Inspection on 09/02/06 for Dimensions 2 Lindsay Drive

This inspection was carried out on 9th February 2006.

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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Dimensions 2 Lindsay Drive 03/04/07

Dimensions 2 Lindsay Drive 01/08/05

Dimensions 2 Lindsay Drive 16/02/05

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 08/07/2008.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 2 Lindsay Drive 2 Lindsay Drive Kenton Middlesex HA3 0TB Lead Inspector Monica Saunders Unannounced Inspection 9th February 2006 10:00 2 Lindsay Drive DS0000062633.V280118.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 2 Lindsay Drive DS0000062633.V280118.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 Older People and 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. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 2 Lindsay Drive Address 2 Lindsay Drive Kenton Middlesex HA3 0TB 020 8905 0645 020 8903 7607 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) www.pentahact.org.uk PentaHact Gill Temkin Care Home 5 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (2) of places 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st August 2005 Brief Description of the Service: Lindsay Drive is one of number of homes for people with learning disabilities owned by Pentahact in the Harrow and Brent area. It provides care and, accommodation for five people with learning disabilities and some physical disability, two of whom are over 65. Accommodation is provided on two floors. There are three bedrooms on the ground floor and two on the first floor. There a designated day care room with keep fit equipment for the resident’s use There is a spacious lounge and large kitchen dining room on the ground. The property is on the corner of a quiet road in Kenton and a busy main road. It is approximately 10 minutes walk to the nearest tube (Kingsbury) and main bus routes are close by. There are shops and restaurants close by as well as a range of leisure facilities in Harrow town centre. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out during the day on 9 February. Two residents were on holiday in Cuba with two members of staff for two weeks and were scheduled to return on 16 February 06. Two residents were in the home on the day of the inspection. The manager was not available for the inspection and a member of staff provided all information required by the inspector. A tour of the premises took place. The inspector spoke to one member of staff and two residents. The inspector examined samples of care plans and other records and policies and procedures. Two workmen were present throughout the inspection carrying out repairs to a leak from the laundry room. A large area had been dug out around the entrance/exit door leading to the garden. The workmen confirmed that this would be filled in the same day of inspection. What the service does well: What has improved since the last inspection? What they could do better: Staff must to ensure that the radiators in all rooms are checked periodically to ensure the residents remain in warm living conditions at all times. Staff must ensure that resident’s beds are not placed directly beside radiators that do not have a protective covering over them. The home must ensure that radiators have protective covers over them. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 6 The manager/staff must ensure that a risk assessment is carried out prior to any repair/building works being commenced to ensure the residents safety during any work being carried out. 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. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed EVIDENCE: 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Residents make decisions about their lives with assistance as needed, and reflects in the care plan. Residents maintain choices in their daily life at the home regarding clothing, activities and meals. Residents are encouraged and supported by the home to take risks as part of an independent lifestyle. The home should review the programme of the resident who will be moving to his own accommodation. EVIDENCE: One female resident who was 82 years old, said she preferred staff to purchase her clothing for her, as she felt the shopping trips were “too much for me”. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 10 The resident said she would tell staff what she needed and they would purchase the item. She also said that her key worker knew her well enough to know what she likes. A male resident said he would be moving soon as it had been agreed that he could move to a flat with his girlfriend but said, “I would like a carer to live with us”. Assessments have been carried out to look at the possibility of him moving into accommodation with his girlfriend. The resident’s concerns need to be addressed by viewing and updating assessments to ensure his needs will be supported in the community. The resident confirmed he had a key to the front door and to his room allowing him to go and come when he needed to. He said he normally goes shopping with staff and confirmed he chooses what he likes to buy, he also said “I go to the bank with staff to get my money because I feel safer”. The resident informed the inspector that he has been told by the manager that he will be doing his own shopping soon, as a way of preparing him for independent living. Resident’s files were examined and indicated that risk assessments for residents had been completed in 2005, and had been updated in January 2006. There are individualised risk assessments in place, which promote the safety of residents, but also allow them freedom. All records relating to residents are kept in a lockable office. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,15, 17 Residents are supported in developing healthy relationships, and attend day centre services to enhance and maintain additional community links. Resident’s dietary needs are catered for. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 12 EVIDENCE: One resident said he attends the day centre on Mondays, Tuesdays and Wednesdays and makes a variety of things such as pom pom balls. Staff said Brent transport collects the residents and returns them from the day centre. One male has developed a relationship with a female whilst attending the day centre since living at Lindsey Drive and is being supported by staff to move on to his own accommodation to live with his girlfriend. The male resident said, “Staff support me to prepare meals and tidy my room. The residents menu was examined the meals consist of balanced and nutritional dishes, which the residents said they enjoy. Staff hold a food hygiene certificate and the expectation is that they cook the meals as part of their shift plan. One resident commented that the food they received at the home was “very nice and filling” . 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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, 20, 21 Residents are supported to receive personal care in a way they prefer. Medication practices are safe. Residents are treated with respect. EVIDENCE: Two case files were examined and care plans needs assessment, health assessment and risk assessment were viewed. Care plans gave information about resiwedents such as their likes and dislikes and background history. Resident’s files evidenced involvement with health professionals and areas where support was required with personal hygiene. An occupational therapist has carried out an assessment of one resident who requires the use of a zimmer frame periodically. Health records are maintained. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 14 Staff call residents by their first names, residents said they were satisfied with this arrangement. Staff said that one of the residents is supported with her personal care before day staff go off duty. The home has a medication policy in place. A daily file is made available to staff kept in the staff room. There is a list of named staff that can give medication together with their signatures on the medicine cabinet, which is alarmed. A record of all PRN medications received and returned was made available for the inspection. The local pharmacist has been recorded as giving advice to the home on medication on 16 January 2006. Contact details of the Pharmacist are available for staff. The home has detailed information for the funeral arrangements of residents on individual files. Residents wishes on ageing, illness and death are recorded sensitively . 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) 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 The home has a policy on complaints, however one resident said he did not know how to make a complaint. EVIDENCE: The inspector examined a copy of the homes complaints procedure in the staff room. One resident said at the time he did not know how to make a complaint and would like to be given a copy of the complaint policy either in the form of a handbook or a leaflet. Following the inspection the managerr informed CSCI that the residents are given copies of the homes complaints procedure which are in their care files as well as in their rooms. Residents are able to express their views at the residents meetings, which are minuted. The records of these meetings indicated that ideas and suggestions residents had for meals and activities were acted upon. Holiday requests were also implemented. The resident’s are protected from harm by staff attending the Adult Protection training, which has heightened staff awareness. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) 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, 25,29,30, The home provides a homely environment for residents. There are sufficient toilets and bathrooms to meet resident’s needs. Residents have access to the aids and adaptations they require. The home should ensure that the residents own areas are appropriately maintained. EVIDENCE: Residents have access to a lounge and kitchen diner on the ground floor. A reasonable sized garden is available to residents at the rear of the home. Staff said that smoking is not permitted in the home. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 17 Residents confirmed they were able to choose their paint colours and furnishings. Residents are able to have televisions and audio equipment in their bedrooms if they wish. There is a walk-in shower with stool situated on the ground floor. The home has not been specifically designed for people with severe mobility issues. Residents are encouraged to bring personal possessions to the home, all bedrooms viewed are all individually personalised. The home has central heating however, on the day on inspection a radiator in one of the residents bedroom on the ground floor was not working and staff were asked to ensure this is corrected and monitored. All areas of the home were clean and free from offensive odours. The laundry area was clean and hygienic. In one of the bedrooms on the ground floor the radiator was off, and the resident was unable to mobilise herself sufficiently to keep warm, staff was not aware of the radiator being off. In another bedroom on the ground floor a resident’s bed had been placed near to the radiator. The manager must ensure that resident’s beds are placed/rearranged in a manner that does not compromise the safety of the residents. Radiator covers must be installed to all rooms. There were workmen in the home at the time of the insepctioncaryingout repairs to the laundry area. The member of staff informed the inspector that the work to the laundry area had commenced in Dec/Jan 06 and could not be completed before Thames Water Authority had inspected the completed work at the front of the property. The staff said that the garden was not being used whilst the works were being carried out. The hole had been protected by, placing a large board over the area, and covering the board with a chair when the workmen left the premises for the day. The manager must recognise that this is a dangerous practice and must not be repeated for any future repairs. The manager must ensure that a risk assessment is carried out prior to any works being commenced to safeguard residents from harm during the works. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35,36 Staffing levels were observed to be inappropriate during the course of the inspection. Appropriate training and supervision is in place for staff. EVIDENCE: One member of staff was on duty at the time of inspection with two residents. One resident is in the proces of developing independent living skills with a view to moving to supported living in the near future. The other person required minimal supervion in their daily activities. The inspector was informed that two of the residents had gone on holiday to Cuba and one had left to go to the day centre. There were to be two staff on the evening shift. A staff rota was supplied following the inspection. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 19 The training files indicate that staff attended POVA training on 16 June 05. The staff member said she has attended training in Makaton, health and safety and medication. Staff confirmed that supervision was received fortnightly and supervision sessions were split between the manager and deputy manager. Supervision records were not accessible due to the managers being on holiday with the residents. Staff files were not available for the inspection due to the manager’s absence. These will be reviewed at the next inspection 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 43 The home has a quality assurance monitoring system in place ensuring resident’s needs are met. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 21 EVIDENCE: The home operates an internal audit system and Reg 26’s are carried out. No updated business plans were viewed at the time of the inspection to confirm any repairs or redecoration to the home. The employer’s public liability certificate was seen on display in the hallway. The inspector viewed the homes records of resident’s cash flow information detailed in the petty cash book. All entries were up-to-date and signed for.f . 2 Lindsay Drive DS0000062633.V280118.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. Where there is no score against a standard it has not been looked at during this inspection. 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 X 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 2 23 X ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 2 34 X 35 3 36 3 CONDUCT AND MANAGEMENT Standard No Score 37 X 38 X 39 X 40 X 41 X 42 X 43 3 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2 Lindsay Drive Score 3 X 3 3 DS0000062633.V280118.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 YA24 Regulation 13(4) Requirement The manager/staff must ensure that a risk assessment is carried out prior to any repair/building works being commenced to ensure thatresidents are safe. Staff must to ensure that the radiators in all rooms are checked periodically to ensure the residents remain in warm living conditions at all times. Timescale for action 30/04/06 2. YA26 23(2)(p) 30/04/06 3. YA26 13(4) Staff must ensure that resident’s 30/04/06 beds are not placed directly beside radiators that do not have a protective covering over them. Radiator covers must be provided in all bedrooms RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 24 No. Refer to Standard Good Practice Recommendations 2 Lindsay Drive DS0000062633.V280118.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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. 2 Lindsay Drive DS0000062633.V280118.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. 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