staff team consists of one Manager for the two houses and one senior member of staff for each house and support workers. Number 25 & 27 Haymill Close is situated on a housing estate near to the Ealing Consortium Activities Resource Centre. Several service users attend this local resource centre where they take part in sessions such as Drama therapy. The houses are near to a main road into London and a short walk to a main road where there are buses into the towns of Ealing Broadway or Greenford. Ealing Broadway has good rail links for both in and out of London. The current fees charged range from £292.08 to £1295.98 per week. 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of 6 hours was spent on the inspection process. A tour of the home was carried out, and service user plans, health records, medication records, management records, training records, staff employment information, administration records, maintenance and servicing records were viewed. The pre-inspection Annual Quality Assurance Assessment (AQAA) document completed by the home has also been used to inform this report. 5 people living at the home, 4 staff and 1 visitor were spoken with as part of the inspection process. The Manager Designate had been in post for 3 days. What the service does well: What has improved since the last inspection? What they could do better: Daily fridge and freezer temperatures had not always been recorded in one of the houses. Overall medications were being well managed, however one shortfall had not been picked up and investigated and due diligence must be observed when checking medication administration. For staff recently 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 6 employed at the home the evidence that all pre-employment checks had been carried out was not available. The legionella risk assessment carried out in 2006 had identified work to be done to address shortfalls identified. The Manager Designate said that this work had been carried out, however no written information was available to evidence this. Fire drills had not been carried out at the required intervals and this was a repeat finding. The risk assessments for equipment and safe working practices had not been reviewed within the last 12 months. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 25-27 Haymill Close DS0000044301.V348486.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 25-27 Haymill Close DS0000044301.V348486.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has pre-admission assessment documentation that when completed enables them to ascertain if they are able to meet the needs of prospective new residents. EVIDENCE: The home has not had any new admissions for some years. The pre-admission assessment documentation provides a comprehensive assessment for any prospective residents. 25-27 Haymill Close DS0000044301.V348486.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service user plans are comprehensive and provide a good picture of each resident and how their needs are to be met, thus giving staff the information they require to provide a good standard of care. Where able, residents are involved in making choices about their day-to-day lives, thus promoting independence. All risks are individually assessed, thus minimising any risks to the resident. EVIDENCE: The Inspector viewed two service user plans. These were comprehensive and provided a good picture of each resident, their needs and how these are to be met. Six monthly reviews are carried out for each resident and there is evidence of input from the resident, representatives and relevant health and care professionals. The daily records for each resident are completed after each shift, to provide up to date information for each individual. A ‘communication passport’ is being completed for each resident and an example 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 10 viewed contained clear information regarding the recognised methods of communicating with the individual. The residents are encouraged to make choices for themselves in respect of meals, dress and activities and also participate in making decisions about their own rooms, for example, colour schemes. Residents meet with their key worker and discuss things they would like to do, for example, making holiday choices and plans. The Manager Designate said that she is introducing holiday personal plans so that the activities a resident particularly wants to do on holiday can be identified prior to going and then actioned whilst on holiday, thus increasing their enjoyment and fulfilment. Risk assessments had been carried out for each resident to identify each specific risk and the action to minimise this risk. In one file viewed these required updating and this was done on the day of inspection. 25-27 Haymill Close DS0000044301.V348486.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Outings and activities are arranged in line with individual interests, thus peoples wishes are planned for and respected. The home has an open visiting policy, thus encouraging residents to keep in contact with family and friends. Staff care for residents in a gentle and professional manner, respecting their privacy and dignity. The meal provision at the home is good, meeting dietary needs and preferences. EVIDENCE: Each resident has a weekly activities programme personalised to their interests and abilities. The Manager Designate said that 3 residents currently attend Day Centres and most of the residents attend the Activities & Resource Centre to participate in various activities they enjoy. 4 residents attend local Church Services and one attends the Temple with their family. Other cultural and religious events are acknowledged and residents have the opportunity to celebrate them. Staff ensure that the residents are supported to attend each 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 12 activity or event. The mobile library, which has good disabled access, visits every 2 weeks and one resident uses this service. 