Inspection on 23/05/05 for 60 Olive Lane

This inspection was carried out on 23rd 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 19 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

60 Olive Lane 22/06/09

60 Olive Lane 02/05/07

60 Olive Lane 14/11/05

60 Olive Lane 11/03/05

60 Olive Lane 29/11/04

60 Olive Lane 24/03/04

Similar services:

Tanglewood

88 Church Lane

Harmony Care Home

Olivet Christadelphian Care Homes

Sayer House

Beacon Centre For The Blind

Bryndale Avenue, 41 Flats 13, 14 & 18

Primrose Place

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

CARE HOME ADULTS 18-65 60 Olive Lane Blackheath Halesowen West Midlands. B62 8LZ Lead Inspector Cathy Moore Announced 23 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. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 60 Olive Lane Address Blackheath Halesowen West Midlands. B62 8LZ 0121 559 0031 0121 561 1288 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) The Royal Institure for Deaf People Rosemarie Foster Care Home 8 Category(ies) of Sensory 8 registration, with number of places 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 3 service users at any one time ( SI (E) Date of last inspection 11.03.05 Brief Description of the Service: Olive Lane is managed by the Royal Institute for the Deaf ( RNID) and is registered to provide care to 8 residents, predominently younger adults ( aged between 18 and 65 years) who have a hearing impairment . A number of residents have other needs in addition to their hearing impairment,for example learning or physical disability. A condition has been approved to enable 3 existing residents who are over the age of sixty five to remain accommodated. The home is situated in a residential area close to Blackheath town centre and is accessible to a main public transport route. The home has a good sized rear garden and dedicated parking to the side. Olive Lane was purpose built, opened and registered as a care home in the mid 1990s. The building itself is owned by Black Country Housing Association. The home is detached and of a generous size . It consists of two floors and offers 8 single occupancy bedrooms, a number of these are of a generous size and all meet the required size specifactions. Communal areas, the lounge , kitchen and dining area are on the ground floor, together with a number of bedrooms, toilets, bathroom and the laundry. The first floor has further bedrooms, toilets, a bathroom and office facilities. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over one day between 08.50 and 17.00 hours and was one of this years two routine statutory inspections. Prior to the inspection a sign language interpreter was secured to enable the inspector to be able to communicate with the residents effectively. All residents were spoken to, five in more depth than others. During the course of the inspection a tour of the premises took place. Three residents and two staff files were scrutinised. Health and safety and training records were assessed. The manager and deputy were involved in the inspection throughout the day. One staff member was interviewed, three others on duty spoken to briefly. What the service does well: The premises are of a good standard. The home is fit for its purpose, well maintained, bright, cheerful with a welcoming, positive atmosphere. Relationships between staff and residents are positive. A good rapport has developed between all. The organisation and staff are committed to providing a good level of service to the residents in their care. Residents are encouraged and enabled to be independent, making their own decisions and choices about their lives. One resident commented, “ I can choose what time I go to bed and what time I get up, I like to go to bed at 11oclock and get up at 7 o’clock ”. Activity provision both in and outside of the home is offered on a regular basis. Residents have individual interests which they like to pursue and are assisted to do so by the staff. Staff appeared motivated, interested in their work and were seen to be caring. Residents gave positive comments about the staff and their care. One resident said, “ I like all the staff ”. Residents indicated that they were content and well cared for. Staff encourage residents to maintain contact with family and friends. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 6 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. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 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 60 Olive Lane E55 S25025 Olive Lane V220936 230505 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) 1,3,4 Residents are provided with information to enable them to make an informed choice about where they live. Though assessment documentation would benefit from some fine-tuning, prospective residents needs are assessed and know that the home can meet their needs and aspirations. Prospective residents have the opportunity to visit and “test drive” the home. EVIDENCE: The homes statement of purpose and service user guide have recently been reproduced. These documents were seen to be well presented and informative. Two completed relative pre-inspection questionnaires intimated that they were not aware of how to access the homes recent inspection report and were not made aware of forthcoming inspections. It was noted however, that a copy of the homes report was available and the poster to inform of the inspection displayed. Assessment of need processes were seen to be in operation. A copy of documentation relating to a prospective resident was available for perusal. This assessment of need document was complex, however, the primary need of the resident was unclear. An introductory process for prospective residents was seen to be in operation, there was evidence available to demonstrate that plans were being made for 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 9 one prospective resident to have a three day introductory visit to the home, this to include two over night stays. