Inspection on 26/09/05 for Warstone Resource Centre

This inspection was carried out on 26th September 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 19 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Warstone Resource Centre 14/02/07

Warstone Resource Centre 15/02/06

Warstone Resource Centre 08/03/05

Warstone Resource Centre 27/10/04

Warstone Resource Centre 08/03/04

Similar services:

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 09/07/2008.

CARE HOME ADULTS 18-65 Warstone Resource Centre Salters Lane West Bromwich West Midlands B71 4BQ Lead Inspector Andrew Spearing-Brown Unannounced Inspection 26th September 2005 10:00 Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Warstone Resource Centre Address Salters Lane West Bromwich West Midlands B71 4BQ 0121 569 5382 0121 569 5387 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) Sandwell Metropolitan Borough Council Jacqueline Postin Care Home 15 Category(ies) of Learning disability (15), Physical disability (10) registration, with number of places Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up tp 15 LD and up to 10 PD, not exceeding the maximum number registered for. Date of last inspection Brief Description of the Service: Warstone Resource Centre is a respite care unit for people with a Learning and Physical disability. The centre is situated near to Sandwell Valley Park Farm and about 15 minutes walk from West Bromwich town centre. The premise has limited parking to the front, and has external recreational space to the rear. The care home is on the ground floor and all of the bedrooms are single occupancy and provide en-suite toilet and shower facilities. (The first floor is occupied by `Autism`- West Midlands and Sandwell Adult Placement Scheme.) There are various lounges and a communal dining room, in addition to a games room and sensory stimulation area. Bathroom facilities offer equipment to care for service users with physical disabilities and various adaptations. The home offers a range of social and recreational activities, and has its own adapted transport. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over a five hour period from early morning till early afternoon. The previous inspection took place during March 2005. The main focus of this inspection was to assess the progress made in relation to the requirements from the last inspection and assess some of the key standards. On the day of this inspection the acting manager was on duty, arriving shortly after the inspector. In addition one of the senior carers took part in the inspection having been on duty at the start of the inspection. As this was an unannounced inspection the home had no prior knowledge of the visit. The inspection visit however coincided with the majority of service users going out for the day out therefore reducing the opportunity for discussion with service users. As a result service user views will need to be taken into account further as part of subsequent inspection visits. Certain areas of the home were seen including one empty bedroom and all communal rooms. The care record including care plans, individual service statement, daily notes and risk assessments of a sample of service user was seen. Other documents seen included medication records, some service records and some health and safety records. What the service does well: What has improved since the last inspection? Limited progress has been made in addressing some of the requirements from the previous inspection. The majority of staff have now received fire training. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 The home’s Service Users’ Guide enables potential service users to make an informed choice about moving into the care home. Pre admission arrangements ensure that care needs can be met. EVIDENCE: A previous inspection report indicated that the registered providers were reviewing the services offered at Warstone Resource Centre. It is intended to offer respite care for short periods of time, rehabilitation (for up to six months). These changes will reduce the number of people able to be accommodated and therefore the registration number by one. The Service Users Guide is user friendly and contains colourful pictures to aid understanding. Previous inspection reports have accessed the Service Users Guide as in line with the necessary standard. Evidence that pre admission assessments have taken place was available. In addition to the assessment carried out by the acting manager were associated care plans and assessments from placing social workers and other professionals. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 8 and 9 Care plans are in place these however need to be improved in order to ensure consistency in care delivery for service users and provide a basis to respond to changing needs. The lack of suitable risk assessments can potentially place service users at risk. EVIDENCE: Care plans were available for each service user. The review of one service user stated that a diet suggested by a dietician should be incorporated in to the care plan. This was not sufficiently done. Monthly weight records were not up to date. Risk assessments were either not in place or were insufficient in detail. For example no risk assessments were available regarding the use of bed rails, which are routinely used in some incidences. In addition risk assessments on skin viability were lacking. Regular service users meetings take place. Minutes available showed that service users are able to participate in decision-making. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 10 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): 14 Service users are able to engage in leisure activities EVIDENCE: Examining the minutes of recent service user meetings showed a number of recent outings have taken place. In addition the minutes showed a number of requests made by service users for trips or activities. It was therefore possible to recognise that many requests were suitably actioned. Outings have included a trip to Bourton-On–The–Water, The Sea Life Centre, a boat trip, the safari park, shopping trips, cinema visits and meals out. Occasional ‘take away’ meals are purchased. Warstone has its own transport as well as utilising public transport. The mini bus was in use on the day of this inspection as the majority of service users were going out for the day. Service users are able to access all areas of the ground floor accommodation. A separate service provider uses the first floor. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 11 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): 19 and 20 The recording of healthcare needs was insufficient. Shortfalls in medication management potentially place service users at risk. EVIDENCE: The care records of one service user indicated an incident where by an injury was not fully recorded and not sufficiently investigated to establish the likely events leading up it. A number of shortfalls were identified during the previous inspection in relation to medication management and systems. As a result a considerable amount of time was spent assessing the associated standard on this occasion. On arriving the senior carer on duty was administering the morning medication to service users. A senior care, a team leader, an assistant manager or the manager administers the medication, it was reported that training recently took place. It was noted that a number of gaps were in evidence on the current months Medication Administration Record (MAR) sheets whereby no signature or code was entered. The MAR sheet appertaining to the previous month was also seen in relation to one service user, which also showed a number of gaps. The Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 12 gaps on the current MAR sheets included antibiotic medication on one occasion. One service users’ MAR sheet showed that a prescribed cream was last administered two weeks ago, no record existed regarding discontinuing this cream. A second member of staff is not countersigning hand written entries or amendments to the MAR sheets. As Warstone is a respite unit the majority of MAR sheets are handwritten thus increasing the risk of errors. The use of codes on the MAR sheets was incorrect in that the use of ‘X’ was used without any explanation. MAR sheets failed to indicate known allergies. In the event of no known allergies this information must also be recorded on the MAR sheet. A sticky label was in place on one MAR sheet. This was dated at a point during the current month when new medication was commenced. Therefore staff had initially signed for a different drug which was now not able to be fully determined and then for a separate drug along the same line of the sheet. A sheet designed to document the handover of the medication keys showed a number of gaps whereby the senior staff responsible for keys had failed to sign as required. Shortfalls in the use of these sheets were highlighted within the report following the inspection undertaken on the 8th March 2005. Therefore the requirement set at that time remains unmet. Following the previous inspection the requirement set included a number of matters that remain unmet. Consent forms signed by either the service user or their representative regarding the administering of medication are not in place. It was reported that a member of staff is currently carrying out an assessment of medication to ensure that staff are aware of possible side effects. A copy of the guidelines issued by the Royal Pharmaceutical Society of Great Britain regarding medication in care homes was not available. Following this inspection an immediate requirement notice was issued. A letter of serious concern followed this notice to the registered provider highlight the required action to be taken in order to address these concerns. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 13 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): None of the standards in this section were assessed in any detail as part of this inspection. As a result these standards will be assessed as part of a forthcoming inspection at Warstone Resource Centre. EVIDENCE: Although not fully assessed the acting manager stated that she is aware that a formal complaint was recently received and is to be investigated. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 14 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 and 27 The communal areas of the home were comfortable and clean however the décor in some areas need renewing to further improve appearance and homeliness. EVIDENCE: Three communal bathrooms are provided, one along each of the main corridors. An overhead hoist is fitted in one bathroom, which contains a Parker bath. One bath has a whirlpool facility. All bathrooms and toilets had suitable privacy locks fitted. The communal lounges and the dining room were comfortable and appropriate. Lounge areas were designed to meet a range of different needs such as a lounge for smokers, a quite lounge, a recreational room (containing a pool table) and a sensory room. The entrance hall was in the process of been decorated. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 15 As the majority of service users were out during this inspection and therefore permission to view bedrooms could not be sought only a limited number of rooms were seen. All bedrooms are single occupancy and all have en-suite facilities. The home was clean and tidy throughout. A previous requirement to provide hand-washing facilities within the medication storage room was not possible to achieve. It was however noticed that anti bacterial hand wash was available and was used by staff while carrying out the administering of medication. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 16 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): 31, 33 and 34 The available documentary evidence regarding recruiting new members of staff were not sufficiently robust to fully ensure that service users are safeguarded however a sufficient number of staff were on duty. EVIDENCE: Photographs of staff members giving details of their name and job title were on display in the entrance hall. This is in need of up dating to ensure that all current employees are included upon it. Staff rotas were not sought on this occasion. The inspector was informed that 4 carers are on duty during the morning shift in addition to a team leader or senior carer as well as domestic and catering staff. The number of carers on duty is less during the afternoon especially between 4.00 pm and 5.00 pm. Two wakeful staff one of which is a senior carer cover the night shift. The registered manager was reported to of reviewed the rota and that the current rota was drawn up to ensure service users assessed needs can be met. The requirement to review job descriptions to clarify roles and responsibilities remains unmet. At the time of the previous inspection the registered manager informed the inspector that copies of the required information regarding members of staff was due to be made available from human resources in the near future. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 17 Although progress was noted since the previous inspection attention needs to take place to ensure full compliance. The required evidence that CRB (Criminal Records Bureau) checks were obtained was not available on all staff files. The need to have this information available has been a requirement since 2002 in line with the Care Homes Regulations 2001. The registered provider is reminded that any further failing may result in enforcement action being taken by the Commission for Social Care Inspection. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 18 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): 39 and 42 The Adult Provider Service (Residential) has the ISO 9002/ 1402 Quality Assurance award. Shortfalls regarding fire safety and some other health and safety matters potentially left service users at risk. EVIDENCE: The registered manager is currently on maternity leave. Sandwell Social Services have appointed an acting manager to cover while the manager is away. A number of health and safety shortfalls were identified which needed immediate action. The weekly testing of the fire alarm is not always taking place as required. The last test took place on the 16th September (13 days prior to this inspection). Similar gaps were noted to of taken place during June, July and August 2005. No record existed in relation to monthly visual checks of fire extinguishers. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 19 A table blocked a fire extinguisher in the main lounge, while two fire extinguishers were blocked from view by means of a chair in the reception area. A piece of portable electrical equipment, which failed a routine test carried out by a competent person in February 2005, remained available for use. Although this item was in a lounge reported to be unused it was not immediately evident that the item could be potentially hazardous. Due to the health and safety concerns resulting from these shortfalls the registered provider was required to take immediate action in relation to the above items. The majority of staff have received training in fire awareness. Further routine training is scheduled to take place in the near future. It was noted that the home has a direct dial up to the fire service on activation of the alarm. A fire safety officer visited the home in July 2005. No report from that visit was available; once this arrives a copy should be sent to the local office of the Commission for Social Care Inspection. It was noted that the last fire drill took place on the 7th October 2004. As this was almost 12 months prior to this inspection it was evident that one is required in the near future. Records relating to the testing of water temperatures were not viewed on this occasion. Documentary evidence that hoists are serviced at six monthly intervals was available. The gas safety certificate available for inspection was dated August 2004 and therefore out of date Both the certificate of registration and a current public liability insurance certificate were displayed in the entrance hall. Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X 3 1 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 2 X 3 2 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Warstone Resource Centre Score X 2 1 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 1 X DS0000038653.V252978.R01.S.doc Version 5.0 Page 21 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 YA6 Regulation 15 (1) Requirement Ensure that service user plans are developed in full to cover the holistic needs of individual service users to include health and social care. There must be evidence that plans are reviewed regularly and where changes are identified, this is reflected within the care plan. (Partly met – new timescale given) 2 YA6 14 15 3 YA6YA18 15 (1) Clear plans and strategies must be place and recorded along with outcome with regards to managing behaviours. Ensure that service user plans are developed in full to cover the holistic needs of individual service users to include health and social care. There must be evidence that plans are reviewed regularly and where changes are identified, this is reflected within the care plan. (Partly met – new timescale given) Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 22 Timescale for action 31/12/05 31/12/05 31/12/05 4 YA9 13 14 15 Risk assessments must be reviewed regularly and translated clearly into the individual service statement (service user plan) (Previous timescale of 31/05/05 not met – new timescale given) 31/12/05 5 YA16 15 (1) 13 (4) The registered person must be able to demonstrate that appropriate risk management strategies are recorded and regularly reviewed. As and when changes occur, this must be documented to reflect the changes in the risk and control measures. (Not assessed as part of this inspection – new timescale given) 31/12/05 6 YA19 13 (1) The registered person must ensure that service users are offered access to regular care screening/service, e.g. optical/dental/chiropody care. 31/12/05 5 YA19 15 (2) The registered person must ensure that suitable action is taken to follow up incidents involving service users. Staff who administer medication must be aware of why the drug is being used, and its side effects. Ensure that consent forms are signed by the service user or their representative with regards to administering medication. Where service users self administer, a risk assessment must be completed and regularly 26/09/05 6 YA20 13 26/09/05 Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 23 reviewed. Review the medication policy to ensure that all aspects of safe handling of medication are included. Review the systems for ordering medication to ensure that adequate stock controls are maintained. Review the procedure for returning unused medication to the pharmacist. (Previous requirement not fully met – immediate action required 7 YA20 13 (2) The registered person must ensure that medication administration records are completed adequately and at the time of administration. Sticky labels must not be used. The registered person must ensure that MAR (Medication Administration Record) sheets record any known allergies. When none are known this must also be recorded. 26/09/05 8 YA20 13 (2) 26/09/05 9 YA24 23 (2) 31/01/06 The registered person must ensure that all areas of the home are well maintained and in good decorative order. 31/01/06 The registered person must review job descriptions within the staff team to clarify roles and responsibilities of care staff, and management team. (Previous timescale not met – new date given) 10 YA31 21 18 11 YA34 17 To obtain and hold information DS0000038653.V252978.R01.S.doc 31/12/05 Page 24 Warstone Resource Centre Version 5.0 19 schedule 2 and documents in respect of records to be kept of each member of staff as listed in Schedule 2 & 4 (6) of Care Homes Regulations 2001. Ensure all relevant checks are undertaken in relation to the recruitment of staff and evidence of enhanced CRB checks is available in the home. (Previous timescale not met – new date given) 12 YA35 18 Specialist training as required should be provided for staff, e.g., sign language, finger spelling symbols, and Braille to ensure staff can communicate effectively with service users. (Previous timescale not met – new date given) 31/01/06 13 YA42 23 (4) The registered person must ensure that fire records are maintained including all the required weekly and monthly testing. 26/09/05 14 YA42 23 (4) The registered person must 26/09/05 ensure that fire extinguishers are not blocked and are easily accessible. The registered person must ensure that items recorded as having ‘failed’ portable electrical testing are removed. The registered person must ensure that an up to date certificate of gas safety is held. 26/09/05 15 YA42 12 (1) 13 (4) 16 YA42 12 (1) 13 (4) 30/11/05 Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 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 Good Practice Recommendations Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Warstone Resource Centre DS0000038653.V252978.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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