4 residents attend the Gateway Club, which is a social club. Residents are taken to the local pub, a local café and also shopping, in accordance with their wishes. Following consultation with the residents a swing is being erected in the garden as one resident particularly enjoys this activity. The owners have several homes within close proximity and residents do attend the other homes for parties and barbeques. Friendships are also encouraged and friends are made welcome at the home. The home has an open visiting policy and visiting is encouraged. One visitor spoken with said that the staff are extremely supportive and that it was a ‘home from home’ for her relative. Some residents go out with their families and overnight stays are also arranged. Staff receive training to provide them with the skills to support residents who may wish to form personal relationships in a sensitive manner. Staff were seen being gentle and professional with the residents and thus respecting their dignity. Staff knock on doors before entering bedrooms and respect peoples right to privacy. The home has a large enclosed rear garden that residents have access to. There was a good atmosphere in the home, with clear interaction observed between residents and staff. The kitchen was clean and tidy. With one exception items in the fridges had been dated when opened and the one item not labelled was disposed of at the time of inspection. Fridge and freezer temperatures in one house had been recorded daily and some gaps were noted in the records of the other house. The Manager Designate said that this would be addressed. In one house 2 residents are involved in the planning of the weekly menu and in the other house staff base the menu on their knowledge of residents preferences. Individual likes and dislikes plus cultural dietary requirements are recorded and respected. Residents are encouraged to eat a healthy diet. Residents spoken with said that they enjoy the food at the home. One resident is able to make themselves a drink with supervision and participation in aspects of daily life is encouraged. 25-27 Haymill Close DS0000044301.V348486.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are courteous to residents and support or assistance for any care needs is provided in a manner to respect the residents privacy and dignity. Residents’ healthcare needs are identified and met, thus striving to maintain each person in optimum health. Medications are being well managed at the home, thus safeguarding the residents. The one shortfall identified should be easily addressed. EVIDENCE: The residents were well groomed and dressed, reflecting individuality. The service user plans record the personal care needs for each resident and information such as the gender preference of each resident for staff supporting them with personal care is available and respected. Residents are encouraged to do as much as they can for themselves, with staff available to assist as necessary. All the residents are registered with a GP and visits to and by healthcare professionals are recorded. The home also has regular contact with and input 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 14 from the Community Team for People with Learning Disabilities. The ‘OK Health Check’ assessment is carried out for each resident and is a comprehensive record of healthcare needs and how these are to be met. The Manager Designate had recently reviewed all these documents and identified any gaps for staff to complete. Weights are carried out monthly or more frequently if a need is identified and clear records were available. Staff receive training in communication methods and skills and it was clear that staff were able to communicate effectively with the residents. The home uses a monitored dosage system (mds) for the administration of medications, with medications being supplied on a 28 day cycle. The medication administration record (MAR) charts were viewed and these were complete and up to date. Codes had been used for any omissions. All receipts of medication are recorded. The Manager Designate said that all medication returned to the pharmacist is recorded and signed for. The returns book was not viewed. All liquid medications are dated when opened. There were no controlled drugs in use at the time of inspection. Medications are being stored securely at the home. The morning mds medication was viewed and was correct and up to date with administration. For one resident two tablets were found still in the mds blister packs but had been signed for as given and the Manager Designate said that she would investigate this and report back to CSCI. This was the only shortfall identified with medication management. The home has policies and procedures in place for the management of medications and overall medications are being well managed at the home. 25-27 Haymill Close DS0000044301.V348486.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear procedures for complaints and for adult protection are in place and are followed, thus safeguarding the residents. EVIDENCE: The home has a clear complaints procedure, in both written and picture form. All residents have link workers and 1:1 time is allocated, during which any issues can be discussed and the opportunity is given for residents to indicate if they have any worries. Staff are also aware that behavioural changes might be an indication of concerns. The home has its own POVA procedures and also follows the Ealing Safeguarding Adults procedures. One potential POVA situation has been identified since the last inspection and this has been investigated and is pending an outcome. Staff spoken with were aware to report any concerns. The majority of the staff had received POVA training and the Manager Designate said that this topic is also covered in the induction training. For personal monies held on behalf of residents clear records are kept. The inspector checked the records and amounts for 2 residents and these were up to date and correct. Records of income and expenditure plus all receipts are maintained. The records and amounts are checked at each shift handover. 25-27 Haymill Close DS0000044301.V348486.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being well maintained, thus providing residents a homely environment to live in. The home is clean and infection control procedures are followed thus safeguarding residents, staff and visitors. EVIDENCE: The inspector carried out a tour of the home. There was evidence of recent redecoration and refurbishment. Bedrooms had been very personalised whilst also containing any safety and moving & handling equipment required by the resident. The home does not have a call bell system in place as the residents are not likely to comprehend and be able to use it. However alarm equipment to alert staff should a resident fit in their sleep is in place, and regular checks are carried out by throughout the day and night. Each resident has a bed suited to his or her own needs. For one resident a low bed had recently been purchased to lessen the risk of falling out of bed, and for another a new profiling bed had been purchased. Cultural aspects relevant to the resident had been incorporated into the décor of one room. Flooring is appropriate in 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 17 accordance with residents needs. There are rails in the corridors and on the stairs. A new shower had been installed to meet the specific needs of one resident. The communal areas were pleasantly decorated and furnished, and overall there was a homely atmosphere throughout. The homes AQAA states that further redecoration plus new garden furniture are being planned for. Each house has a laundry area containing a washing machine and tumble dryer. The washing machines have a sluice programme for soiled or infected laundry. Protective clothing to include gloves and aprons were available in the home. The home was clean and tidy and smelled fresh throughout. Procedures for infection control were being followed. 