Inspection on 25/01/06 for 25 Raynton Close

This inspection was carried out on 25th 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

25 Raynton Close 08/11/06

25 Raynton Close 28/09/05

25 Raynton Close 25/02/05

25 Raynton Close 28/07/04

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 Raynton Close 25 Raynton Close Rayners Lane Middlesex HA2 9TD Lead Inspector Clive Heidrich Unannounced Inspection 25th January 2006 07:45 25 Raynton Close DS0000017556.V279949.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 25 Raynton Close DS0000017556.V279949.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. 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 25 Raynton Close Address 25 Raynton Close Rayners Lane Middlesex HA2 9TD 0208 868 3174 01895 638 974 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) Ms Santa Bapoo Ms Santa Bapoo Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2005 Brief Description of the Service: 25 Raynton Close is a registered care home providing personal care and accommodation for a maximum of 4 adults who have learning disabilities. All service users at the time of the inspection were male. There were no vacancies at the time of the inspection. The Registered Provider/Manager is Ms Santa Bapoo who is similarly registered in respect of the two other care homes in her organization. She is referred to as the owner in this report. The home is located in a quiet residential cul-de-sac in Rayners Lane, close to shops, pubs and other community amenities. Parking is available on the road outside the home. All the home’s bedrooms are single, and none have en-suite facilities. Two are upstairs along with the sleep-over room for staff, whilst two are downstairs. Access upstairs is by stairs only. The home also has a spacious lounge, a dining room, and toilet & bathing facilities. The home has a garden to the rear that is reasonably maintained. It is accessible via some steps from the house. 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place across a dry morning in mid-January. It finished at 10:30a.m. Its focus was both on compliance with previous requirements, and on assessing the core standards that were not inspected during the September 2005 inspection. Consequently, the inspector met with all four service users and the staff member present. The inspection also included the consideration of the home’s environment, the records available, and the observations of the care being provided. The owner was not present during the inspection, but discussed issues with the inspector by phone during the visit. The owner kindly provided further records at the CSCI office following the inspection in support of the inspection process. The inspector thanks all involved in the home for the patience and helpfulness during the inspection. What the service does well: What has improved since the last inspection? What they could do better: There are a few outstanding requirements that relate to maintenance issues, and one safety issue, that must be addressed. The ongoing process of trying to acquire planning permission to redevelop and extend the home is partly 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 6 preventing some of this necessary work. The owner should take all reasonable actions to address this hold-up promptly. Minor improvements are needed to ensure that service users’ care planning documents are up-to-date and clear, and that suitable medication procedures are followed. 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. 25 Raynton Close DS0000017556.V279949.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 25 Raynton Close DS0000017556.V279949.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): None of them. EVIDENCE: No new service users have moved into the home since the last inspection. The four service users have lived in the home since it was registered. 25 Raynton Close DS0000017556.V279949.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 and 7. The care planning and formal review meeting procedures of this home generally enable service users’ needs and personal goals to be clear. Minor improvements are required. Service users are enabled to make decisions about their lives. Support is provided where needed. EVIDENCE: The care files of two service users were checked through. Each service user has a sufficiently broad care plan about their main needs and how these will be addressed. Service users have benefited from regular formal review meetings that are also attended by family and day centre representatives as applicable. Records of this in one file were out-of-date. The staff member explained that the service user had had a formal review meeting in December 2005 that was yet to be typed up. This is required, to show what the key themes and goals from the meeting are and to enable them to be better addressed. 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 10 The care plan in one file pre-dated the formal review meeting that was held in October 2005. The plan additionally did not always reflect on current support needs, for instance in that the service user has become slightly dependent on staff support for personal care according to staff feedback. An update of the care plan, with respect to that meeting and current support needs, is required. It was encouraging to note that entries in the diary for plans for service users related to goals from their care plans. These include about cooking, cleaning, and reading. There was suitable evidence to show that service users are being supported to make choices within the home. For example, one service user noted that they can go to bed late, service users were seen to be asked if they would take their prescribed medication, they were enabled to make their own breakfasts where possible, and they chose what clothing to wear. The staff member did however suggest to one service user that he wouldn’t be warm enough in the attire that he had chosen, and facilitated him getting extra clothing. When asked, service users raised no concerns about how their money is looked after and made available by the service. Reasonable procedures and care plans in this respect were also seen. A random check of one service user’s recent spending records was made, including in relation to the service user’s bank account, and no concerns arose from this. It is recommended that where a receipt does not contain details of the shop or what was purchased, that staff record these details on a petty cash voucher and attach it to the receipt. 