Inspection on 08/05/06 for 2 Warwick Road

This inspection was carried out on 8th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

2 Warwick Road 25/02/09

2 Warwick Road 24/07/07

2 Warwick Road 06/10/05

2 Warwick Road 11/01/05

2 Warwick Road 14/09/04

2 Warwick Road 17/02/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Warwick Road 2 New Barnet Hertfordshire EN5 5EE Lead Inspector Anthony Lewis Key Unannounced Inspection 8th May 2006 09:25 Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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 Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Warwick Road 2 Address New Barnet Hertfordshire EN5 5EE 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) 020 8441 2988 020 8441 2817 Tamarisk Trust Miss Sharon Jane Brown Care Home 22 Category(ies) of Learning disability (22), Learning disability over registration, with number 65 years of age (22) of places Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Limited to 22 service users with learning disabilities some of whom may be elderly. 6th October 2005 Date of last inspection Brief Description of the Service: Warwick Road is a care home registered for a maximum of twenty-two adult residents with learning difficulties. Tamarisk Trust, a registered charity, runs the home. The home is a four-storey corner house with an extension added to it. On the ground floor are located the kitchen, office, laundry room, two lounges and a dining room. There are also additional kitchen and dining room facilities on the first floor and second floor. The bedrooms are located on the lower ground floor, the ground floor and the first and second floors. All bedrooms are single. There is a unit on the second floor designated for training residents in independent living skills. There is a small garden to the front of the home with off street parking and a paved area to the side. There is also a long partially paved garden to the rear. The home is situated in a residential part of New Barnet, with shops, buses and rail links a short walk from the home. The fees for residents living in the home range from £478.80 – £919.90 per week. The provider must make information available about the service, including inspection reports, to service users and other stakeholders. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on Monday 8th May 2006 at 09:25am and was completed at 4:45pm. The registered manager was available from 10am until the end of the inspection process. The staff and residents were very helpful and accommodating. To gather evidence for this inspection, seven residents and four staff were spoken to. Evidence was also gathered by viewing the files of ten residents and six staff. In addition, various files, documents and health and safety certificates were viewed. Prior to the inspection, the service history and various other documents were used to gather information about the service. An extensive external and internal tour of the home was conducted with a support worker. At the time of the inspection, seventeen residents were living in the home, with five vacancies. What the service does well: What has improved since the last inspection? Of the twelve requirements and one recommendation made at the previous inspection, the staff have ensured that all of the requirements have been met and the recommendation implemented. They have ensured that: health care professionals have been involved in helping to manage a resident’s behaviour. There has been a review of the menu planning with the residents’ involvement and residents’ wishes are being recorded and respected. Regular residents’ meeting are occurring to discuss residents’ views and any concerns. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 6 The carpets in the lounge have been replaced, the carpets on the stairs have been cleaned and the main cooker replaced. The night staff are ensuring that the kitchen is cleaned every night and recorded in a daily diary. The home’s industrial washing machine has been repaired. The back garden has been cleared, cleaned and made safe, giving residents greater freedom and enjoyment in using the garden. The toilet in the independent living flat is kept clean. All staff are being supported by receiving regular supervision. The London Fire and Emergency Planning Authority (LFEPA) contraventions have been met, which has improved the home’s safety and staff files have been sorted in to a logical and consistent format. 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. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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 Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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 the following standard(s): 2, 3 and 4. Qualities in these outcome areas are adequate. This judgement has been made from evidence gathered during the visit to this service. Comprehensive assessment and visits to the home by prospective residents and stakeholders are occurring to ensure that the home can meet individual resident’s needs and that the residents can make an informed choice. However, the home is not demonstrating that staff can effectively communicate with all of the residents. EVIDENCE: One of the most recent residents admitted to the home was spoken to at length about her assessment prior to moving into the home. She said that the registered manager came to her previous home to do her assessment. The resident said, “The manager asked me a lot of questions and we got on well.” Her file contained a comprehensive assessment with information about her health and personal care needs. Throughout the inspection process, one resident with speech difficulties was observed communicating to staff using “Makaton” sign language. Although staff were able to understand some of what the resident was verbally saying, at times they found it difficult and were observed and overheard asking lots of questions until they understood what the resident was saying. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 9 When spoken to, the registered manager said that a few residents use Makaton signing to communicate. She went on to say that none of the staff have received Makaton training. A requirement is made that all staff working in the home must receive Makaton training or any other training that will aid them in communicating more effectively with all of the residents. A resident was asked about visits to the home prior to moving in. The resident said, “I visited the home loads of times, I talked to staff and residents and I liked my bedroom.” The resident went on to say, “I stayed as long as I wanted and everyone was nice, I’ve no regrets.” The statement of purpose also contains information on the admission and referral process and states that residents and their support network will be invited to visit the home for an informal discussion and a look around. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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 the following standard(s): 6, 7 and 9. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Comprehensive care plans and risk assessments ensure that residents’ choices, decisions and changing needs are recorded to enable staff to sufficiently support all residents to live more independently. EVIDENCE: The care plans of ten residents were viewed and each contained comprehensive information regarding their care needs such as: social activities, religion, personal care needs, health care needs and information about their cultural and religious beliefs and what support they may need in these areas. The staff team are ensuring that they support residents to make decisions about their lives. Information is recorded in their care plans regarding the support required. A resident’s file contained information regarding his up and coming birthday and what he would like to do for the day. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 11 One resident said at his review, that he would like to have a birthday party and that he would like some support to organise some activities for the day. There is also, contained in each resident’s care plan, a section on “What I would like to happen,” “Setting goals.” It contains information on: “How I will achieve this?” and “Who is responsible?” There is also information regarding target dates. The files of each resident contained information on their risk assessments. The assessment contained information covering a range of risks and who or what will be harmed and the actions to be taken to minimise the risk. Within the care plans, the support that residents receive has been assessed and any support from staff identified, is recorded. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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 the following standard(s): 11, 12, 13, 15, 16 and 17. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Residents are receiving robust support from staff and health care professionals with regards to behavioural issues and to be as independent as possible so that they can participate in social activities in their local community and in the home with menu planning and to maintain relationships. EVIDENCE: The staff have ensured that an identified resident with behavioural issues was seen on 14th October 2005 by a psychiatrist, this was a requirement at the previous inspection. According to the registered manager, some possible solutions, such as more one to one and stimulating activities were identified and are being adopted in the home. The registered manger went on to say that the resident’s behaviour has improved. Residents spoken to all have a variety of activities that they take part in. A support worker said that two residents are in part-time paid employment, each at different local supermarkets. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 13 Throughout the inspection, residents were observed coming and going without restrictions. Residents were also supported by staff from Tamarisk Opportunities Network (TON), an outreach support group that escorts residents to day activities, their work, out for meals and to the cinema and walks in the community. A resident spoken to said, “I’m going out to work, I’ll be back later.” Another resident said, “I go out with staff a lot.” The registered manager stated that there is a resident in the home who is being supported by the staff team, her family and other stakeholders to get married. When spoken to, the resident said that she is getting married soon. In another resident’s care plan. A resident discussed her relationship with her family. She said that she either sees them or speaks to them on the phone regularly. Staff were observed throughout the day knocking on bedroom doors prior to entering. The registered manager stated that most residents have their own key to their bedroom and that letters are opened and read to the resident with their consent. This was witnessed when a resident came into the office and asked if there were any letters, which there was. The resident asked the staff member to open the letter and read it, which the staff did. Records show that the home has residents’ meetings every Friday at which the menu planning for the week to come is discussed. This was a requirement at the previous inspection. The menus for the past three weeks was viewed and contained a variety of meals. Next to the choice of meals on the menu are the names of the resident/s who chose the meal for that day. There is also an opportunity for residents to have an alternative meal if they so wish. The home also has menu books containing a huge amount of various meals. One resident said, “I like helping in the kitchen, I like chopping the onions but I don’t like the smell.” The resident went on to say, “I was chopping carrots once and a carrot flew into my face.” The resident laughed. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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 the following standard(s): 18, 19, 20 and 21. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Residents are confident that staff will support them appropriately and ensure that their health care needs and wishes are met. Staff are ensuring that they administer medication safely and according to the homes policies and procedures. EVIDENCE: Residents’ care plans contained detailed information regarding their personal care needs. One resident’s care plan states that he likes to wear certain clothes often and how staff must prompt him on occasions regarding his personal care. A resident explained how she likes staff to support her with her personal care and what she can do for herself. The resident was spoken to and said, “I can do lots for myself, when I need staff to help me I’ll ask them.” She went on to say, “I sometimes ask them to wait outside and I’ll call them in when I need help.” Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 15 All files viewed contained information on resident’s health care visits to their GP, dentist, chiropodist and the speech and language therapist. There was also a section for the reason for the visit and any comments. The registered manager stated that residents’ individual medication is kept in a locked cabinet in their bedroom and the key is retained in the office. The registered manager also said that no resident self-administers their own medication. When viewed, all medication was stored correctly in the resident’s bedroom and the Medication Administration Records (MAR) sheets were all filled in correctly. The staff team have ensured, as was a requirement at the previous inspection, that the wishes in relation to resident becoming terminally ill and dying are recorded. The care plans of seven residents were viewed all contained a section on “When I die,” with detailed information on whether the person wishes to be buried or cremated, music that they wished played and choice of reading. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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 the following standard(s): 22 and 23. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Staff are ensuring that residents’ complaints are taken seriously and acted on to reassure the resident. In addition staff are receiving appropriate training to ensure that residents are protected from abuse. EVIDENCE: Minutes of past residents’ meetings show that meetings are taking place regularly, as was a previous requirement. Residents have been discussing their views and concerns for instance; one resident stated that she was upset that a group that she was attending has ended. Another resident complained about the behaviour of another resident in the home. Complaints are recorded in a complaints book. The complaints book contains a section on the complaint, changes made to improve things and how things have improved. One resident spoken to about making complaints said, “I’d talk to the manager.” She went on to say, “I’ve complained in the past.” When asked about the outcome she said, “It was sorted.” Five staff files were viewed and all contained a copy of their certificate in adult protection training. The home also has a protection of vulnerable adults policies and procedures file, which contains a statement on the policies and procedures and detailed information on the protection of vulnerable adults. Two staff were spoken to about the protection of the residents from abuse. Both demonstrated a good understanding of their roles and responsibilities towards the residents and a good understanding of the home’s “whistle blowing” policy. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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 the following standard(s): 24, 26 and 30. Qualities in these outcome areas are poor. This judgement has been made from evidence gathered during the visit to this service. Residents are not entirely living in a homely, well decorated and tidy environment and they are being put at risk due to staff not ensuring that correct health and safety procedures are followed. EVIDENCE: Five requirements were made at the previous inspection relating to the internal and external environment in the home. The staff team have ensured that they have all been met, such as: parts of the home have undergone some refurbishments and the old cooker has been replaced. The identified carpets have been cleaned or replaced. The night staff are ensuring that the kitchen is cleaned thoroughly. The industrial washing machine has been repaired and the back garden has been cleared and made safe. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 18 However, although staff have done their best to make the home safe, comfortable and as homely as possible, areas such as the two lounges, the dining area, the upstairs kitchen and some furniture are looking a little “tired” and lacking character and a homely and cosy atmosphere. A requirement is made that the registered persons must ensure that a review of the home’s décor is undertaken. Bedrooms have been personalised with the resident’s own personal possession such as: pictures of family, hobbies such as music equipment and compact discs, cuddly toys, items for artistic painting and lots of other personal items. However, most of the bedrooms were very untidy, with unmade beds, clothes strewn about the room and cupboards and drawers left open. A requirement is made that the registered persons must ensure that a review is undertaken regarding staff supporting residents to ensure that their bedroom is kept clean and tidy. Communal areas of the home were clean and tidy and the independent living flat is regularly cleaned, as was a requirement at the previous inspection. However, the cleaner was using one mop and bucket to clean all parts of the home, increasing the risk of cross contamination and the spread of infections. A requirement is made that the home provides colour coded mops and buckets that are to be used only in specified parts of the home. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 36. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Robust recruitment procedures and checks are ensuring that the residents are protected. In addition, staff working in the home are being appropriately supervised and trained, to ensure that their personal development is monitored and that they are being supported. EVIDENCE: Through talking to three staff and looking through six staff files, staff are receiving a variety of training. Certificates showed that staff have completed training courses such as: health and safety, food hygiene, adult protection and moving and handling. The staff spoken to had a good understanding of the needs of the residents and were able to describe some of the skills needed to best meet the needs of the residents and support each other as a team. All of the staff files viewed contained comprehensive information about the staff member. All staff have: two references, a recent photograph, Criminal Records Bureau (CRB) check and their application form. A requirement was made at the previous inspection that all staff must receive regular supervision. Staff files viewed included records to show that they have been receiving regular supervision from the registered manager and the deputy manager. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Qualities in these outcome areas are adequate. This judgement has been made from evidence gathered during the visit to this service. A competent and qualified manager is managing the home confidently. The staff team are taken residents’ health and safety seriously. However, the views of residents and other stakeholders are not being taken into consideration when compiling the quality assurance monitoring of the home. EVIDENCE: The registered manager explained that she has been working in care since 1995 and at management level for the past three years. She went on to say that she is at present undertaking a National Vocational Qualification (NVQ) level 4 in care and has completed her Registered Managers Award (RMA). She also said that she has a qualification in advanced management in care. Throughout the inspection, the registered manager demonstrated her leadership qualities and her understanding of the needs of the resident and staff and her roles and responsibilities. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 21 The home has a questionnaire that is sent out to resident’s family entitled, “How are we doing?” However, although the home has a quality assurance monitoring system in place and staff have comprehensive questionnaires to fill in, there was no evidence that the views of the residents and other stakeholders have been taken into consideration. A requirement is made that the registered persons must ensure that the views of residents and other stakeholders are ascertained when compiling the home’s quality assurance monitoring system. The staff are ensuring that all health and safety checks are carried out regularly. Fire drills and tests have been occurring regularly and all safety certificates such as gas, water and Portable Appliances Test (PAT) were seen and were up to date and in order. The London Fire and Emergency Planning Authority (LFEPA) contraventions identified at the previous inspection and made a requirement have all been met. Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 2 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 X 28 X 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 X 34 3 35 X 36 3 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 3 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 2 X X 3 x Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 23 No 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 YA3 Regulation 18 (1) (c) (i) Requirement The registered persons must ensure that all staff working in the home receive appropriate training to ensure that they can communicate more effectively with residents. The registered persons must ensure that a review of the décor in the home in undertaken. The registered persons must ensure that residents are supported to keep their bedrooms clean and tidy. The registered persons must ensure that only appropriate colour coded mops and buckets are used in designated areas. The registered persons must ensure that the views of residents and other stakeholders are ascertained when compiling the quality assurance monitoring system. Timescale for action 24/11/06 2 3 YA24 YA26 23 (2) (d) 23(2) (d) 28/09/06 28/09/06 4 YA30 13 (3) 30/06/06 5 YA39 24 (1) (2) (3) 24/11/06 Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 24 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 Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Warwick Road 2 DS0000010534.V289900.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!