25-27 Haymill Close DS0000044301.V348486.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was appropriately staffed to meet the needs of the service users. Robust systems for vetting and recruitment practices are in place, however evidence that all employment checks had been done was not available, thus this could place residents at risk. The training provision is good, providing staff with the skills to meet the needs of service users. EVIDENCE: The Manager Designate reported that all new staff undertake Learning Disability Award Framework induction training, followed by NVQ level 2 in care training. The training records evidenced the training undertaken by staff and updates had been identified with dates for completion. The employment records for staff are held at the company head office. Summaries to evidence that all the required checks had been carried out were seen for 3 members of staff, however these were not available for 2 recently employed members of staff. The Manager Designate said that new staff are not employed by the company unless all the required checks had been completed, and that she would follow this up with head office. 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 19 One resident requires 1:1 care 24 hours a day. In addition to this member of staff 4 care staff are on duty during the day and one waking and one sleeping members of staff at night. The Manager Designate said that these staffing levels are appropriate to meet the needs of the residents. At the time of inspection staff were available to care for the residents and to accompany them on trips out of the home. The Manager Designate said that a Senior Support Worker is currently being recruited. The Manager Designate said that the need for some administration hours for staff had been identified in order to keep the residents files up to date and now 6 hours is allocated to each key worker every 6 weeks specifically for administration work. Where agency staff are employed the aim is to use staff who are familiar with the home. A cleaner is employed and the home was clean and fresh throughout. 25-27 Haymill Close DS0000044301.V348486.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager has the experience to manage the home and is aware to undertake the required qualification for this. Systems for quality assurance are in place, thus providing an ongoing process of practice review within the home. Overall systems for the management of health and safety throughout the home are good, however shortfalls identified must be promptly addressed to fully safeguard residents, staff and visitors. EVIDENCE: The Manager Designate had been in post for 3 days. The Manager Designate has NVQ level 3 in care and is an NVQ assessor. She has been a Senior Support Worker at the home for 3 years and during that time was regularly in charge of the home and has been Acting Manager on occasions. She also has a diploma in childcare and is aware of the necessary qualifications to be 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 21 undertaken as Manager of the home. The Manager Designate said that she is to apply for registration with CSCI. There is a system in place for Quality Assurance. A quarterly Quality Assurance Report is completed for the home and this looks at all aspects of the environment, residents care and welfare, management systems, maintenance and the overall management of the home. Regulation 26 visits are carried out on behalf of the Registered Provider and comprehensive reports are written, copies of which are forwarded to CSCI. Weekly staff meetings take place and minutes are taken and available for all staff to read. Relatives are encouraged to speak with staff and a visitor spoken with said that they are kept up to date and involved in reviews. The inspector viewed at random servicing and maintenance records. Those viewed were up to date, however further information regarding legionella management and evidence of works carried out to address a shortfall identified in this area was not available. Fire evacuation procedures to include the abilities and needs of each resident in the case of fire were available, however there was no evidence of recent fire drills taking place. This is a repeat finding. Risk assessments for the premises and safe working practices were in place but had not been reviewed since November 2005 and the Manager Designate said that this would be addressed. Training records showed that staff had attended health & safety training, and where gaps were identified training sessions were being arranged. 25-27 Haymill Close DS0000044301.V348486.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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 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 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA17 Regulation 13(3) Requirement Daily fridge and freezer temperatures must be complete and up to date to ensure food is being stored safely. All medications must be administered as prescribed and signed for when administered to maintain the health of the residents. There must be evidence that the required employment checks have been carried out for all staff prior to employment, to safeguard residents. Confirmation that the work required in line with the Legionella Assessment has been carried must be available in the home in order to safeguard residents and staff. Fire drills must be held at regular intervals and at various times of the day/night. Previous timescale 31/05/06 not met. All risk assessments must be reviewed at regular intervals, to ensure the information is up to date and identified risks are minimised. Timescale for action 31/08/07 2. YA20 13(2) 29/08/07 3. YA34 19 21/09/07 4. YA42 13(3) 21/09/07 5. YA42 23(4)(e) 30/09/07 6. YA42 13(4) 30/09/07 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 24 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 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 25-27 Haymill Close DS0000044301.V348486.R01.S.doc Version 5.2 Page 26 - 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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