Inspection on 18/07/07 for 51 Deepdene Avenue

This inspection was carried out on 18th July 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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Insight - Eastchurch

Southfields

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Dovedale Court

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

CARE HOME ADULTS 18-65 51 Deepdene Avenue Dorking Surrey RH5 4AA Lead Inspector Lisa Johnson Unannounced Inspection 18th July 2007 09:45 DS0000069003.V343080.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 DS0000069003.V343080.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. DS0000069003.V343080.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 51 Deepdene Avenue Address Dorking Surrey RH5 4AA 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) 01306 740123 Care Solutions Mrs Trina Neville Care Home 6 Category(ies) of Learning disability (0) registration, with number of places DS0000069003.V343080.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 6. Date of last inspection Brief Description of the Service: 51, Deepdene Avenue is a large detached property situated just outside Dorking Town centre. The home provides support to six people with learning disabilities and autism and challenging behaviour. Accommodation is provided over two floors and the second floor is accessed by stairs. Bedrooms are all single occupancy. There are two bedrooms on the ground floor and four are based on the second floor and are provided with ensuite facilities and a separate communal bathroom is available. There is a fully enclosed garden to the rear of the house, which has a patioed area. There are steps that lead up to a grassed area. Handrails are provided on both sides of the steps. Parking facilities are available at the front of the house The weekly fees range from £1,600- £2,300 DS0000069003.V343080.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of a key inspection. The site visit was unannounced and took place over seven hours commencing at nine forty five am and finishing at five o’clock. Mrs. L Johnson Regulation Inspector carried out the visit and Mrs. T Neville registered manager represented the establishment. The service was registered in January 2007 and this was the first key inspection to be conducted. The manager provided information with the Annual Quality Assurance Assessment (AQQA) prior to this visit. During this visit the inspector spoke to one person who lives in the service to gain their views on the care provided. Two surveys were received from two people who use the service and two surveys were received from relatives. Currently there are two people residing in the service who have only lived there for a short period, therefore comments received are based on people’s limited experience of the home. The Commission has also received surveys from two health care professionals A full tour of the premises took place. Care plans, staff training records, staff recruitment files and policies and procedures were sampled. The inspector spoke to two members of staff. The inspector would like to thank the people living in the service and staff for their time, assistance and hospitality during this visit. What the service does well: The service provides a good standard of accommodation, which was homely and provided a welcoming atmosphere. The home has been extensively refurbished providing single bedrooms with ensuite facilities and is spacious. Positive relationships were observed between people living in the service and staff who had a good knowledge of individuals needs. A health care professional surveyed commented, ” Staff interact well with the clients”. The home has adapted information into accessible formats to meet the needs of people using the service and to help them make decisions and choices about their lives. Documents sampled included the service user guide, complaints procedure and menus. One Individual spoken with during this visit said “Staff ask how I am getting on” and one survey received stated, “ I am happy here”. The home implements transitional plans for people moving into the service and a relative surveyed commented, “ The transitional period was handled very well and our relative was well supported”. DS0000069003.V343080.R01.S.doc Version 5.2 Page 6 The home has made good progress in developing individual care plans and health action plans, which were person, centred in approach, detailed and comprehensive which been completed in consultation with people using the service. Staff training records viewed during this visit indicated that staff are receiving a range of training and development, which meets the needs of people using the service. This includes all required statutory training as well as training in challenging behaviour and autism with the manager having completed in depth training in this area. What has improved since the last inspection? 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. DS0000069003.V343080.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 DS0000069003.V343080.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 & 5 People using the service receive good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective individuals and their representatives are provided with the information they need to make a choice about the suitability of the home as a place to live. The needs of people are assessed prior to admission to the home and they have the opportunity to visit the service and each individual is provided with a written contract. EVIDENCE: The service provides a statement of purpose and service user guide, which has been produced in pictorial format for all people to access. This document was viewed and described the services and facilities that the home is able to provide. Evidence sampled concluded that pre admission assessments are completed prior to any individual moving into the home. It was evident that the manager had obtained community care assessments and other related health care professional reports. The manager has visited prospective individuals and carried out their own assessment. These were detailed and comprehensive covering all aspects of care including culture and diversity. DS0000069003.V343080.R01.S.doc Version 5.2 Page 9 Prospective individuals and their representatives are invited to visit the home and evidence was seen that transitional plans had been conducted. A relative spoken with said, “The transition period was handled well and our relative was well supported”. Each person is provided with a contact, which were viewed during this visit. DS0000069003.V343080.