Inspection on 21/05/07 for 7 Crawford Street

This inspection was carried out on 21st May 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

7 Crawford Street 27/01/06

7 Crawford Street 22/06/05

7 Crawford Street 20/12/04

7 Crawford Street 18/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 7 Crawford Street Mencap Homes Foundation 7 Crawford Street Bolton Lancashire BL2 1JG Lead Inspector Lucy Burgess Unannounced Inspection 21st May 2007 09:30 7 Crawford Street DS0000009319.V297681.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 7 Crawford Street DS0000009319.V297681.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. 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 7 Crawford Street Address Mencap Homes Foundation 7 Crawford Street Bolton Lancashire BL2 1JG 01204 398122 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) H4037@mencap.org.uk Royal Mencap Society Mr P Rimmer Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th January 2006 Brief Description of the Service: Crawford Street is operated by Mencap. It provides a short stay respite service for adults who have a learning disability. The service has recently expanded to offer specific support to people who have particular needs in relation to Autism. The house is a large bungalow with ramped access and a number of adaptations designed to meet the needs of people with physical disabilities. The home is situated close to Bolton town centre, off the main Bolton to Bury road, and within easy reach of shops and leisure facilities. Accommodation is provided in single bedrooms throughout and provides spacious, comfortable accommodation for those who stay there. There is a block contract with the Local Social Services Department for some of the regular respite placements and the funding for some individuals is specific to their assessed needs. 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home by the inspector. The visit took place over a 5 hour period from 9.30am to 2.00pm. During the inspection care and medication records were looked at as well as information about health and safety including how the home and the equipment were kept safe. The inspector also looked around the building to check if it was clean and well decorated. Whilst comments cards were sent to people who use the service, relatives and GP’s, none had been returned. However the inspector did spend time speaking with the staff on duty and the Manager. Comments have been added to the report. The people who use the service are referred to as guests therefore this term has been used rather than service user or resident, throughout this report. What the service does well: What has improved since the last inspection? The service has increased offering support to guests who have particular needs in relation to Autism. This is a very specific service providing focused support for each guest based on his or her needs and wishes. The team have welcomed the change and have a very positive attitude to learning new skills around how each guest wants to be supported. A great deal of time and planning has taken place involving the staff as well as a number of health and social care professionals. This has ensured that introductions, visits and stays have been a positive experience. 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 7 Crawford Street DS0000009319.V297681.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 7 Crawford Street DS0000009319.V297681.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): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Thorough planning and assessment of prospective guests is carried out enabling the team to offer an individualised service specific to their needs. EVIDENCE: Crawford Street is an established service, which provides short term breaks for over 50 people. In order to meet the individual needs of guests consultation takes place with the placing authority, the person being referred and other relevant parties. Information is also gathered. This includes copies of care assessments and general risk assessments. Where individuals have additional support needs and may require aids and adaptation, intervention strategies or communication needs these too will be assessed identifying any action required. Over the last year the service has been developing an additional part of the service, which will cater for people with Autistic Spectrum Disorders (ASD). This has involved extensive work on behalf of the team along with the Local Authority and Primary Care Team (PCT). Time has been spent attending ‘project development’ meetings, which explored individual needs, suitability, environment and staff training. 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 9 Introductions have been made to the home. This is planned at a pace, which suits each guest. This enables relationships to be formed as well as support plans to be developed and implemented. It was clear through discussion with the staff and the manager that staff have welcomed the opportunity to develop the service offered. Staff acknowledged that whilst there had been some anxieties about meeting the needs of some of the new ASD guests, this had been addressed and individuals felt fully supported. Appropriate strategies were also in place to offer further guidance and support if it was required. 7 Crawford Street DS0000009319.V297681.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is up to date and reflects individual needs and choices in relation to how they wish to live their lives. EVIDENCE: Care planning takes place in consultation with the guest and their family and reflects guest’s normal routines and daily life in their own home. Personal preferences and individual support guidelines are documented and regularly reviewed. Two files were examined. One for a guest who has received regular support from the home. The second file was for a guest involved with the new ASD service. Both held specific information in relation to the support needs of guests, how they were to be supported as well as any areas risk. Where specific risk or behaviours had been identified further assessment had been completed. Additional support and guidance had been sought from 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 11 relevant health and social care professionals in developing plans and management strategies. Additional information is recorded and held within the guest file, this includes personal information, contact details for next of kin and GP as well as their weekly routines. Staff also complete nightly reports with half hourly checks made. These evidence if guests are settled or if support has been required. As outlined further within the report documents are also completed on admission and discharge from the home. Information is completed by both staff and the guest’s main carer and includes details about medication and finances. From discussions with staff it was clear that they were fully informed about the individual needs of guests and that clear communication and discussion was held between the team so that support was consistent. 