Inspection on 16/05/05 for Alexandra Park Home

This inspection was carried out on 16th May 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Alexandra Park Home 10/06/08

Alexandra Park Home 21/05/07

Alexandra Park Home 11/04/06

Alexandra Park Home 12/12/05

Alexandra Park Home 13/09/04

Alexandra Park Home 04/05/04

Similar services:

Ashlong House

Henry Nihill House

Birchwood

The Infirmary

Townley Road, 2-3

Orchard House Nursing Home

St Josephs Rest Home

Foxley Lane (121a)

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

CARE HOMES FOR OLDER PEOPLE ALEXANDRA PARK HOME 2 Methuen Park Muswell Hill London N10 2JS Lead Inspector Karen M Malcolm Unannounced 16th May 2005 @ 10.30am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. ALEXANDRA PARK HOME Version 1.10 Page 3 SERVICE INFORMATION Name of service Alexandra Park Home Address 2 Methuen Park, Muswell Hill, London N10 2JS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8883 5212 020 8343 7459 Mr David Weston Mr David Weston PC Care Home 15 Category(ies) of MD(E), PD(E), OP registration, with number of places ALEXANDRA PARK HOME Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. Limited to 15 people of either gender who fall into the category of old age (OP) 2. and who may also have a mental disorder (MD(E)) 3. and of whom no more than 8 people may be accommodated on the ground floor may also have a physical disability (PD(E)) 4. Five specified service users who have dementia may remain accommodated in the home. 5. The home must advise the regulating authority at such times as any of the five specified service users vacates the home. Date of last inspection 13th September 2005 Brief Description of the Service: Alexandra Park Home is a care home for 15 older people some of whom may have a mental health problem. There are 9 single rooms and 3 shared rooms. No rooms have en suite facilities, although there are a number of separate toilets plus two bathrooms. Alexandra Park Home is not purpose built and comprises of a large converted house with an extension. The home is situated in a quiet residential area of Muswell Hill and is not far from local shops and amenities.The home’s stated aims include that ‘residents right are at the top of our care philosophy. We will advance the rights in all aspects of the home and encourage our clients to take part fully in decision-making’. ALEXANDRA PARK HOME Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 10.30 am and 2.30pm. In the home at the time of the inspection were the manager/provider, two care staff, the domestic/carer, the cook and fourteen service users. The inspection involved speaking to the service users, who stated that they are very happy with the care provided, sampling a number of care plans, records and a tour of the building. Interaction observed between staff and service users was friendly, respectful and caring. The manager and all staff the inspector met were very open and helpful throughout the inspection. What the service does well: What has improved since the last inspection? In the previous inspection report, eighteen areas for improvement were stated, six of which are restated in this report. These areas relate to the registered person recording on individual care plans their wishes in the event of their death or serious illness occurring, job descriptions are now present on all care staff personnel files, clear labels are now present on all food products that were found opened in the fridge and in the stored cupboard, Control of Substances Hazardous to Health (COSHH) items were found to be stored appropriately and safe, specialist equipment was serviced, and any notification under Regulation 37 has been submitted to the CSCI. The senior care staff has ensured that all staff are aware of changes to individuals care needs within the home. This is monitored through supervision. ALEXANDRA PARK HOME Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. ALEXANDRA PARK HOME Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection ALEXANDRA PARK HOME Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 & 4 Service users prior to moving into the home are assured that their needs will be met, therefore receiving appropriate care to meet individual’s care needs. However, service users cannot be confident that this is consistently monitored appropriately in all cases. EVIDENCE: Since the previous inspection there has been one admission and one discharge into the home. There was evidence that the service user’s social worker prior to admission undertook a full assessment. About a year ago the registered manager applied to the Commission for a variation to the home’s Conditions of Registration. The variation approved was for five specific service users with dementia (D(E). This also included that it is the reponsibiltiy of the manager to notify the Commission at such times as to when any of the five specified service users vacate the home. Since the previous inspection one of the five service users had moved out . However no notification had been made about this to the Commission. Therefore the registered manager/provider was informed that he was in breach of one of the home’s Conditions of Registration. This matter must be acted upon by the registered person. ALEXANDRA PARK HOME Version 1.10 Page 9 A number of care plans were sampled. It was evident that one service user’s care plan assesment stated a clincial diagnosis of dementia. However, this service user was not one of the specific five users stated on the home’s registration certifcate. It was advised that the registered manager must write to the Commission notifying which of the five specfic service users no longer live in the home. It was also advised that that the manager must cease to admit any service users into the home with a clinical diagnosis of dementia. It was discussed that the manager must either comply with the names Conditions of Registation or apply to the Commission for a variation to the Conditions of Registration should the