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 People using the service receive good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service are provided with an individual care plan, which records their individual needs and goals. People are supported to make decisions about their lives with assistance and they are supported to take risks as part of an independent lifestyle. EVIDENCE: Each person has a completed care plan, which has been based on a full needs assessment including personal care, communication, safety, emotional, health, social and cultural needs. Individual plans were person centred in their approach, detailed and structured with clear objectives and goals. Daily records were completed and related to each individuals identified goals. Care plans had been signed by individuals, their key worker and the manager. During this visit one individual was attending their six weekly review meeting. Two members of staff spoken two who act as key workers confirmed that they are involved in reviewing care plans. DS0000069003.V343080.R01.S.doc Version 5.2 Page 11 People using the service are consulted and supported to make decisions about their lives with assistance where required. This was confirmed by one individual who said, “staff ask me what things I would like to do and how I am getting on”. The home has implemented communication dictionaries for two individuals which one person had assisted in writing to enable staff to understand and meet their needs. The home has also formulated a number of documents in pictorial format to assist people using the service. Information was recorded for the contact details of advocacy services should this be required. Where support is required for supporting individuals with their finances this was clearly recorded in their care plan. The manager stated that people using the service are to be involved in staff recruitment shortly. One health care professional surveyed said that that the service is able to meet the diverse needs of people using the service. The service has completed a range of detailed and comprehensive risk plans, which were sampled and included food safety, eating and drinking travelling, using the stairs, bathing and manual handling. Plans were also in place for supporting people with epilepsy and emotional and behaviour which were supported by clear guidelines. Staff spoken with during this visit stated that these plans are brought to their attention, which was also confirmed with viewing the read and sign system in place. DS0000069003.V343080.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 & 17 People using the service receive good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that they are making progress in developing a range of appropriate activities for people using the service to take part in. People are supported to take part in the local community and their rights and responsibilities are respected. The home is able to demonstrate that people who use the service are provided with a well-balanced and nutritious diet. EVIDENCE: The social, recreational, leisure and religious needs of people living in the service was recorded in their care plan. Current individuals living in the service have only recently been admitted therefore a full programme has yet to be put in place and due to their complex needs activities and new experiences will have to be gradually introduced. However the manager demonstrated that progress is being made in accessing appropriate and meaningful activities. DS0000069003.V343080.R01.S.doc Version 5.2 Page 13 One individual said that he had been to the library, visited the cinema and had gone on a trip to a local beauty spot and visited the local town centre for meals out and that he was going to college in September and described the classes that he would be attending based on his preferences. The home is also visited weekly by “Us in a Bus” who carry out activities in the home. People using the service are supported to maintain links with their family and friends. During this visit one person received a visit from their relatives. A telephone is available for access and one individual said that he has his own mobile telephone. The home has a policy in place for the rights of people to maintain and develop friendships. The rights and responsibilities of people using the service are respected. People are supported to be involved in household activities such as meal preparation. One individual said, “I clean my room and do polishing”. One person has his own key to his bedroom and where support is required this was documented in the care plan. One individual said that he was able to choose his bedroom. During this visit good interaction was observed between individuals and staff who were observed to be eating lunch together and interacting. One survey received commented,” Staff interact well with the clients and their relationship with them”. The home has a policy in place for respecting religion and customs. Menus are planned on a weekly basis with the involvement of people living in the service and are based on individual’s likes, dislikes and preferences. The menu was seen on display in the kitchen and was provided with pictures. The main meal is served in the evening therefore the inspector was unable to observe this, however records were maintained of all meals eaten and were seen to be varied and well balanced. One individual spoken with during this visit said that he was happy with the meals provided. DS0000069003.V343080.