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Guests continue to live a lifestyle of their choosing enabling them to maintain their independence and living skills. EVIDENCE: As already stated guest staying at Crawford Street are not permanent residents and therefore have lifestyles and routines of their choosing. A number of the guests attend local day centres or receive support from other agencies and therefore visit Crawford Street at times, which fits around these arrangements. While staying at Crawford Street, guests are encouraged to retain independent living skills, such as helping to prepare snacks or tidying up. During their stay at Crawford Street, guests are supported and enabled to continue to their usual activities. These may include accessing shops, visiting restaurants, pubs and the cinema, etc. 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 13 Guests are enabled to maintain their usual links and friendships during their stay. There are open visiting arrangements, with family and friends free to visit the home with the guest’s agreement. Through discussion with the manager it was established that periodically some weekends are planned solely for female guests who are Muslim. This was arranged after consultation with the community to establish why some individuals had not been accessing the service. Once it had been established that they would if it addressed individuals cultural needs, arrangements were made. This is now planned on a regular basis. Meal times are flexible. Preferences are asked for and recorded. The weekly shopping is planned around the wishes and needs of the guests staying that week. Individual dietary records are kept. There was evidence that cultural needs are considered, for example, the provision of halal meals for Muslim guests are also provided. Staff were also aware of providing suitable meals for those guest who are diabetic or required soft diets. 7 Crawford Street DS0000009319.V297681.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 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Individualised support is provided in meeting their personal, physical and emotional health ensuring their well being is maintained. EVIDENCE: Guests are supported and cared for appropriately and encouraged to make personal choices and retain as much personal independence as possible. Whilst guest only make periodic visits to the home generally their health and well being is addressed by their main carer. However whilst at the home staff will provide a level of support and encouragement, which meets their needs. Those guests requiring support to address their personal care needs are assisted. The home has been adapted providing guests with facilities to meet a variety of support needs safely. In relation to healthcare again this would be supported by the main carer however where necessary staff will support guests to appointments if they are planned during the stay. The inspector observed what arrangements were being made by the team prior to a guest arriving. Due to their particular support needs a clear plan was in place outlining what the guest likes to do on entering the home. 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 15 In order to reduce anxieties, manage behaviour and offer effective methods of communication staff had arranged furniture in a specific way, set out tables for meals and activities and displayed signs as prompts to remind the guest of where rooms were and things not to do. These had been developed using both pictures and signs as well as words so that they could be easily understood. Support levels had also been arranged to enable the identified support to be provided. This ensured that the needs and wishes of the guest could be met in a safe and positive manner. The management and administration of medication is also carried out by staff. At present none of the guests are prescribed any controlled drugs or ‘rescue’ medication. All staff have received training in this area. When visiting the home it is requested that an arrivals form is completed. This includes information about the prescribed medication, number of tablets or liquid provided, dose and time required. This is then transferred to a medication administration record (MAR), which is signed by staff following each administration of medication. Medication is stored safely in a lockable cupboard within the staff office. At the end of their stay, staff complete departure notes, which identifies how many tables or how much liquid medication has been administered during the stay. This enables items to be clearly audited and checked against the MAR ensuring practice is safe. It was suggested to the manager that handwritten entries on the MAR were signed and dated by 2 staff to ensure that the information recorded was correct. 7 Crawford Street DS0000009319.V297681.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear procedures are in place in relation to responding to complaints and concerns. Training in adult abuse is required to ensure that guests are protected. EVIDENCE: Clear policies and procedures covering complaints and protection are in place. Not all staff have received training in this area, this should be undertaken ensuring residents are protected. A detailed complaints procedure is in place and displayed. Information includes details of how complainants could contact the CSCI if desired. Appropriate recording systems are in place should any concerns or complaints be raised. No complaints have been raised with the CSCI or the home. The home also has further written policies and procedures for adult protection. These include dealing with whistle blowing, aggression, service users finances and missing persons. Criminal record checks are sought as part of the recruitment process. During the visit the inspector looked at how residents’ finances are managed. Records are made of money brought for the stay as well as how this is spent and what is remaining when they leave. This ensures that the system is safe and guests are protected. 7 Crawford Street DS0000009319.V297681.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Spacious, comfortable accommodation is provided to meet the physical needs of guests. EVIDENCE: Spacious accommodation is provided comprising of a lounge, dining room and kitchen. Rooms had been pleasantly decorated and furnished providing comfortable accommodation for guests. There are six single bedrooms, a bath and a shower, bathrooms, and separate toilets. The home also has a designated laundry area. Separate facilities are provided for staff, which include a separate office, sleep in room and bathroom. The environment has been well adapted to meet the assessed needs of residents whilst still maintaining a homely feel. Due to the introduction of the new service, changes have been made to the environment to accommodate the needs of guests. This has included an internal door separating areas within the home as well as a new ‘swipe’ system to open both internal and external doors. These fittings have been installed to 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 18 offer both a structured environment, which addresses the specific behavioural needs of some guests whilst ensuring their safety. New flooring has also been fitted to the dining room, kitchen and hall. It was found that the lock to one the toilets was unsuitable. The override lock had broken and damage had been caused to the door frame, therefore as an interim measure a hook lock had been fitted to the door. This does not allow for ease of access should an incident or emergency arise