home wish to accommodate additional service users within the dementia catergory. Any new service users within the catergory of dementia must not be admitted to the home until such time as an application for variation has been submitted and granted/agreed by the Commission for Social Care Inspection (CSCI). The inspector spoke to a number of service users, the feedback given was very positive and they all stated that they like living at the home and they felt warm and welcome when they first arrived. ALEXANDRA PARK HOME Version 1.10 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, The registered person has failed to ensure that service users healthcare and risk assessments are reviewed and monitored consistently, when any changes occur. Therefore ensuring service users receive the appropriate care and support. EVIDENCE: At the previous inspection a number of areas for improvements were required. The first related to the registered person completing thorough risk assessments on each service user and consulting with relevant professionals prior to a stair lift being installed. The assessment package is to include an risk assessment of the environment. The second area of improvement was to update the care plan for one specific service user who went missing from the home on 10/08/04 with clear guidelines. The third relates to the registered person ceasing the practice of locking the front door, with regards to service users who wander from the home unsupported. An alternative security procedure is to be put in place. The fourth relates to any incidents reportable under Regulation 37 to be submitted to the CSCI without delay. The final area of improvement required a review of a specific service users medication. At this inspection, the manager stated that he had not notified the Physiotherapist or completed the environment assessment with regards to a stair lift being installed. This is now being put on hold and remains ALEXANDRA PARK HOME Version 1.10 Page 11 outstanding. Therefore this is restated. It is reminded that the risk assessment should include: • • • The support needs of each service user who uses the stair lift. The risk elements of having a stair lift in place Guidance notes on the procedures to follow in the event of an accident/incident occurring. Service users competent understanding of the risk elements when using the stair lift Step-by-step guidance notes for care staff to support service users when using the lift. Whether individuals can use the stair lift independently Monthly risk assessment updates. • • • On examining the specific service user’s care plan with regards to the risk assessment being updated due to the user wandering, no risk assessment had been completed. The manager stated that this service user is now in hospital, and there is a possibility that the user might not return back to the home. It was advised that the risk assessment should be completed if the service user returns. The practise of locking the front door has now ceased and an alarm system is in place to alert staff when the door opens. However, this was not working on the day. As at the time of writing this report the manager now completes Regulation 37 reports and copies have been submitted to the CSCI. The home has in place the blister pack medication supplied by the chemist. The home’s medication policies and procedures are clear with regards to receiving, administration and disposal of medication. However, the specific service users medication Co-Amilofuse tablets examined still stated ‘one to be taken in the morning.’ This was discussed with the manager and the senior staff that both stated that the medication was reviewed with the GP and changes had been made. However, this was not evident on the Medication records Chart/sheets (MAR) examined. An Immediate Requirement’ was issued with regards to this. Prior to the completion of this report the manager submitted an action plan to the CSCI. Individual service users wishes in the event of their death or a serious illness were recorded on individuals’ file. Service users healthcare needs are recorded. Since the previous inspection there has been one admission into the home. The new service user is diabetic and insulin dependent. The senior care staff stated that the district nurse trained a number of staff to administer insulin ALEXANDRA PARK HOME Version 1.10 Page 12 injection. There was no evidence of this on the service users file or Medication Administration Records (MAR) chart that care staff undertook this training by the district nurse. Monthly reviews are completed. One of the care plans sampled, last monthly review was March 05. The inspector was informed that this service user was in hospital and that this was the reason for non-completion. ALEXANDRA PARK HOME Version 1.10 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 & 15 Service users maintain family conract and participate in various planned activities in house. The meals in this home are good, offering both choice, variety and catering for special dietary needs. EVIDENCE: The home has an activity folder of all the activities participated by the service users in the home. There were no activities planned on the day of the inspection, individuals were either watching TV or wandering around the home’s enclosed garden area. The lounge/dining area is the only area where activities can take place and where the users sit and watch TV or listen to music. The visitor’s book was in place and all visitors sign in and out. Individual’s contact details were on their care plan files. A number of the users are unable to go out unsupported. The manager stated that the home maintains community links through planned activities and visitors. One service user interviewed stated that they often goes out for short walks. ALEXANDRA PARK HOME Version 1.10 Page 14 The cook provides the service users with a wholesome and nutritious home cooked meal daily. Those on a soft diet are also catered well by the home. It was observed that service