Inspection on 07/06/06 for Banyard Road, 40

This inspection was carried out on 7th June 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 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Banyard Road, 40 31/07/07

Banyard Road, 40 01/03/06

Banyard Road, 40 26/09/05

Banyard Road, 40 08/02/05

Banyard Road, 40 31/08/04

Banyard Road, 40 03/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Banyard Road, 40 Bermondsey London SE16 2YA Lead Inspector Barbara Ryan Unannounced Inspection 7th June 2006 09:30 Banyard Road, 40 DS0000007108.V295290.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 Banyard Road, 40 DS0000007108.V295290.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. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Banyard Road, 40 Address Bermondsey London SE16 2YA 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) 0207 231 4774 Choice Support Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st March 2006 Brief Description of the Service: The home is registered to provide care for three people who have learning disabilities. The home is managed by a ‘not for profit’ organisation called Choice Support (Southwark) which manages a significant number of care homes for people with learning disabilities in the borough of Southwark and elsewhere. The home is in a cul-de-sac in Bermondsey, close to Southwark Park where parking is available during daylight hours. It is indistinguishable as a care home. Other local facilities include a shopping centre, market, pubs, cafés and churches. The home is close to public transport routes. The home provides a statement of purpose, detailing what the service offers and provides. It also lists what people can expect in terms of their rights, the service and terms and conditions. They provide a service brochure, which gives details of the accommodation, local area and staffing support provided. The home inform the public that the service is a Registered Service with CSCI and in their Statement of purpose and Service Brochure inform people of the CSCI web site and that that copies of all reports on the home can be viewed there. They also keep copies of past inspection reports within the home, and will encourage all new potential residents (and their supporters) to read these during their pre-placement visits. The homes fees are: Rent - £32.95p (weekly) Food Contributions - £29.40p (weekly) People’s general support charges are paid for by the referring agency and are determined on the support needs of the individual (weekly/annual charges). Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, that took from 9.30 to 4.30 on 7th June 2006. The method of inspection included a tour of the building, inspection of residents’ care plans and files, inspection of the medication, discussion with the acting manager, discussion with a member of staff, informal discussion with residents, and observations of interaction between residents and staff. At present there are two residents and both were at home for part of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home has not had a registered manager since January 2004 and this has been an ongoing requirement made in the last three inspection reports. The managing organisation said at the time of the last inspection that this is around them putting together a proposal that the future management of two smaller homes in their organisation might be managed by one person. The organisation was told that the acting manager of the home must apply for registration whilst decisions around the long-term issues of the management of the home are further explored. The situation is that there is still no application Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 6 from the organisation with regard to the registration of the manager. This situation is not acceptable and is detrimental to the running of the home and not in the best interests of residents or staff. The managing organisation needs to ensure that a registered manager is in place at the home as a matter of urgency. The home has not reached it target of having 50 of their care staff qualified to level 2 NVQ. The home have still not established safe practise with regard to the locking of Coshh cupboard. 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. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5. Quality in this outcome area is good. This judgment is made using available evidence including a visit to the service. The home did not have a statement of purpose and service user guide to hand to support prospective residents with regard to making choices about the home, but was supplied following the inspection. The managing organisation has appropriate policies around assessing prospective residents and they can visit the home prior to making any decisions regarding moving there. There have been no new residents for some time. Residents are issued with a contract of terms and conditions. EVIDENCE: The home did not have an up to date statement of purpose and service user guide to hand at the time of the inspection, but one was supplied following the inspection. There have been no new admissions since the last inspection. The home has a policy of completing a full assessment of the prospective resident’s needs prior to admission. They will encourage people to come and visit the home, and residents are able to stay the night if this is appropriate. All residents are issued with contract of terms and condition and there was evidence of this on resident’s files. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7,9. Quality in this outcome area is good. This judgment is made using available evidence including a visit to the service. Care plans are up to date and comprehensive, with staff using them to support residents. Keyworker meetings are used to update care plans. Goals and achievements are recorded; at times the places where these are recorded can be numerous and staff are looking are how best to monitor this. Risk assessments are completed and reviewed; however, it is not very clear on many of them what the date of the review was. Residents are supported to make decisions about their lives. EVIDENCE: Residents have comprehensive and up to date care plans. The home will review changing needs through keyworker meetings. There was evidence on file of these meetings having taken place since the last inspection. On one recording of the keyworker meeting the goals had not been filled in. There is also a separate “individual person planning” goal-monitoring sheet to be completed once weekly. The manager said that goals are also recorded on the quarterly report to their head office. Goals are clearly being identified and worked with, however these are recorded in several different places. The staff Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 10 said that they are also looking at issues around long and short-term goals and how best to record this information. Care workers were observed to be using information around communication needs when working with residents and that this supported the resident in interacting with the staff member Residents are supported around making decisions and choices. Staff said that they will encourage residents to undertake and explore various opportunities and support them with these, but also monitor residents’ reactions and how comfortable they seem with some things where residents may find verbalizing their wishes more difficult. Residents are supported to manage their money; one resident goes to the bank and draws her money and then goes to lunch afterward. Cash for residents is kept in the office in a secure place and each resident has a cashbook where details are recorded. Residents’ files contained risk assessments, these were comprehensive. The date the risk assessment was completed was present and the assessment signed; however, it was difficult to be clear what the actual date was that the review took place or if it had been done. The month and year the review was due was typed in, but there was no date or signature showing that the review was done and by whom. Risk assessments are not kept with the main care plan, however there is information about were they are to be found. Person centred planning files have not been completed and if this is a system still in use it would be of benefit to completed. Files were well kept and tidy. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,17 Quality in this outcome area is good. This judgment is made using available evidence including a visit to the service. Residents benefit from opportunities for personal development, are supported to maintain links with their family, friends and the local community and access appropriate leisure facilities. They are able to access a healthy, enjoyable and culturally appropriate diet. EVIDENCE: There is a weekly activities programme for each resident. Residents are supported to access community facilities as well as attend specialist facilities such as the Grange Day Centre. One resident will be starting a course as a trainee cook, having been doing a cooking course for some time. Residents are given opportunities to try out activities and see if it is something they would like. Staff support residents to access culturally appropriate facilities; one resident is supported to have lunch at a Caribbean restaurant each week. Staff have worked hard to identify activities that would be suitable for residents who have complex needs. Staff have placed a residents name on waiting lists for such facilities and are continuing to explore other options. The Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 12 activities programme also includes supporting residents to carry out some household tasks. Residents are supported to have holidays that suit their needs; there was evidence that residents were involved in planning their holiday. Staff were aware that for some residents, time away from the home may also hold some anxieties and staff were aware of the need to curtail a holiday if it was not something the resident was finding enjoyable and support to resident with the opportunity of returning home if that was needed Residents are supported to maintain links with family and friends. Residents are able to visit their relatives or for their relative to visit them at the home. Staff were observed to be supportive of residents around issues of privacy and dignity and respond in a sensitive manner with regard to behavioural issues around this. The home have a four-week rolling menu, however they are flexible with this and residents are able to choose other things if they wish. Residents are supported around issues of needing a soft or pureed diet. The member of staff on duty was able to describe how if pureeing was needed this would be done to ensure that the food is presented in as appetizing a way as possible. There was evidence of a range of fruit and vegetables and variety of foodstuffs available to prepare a variety of meals. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21. Quality in this outcome area is good. This judgment is made using available evidence including a visit to the service. Residents are supported around personal care and their emotional and physical health needs are met. The medication is well managed, although there was some that needed to be returned to the pharmacy. Residents have been supported around issues of death, ill heath and bereavement. EVIDENCE: An all female staff group support residents and ensure they are appropriately supported to maintain their personal hygiene and grooming. Resident’s are able to choose their own clothes and are supported around attending the hairdresser or other methods of maintaining their grooming if visits to the hairdresser are stressful. With regard to one resident who has complex behaviour issues, there was a previous recommendation that special support be obtained around staff managing their behaviour. The acting manager said that they had discussed this matter and feel that the situation is fairly stable, they have also discussed other possible issues that might be triggers with the GP and feel that at present no further intervention is needed. This recommendation is therefore seen as met. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 14 There was evidence on residents’ files that the home supports them around maintaining their teeth and dental hygiene. There was evidence of best interest meetings with the dentist being held in the past around how best to support residents in this area. The management of the medication was looked at. Medication was well managed, but there was medication from a previous resident still being kept at the home and this needed to be sent back to the pharmacy. The home is aware of this and will be arranging this. No resident is on a programme of selfmedication and this is appropriate to residents’ needs. Files also contained evidence of supporting residents to make plans for their funerals and express their wishes around these issues. The home had a resident die some time ago. There was evidence of the home supporting other residents around the bereavement of their friend and fellow resident, and of understanding of the grieving process. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgment is made using available evidence including a visit to the service. Residents benefit from there being an appropriate complaints procedure in place and are protected from abuse, but some staff my need a refresher or more up to date training. EVIDENCE: The home has a complaints procedure and the complaints book was looked at; there were no complaints in it. The managing organisation has a comprehensive complaints procedure. As there were no complaints there was not means of inspecting how complaints are addressed. The home has a policy around the protection of vulnerable adults. Managers are having a two-day training course in July of this year and will then update staff. All but one member of staff have had training on the protection from abuse; however, some staff have not had re-training for some years. Staff who have not been on training should attend a course and the manager should look at staff who have not had training for some years attending another course. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 28, 30 Quality in this outcome area is good. This judgment is made using available evidence including a visit to the service. The home provides a safe, comfortable and pleasant environment for residents; their bedrooms are personalised and meet their needs. Some minor repairs are still to be done. The home is clean and hygienic. EVIDENCE: The home is situated on two floors with a large communal sitting room and kitchen/diner area on the ground floor. These and the hallway are all decorated to a good standard and were pleasant and homely. There are patio doors leading from the dining area to a ramp leading down to an attractive garden with a paved area and raised flowerbeds. The garden is fully wheelchair accessible. There is a lift to the upper floors. Residents’ bedrooms were individual to their needs, large and pleasantly furnished. There is a walk in shower on the ground floor that at present is not used. Residents use the bathroom on the first floor. This was clean and hygienic. Missing tiles and the flooring coming up around the WC were identified at the last inspection as in need of repair. The acting manager had informed the Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 17 housing association responsible for maintaining the building of this and is still awaiting these repairs. The home is comfortable and provides a pleasant safe and relaxing environment for residents. It was clean and hygienic throughout. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is adequate. This judgment is made using available evidence including a visit to the service. Staff are competent and skilled in supporting residents and meeting their needs. However, the home does not have any workers other than the acting manager with a NVQ 2 at present although two staff are on a waiting list to start this. EVIDENCE: Observation of staff interaction with residents and discussion with them presented a picture of staff being familiar with residents’ needs and how to support them and that they were skilled and committed to residents’ care and well being. Interaction between staff and residents was relaxed and friendly The staff rota was examined and there were sufficient staff on duty to meet residents’ needs. There are five staff currently employed at the home, plus bank workers. With the exception of the manager, none of the staff have NVQ level two. Two members of staff are on the waiting list to start their NVQ level 2. This is a matter of urgency. The managing organisation hold staff recruitment files at their head office and these were not therefore inspected. The home did not have the form and Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 19 information agreed with the Commission on the premises with regard to staff files kept at the head office. The home have regular team meetings and the staff member spoken to was aware of issues around team work and learning from the strong points of other workers. The acting manager said that they are at present awaiting the new training prospectus. Staff receive regular supervision with supervision notes being taken. These were present on staff personal files and confirmed by the member of staff spoken to. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39,42 Quality in this outcome area is adequate. This judgment is made using available evidence including a visit to the service. Whilst the home is well run, there is still no registered manager in post. This has been the subject of two previous requirements and remains an unsatisfactory situation. The home carries out quality assurance monitoring and the home’s procedures promote residents’ health and safely. EVIDENCE: The home still has no registered manager; this has been the situation since January 2004. At present the deputy manager is acting up and has been doing so since the aforementioned date. The acting manager has taken steps to begin the registration procedure; she has completed the registration form and filled in an application for a new CRB check and is awaiting the managing organisation forwarding this process. The acting manager is starting her NVQ level 4 this week and is part funding this herself. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 21 The acting manager was able to demonstrate an understanding of resident’s needs and how to meet them; the home is well run. The managing organisation has a quality assurance policy. The home completes a quarterly report that is sent to the organisation’s head office and social services’ commissioners. There is a monthly monitoring visit from the organisation. The home will complete an annual survey and involve an independent advocate in this for the residents that need support with this. The home’s health and safely procedures are up to date. There is evidence of a weekly fire alarm test, regular fire drill, monitoring of all hot water tap temperatures, monitoring of the fridge and freezer temperatures and regular wheelchair safety checks. The only issue that remains a concern is the locking of the Coshh cupboard and the door to the laundry room when not in use. Whilst this cupboard should always be locked, this matter has increased in importance as the home is now inviting prospective residents to view the home; one person has stayed the night. These prospective residents may present a higher level of risk with regard to this matter than the present residents, and the home needs to establish safe practice around this matter; the cupboard and laundry room must be locked at all times when not in use, unless risk assessments suggest otherwise. Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 3 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 3 25 X 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 1 X 3 X X 3 X Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 23 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 YA9 Regulation 4(1) (c) 4 (2) 13 (2) 23(2) (D) YA24 Requirement The acting manager must ensure that all risk assessments have a signature and date pertaining to their annual review. The acting manager must ensure that all medication no longer in use is returned to the pharmacy. The acting manager must ensure that missing tiles and worn floor covering in the upstairs bathroom are replaced and/or repaired. These repairs have been reported and are awaiting funding to be undertaken. This is a repeat requirement. The previous time scale of 01/06/06 is not met The managing organisation must ensure that a minimum of 50 of the care staff are either on or have completed their NVQ 2 in care. Timescale for action 10/09/06 2 3 YA20 10/09/06 10/09/06 4 YA32 18 (C) 10/09/06 5 YA34 19 The registered manager must 01/09/06 ensure that the home has information on staff recruitment available within the home as DS0000007108.V295290.R01.S.doc Version 5.2 Page 24 Banyard Road, 40 agreed with the Commission. 6 YA37 8 The acting manager must submit 10/09/06 an application for the registration under the Care Standards Act 2000 of a manager of the home. This requirement was made in the report of the Inspection of August 2004 and has been repeated at subsequent inspections. Consideration will be given to legal action if compliance is not achieved. The previous timescale of 01/05/05 was not met. Revised timescale of 01/04/06 and 01/06/06 are not met The acting manager must ensure that a hazardous substance cupboard is kept locked and the key stored safely at all times. This is a repeat requirement previous timescale of 01/04/06 not met 7 YA42 23(2)(1) 10/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA23 Good Practice Recommendations The home should ensure that all staff have to up to date training on POVA Banyard Road, 40 DS0000007108.V295290.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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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