and must therefore be replaced with an appropriate lock. Each of the guest bedrooms were looked at. Some of rooms had also been recently redecorated and had new flooring or carpeting. Arrangements are to be made to bring the remaining rooms up to the same standard. Due to the nature of the service, rooms are used by a number of guests throughout the year so are therefore not personalised like rooms found in care homes where residents live there on a permanent basis, however rooms were adequately furnished, appropriately decorated and had individual wash basins. Some of the rooms also had beds with fitted rails. These ensure the safety and protection of those guests with particular support needs. One of the bedrooms has the provision of a shower. This was out of order due to the water pressure. Arrangements had already been made by the manager to address the matter. To the rear of the home there is a small enclosed garden and patio area where guests can sit and relax, as well enjoy occasional bar-b-ques. Work is also being completed next to the garden with a car parking area being provided. The home has a separate laundry, which is sited away from the kitchen. Sufficient equipment is provided and includes a sluicing facility. Adequate provisions are in place with regards to protective clothing and the management of clinical waste. During the visit the home was found to be clean, tidy and free from odour. 7 Crawford Street DS0000009319.V297681.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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The process of staff recruitment and training ensures that guests are supported by a team, which is developed in meeting the specific needs of those who use the service. EVIDENCE: Mencap has clear policies and procedures around the recruitment and selection of staff. Whilst on this occasion staff records were not available to inspect it was noted that this area was fully met at the last inspection. As part of the recruitment process information such as an application form (including health declaration), 2 written references, a Criminal Records Bureau check (including a ‘POVA first’ check) and proof of identity (including a photograph) is sought prior to new staff commencing employment. This was confirmed during discussion with the Registered Manager. Presently all new staff complete the LDAF Framework) induction and foundation training. that a new programme is being piloted within include risk assessments of staff and competence 7 Crawford Street (Learning Disability Award The inspector was informed the Bolton area, which will framework. Version 5.2 Page 20 DS0000009319.V297681.R01.S.doc Information was also received prior and during the visit of training offered to staff. Whilst some of the courses have been offered to some staff others are yet to attend. These will be arranged as part of the training programme. Courses include moving and handling, 1st aid, medication, food hygiene, risk assessments, fire safety, health and safety, challenging behaviour, POVA and autism. In relation to NVQ’s, at present 8 members of the team hold the qualification as well as the manager who has also completed the Level 4/Registered Managers Award. The manager completes a staff training matrix, which enables him to plan which staff are due to receive updated training in mandatory topics or specific training around the needs of those who use the service. Good staff supervision, appraisal and support arrangements are also in place ensuring staff are fully informed and supported in carrying out their duties. 7 Crawford Street DS0000009319.V297681.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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear lines of responsibility are in place ensuring the service is managed in way which is in the best interest of the guests. EVIDENCE: The Manager has worked for Mencap for many years with the last 10 years as Manager at Crawford Street. Training relevant to his management role as well as courses specific to the support has been undertaken. These have included the NVQ Level 4/Registered Managers Award. The manager is supported in his role by the Service Manager. From discussion with the manager it was clear that a clear working relationship has developed. The manager expressed that he felt his manager was ‘very supportive’, ‘that they worked well together’, and that ‘they had established a good working relationship’. 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 22 With regards to quality assurance, systems are in place organisationally and internally to evaluate and review the service provided. The Service Manager completes monthly visit reports of which copies are held within the home and forwarded to CSCI. Regular supervision with the manager is also undertaken, this involves reviewing the homes continuous improvement plan and identifies areas of development. Staff confirmed that they too have received supervision and appraisals where areas of training and development are discussed. Through discussion it was noted that ongoing informal feedback about the service is received from guests, relatives and professionals, however it was recognised that the service could be more proactive in making this a more formal arrangement. Information gathered would also inform the homes improvement plan. Health and safety checks were examined. Up to dates certificates were seen for the gas, small appliance, fire alarm and equipment, emergency lighting, bed rails and ceiling-tracking hoists. Further internal checks are carried out in relation to fire safety and water temperatures. General risk assessments have been completed in relation to the environment along with Coshh assessments. Work identified following a visit from the fire officer had also been completed. This has involved self-closing devises being fitted to fire doors. Action was identified in relation to the closing devises on one of the bedroom doors and the dining room. These need to be re-sited to ensure that they are in effective working order in the event of a fire. Clarification is also needed with regards to the unsatisfactory 5 year electric wiring certificate ensuring action required has been addressed. Confirmation of this should be forwarded to CSCI. 7 Crawford Street DS0000009319.V297681.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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X X 2 X 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 YA23 Good Practice Recommendations All staff should complete training in adult abuse so that they are aware of the procedure to follow ensuring guests are protected. A suitable lock with an override facility should be fitted to the toilet to ensure the safety of guests. Closing devises on one of the bedroom doors and the dining room need to be re-sited to ensure that they are in effective working order in the event of a fire. Clarification should be sought with regards to the unsatisfactory electric wiring certificate ensuring action required has been addressed. Confirmation of this should be forwarded to CSCI. 2 3 YA24 YA42 4 YA42 7 Crawford Street DS0000009319.V297681.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 7 Crawford Street DS0000009319.V297681.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. 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