users enjoy the meals provided. The inspector also observed the respectful way staff interacted with the users, especially those who needed additional support with their meals. Staff sat beside individuals when assisting with their meals. The service users interviewed stated that food in the home was always very good. At the previous inspection it was required that all food open, dried or frozen should have a label on, once opened. This was checked and all was in good order. ALEXANDRA PARK HOME Version 1.10 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The home has a satisfactory complaints system with some evidence that service users feel that their views are listened to and acted upon. Service users are protected with the knowledge that staff are well trained and understand the procedures with regards to abuse. EVIDENCE: The home has in place a complaint policy and procedure. Since the previous inspection no complaints were recorded The registered person stated that all the care staff have undertaken adult protection training in September and December 2004. This was evident on the staff training files seen. ALEXANDRA PARK HOME Version 1.10 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 21, 25 & 26 The home is satisfactorily decorated, therefore providing service users with a pleasant environment in which to live. However, there is a number of maintenance issues which need addressing in the home. EVIDENCE: The home has a large lounge/ dining area. There is also a small smokers lounge. The home meets with the current requirements in terms of communal space. The home also has nine single bedrooms and three double bedrooms. All the double bedrooms have a screen in place to ensure privacy when needed. One service user gave the inspector a tour of their bedroom. The service user stated that they are happy, comfortable and has all the amenities needed. At the previous inspection there were a number of maintenance issues that needed addressing. It was evident that a number of areas had been addressed. These were Room 3, window restrictors, which are now in place, room 2, water damage, this has now been repaired and re-decorated and the ALEXANDRA PARK HOME Version 1.10 Page 17 dining room/smokers room needed decorating, this has now been completed. The other areas that remain outstanding are: Room 2 Flooring outside of room 2 needs attention as it is uneven. Room 3 Window latch is broken and must be repaired. Room 4 Damaged and cracked walls must be repaired. Room 9 Damaged and cracked walls and damage to the wall behind the door must be repaired. Room 10 Only one single plug socket, double plug socket needed Room 11 Wall near bed must be repaired. Bathrooms All are in need of redecorating and need to be made more personal to the users in the home. The manager stated that the home has many cracks and damage to the walls and ceiling due to the subsidence of the building. The home has a number of wheelchairs and a specialist hoist chair in one of the bathrooms. It was evident that all yearly service certificates were in place. During the tour of the building it was observed in one of the service users bedroom that there was an old-fashioned electric water boiler for the hot water supply in place. The inspector asked the manager if this equipment was serviced alongside the other electrical equipment in the home. The manager stated he could not remember. It was advised that this must be serviced yearly. It was observed that bedroom doors were still being wedge opened. This remains outstanding and is therefore restated. The home was found to be clean and free from offensive odours throughout. A satisfactory policy regarding infection control was examined. Controls of Substance Hazardous to Health (COSHH) items were found to be stored appropriately. ALEXANDRA PARK HOME Version 1.10 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 29 The home has ensured that the skills mix of staff meets service users needs. However, the home’s recruitment procedures have failed to ensure that service users are protected by staff that volunteer or are on placement in the home. EVIDENCE: In the home at the time of the inspection were the manager, one senior care staff, one care staff, the cook and one domestic worker, who worked part of the shift as carer. One member of staff was off sick and the domestic/carer person covered this shift. At the previous inspection it was required that the registered person ensured all care staff personnel records include a copy of individuals job description. Upon sampling a number of care staff personnel records, it was evident that these were in place. The manager in agreement with a nursing agency accepts student carers on placement. It was required at the previous inspection that the manager ensures that all volunteers or students on placement must have in place an enhanced Criminal Records Bureau check (CRB) certificate prior to working in the home. A letter from the agency was on file, stating that the student, who was on placement at the time of the previous inspection, had their CRB check applied for. It was advised that under no circumstances students or volunteers could work in the home without first having in place a satisfactory enhanced CRB check completed. Evidence of this is to be placed on individual personnel files prior to starting their placement. ALEXANDRA PARK HOME Version 1.10 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 & 38 Service users know that their financial situation is protected. Service users are assured that their health and safety is promoted and protected, however, this is not always consistent. EVIDENCE: The manager informed the inspector that fourteen service users relatives or families manage their benefit books and one service user manages their own finances. One service user is under a Guardianship order. This remains the same as at the previous inspection. At the previous inspection it was required that the registered person ensures that fire drills are carried