Inspection on 26/04/07 for Arbour Street, 53

This inspection was carried out on 26th April 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Arbour Street, 53 23/05/06

Arbour Street, 53 06/02/06

Arbour Street, 53 13/10/05

Arbour Street, 53 03/11/04

Arbour Street, 53 30/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Arbour Street, 53 53 Arbour Street Southport Merseyside PR8 6SQ Lead Inspector Elaine Stoddart Key Unannounced Inspection 26th April 2007 09:30 Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arbour Street, 53 Address 53 Arbour Street Southport Merseyside PR8 6SQ 01704 532441 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) Speciality Care (Rest Homes) Limited Mrs Jean Mulhearn Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 3 LD The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 23rd May 2006 Date of last inspection Brief Description of the Service: 53, Arbour Street is a large semi-detached property, which has been converted into a small care Home, which provides personal care and support for up to three residents with a learning disability. Three residents were present throughout the inspection. The home is registered as a ‘home for life’ with Speciality Care (Rest Homes) Limited, and is managed by the acting manager Mr Werner Myburgh. The home is yet to appoint a registered manager who has been approved by the Commission of Social Care Inspection. The home is situated in a residential area, which is located close to the town centre of Southport. The local amenities are accessible via local transport services and include cinema, swimming pool, shops, pubs, restaurants and parks. The home provides a homely domestic setting for the three young adults resident. Each has their own bedroom and communal facilities include two lounges, dining area, small-enclosed garden and kitchen. Each residential placement is based on an individual needs assessment, individual care plan and activity programme. The charges for accommodation are £914.72 - £935.40. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day. It was an unannounced inspection (site visit) and was carried out as part of the regulatory requirement for care homes to be inspected. A full tour of the home was conducted and care records and other home records were viewed. Discussion took place with the acting manager; one of the care staff and the three residents were present. Three residents were accommodated at the time of the inspection. During the inspection two residents were case tracked (their care files were examined and their views of the home were obtained). This process was not carried out to the detriment of other residents who also took part in the inspection process. All the key standards were inspected and also previous requirements and recommendations from the last inspection in May 2006. Satisfaction survey forms “Have Your Say About …” were distributed to the residents. Comments included in the report are taken from the survey forms and also during the site visit. What the service does well: The home is comfortably furnished and spacious. Each resident has their own room and there are two communal lounges available, a dining area and kitchen, which provide sufficient space for the residents accommodated. An activity programme is in place, which provides access to the facilities in the local community and other areas, such as Blackpool, which is accessed via the college mini bus. Residents are encouraged to maintain contact with peers and family members. The home has a pleasant, inclusive atmosphere and residents and staff were observed to interact positively. The residents take part in a full activity programme, which is provided by the two care staff who are on duty daily to meet the residents needs. Recruitment and selection procedures ensure that staff are employed in the interest of the resident safety. An ongoing training programme ensures the staff are equipped with the skills to carry out their roles. Reviews take place monthly by the home’s manager. Reviews with other professionals involved in their care also take place to monitor their progress. A behaviour-monitoring plan is being used to monitor one of the resident’s Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 6 progress. Risk assessments and protocols for staff are in place in view of the residents learning disability needs. Health care needs are recorded and access to health care professionals is available. What has improved since the last inspection? What they could do better: Outstanding requirements from the last inspection have yet to be met, which will improve the standard of the home. Discussion with the manager confirmed that the outstanding improvement have been agreed by head office and are waiting to be completed. The requirements outstanding are contained in the ‘Requirements’ section of this report. The manager must apply to the Commission for the appointment of registered manager. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 8 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 Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment documentation is in place to ensure the home can meet the needs of the residents. EVIDENCE: Two of the three residents have lived at 53, Arbour Street for many years. A new resident has been admitted to the home since the last inspection. The resident said he was happy in his home and observation and discussion with him confirmed this. Assessments of need are in place and are completed prior to admission. Two assessment details were viewed and coverered all aspects of care - health and personal needs, risk assessments, social background, likes and dislikes, health care involvement, medication and protocols for staff to deal with behavioural management. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health, personal and social care needs are addressed in care plans. Residents are supported to take risks as part of their independent lifestyle. Residents are involved with decision making in the home. EVIDENCE: All three residents were spoken with to obtain their views on the home. The residents have communication needs, therefore discussion was limited. All three residents were observed to be settled in their home and interacted well with the staff on duty. Two residents’ care files were viewed and record their health, personal and general care needs. Hygiene, sleep patterns, weight and nutrition are also recorded. An annual health check is also completed for all three residents. All visits to health care professionals are recorded. All three residents access aspeach and laguage therapist via Arden College or the Hesketh centre. One resident recently had a review of his full care package Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 11 with all involved in his care. One resident is regularly reviewed by all involved in his care to monitor his behaviour. The staff at the home, to assess progress, is monitoring this closely and behaviour records are maintained. One resident has a community nurse visit every month to monitor his progress and has completed a risk assessment screening for him. The clinical governance team have apllied for extra funding for one reisident to provide him with more monies for mobility. The outcome for this is not yet approved. Risk assessments had been completed for all resident and are regularly updated. One resident’s communication skills have improved and was observed to communicate well with the staff on duty. All three residents took part in the inspection. Residents have communication difficulties, however resident meetings take place and residents are included in deciding menus and daily activities of their choice were possible. Residents have regular contact with their relatives who are able to act on their behalf. An advocate service is available should this be required. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11,12,13,14,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents engage in appropriate leisure facilities, mix with peer groups and take part in the local community. Residents take part in daily living tasks and are provided with a healthy diet. EVIDENCE: Activity plans viewed showed activities provided in the local community and include, golf, gym, climbing wall, cycling, disco, cinema, bowling, walks, resource centre and shopping. The college mini bus is available weekly to enable the resident’s access to activities outside the local area. These include trips to the Lake District, Parbold and Albert Dock at Liverpool. A recent trip to Blackpool took place and the residents said they and a good time. Pictures are displayed in the home and the residents are seen enjoying themselves. One resident was pleased to demonstrate the activities he had taken part in by showing the pictures on his mobile phone. The manager applies to the college Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 13 for funding weekly for the activities they wish to take part in. Staff spoken with said: “There are no problems getting the money. Some activities, such as meals out, the residents pay for themselves. We have two staff on duty at all times so that the residents can go out/or stay in if they wish. They have a great life and are always out and about. We do the menus with the residents and they choose what they want. There is plenty of money to purchase food”. The residents are unable to take part in work placements due to their level of disability. Residents’ mix with peer groups at the weekly disco and often visit other ‘houses’ were their friends live. During the visit two residents had accessed the resource centre in the morning and all three went out for their lunch. One resident attends the local college for gardening/catering. Certificates obtained are displayed on the wall in his room. Residents are encouraged to maintain contact with their relatives who are encouraged to visit the home and attend reviews. Since the last inspection the manager confirmed that the household budget allowance had been reduced from £80.00 per week (including £5.00 for cleaning materials) to £60.00 per week (£3.00 for cleaning materials). This has resulted in the manager having to budget more closely. Discussion with the manager confirmed that this is not affecting the quality of the meals provided. “We just have to be careful how much we spend”. Food stores were checked showed there was sufficient food in place. Staff sign finance sheets for all activities, toiletries and any expenses incurred. It is now company policy that two signatures are obtained. Since the last inspection the residents have been on a short break camping in Tenby with staff support. Further holidays are yet to be planned for this year and the manager, staff and residents are in the process of choosing where to go. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health needs are assessed and outlined within a plan of care. Residents have access to their own GP and other health professional where appropriate. Medication procedures are in place to ensure safe handling of medication. EVIDENCE: Care files viewed evidenced visits by GPs, other community based services and health professionals. Care files demonstrated the needs identified and support required by staff. Records are made of all visits and reviews held. The staff at the home, who record daily in a ‘behaviour management file’, is presently monitoring one resident’s behaviour closely. The staff are aware of the triggers points to prevent challenging behaviour. The community nurse attends monthly to monitor progress and regular reviews are held at the Hesketh centre with the consultant. The residents wear their own clothes and routines are flexible within their daily lives. There are two staff on duty at all times to provide support. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 15 The residents receive prompting and guidance from staff regarding their personal hygiene. Care plans evidence short, medium and long-term targets. Residents’ weights are recorded and monitored. A protocol is in place for staff to follow in view of the residents’ learning disabilities and their need for routines to be followed. Medication policies and procedures are in place and the manager and staff who administer have completed medication training. Details of the residents’ medication are up to date and contained in the medication file. Medication is securely stored and all administrations made are recorded. Information on medication prescribed for the residents in contained within the medication file for staff reference. The care plan records a risk assessment to show that staff administer medication. The college are responsible for all the returns. Sample signatures for staff are in place. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints procedure is in place. The home has abuse policies and procedures to safeguard the residents and staff. EVIDENCE: The complaint procedure is displayed in the home. No complaints have been recorded since the last inspection. The residents have relatives who act on their behalf and are regularly involved in their reviews. The home has an abuse policy and POVA (protection of vulnerable adults) training is now included in the home’s training plan. A copy of the new Sefton and Liverpool ‘Safeguarding Adults’ documents is available in the home and available for staff to access. Staff spoken with demonstrated their awareness of abuse procedures. Financial policies and procedures are in place and records and receipts obtained for all financial transactions made. The residents are unable to manage their own finances. Savings for residents are maintained within the residents account held at the college. Weekly allowances are accessed daily and additional monies are applied for from their fund should they need to purchase clothes or holiday monies. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 17 Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24,25,26,27,28,29,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is comfortable, spacious and clean. Repairs and improvements should be addressed improve the standard. EVIDENCE: Arbour Street is a converted house and is in keeping with the local community. The home has three bedrooms, two lounges, dining room, kitchen, staff room, staff bathroom and residents’ bathroom. All areas of the home were viewed and found to be comfortable and clean. The bedrooms have personal possessions including electrical equipment, pictures and photographs. There are still a number of requirements outstanding from the last inspection, which includes repairs, replacement. Discussion with the manager and viewing of records confirmed that the repairs and improvements have been forwarded to head office and approved. Yet these improvements are still outstanding. Some Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 19 improvements have been made – the home has been redecorated throughout. Some new furniture purchased for the new resident and a new computer purchased. The outstanding requirements from the last inspection have yet to be met, which will improve the standard of the home. These are – repair garden wall/ tiling in staff bathroom/front garden gate/resurface front path/vent provided (as recommended by fire report), radiator covers to be fitted in the lounge and activity room. During the visit it was noted that the lino in the kitchen need replacing as it is lifting. The requirements made are contained in the ‘Requirements’ section of this report. The front door is kept locked for security purposes. The residents do not have keys to their rooms or the home for safety risks. Policies and procedures are in place for infection control. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A recruitment and selection procedure is in place. Training is provided to equip staff with the skills to carry out their roles. EVIDENCE: Two staff personal files were viewed. These contained all the necessary documents, such s, referencess, CRB’s, contracts and job descriptions. Training records viewed were found to provide an ongoing training programme. Discussion with staff and viewing of certificates confirmed that training is in place, up to date and ongoing. A core group of four regular care workers (including the manager) provide continuity of care for the residents’. Two staff are on duty daytime and one member of staff for night cover. Two care staff are qualified in NVQ, one is taking the qualification and one has applied. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 21 Supervision and appraisals are in place and staff spoken with confirmed this. The manager was to have appraisal but do to the unannounced inspection this had to be re-arranged. Regular staff meetings take place to monitor the progress of the home. Staff were observed to communicate effectively with the residents during the site visit. Staff are kept up to date with events as they have a daily handover, staff meetings and supervision. Records are kept in daily link book and individual resident’s daybooks. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39,42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. General records are maintained to promote the health, safety and welfare of the residents. The home is yet to appoint an experienced, qualified manager who has been approved by the Commission for Social Care Inspection. Self-monitoring reviews are completed. EVIDENCE: Positive comments were obtained via discussion with staff regarding the management of the home. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 23 “Werner is very supportive. I had my supervision last week. We all work well as a team”. The home is yet to appoint a manager who has been approved by the Commission. This is outstanding from the last inspections. The manager confirmed that his application has been passed to head office and he is waiting for it to be passed to CSCI. The manager is qualified in NVQ level 3 and has applied to do level 4. There is a pleasant, relaxed, inclusive atmosphere in the home. The staff were observed to interact well with the residents at all times. Safety contracts for services, such as, gas, electric and Portable Appliance Testing are up to date. Fire alarms are tested weekly and drills take place. Records of these are maintained. Risk assessments are in place and kept up to date. Accident records are maintained and CSCI are notified of serious incidents. Water temperature checks done regularly and recorded. A fire risk assessment completed 10/4/07. Meetings are held regularly for staff and residents to voice their opinions on how the home is run. Relatives are encouraged to discuss the service provided via surveys, reviews and regular contact by phone. A company representative to monitor the progress of the home conducts monthly Regulation 26 visits. Policies and procedures are in place and annually reviewed. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 24 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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 2 29 N/A 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 25 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 YA37 Regulation 9 Requirement The responsible person shall appoint a manager who has been approved by the Commission for Social Care Inspection. (Outstanding from the last inspection. Time scale not met 31/8/06). Timescale for action 31/05/07 2. YA42 23 The responsible person shall carry out the recommendations made in the fire report. (Outstanding from the last inspection. Time scale not met 31/8/06). 31/05/07 3. YA24 23 The responsible person shall ensure that repairs are carried out to improve the standard provided, these include - repair rear garden wall, new flooring required in kitchen due to lifting. Decoration of staff bathroom, fit radiator covers throughout/or provide a risk assessment, replace window in ‘drying area’ for ventilation. As outlined in fire DS0000005233.V338444.R01.S.doc 30/06/07 Arbour Street, 53 Version 5.2 Page 26 report. Fit front garden gate. (Outstanding from the last inspection). 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 YA12 Good Practice Recommendations The residents would benefit from the purchase of a computer keyboard and a computer desk. To enable access to both computers in the home. Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Arbour Street, 53 DS0000005233.V338444.R01.S.doc Version 5.2 Page 28 - 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!