Inspection on 25/05/05 for 5 Shalnecote Grove

This inspection was carried out on 25th May 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 but made no statutory requirements on the home.

Other inspections for this house

5 Shalnecote Grove 11/07/07

5 Shalnecote Grove 11/12/06

5 Shalnecote Grove 26/10/05

5 Shalnecote Grove 02/12/04

5 Shalnecote Grove 24/06/04

5 Shalnecote Grove 28/01/04

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Polesworth Group Pooley Heights

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Polesworth Group 70 Long Street

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Polesworth Group 64 Long Street

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10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Shalnecote Grove, 5 5 Shalnecote Grove Kings Heath Birmingham B14 6NG Lead Inspector Kerry Coulter Announced 25 May 2005 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 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 Stationary 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. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Shalnecote Grove, 5 Address 5 Shalnecote Grove Kings Heath Birmingham B14 6NG 0121 441 1640 0121 443 5723 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Sense West Vacant Care Home 6 Category(ies) of Younger Adults, Learning Disabilities, Sensory registration, with number Impairment of places Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users must be aged 18-65 years. 2. The service may provide personal care only for six persons (6) with a learning disability and sensory impairment 3. Changes to separate the alarm system will be completed within 6 months of registration Date of last inspection 1st December 2004 Brief Description of the Service: Shalnecote Grove is a complex of flats, owned by Moseley and District Housing Association. SENSE are the care providers and the registered owners. This inspection report relates to Shalnecote Grove, which consists of six flats registered as one service. Flat 1,2,3,4,5,are all on ground floor level and are located within a communal hallway with a coded door pad. Flat 10 is located on the first floor and is accessed via a public hallway. All of the flats are selfcontained and have a bathroom, lounge, bedroom and store cupboard. The flats are accessed off a small-enclosed hallway. In flat 3 there is a sleep in room for staff. The one service user and the member of staff who is undertaking the sleep in duty currently share the bathroom facilities. In flat 10 there is waking night staff, staff share the one service users bathroom. These shortfalls in physical standard matters are detailed in the homes statement of purpose, there are guidelines in place in respect of this and these arrangements continue to be reviewed. The home provides a service to six service users who are deaf blind or have sensory impairment and additional disabilities. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and was carried out over six hours. This was the first of the statutory inspections for this home for 2005/2006. During the inspection a tour of the premises was made, three service user and three staff files were inspected as well as other care and health and safety records. The inspector spoke with the manager and members of staff and met with three of the service users. Some of the service users do not have verbal communication and their ability to communicate to the inspector their views of the home was limited, however some communication was possible as staff assisted in signing with service users. The inspector spent part of the inspection observing care practice. What the service does well: What has improved since the last inspection? All but one of the requirements from the last inspection have been met. The home has a new management structure in place with clear lines of responsibility and job role. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 6 The home’s new practice development worker has now settled into her new role and is commencing the process of assessment of service users in key areas such as communication. Risk assessment summaries have been completed as a quick access guide to staff as the home has a vast array of assessments in place that can be time consuming to read. Health action planning has been introduced to contribute to service users health needs being planned for and met. 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. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 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 standard(s) 1 Service users are provided with information on the home in which they live in a variety of formats. EVIDENCE: The home’s Statement of Purpose and Service User Guide were observed to be satisfactory at the announced inspection in 2004. These were not sampled at this inspection but evidence was observed that the Service User Guide is also available on CD Rom and in a Widget version. Consideration could also be given to the use of pictures, video or audio, as suitable to individual need. No new service users have been admitted to the home and so the assessment process was not evaluated. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 9 and 10 There is a clear and consistent care planning system in place to provide staff with information they need to meet service user needs. The systems for service user consultation are generally good with a variety of evidence that indicates service users views are sought and acted upon. Strategies for managing risks were generally clearly identified with only minor improvement required to ensure risk is effectively managed. EVIDENCE: Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 10 Detailed care plans were found to be in place. They included detailed personal profiles, personal goals and aspiration, specific information on service users communication needs and independence and life skills. In addition, some service users have individual support strategies and guidelines, in some cases devised by professionals working in partnership with staff in the home. All care plans sampled had been reviewed on a regular basis. SENSE has previously identified that the organisations own system of monthly core meetings for each service user had not always been taking place. However, discussion with the manager indicates that this has now been resolved. Service users are encouraged as far as possible to make decisions about their lives, this is done through regular meetings, attendance at reviews and 1:1 consultation. Examples of decisions made by service users included times of going to bed and getting up, choice of meals and decisions regarding the décor of individual flats. A wide range of risk assessments were observed to be available for each individual. Assessments had been recently reviewed and were generally satisfactory, however the level of risk need to be made clearer within the assessment. Unfortunately one area of risk for a service user had not been identified following a recent refusal to evacuate the home when the fire alarms sounded/flashed. The manager was required to explore this issue as part of the fire evacuation risk assessment. Service users individual records are kept either in their own individual flat or secured in the communal office or working office situated in flat 18. The inspector observed staff being mindful of issues discussed in the presence of service users, and did not observe any breaches of confidentiality. The home uses accident books that are compliant with the Data Protection Act. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 15, 16 and 17 The home actively encourages and supports individuals to develop social skills and in continuing their educational needs and preferences. Intergration within the community and pursuit of leisure activities are integral elements of the ethos of the home. Staff support service users to maintain and develop relationships with family and friends. Dietary needs of service users are well catered for with a balanced and varied selection of food available. EVIDENCE: There is specific information on the care plan regarding how to support and enhance service users skills in respect of independent living skills. The inspector observed that independent living skills were planned into individual activity programmes, this included cooking and shopping. Individual activity timetables on display were up to date, an improvement from the last inspection. Discussion with the home’s Practice Development Worker indicates that she has prioritised the completion of assessments with service users to include communication skills. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 12 Service users have a planned timetable for attendance at activities outside of the home that includes ice-skating, rock climbing, gardening, massage and the local Deaf club. Service users have the opportunity to have an annual holiday, one individual has already been to Scotland this year. Staff gave examples of how service users were supported to make a choice from looking at a variety of holiday brochures. Staff at the home appear to have a good knowledge of what is available in the local community. Conversations with staff at the time of the visit and examination of care plans confirmed that service users access a wide range of community-based facilities including local shops, pubs and restaurants. Some of the service users have very regular contact and established periods of stay with their families. SENSE has a family liaison officer who’s role it is to facilitate working with families. SENSE has also held a ‘family weekend’ at a local hotel, this was an opportunity for relatives to keep up to date with SENSE plans, meet with staff and other relatives. The organisation is commended for this. Three CSCI comment cards were received in respect of the home, comments were all positive and included ‘staff are first class’ and ‘excellent service’. The food records sampled evidenced there was a good variety of meals on offer. Food stocks in the home were good and there was fresh fruit and vegetables available. One service user went out food shopping during the inspection. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 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 standard(s) 18, 19 and 20 Service user physical health care needs are met. Improvements are required to the recording of accidents. The systems for the administration of medication require improvement to ensure service users medication needs are met. EVIDENCE: Information on the support required by individuals for their personal care was observed to be recorded in their care plan. Service users health care needs are attended to, and records of appointments and outcomes are maintained in service users files. Medication reviews are arranged regularly. Where the dental appointment of one service user had not been recorded, this was addressed during the inspection. It was a recommendation at the last inspection that the home completes health action plans for service users, this process has now commenced. CSCI comment cards were received from the GP and Chiropodist, these did not detail any concerns with the care provided. The