Inspection on 21/02/07 for 49 Oakdale Road

This inspection was carried out on 21st February 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 no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

49 Oakdale Road 04/02/08

Similar services:

Foxley Lane (121a)

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 49 Oakdale Road 49 Oakdale Road Streatham London SW16 2HL Lead Inspector Lynne Field Unannounced Inspection 21 February & 16 March 2007 10:00 st th 49 Oakdale Road DS0000068184.V327754.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 49 Oakdale Road DS0000068184.V327754.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. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 49 Oakdale Road Address 49 Oakdale Road Streatham London SW16 2HL 020 8677 9509 020 8696 9855 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) www.caremanagementgroup.com Care Management Group Ltd (trading as CMG Homes Ltd) Venise Marlene Browne Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 49 Oakdale Road is to provide care for 8 service users in the category Learning Disability (LD), between the ages of 18-65 years. First Inspection Date of last inspection Brief Description of the Service: 49 Oakdale Road is a small residential care home that aims to provide 24-hour support in an independent living setting in the community. It can take up to eight service users, men or women aged 18 -65, who have learning difficulties and need support to live in the community. The whole house has been completely refurbished and meets all environmental standards. It is very well decorated and furnished. There are eight single bedrooms, all with en suite facilities of a bath, shower attachment and toilet. One bedroom is on the ground floor, but all the other bedrooms need to be accessed by stairs, so the majority of the bedrooms would not be suitable for service users with a physical disability. The lounge and dining area are large, bright, comfortable, welcoming rooms. The garden is large and is a lovely area. It is safe and secure. The dining room and the domestic style kitchen, which is a bright and spacious room, both overlook the garden. There is a small laundry room with appropriate equipment next to a downstairs cloakroom. The home has its own car and parking space is available at the side of the house. The acting manager said the current fees payable for each service user is in the range of £1390-39p according to the assessment of needs of the service user. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection visit to the home since it was registered in August 2006. The inspection included a tour of the home and was facilitated by the acting manager. The inspector checked records of the care plans, staff records and building maintenance records. During the inspection staff interaction with service users was observed to be knowledgeable and conducted in a respectful manner. A return call was made on 16th March 2007 to check additional records and these were discussed with the acting manager for clarification. The inspector was told the registered manager was on maternity leave. The acting manager, who worked for the organisation before coming to the home, has been working at the home since it opened and knows the service users well. There were four service users living at the home on the day of the inspection and the home has four vacancies. The acting manager said two prospective service users had visited the home with their care managers, family and friends in the past two days to see if the home was suitable for them. Another service user had a trial overnight visit and had just left when the inspector called. The inspector spoke to all four service users and met and spoke to five support staff. Service users said they liked living at the home and had settled into the community well. There was a commitment displayed by the acting manager and the staff team to ensure they are meeting the needs of the service users and complying with the standards. Emphasis is placed on the standard of care and support given to service users to help them to develop their independent living skills and social skills. Staff supporting the service users to access the community improves the quality of the service users lives. What the service does well: What has improved since the last inspection? This is the home’s first inspection. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 49 Oakdale Road DS0000068184.V327754.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 49 Oakdale Road DS0000068184.V327754.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): 1,2,3,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users’ needs and aspirations are assessed, so that a service tailored to their needs can be provided. EVIDENCE: The inspector met and spoke to all four-service users during the inspection and looked at all four service users files. The acting manager said the service users were able to come to visit the home before deciding to come to live there. The inspector saw copies of the assessments on service users files. The inspector was told service users are initially invited to come to the home with their relatives and social worker to see if it would be suitable for them to live in. They are given a copy of the statement of purpose and service user guide that gives them more information about the service. The acting manager told the inspector the home was in the process of reviewing and updating the statement of purpose and service user guide. The acting manager said the home had four vacancies and prospective service users would have their needs assessed by senior staff before they move to the home. Prospective service users and their relatives are invited to come and 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 9 look around the home to meet the present service users and staff to help them decide if the home can meet their needs. The inspector was told one service user visited the home the previous day with their care manager, family member and advocate and another service user was coming to view the home the next day. If they think the home will be able to meet the service users needs, they will be invited to come for a tea visit then an overnight stay. If all goes well with the overnight stay, they will come for a longer stay of twelve weeks. During this time the service user will be assessed and the service user will be able to decide if they like living in the home and it can meet all their needs. The inspector saw records of tea visits and over night stays on service users files. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 10 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. Service users are consulted and supported to make decisions about their lives by staff and appropriate independent professionals. Potential risks are identified and service users are supported to take risks within a risk management framework. EVIDENCE: All four service user files were inspected. The inspector noted there were initial assessments on file that had been used to develop the service users care plans. Each service user has an induction into the home and individual personal wishes are recorded. The home does all it can to help service users make decisions for themselves by involving them in the development of the care plans and through person centred planning. The service users all have family who are involved with them to help them say what they want. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 11 Care plans give a thorough description of service users’ individual behaviours, reactions and preferences and how the service user liked to be treated. These included an activities programme for each service user. One service user was hoping to go on a cookery course and has expressed a wish to go to discos. The acting manager told the inspector that all service users care plans are reviewed six monthly or earlier if the need arises. The inspector viewed individual risk assessments, which had been carried out, monitored and are reviewed by the staff with service users every six months or when the need arises. Details of any changes to the risks are recorded in the service users care plans, with details of how to manage the risk. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 12 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. Service users engage in appropriate, enjoyable and fulfilling activities and mix with the general community. Service users’ rights and responsibilities are respected. A healthy diet is provided, which the service users enjoy. EVIDENCE: All service users have a full weekly programme. They go out during the day and in the evenings and at weekends. The activities programme is designed to meet each service user’s individual needs. In this way service user’s are supported and encouraged to take part in activities that are enjoyable, beneficial to their mental and physical health and which give them the opportunity to develop skills within their abilities. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 13 The inspector was told service users go and see their families and friends where possible and families and friends are encouraged to visit the home as well. One service user has a girl friend and keeps in touch with friends by phoning them. Another service user has said they want to be more involved with their ethnic background and this is being taken into consideration when choosing a Day Centre for them. On the day of the inspection all service users were going out to a morning club that is run by the organisation. The home has its own transport and the inspector was told two staff take them and would stay for the session. One service user told the inspector they enjoyed going to the club. The inspector was still at the home when they came back from the club and service users told the inspector they had gone out to lunch after the session. One service user asked the acting manager to with them to collect their money and the acting manager said he would take them when the inspector left. The staff told the inspector that all the service users are encouraged to eat a healthy diet and take exercise. Service users are asked about what food they would like on the menu and meals have been devised from those preferences. The inspector was shown a copy of the menu that covers a four-week period. This has a good range of different food with healthy options, such as low fat food and fresh fruit. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 14 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 help service users to go to the doctors, hospitals and dentists when they need to so that service users do not get sick and are looked after properly. Service users receive personal support, in the way they prefer and their physical and emotional needs are met. Medication is handled safely. EVIDENCE: Four service users care files were inspected. These contained all the information staff need to support the service users in their preferred personal care routines and there are details of how much help an individual requires with different personal care tasks. Each service user has a copy of their medical history, a health assessment done by the home and health action plan on file. The record of health appointments attended indicated that each service user is supported by staff if 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 15 this is what the service user requires, to attend an appropriate range of healthcare appointments in line with their individual healthcare needs. This included the outcome of the appointment. The inspector was told the home had made an appointment for a service user to have dental treatment they needed. Service user medication is stored securely in a locked medication cabinet in the staff office. The acting manager said staff must to go through the home’s medication training programme. This involves the pharmacist coming in to do medication training with the staff, a one to one session with the acting manager and being observed by the acting manager dispensing medication three times before they are allowed to dispense medication on their own to the service users. There was a copy of all staff signatures that dispense medication and information about the medications in use. The inspector inspected four service users medication and all medication stocks checked where in order. Homely remedies are signed as being able to be given by the GP. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 16 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. There are safeguards in place to protect the service user from abuse, neglect and self-harm. EVIDENCE: The home has a complaints policy, a copy of which is in the service users’ guide. The inspector saw the complaints book. There were four complaints recorded from one service user about the behaviour of another service user. The acting manager had recorded his actions and the outcome. The acting manager said they had spoken to the service user about the complaint that had been made about them and had put in place an action plan to deal with their behaviour. The inspector was told this service user has now moved to another home. The acting manager told the inspector all complaints are taken seriously and appropriate action would be taken to ensure service users’ complaint was addressed immediately and the home would follow the homes complaints policy and procedure. Each service user has a separate account and a record of their money is kept. These are checked by two members of staff and handed over at the beginning 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 17 of each shift. The inspector checked the service user’s accounts and records with the acting manager and they were found to be in order. The inspector observed how staff and service users recorded financial transactions and noted the financial records and money are locked away. Service users are able to access their money at any time should they wish to do so. The acting manager spoke about the procedures that are in place to protect the service users from abuse. The inspector was told the registered manager, acting manager and four staff have completed the training raising awareness in the protection of vulnerable adults. Four staff has still to complete this training. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 18 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): 24,25,27,28,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is safe and comfortable with adequate private and shared space, toilets and bathrooms. The home is well maintained and furnished. Service users bedrooms are comfortable and are decorated to reflect their personalities. EVIDENCE: Service users, staff and the acting manager, gave the inspector a tour of the home. The whole house has been completely refurbished and meets all environmental standards. It is very well decorated and furnished. There is a large sitting room and a smaller sitting area in the dining room. These are bright comfortable rooms. There is a good-sized garden, mainly laid to lawn that faces south. The dining room opens onto a large patio area that is safe and secure. There is a domestic style kitchen, which is a bright and welcoming room and this over looks the garden. The small laundry room has the 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 19 appropriate equipment and service users are encouraged to do their laundry with the support of the staff. Each of the eight bedrooms contains the required fixtures and fittings and has an en suite facility of bath, shower attachment and toilet. The service users told the inspector they liked their rooms. Each room is of an individual style and service users have brought items of furniture and personal possessions to the home that makes each room individual and homely. One service user said when they first came to the home they had a bedroom at the back of the house and asked to be moved to the front of the house because they wanted to see the traffic on the road. The home has its own car and parking space is available at the side of the house. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 20 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): 32,34,35,36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Recruitment practices are good but need to be more robust as some CRB checks were incomplete. The organisations training programme is good and provides staff with wide ranging induction and foundation learning but needs to be more robust. Supervision is spasmodic and in some cases has lapsed. This needs to be reinstated. EVIDENCE: The inspector met five staff during the course of the inspection. The inspector looked at the rota and noted there are always three staff on duty at the home in the daytime. Throughout the inspection the inspector observed staff interacting with service users and the qualities seen included good listening skills, a calm and confident manner, and a good grasp of the basic areas of need they needed to meet, including communication. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 21 Four staff files were examined including one new member of staff. These included copies of the application forms, two written references, a signed copy of their contract stating terms and conditions and identification. All files were checked for CRBs and all had CRB checks apart from one that only had a POVA first in place. The acting manager said this member of staff would only work with another member of staff and he would check what had happened to the CRB check. Staff records showed not all staff had completed the mandatory training that covers health and safety, manual handling, food hygiene, first aid and fire safety. The organisation has a training and development plan in place and staff undertake Skills for Care” training. Copies of certificates and confirmation of training, such as NVQ level 2 and 3 that has been undertaken and this was held on individual staff files“. The inspector noted in one staff file there was a complaint that had been acknowledged but did not appear to have been addressed by the registered manager. The inspector discussed this with the acting manager, who said he would speak to his line manager and follow this up in supervision with the member of staff. Staff had signed a supervision contract for every six weeks and although there were copies of one to one supervision on file, the inspector noted that some supervision was spasmodic and in some cases this had lapsed. This needs to be reinstated. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 22 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): 37,38,39,41,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The acting manager needs to be supernumerary to enable him to full fill the role of a homes manager. Service users benefit from a home that is well run and managed. Health and safety checks need to be more robust to promote and protect the service users from risk. EVIDENCE: The registered manager is on maternity leave and the deputy manager who is acting up as manager is running the home. He has not been supernumerary since the registered manager left to go on maternity leave. Because he has not 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 23 been supernumerary and has been working “hands on” he has been unable to undertake a lot of the tasks the manager would be expected to do, such as staff supervision. The organisation needs to review this. The acting manager is open and supportive in his management approach but needs to be supported in his role of acting manager by the organisation. The inspector viewed the records of the home’s health and safety and equipment checks. Most of the records the inspector viewed indicated the homes health and safety services and equipment have been checked, serviced and maintained at the appropriate intervals. The inspector checked the fire records and precautions. There was a copy of the fire certificate floor plan and risk assessment on file. The inspector noted the break alarms were not being tested weekly and fire-fighting equipment had not been checked regularly. Fire drills need to be carried out with all the service users at various times of day on different days, ensuring all staff have taken part in fire drills over the course of six months and there is a record of the date and time drills have been carried out. The COSSH risk assessment was not dated and the first aid box did not contain all the items it should. As stated above at the time of the inspection the acting manager is not supernumerary and for much of the time is unable to devote the time needed to the tasks of the manager. Staff and service users said they have confidence in the acting manager. The inspector observed during the course if the inspection he acted in a professional and conscientious in his approach to his work and his interaction with the service users and staff. Service users and staff told the inspector they felt that their views were listened to at service users meetings and staff meetings. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 3 4 3 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 4 26 X 27 4 28 X 29 4 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 2 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 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X X 2 3 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? This is the first 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 YA32 YA35 Regulation 18 (1) (c) (i) Requirement The registered person must ensure that all individual staff’s required mandatory and additional training needs are identified and met in order to support staff help develop professionally. The registered person must ensure the specific checks that are required from prospective staff prior to being employed such as CRB checks are in place before the staff starts to work at the home. The registered person must ensure that staff working at the home have regular one to one supervision as agreed in their signed contract. The registered person must ensure that all checks relating to health and safety issues are kept up to date and all staff and service users are involved regular fire drills. Timescale for action 30/04/07 2 YA34 13 (6) 19 30/04/07 3 YA36 18(2) 30/04/07 4 YA42 13(4)(a) & 23(4) (a) 30/04/07 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA43 Good Practice Recommendations The home would benefit from the acting manager being supernumerary to enable him to undertake the tasks required of a manager and fulfil the role of manager of a care home. 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection SE London Area Office River House 1 Maidstone Road Sidcup Kent DA14 5RH 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 49 Oakdale Road DS0000068184.V327754.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!