25 Raynton Close DS0000017556.V279949.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): 13, 14 and 15 Service users receive appropriate support to be part of the community, to engage in appropriate leisure activities, and to maintain personal relationships. EVIDENCE: Service users reported that they had been on holiday as a group since the last inspection. They had enjoyed it but were bothered about the rain. The staff member clarified that the holiday was at a hotel in Cumbria, and that the service users had gone on a number of coach trips from the hotel base. Consideration should be given to both providing holidays during the summer months and splitting the service users’ holiday locations up based on needs and wishes. Service users reported no concerns about being able to contact and visit friends and family. One service user noted that they can phone family when they want to. Staff clarified that they provide support for this where needed, as some service users do not have sufficient phone skills. 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 12 Service users said that they meet up with friends at church and social clubs such as Gateway and Tanglewood. Records and feedback also found that family and friends visit individual service users in the home sometimes, and that they are involved in service users’ review meetings. 25 Raynton Close DS0000017556.V279949.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 and 20. Service users receive appropriate and needs-led personal support. Medication procedures and practices are generally suitable in support of this service user group who do not self-medicate. One improvement, with the practice of tablet distribution to service users, is needed. EVIDENCE: Service users were seen to be dressed individually, in age and weather appropriate clothing, during the visit. Staff provided support with this where necessary. Care plans generally clarified about service users’ personal care needs, and service users were appeared to be quite independent overall in this respect. Medication is stored in a locked cupboard, as none of the service users are risk assessed as being able to self-medicate. Medication is supplied from a pharmacy in dosette boxes that cover weekly supplies. Medication was observed to be given out by the staff member in a respectful manner to service users. However, in holding two tablets in her hand and then passing one tablet to each service user, the inspector felt that there was a risk of both passing the wrong tablets on and of poor infection control. Better practice would be to pass each set of tablets to each service user directly from 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 14 the dosette pack or via a medication cup, and to do this for each service user in turn. The owner must ensure that staff uphold this standard. Medication records were checked through and found to raise no concerns. Requirements from the previous report, about peripheral recording practices, had been addressed. It is recommended that when new medications are delivered, the quantity and date of delivery of each prescribed medication be recorded about, for stock auditing purposes. 25 Raynton Close DS0000017556.V279949.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): 23 Service users are generally protected from abuse through staff training and appropriate procedures. Care must be taken to ensure that any guidance specific to a specific service user, in relation to aggressive behaviour, is suitably clear. EVIDENCE: The staff member present reported that she and other staff had attended training on the protection of service users from abuse recently through Harrow Social Services. She was able to demonstrate understanding of appropriate procedures in response to an allegation of abuse. The service was previously found to have a suitable adult protection policy that complies with legislation. Checks of the accident and incident folder found no entries since 2004. Discussions with the staff member found that one service user can become verbally aggressive in certain scenarios. She explained about how support to all service users is provided in this scenario, which the inspector judged as reasonable and safety-led. The service user’s care plan did not explain about the approach although it did note about the triggers that could cause the behaviour. The plan additionally lacked some details due to it being a photocopy that had had some of the text cut off. This puts staff and the service user at risk of inconsistent and inappropriate staff support. The owner must ensure that plans to positively address challenging behaviours of any service user are clear and complete, and that these include about all relevant staff approaches to the situation. 25 Raynton Close DS0000017556.V279949.