unannounced inspection in December required that improvement was required to the detail recorded in the service user accident books. Whilst some entries sampled were satisfactory, other entries did not actually detail how the injury had occurred. It is essential that an accurate record is made to ensure Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 14 accidents can be audited satisfactory and any patterns identified to ensure action to reduce the risk of future occurrence is taken. Improvements are required to the medication administration system. Topical creams and ointments were observed to have been opened but not dated. The manager was advised of the need to date them on opening and discard them after 28 days. The home does not retain a copy of the prescription, this must be done so that staff checking in the medication can check the medication against the prescription. The home maintains a record of medication received into the home, however this did not always record the quantity received, and in one case a bottle of prescribed vitamins was not recorded. The manager was advised that regular medication audits would contribute to raising the standard of medication administration. Staff at the home have completed accredited medication training, unfortunately certificates of completion have not yet been received for all staff. In addition to external training staff at the home are also observed by senior staff to ensure competency. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 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 standard(s) 22 and 23 The complaints system in the home is satisfactory. The arrangements in place to protect clients from the possible risk of harm or abuse are generally satisfactory. Improvements are required to the safeguards in place regarding service users monies. EVIDENCE: The home’s complaints policy has previously been assessed as satisfactory. The CSCI has investigated no complaints from service users or any other source in respect of Shalnecote Grove flats in the last twelve months. The organisation has an adult protection policy, it includes involvement of Social Care and Heath and the NCSC in adult protection matters. It reflects the requirement for the organisation to refer to the Multi Agency Guidelines developed at a local level in response to the No Secrets document. The home also has a copy of the Birmingham Multi Agency guidelines. Staff at the home have received training in adult protection. A recent allegation of a member of staff acting in a manner that may have neglected service users was notified to the CSCI and is being investigated by the SENSE. The actions taken so far by SENSE have been appropriate. The sampled financial records of one service user were found to be accurate. However, there was little evidence of adequate safeguards being in place. Records contained only one signature and there was no evidence of records and cash held checked for accuracy at the staff handover. The safeguards for service users monies must be reviewed and improved. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 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 standard(s) 24, 27 and 30 The standard of the environment within this home is good providing clients with an attractive and homely place to live. Delays in the landlord of the home responding to required repairs need to be addressed. EVIDENCE: Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 17 The flats at Shalnecote Grove were observed to reflect the individual tastes of each of the service users. One service user confirmed that he had chosen the décor of his flat and had the opportunity to participate in the decoration. Each flat has a kitchen, lounge, bedroom, bathroom and lockable storage space. Five of the flats are accessed from a communal hallway with a coded doorway, and each has its own front door. Flat 10 is on the first floor level, and is accessed via a public hallway. Two of the flats require the service users and staff to share facilities. This shortfall is raised in the homes statement of purpose, and requires on going reviewing ensuring that there is minimum impact on service users. As required at the last inspection, work to the bathroom in flat 3 to include regrouting of the tiles and repairs to paintwork has been completed. Two flats require repairs or replacement of kitchen worktops and their have been problems with the door entry system sticking. SENSE have reported these issues to Moseley and District Housing Association who are the landlords but they have yet to satisfactory address these issues. At the time of the visit the flats were observed to be clean. Service users are supported in cleaning their flats by staff. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35 and 36 The staff team offer consistency of care and have a good understanding of client needs. EVIDENCE: Information on the role of staff was forwarded to the CSCI with the pre inspection questionnaire, this information was clear and concise. One member of staff spoken with was able to demonstrate a clear understanding of her role and areas of responsibility in the home. The home currently has three full time vacancies. Deficits are being covered by the use of bank and agency personnel and extra hours worked by permanent staff. The home uses a core group of regular agency staff who are familiar with the needs of the service users. SENSE are attempting to recruit additional staff, one newly recruited member of staff is due to commence soon. The home has regular staff meetings. It is SENSE policy for these to take place monthly, unfortunately meetings did not occur in March and April. The manager stated they would occur monthly now that the new management structure was in place. Clear and up to date training records are kept for each member of staff, a copy of the staff training matrix was forwarded to the CSCI before the inspection. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 19 Staff spoken with were satisfied with the training opportunities available. One member of staff stated she hoped to commence British Sign Language training in September funded by SENSE. There are well-structured staff files in place, that indicate that regular staff supervision takes place with records kept. It had been identified by SENSE prior to the inspection that supervision was not always occurring monthly in line with their own policy. Action has been taken to address this. One member of staff spoken with confirmed she had recent supervision. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42 The service users benefit from a well run home. Systems are in place to promote the health and safety of service users but one possible area of risk had been overlooked. EVIDENCE: The registration certificate was not on display in the home, the manager stated that it had been taken down for safekeeping. He was advised that it is required by regulation to be clearly on display. This is to ensure any visitors to the home can be certain the home is registered with the CSCI. The home does not have a registered manager. The deputy manager has recently been successful in gaining promotion to the role of manager and must apply to the CSCI for registration. He has completed NVQ 3 in care and is currently undertaking level 4. Systems are in place to assure quality. This includes monthly visits to the home by the general manager who completes a report and forwards this to the Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 21 CSCI. Audits are carried out periodically to include the staff files by personnel. Additionally, part of the role of the practice development worker is to complete quality assurance audits this includes the level of activities on offer. Health and safety at the home was generally well managed. The home has a range of policies, procedures and systems in place to comply with the requirements of health and safety legislation all of which are made known to staff both verbally and in written form as part of their induction. Risk assessments are in place for the premises, fire, food hygiene, service users and staff. The home has two very large folders of risk assessments and it can be time consuming to locate a specific assessment. As an aid to staff quick reference risk assessments for service users have been completed since the last inspection summarising the assessments in place. As stated earlier in the report attention is needed to detailing the level of risk within the assessments. In-house checks on the fire equipment, emergency lighting and fire drills had been completed appropriately. There was evidence on site of the servicing of all equipment. COSHH substances were stored securely and not a risk to service users. Documentation was available for the home vehicle, but this did not include up to date insurance, the manager agreed to forward this to the CSCI. Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 3 4 Standard No 31 32 33 34 35 36 Score 3 x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shalnecote Grove, 5 Score 3 2 2 x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 2 x E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 9 and 42 Regulation 13(4 )& 23 Requirement The risk assessment regarding fire evacuation requires review following recent refusal of one service user to evacuate during a fire drill. It is required that all accidents to service users are appropriately recorded to detail any injury sustained and how it occurred. Outstanding requirement from 1/12/04 Medication. Topical creams and ointments must be dated on opening and discarded after 28 days. Phtocopies of medication prescritions must be maintained in the home. A record of all medication received into the home must be maintained, to include quantity. Improvements are required to the safeguards in place regarding service users monies. Financial records should be signed by two members of staff and monies checked and signed for at staff handover. Delays in the landlord of the home responding to required repairs need to be addressed. Timescale for action 31/5/05 2. 19 and 42 12(1) & 13(4) 30/6/05 3. 20 13(2) 31/5/05 4. 5. 6. 20 20 23 13(2) 13(2) 12(1) & 13(6) 31/5/05 31/5/05 30/6/05 7. 24 23(2)(b) 30/7/05 Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 24 8. 9. 10. 11. 37 42 42 43 18 (1)(a)(b) 13(4) 13(4) 12(1) Two flats require repairs or replacement of kitchen worktops and the problems with the door entry system sticking must be rectified. An application must be made to register a manager. Attention is needed to detailing the level of risk within the risk assessments. A copy of the up to date insurance for the home vehicle must be forwarded to the CSCI. The homes certificate of registration must be on display. 30/6/05 30/7/05 31/5/05 30/5/05 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 Good Practice Recommendations Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Birmingham and Solihull Local Office 1st Floor, Ladywood House 45-46 Stephenson Street Birmingham, B2 4UZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Shalnecote Grove, 5 E54 S17148 Shalnecote Grove 5 V180093 250505 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!