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 People using the service receive good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that people using the service receive personal support in the way they prefer and that their physical and health needs are met. People using the service are protected by the homes medication policies and procedures. EVIDENCE: Care plans identify the likes and dislikes and preferences of each individual and each person has a completed health action plan in place, which included their health history, personal care, sight, hearing and mobility. A “How I stay healthy plan had been developed. During this visit people’s privacy was respected when receiving personal care, which was also confirmed by two surveys received from health care professionals. It was evident people using the service are supported to access and receive support from specialist health care professionals which included the GP, dentist and chiropodist. Other health care support has been obtained from district nurses, stoma care nurse and a neurologist. Records were maintained of all health care consultations. DS0000069003.V343080.R01.S.doc Version 5.2 Page 15 A survey received from a health care professional stated the home works in partnership with them and specialist advice is incorporated into the care plan. The homes medication administration systems were examined and records were maintained adequately. A list is maintained of staff authorised to administer medication and photographs of individuals were available with their medication card. Protocols were in place for “as required medications”. Staff receive external training and are assessed with in the home. Medication is dispensed in blister packs from Boots chemist. Protocols were in place for the administration of “As required medication”. Appropriate records are maintained for the receipt and disposal of medication. One individual is prescribed oxygen, which may be needed on an as required basis and is dispensed in mobile canisters and the manager stated that staff have received training and was in the process of completing a risk assessment. DS0000069003.V343080.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 People using the service receive good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The views of people are listened to and acted upon and they are protected from abuse EVIDENCE: There is a complaints procedure in place which is accessible to people and is formulated in pictorial format. The Commission for Social Care Inspection has not received any complaints about the service since it has been registered. Information provided to the inspector indicates that no complaints have been received by the home. During this visit the inspector spoke with one individual who said, “that staff listen to their views most of the time” and a survey was received from one person living in the service who said they know how to make a complaint and stated, “ I am happy here”. Two surveys received from relatives also confirm that they are aware of the homes complaints procedure. The training records were sampled for three members of staff, which indicated that they have received training in safeguarding adults from abuse and the manager has attended the local authority safeguarding adult training. The home has a copy of the local authority multi- agency safeguarding adult’s procedure and a company policy is in place. One matter was referred to the local authority but required no further action. Two members of staff spoken with during this visit confirmed that they had received training and were aware of their roles and responsibilities should they ever witness any abuse. DS0000069003.V343080.R01.S.doc Version 5.2 Page 17 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 & 30 People using the service receive good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service live in a safe, well-maintained and clean environment. One matter was identified that needs attention EVIDENCE: The home is a large detached property situated off a busy road just outside Dorking Town centre, which is easily accessible. Gates have been installed to the entrance of the home ensure the safety and wellbeing of people using the service. The home has been extensively refurbished and provides six bedrooms with ensuite facilities. Accommodation is provided over two floors with the second floor being accessed by stairs. There is a large lounge, small lounge, dining room, kitchen and communal bathroom. The home is well maintained, decorated and furnished. The washing machine and tumble dryer are housed in a cupboard on the first floor and the doors open out on to the landing of the house. Concern was expressed about this arrangement in view of the location of this cupboard near the top of the DS0000069003.V343080.R01.S.doc Version 5.2 Page 18 staircase and the obstructions that could be caused. A requirement was made that a risk assessment be completed ensuring the welfare and safety of people living in the home. The manager has also stated that the fire authority have expressed a concern about this arrangement after a recent visit and are writing to the company. There is an accessible garden to the rear of the property, which is enclosed, and handrails are provided. Bedrooms viewed were well furnished and comfortable and the two bedrooms, which are currently occupied, had been personalised with individual’s belongings and personal interests. The home was cleaned to good standard and was hygienic. There was a cleaning schedule in place. Infection control procedures were in place and staff have received appropriate training. The manager has as consulted with the infection control nurse in respect of one matter DS0000069003.V343080.R01.S.doc Version 5.2 Page 19 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 People using the service receive good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The numbers of staff on duty were adequate to meet the needs of people using the service and are aware of their roles and responsibilities. People are protected by the home’s recruitment policies and procedures and are in the safe hands of the staff that were competent and trained to do