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, 25, 26, 27 and 30. The environment of the home is generally comfortable and homely. However there are a growing number of minor maintenance issues that need to be addressed, some of which are being held-up due to impending redevelopment work on part of the building. Whilst these long-term aims are beneficial to service users, the short-term consequences compromise their standard of living in the home. The home is kept clean and hygienic. Service users’ bedrooms meet their needs. EVIDENCE: There had been a leak in the home within the last few weeks that staff and service users talked to the inspector about. The leak was from the bathroom area, and was reported to ultimately be from water piping. Although it caused only superficial damage when first noticed on the kitchen ceiling, work to fix the causes has resulted in the whole kitchen ceiling being removed and replaced. This work was ongoing at the time of the inspection. Whilst reasonable health and safety precautions had been taken, the kitchen lacked sufficient light as it was being lit only by a small table lamp. This was reported to have been the case for about two weeks. The owner is clearly 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 17 addressing the refurbishment needed, but must ensure that this is promptly completed, and that any similar incident that causes major repair work is notified to the CSCI promptly. Within the bathroom, a new set of mixer taps and shower attachment had been installed as part of the work to address the leak. The bathroom was in a reasonable state of repair and cleanliness overall, but it was found that the mixer taps on the wash-hand basin were not firmly attached to the basin at their base and could hence be leant backwards significantly. This was pointed out to the staff member present. It must be fixed before permanent damage is caused. Additionally, the lock to the boiler in the bathroom should be fixed as it was hanging off, and the shower rail should have a curtain installed onto its curtain rail. The staff member reported that service users have never used showers. There were some maintenance issues, as mentioned about in the previous inspection report, that are still to be addressed: • There was no light bulb in the hallway outside the laundry area. As there are items, such as the ironing board, stored in this area, and both service users and staff use it, it must to be kept permanently lit. Staff reported that the electrician was due shortly to be attending to this. • The stairway carpet remains in a poor and worn state of repair on many of its vertical sections. This detracts from a suitably homely environment. The owner confirmed that there remain plans to redevelop parts of the house, the plans for which depend on a further application to the local borough’s planning department. Once decisions are made, maintenance issues such as the worn carpet on the stairs will also be addressed. The owner should therefore take all reasonable actions to ensure that decisions and actions in respect of redevelopment are made without delay. Service users reported no concerns with the warmth of the home. It was suitably warm during this visit. A couple of service users invited the inspector to view their bedrooms, and the rooms were seen to be clean, tidy, and with appropriate facilities. One upstairs room had a darkened area on the carpet near the door, which may be removable through a deep-clean. This is recommended. A new tumble-drier has been installed in the home for use. A service user kindly showed it to the inspector and noted that it works fine. Service users were seen to independently leave clothing for washing in the laundry room. 25 Raynton Close DS0000017556.V279949.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, 34 and 35. Service users are supported by a staff team who are effective and wellqualified. The standard of qualification of some staff in respect of NVQs and other courses allows the standard to be judged as exceeded. Service users are protected by the home’s recruitment procedures. EVIDENCE: The roster for the week was checked through and it was found that staffing levels are being upheld. One staff member works at all times of the week except for when the service users are at the day centre. A second staff member works on Wednesday and Friday evenings, as well as at times across the weekend. On this occasion, a deputy manager for another of the organisation’s homes was also working at times during the week so as to be inducted into how this home operates. Service users raised no concerns about staff. The home uses only those staff employed by the organisation. The turnover of staff was judged as reasonably low. Records and feedback showed that the organisation’s three deputy managers, all of whom work in this home to varying degrees, have either completed or are undertaking the NVQ 4 qualification in care. The other staff member who works regularly in the home is finishing their formal induction-training course. 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 19 There were additionally training certificates seen for staff in the management of dosette medication, and in sight loss, for 2005. Both of these courses are relevant to the needs of the home. The attention paid to staff training is judged overall as exceeding the standard. Checks of the recruitment files of two staff who started employment within 2005 were seen. Suitable documentation and procedures were seen in respect of application forms, references, identification, work permits and Criminal Record Bureau checks. The owner was advised that the start dates of each staff member should be clear from within their files. 