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,9,10 Care planning processes must be further developed. Residents are supported to achieve and maintain independence. EVIDENCE: A written care plan for each resident was seen to be in place. Whilst, these were of a reasonable standard in terms of presentation and style, they did not reflect all the needs of each resident examples being personal care and nutrition. Review processes were seen to be very basic. There was little evidence on the actual care plan to demonstrate that each resident had been involved in its compilation or subsequent review. It was evident by communicating with the residents with the assistance of a sign language interpreter and observation, that residents are encouraged to be as independent as possible, make decisions on all aspects of their lives and take reasonable risks. A new confidentiality policy was available for perusal. There was no evidence available to demonstrate that the home gives a statement on confidentiality to partner agencies. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 11 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15,16 Residents are enabled to make choices and decisions on how they want to live their lives and engage in appropriate activities to enhance personal development and relationships. EVIDENCE: A number of residents attend educational facilities to enhance their personal development. Courses undertaken include computer skills, lifestyle activities, cooking and gardening. One resident at least, has attained a number of college certificates which are displayed in a folder. All residents engage in various activities within the local and wider community on a regular basis, examples being sporting activities, shopping, eating out and going to the cinema. One resident is a keen supporter of Chelsea football club. The home assists her to attend the Chelsea home ground to watch them play three to four times a year. She was happy to show her photographs which captured these occasions. It was evident that residents within the home generally have a good relationship, the bonding between individuals strong. Residents have external 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 13 relationships, one has a boyfriend who lives in the South of the country. Staff enable her to have contact with him, by visiting on a regular basis. It was apparent from viewing records and speaking to staff and residents that the home very much encourages all residents to maintain contact with family and friends. One resident said that it was her birthday soon and she would be going out with her mother, another has contact with her sister regularly. It was apparent from reading records and speaking to residents that they are enabled to dictate within reason their preferred daily routines. One resident chooses to stay up until the early hours of the morning watching the television. A number of residents enjoy spending time alone in their bedrooms watching the television or films. All residents spoken to have a key to their bedroom door in addition to the front door of the home. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,21 Residents receive appropriate support and their physical and emotional needs appear to be met adequately. More focus is required to ensure that illness and ageing processes are managed adequately. EVIDENCE: It was apparent that residents are consulted about their preferences in terms of individual personal care delivery. They can choose what time they receive their personal care and how. Personal care is delivered in the privacy of their own bedroom or in the bathroom. One staff member commented “ to promote respect we ensure that residents are given choices and determine preferences”. Residents spoken to confirmed that they shop and select their own clothes, it was evident that they all enjoyed this. Residents also choose their hairstyles. There was ample evidence to demonstrate that residents have access on a regular or as needed basis to the full range of health care services. In general residents attend healthcare services in the community rather than them coming to the home. Residents’ weights are taken and recorded regularly. Falls risk assessment and prevention processes were lacking. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 15 It was noted that wishes in respect of ageing, illness and dying were lacking on a number of residents files. The home does not have a written policy on ageing and illness. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Policies and procedures are in place to protect vulnerable adults, but a date to review these existing policies and procedures needs to be established. EVIDENCE: Policies and procedures aimed to protect vulnerable adults were available. These included Dudley MBC multi-agency adult protection procedures and inhouse abuse policies. Protection of vulnerable adult training is being arranged for the summer of 2005. A number of policies were dated and last reviewed 2002, examples being the whistle blowing policy, access to records and missing persons polices. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24.25,26,27,28. The home environment is comfortable, well maintained, safe, sufficient in size and generally meets the needs and preferences of the residents. EVIDENCE: The home’s premises were seen to be adequate for the needs of the residents in terms of size and the number of communal rooms. The home offers a generous sized attractive living room and a good-sized kitchen come dining room. Communal areas were seen to be bright, airy and appeared to be safe. A planned maintenance programme was available to peruse. All bedrooms within the home are single occupancy. Bedrooms seen were of a good standard in terms of furniture, fixtures and decor. All were personalised with the residents’ own belongings. All residents spoken to confirmed that they were satisfied with their bedrooms. One bedroom was vacant. The manager commented that it would be redecorated before it was occupied. The prospective resident would be able to choose the colour scheme. A number of bedrooms viewed had kettles and drink making facilities to enable the residents to make drinks whenever they want to independently. Residents have keys to their bedrooms, a number have a key to the front door. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 18 All bedrooms are provided with a hand washbasin. There are a number of nonassisted and assisted bathrooms and toilets provided on both floors. One bathroom has recently been fitted with specialised hoisting equipment. The rear garden was seen to be of an acceptable size for the number of residents. One resident commented, “ I like the garden and helping to grow plants”. Quotes have been obtained and negotiation processes underway in respect of the uneven slabs in the garden. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,36 The staff are adequate and supported by supervision. Recruitment processes must be followed more diligently. EVIDENCE: The home has recently recruited additional relief workers, this to provide consistency avoiding the use of agency staff. The home has one full time and one part time support worker vacancy at the present time. Staff observed and spoken to during the inspection appeared keen and motivated to providing a good standard of care to the residents accommodated. Staff files viewed were seen to be well organised. A number of shortfalls were identified in the recruitment process. There was lack of information/ documentary evidence for the volunteer, one staff file only had one written reference and there was no evidence to demonstrate that staff have been given a job description. A job description for relief support workers has not yet been issued. There was sufficient written evidence to demonstrate that staff are receiving one to one formal supervision. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 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) 37,40,42 The manager is competent and experienced to run the home to meet its stated purpose. Some policies and procedures and health and safety issues require attention to ensure and enhance the safety and well- being of residents and staff. EVIDENCE: The manager has been in post for at least two years. She was approved as a fit person to manage the home in accordance with the Care Standards Act 2000. The manager has completed part of her registered managers award. The manager appears to be motivated, interested in her job and has an on-going commitment to provide a good quality service to the residents in her care. A number of core policies and procedures seen were dated and last reviewed in 2002. Local policies and procedures were seen to have been reviewed within the last 12 months. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 21 Overall observance to health and safety was identified through sampling records and maintenance certificates. The water temperature from the sink in the kitchen has been excessive at times. This water outlet is not fitted with a control valve and is accessible to residents. There was no evidence to demonstrate that the vibrating pillow detectors are being serviced as part of the routine fire alarm service. The organisation and manager are aware that the fire panel requires replacement. It was noted that there is only one sink in the laundry and as yet no risk assessment has been carried out in respect of this. The five year fixed electrical wiring test records revealed that the home does not have a residual current device. Overall mandatory training is either up to date or training has been booked where training has not yet been received or requires updating. Moving and handling training was delivered in May 05 further training arranged for June 05, first aid at work June 05, fire training November 05. 60 Olive Lane E55 S25025 Olive Lane V220936 230505 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 3 3 x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 2 x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x 2 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 60 Olive Lane Score 3 2 x 2 Standard No 37 38 39 40 41 42 43 Score 3 x x 2 x 2 x E55 S25025 Olive Lane V220936 230505 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 YA1 Regulation 5(a) Requirement The registered provider and manager must activley inform relatives ( even those who do not live locally or do not visit often) : How to access the present inspection report. Inform of forthcoming inspections. 