their jobs. EVIDENCE: Adequate staffing levels are maintained in the service. As there are only two people currently residing in the service the staffing level provided is two members of staff on each shift. At night time there is one waking and one sleep- in member of staff. As occupancy increases the staffing levels will be increased and based on the needs of people using the service. The company has an equal opportunities policy in place. The home currently employs ten members of staff and there is a continuing recruitment programme in place. The company has a bank system and the home does not use agency staff. Two members of staff spoken with were aware of their roles and responsibilities and the General Social Care code of Conduct had been bought to their attention. DS0000069003.V343080.R01.S.doc Version 5.2 Page 20 Each member of staff has their own training record in place and it was evident that staff have received mandatory training in safeguarding adults, fire awareness, food handling, infection control health and safety, first aid and managing medication which is regularly updated. The home is able to demonstrate that staff receive other training and development, which actively supports the needs of service users including for example autism, epilepsy, mental health awareness and challenging behaviour. Information supplied in the Annual Quality Assurance Assessment states that six members of staff hold National Vocational Qualifications (Level 2) or above and four members of staff are working towards completing the qualification. There was evidence that new staff receive induction training and are registered on to the Learning Disability Award programme. Two members of staff spoken with confirmed that they had received induction with person saying that the training was “Good” which was confirmed by evidence viewed during this visit. Personal files were sampled for three members of staff, which were maintained to a good standard and contained the required information. POVA first checks are carried out and enhanced police checks are completed with appropriate records maintained. DS0000069003.V343080.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People using the service receive good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service benefit from a home, which is well run, and in their best interests. Three matters were identified that need improvement ensuring that the health, welfare and safety of people using the service are protected. EVIDENCE: The manager is near to completing the Registered Managers Award and has a number of year’s experience of supporting people with learning disabilities and who have behaviours that challenge. It was evident that the manager has undertaken a range of training and development including in depth training in autism and she is recognised as an “autism champion” qualified to train her staff team in this area. Two members of staff spoken with said that they felt supported by the manager and that she is approachable. There was an open and inclusive atmosphere. DS0000069003.V343080.R01.S.doc Version 5.2 Page 22 Due to the home currently only supporting two people who have only lived in the service for a short period quality assurance surveys have not yet been conducted, however, the manager showed the inspector the system they will be using. The responsible individual has commenced monthly quality and the home holds monthly meetings between people using the service and their key workers. There was a range of policies and procedures available which staff spoken with confirmed are bought to their attention with a read and sign system in place. During a tour of the service the home has a lockable cupboard for storing cleaning items hazardous to health, although it was observed that some cleaning items were stored in an unlocked cupboard in the kitchen. It was immediately required that this matter was attended to and during this visit staff moved these items to the appropriate lockable facility. It was further required that the home installs a lock to the kitchen cupboard. During discussion with staff it was observed that fly screens need to be installed in the kitchen to date the home has not received a visit by environmental health and it was required that this department is notified that the home is occupied for them to consider arranging a visit. Temperature records were maintained for the fridge and freezer. Water temperatures are checked weekly and records are maintained although it was observed that some of these were a little high the manager advised the inspector that there has been some problems with the thermostats and has taken action with the appropriate company. Fire records were examined a fire risk assessment is in place and fire drills have been conducted. The fire alarms are checked weekly although these were not recorded and it was required that this is completed. The manager provided information that routine servicing and maintenance of equipment is up to date including gas, heating and electrical testing DS0000069003.V343080.R01.S.doc Version 5.2 Page 23 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 X 5 3 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 2 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 3 DS0000069003.V343080.R01.S.doc Version 5.2 Page 24 N/A 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 YA24 Regulation 13(4) (a)(c) 23(4)(c) (v) 24(5) Requirement A risk assessment must be conducted in respect of the laundry facilities placed on the landing. A written record must be maintained of all fire alarm checks. The Environmental Health office must be contacted now that the home is occupied in view that a visit to the home is arranged. A lock must be provided to the kitchen cupboard. Timescale for action 30/07/07 2 3 YA42 YA42 30/07/07 03/08/07 4 YA42 13 (4) (a)(c) 03/08/07 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 DS0000069003.V343080.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 DS0000069003.V343080.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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