out at the home at least once a quarter. A proportion of these must be unannounced and involve all staff and service users in the home at the time of the drill. A record made is to include the date, time, the length of time it takes for all persons involved in the drill to assemble at the meeting point and a of list all persons involved. The record must also indicate any difficulties experienced and any remedial action undertaken. The last fire ALEXANDRA PARK HOME Version 1.10 Page 20 drill was 4/05/05 and the previous drill before May was in January 05. The records shown did not have the names of the users & staff present in the home, at the time of the drill. This remains partially outstanding and is therefore restated. All other heath and safety certificates were in place and kept on file. It was also required at the previous inspection that the registered person ensures that the washing machine is serviced, and that during the night, the washing machine is not used so not to disturb the service users whose bedroom is next door to ensure they have a peaceful night. A copy of the service invoice is to be kept on file. It was evident that the washing machine was serviced and staff stated that no washing is now completed at night. ALEXANDRA PARK HOME Version 1.10 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x 2 x x x 3 3 STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 x x 2 ALEXANDRA PARK HOME Version 1.10 Page 22 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 4 Regulation 4(3)(b) Requirement The registered person must notify the CSCI of the specific service user who has dementia and has recently moved out of the home. So that the Certificate of Registration may be amended accordingly. The registered person must complete thorough risk assessments on each service user and consult with relevant professionals prior to a stair lift being installed. The assessment package must also include an environment risk assessment. A copy of the assessment is to be present on file and a copy on individual service user’s care plans. (Previous timescale 30 December 2004 not met.) 3. 19 23(2)(b) The registered person must address all the areas described under the section relating to the ‘Environment’. An action plan giving a timescale of when works will be completed is to be kept on file, indicating what steps will be taken to minimise disruption Version 1.10 Timescale for action 16 July 2005 2. 7 14(2)(a) (b) 16 July 2005 30 August 2005 ALEXANDRA PARK HOME Page 23 to service users when works take place. This will be examined at the next inspection. (Previous timescale 30 February 2005 not met.) The registered person must update the care plan of the specific service user who went missing from the home on 10/08/04 and ensure that clear guidelines as the procedures to follow are in place. Once completed, this is to be reviewed monthly by the home. If the service user returns back to the home. (Previous timescale 30 October 2004 not met.) The registered person must ensure that the new alarm system for the front door is working at all times. The registered person must review the specific service user’s medication with the GP and obtain a prescription to indicate clearly whether the Co-Amilofuse 4/5gm tablets are to be taken ‘One in the morning’ or ‘As and when required’. Requirement restated (Previous timescale 30 October 2004 not met.) The registered person must ensure that the specific service user, who is administered insulin injection, has in place on their care plan, clear instruction by the district nurse as to how the medication is administered daily. Consent given by the service user or their representative on their behalf with regards to care staff administering their medication must be in place. Only care staff that are trained Version 1.10 4. 8 15(2)(b) 30 June 2005 5. 8 13(4) 23(2)(c) 13(2) 6. 9 30 June 2005 And from then on 20 May 2005 Immediate Requirement 7. 9 13(2) 16 July 2005 ALEXANDRA PARK HOME Page 24 8. 21 13(4)(a) (c) 9. 29 19 Schedule 2.7 by the district nurse can administer the medication. A listed of all trained care staff is to be placed on the front of the specific service user’s Medication Administration Records chart (MAR), with the dates of training undertaken. The registered person must ensure that the old-fashioned electric water boiler in a specific service user’s bedroom is serviced and from then onwards completed yearly. Evidence of this must be available for the purpose of inspection. The registered person must ensure all staff employed, volunteers or student on placement have in place before commencing work in the home an enhanced CRB check that has been completed by the home or if completed by an agency a verification record stating the individual’s CRB number, the date applied for, the individual’s date of birth and any conviction/s that appears on the CRB form. A record of this is to be kept on file. (Previous timescale 30 November 2004 not met.) The registered person must ensure that care staff review service user’s care plans. These are to reflect any changes in needs and current objectives for health and personal care with any actions to be followed. 16 July 2005 And from then on 30 June 2005 And from then on 10. 7 15(2)(b) 16 July 2005 And from the on ALEXANDRA PARK HOME Version 1.10 Page 25 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 38 Good Practice Recommendations It is recommended that records of fire drills include the date, time, the length of time it takes for all persons involved in the drill to assemble at the meeting point and a list of all persons involved. The record must also indicate any difficulties experienced and any remedial action undertaken. It is recommended that the registered person should decide what action is taken with regards to the home Condition’s of Registration. 2. 1 ALEXANDRA PARK HOME Version 1.10 Page 26 Commission for Social Care Inspection 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. 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