2. YA3 14(1) The registered provider and manager must ensure that the primary need/ diagnosis / condition of each prospective resident is obtained from a reliable source and detailed in the assessment of need documentation. The registered provider and manager must ensure that The total needs of each indivdual resident are captured and detailed in their care plan. That each care plan is fully reviewed with documentation to evidence on a regular basis or 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 24 Timescale for action 01.07.05 01.07.05 3. YA6 15(2) 23.06.05 when changes occur. That evidence is obtained from each resident to demonstate their involvement in their care plan compilation and susequent reviews. The registered provider and manager must: produce and give a statement on confidentiality to partner agencies, setting out the principles govering the sharing of information. Obtain written consent from each resident to hold their bank statements or copies of their bank statements. The registered provider and manager must ensure that an appropriate/ suitable, documented falls risk assessment process is produced and implemented. The registered provider and manager must ensure that where possible the choices and wishes of individual residents are explored and documented on the areas of : Death and dying. Ageing and illness. A writen policy must be produced in respect of ageing and illness. The registered provider and manager must produce a policy on ageing and illness. The registered provider and manager must ensure that the slabs in the back garden be made even. 4. YA10 12(4)(5) 01.07.05 5. Y19 13(4)( c) 23.06.05 6. YA21 12(4)(5) 13(1) 23.06.05 7. 8. YA21 YA28 12(4) 13(4)( c) 13(2) 23.06.05 23.06.05 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 25 Timescale of 01.05.05 not met. The registered provider and manager must provide the CSCI with a timescale confiming when the garden slabs will be attended to. The registered provider and manager must ensure that the vacant support worker posts are advertised. The registered provider and manager must ensure that two satisfactory written references are obtained for each staff member before they are allowed to commence employment. These must be available for inspection at all times. The registered provider and manager must ensure that all staff complete a health declaration and this is assessed as satisfactory or otherwise before they commence employment The registered provider and manager must ensure that all volunteers are checked and screened to the same extent as permanent staff. The registered provider and manager must ensure that the original or copy of a valid CRB/POVA list check is available for inspection on each staff members file at least until it has been seen by a CSCI inspector. The registered provider and manager must ensure that the manager completes both NVQ level 4 in care and management. The registered provider and manager must ensure that all policies and procedures are reviewed on an annual basis Timescale of 01.05.05 not met 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 26 9. YA33 18(1)(a) 23.06.05 10. YA34 17(2) 19(1) 23.05.05 11. YA34 19(5) 23.05.05 12. YA34 19(4)(5) 23.05.05 13. YA34 19(1) 23.06.05 14. YA37 9(2) 31.12.05 15. YA40 17(2) 01.07.05 These to include the following: Whistle Blowing policy (to consider detailing Public Concern at Work contact details. Missing persons policy 16. YA42 13(4) Access to records policy. The registered provider and manager must carry out a risk assessment in respect of the hot water outlet in the kitchen that does not have a control valve. If a high level of risk is determined then a control valve must be fitted. This water outlet must be included in the routine hot water temperture testings. The registered provider and manager must seek advice from a qualified reliable source, for example an electrician, to determine if the home has a residual current device. If not then this must be addressed. The registered provider and manager must carry out a documented risk assessment due to there only being one sink in the laundry. If it is determined that a high level of risk is apparent then a suitable second sink must be provided. The registered provider and manager must seek clarification from a reliable source to ascertain whether or not the vibrating pillow alarms require regular servicing. The registered provider and manager must provide a timescale in respect of the required fire panel replacement. 10.06.05 17. YA42 13(4) 10.06.05 18. YA42 13(3) 10.06.05 19. YA42 13(4) 23(4) 25.06.05 20. YA42 13(4) 23(4) 25.06.05 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 27 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. 2. Refer to Standard Good Practice Recommendations 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 28 Commission for Social Care Inspection West Point Mucklow Office Park Mucklow Hill Halesowen. B62 8DA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 60 Olive Lane E55 S25025 Olive Lane V220936 230505 Stage 4.doc Version 1.30 Page 29 - 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!