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 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 and 42 The owner, who also manages the home, is suitably qualified and experienced for the role. Service users consequently benefit from a home that runs well. Service users and staff are generally protected from harm through suitable health and safety procedures. One repeated requirement must however be addressed. EVIDENCE: The owner provided evidence following the inspection of her recently-acquired certificate of management qualification in NVQ level 4. This shows good management commitment. The owner has managed the care home since it was registered. She has been managing care homes since 1989. She is also registered as the manager of the two other small care homes within her organisation. Feedback from some of the people in the home at the time of the visit found varying answers to whom it is that they see as the manager. Answers found a 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 21 couple of the deputies to be seen by different people as the manager. The owner, who is clearly involved in the home as the manager, was not mentioned. It is recommended that the owner clarify and explain to all in the home as to her role as the manager. The inspector discussed fire safety with the staff member, who explained appropriate procedures that are led by service users’ needs. Monthly fire drills are reported to take place, and fire issues are sometimes discussed in the service users’ weekly meetings. Monthly fire-risk, and health & safety, checks were seen to be recorded about. These included records of actions to address issues, which is appropriate. There were also regular temperature checks of both the fridge and the freezer, and of the water temperature from taps. There were records of when key maintenance checks have been carried out, such as for fire systems and electrical appliances. This assists the process of flagging up about when a further check is due. The maintenance checks were seen to be up-to-date with the exception of the electrical wiring. This was a requirement from the previous inspection report, as is thus repeated. The owner consequently reported that a new check would take place as the old certificate could not be found. 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 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 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 X 23 2 ENVIRONMENT Standard No Score 24 1 25 3 26 3 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 2 X 3 X X X X 2 X 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement The owner must ensure that service users’ care plans and formal review meeting minutes are kept up-to-date, as this was not always the case. The owner must ensure that staff do not: • ordinarily hold service users’ medicines in their hands, and • distribute different service users’ medicines without some method of keeping the medicines separate during this process. The owner must ensure that plans to positively address challenging behaviours of any service user are clear and complete, and that these include about all relevant staff approaches to the situation. The owner must ensure that light bulbs are promptly replaced where needed in the home, including in the hallway outside the downstairs toilet on this visit. Previous timescale of 10/10/05 not met. 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 24 Timescale for action 01/03/06 1 YA6 15 2 YA20 13(2) 01/03/06 3 YA23 13(6), 15 01/03/06 4 YA24 23(2)(p) 08/02/06 5 YA24 23(2)(b) The stairway carpet was seen to be worn in a number of areas during this visit, as at the previous inspection. It must be replaced. 01/05/06 6 YA24 23(2)(b), 37 Previous timescales of 1/12/05 not met. The owner must ensure that the refurbishment of areas of the bathroom and kitchen, needed due to a leak from the bathroom, is promptly completed. 15/02/06 Any similar incident that causes major repair work must be notified to the CSCI promptly. Mixer taps on the wash-hand basin in the bathroom were not firmly attached to the basin at their base and could hence be leant backwards significantly. This must be fixed before permanent damage is caused. The owner must ensure that a professional re-test of the electrical wiring in the home takes place. A copy of the certificate for this must be sent to the CSCI. Previous timescales of 1/6/05 and 1/11/05 not met. 7 YA27 23(2)(b) 01/03/06 8 YA42 13(4), 23(2)(c) 01/11/05 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 25 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 YA7 Good Practice Recommendations It is recommended that where a receipt of a service user’s spending in the community does not contain details of the shop or what was purchased, staff record these details on a petty cash voucher and attach it to the receipt. Consideration should be given to both providing holidays to service users during the summer months and splitting the service users’ holiday locations up based on needs and wishes. It is recommended that when new medications are delivered, the specific quantity and date of delivery of each prescribed medication be recorded about, for stock auditing purposes. The lock to the boiler in the bathroom should be fixed as it was hanging off. The owner should take all reasonable actions to ensure that decisions and actions in respect of redevelopment of parts of the building are made without delay. Consideration should be given to installing wash-hand basins within service users’ rooms, during the impending redevelopment process, in line with recommendations under standard 26. One upstairs room had a darkened area on the carpet near the door, which may be removable through a deep-clean. This is recommended. A shower curtain should be installed on the shower curtain rail. It is recommended that the start dates of each staff member be clear from within their personnel files. It is recommended that the owner clarify and explain to all in the home as to her role as the manager. 1 2 YA14 3 4 5 YA20 YA24 YA24 6 YA26 7 8 9 10 YA26 YA27 YA34 YA37 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 25 Raynton Close DS0000017556.V279949.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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