Inspection on 26/04/05 for Blenheim Avenue Care Home

This inspection was carried out on 26th April 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

Blenheim Avenue Care Home 14/08/07

Blenheim Avenue Care Home 04/05/06

Blenheim Avenue Care Home 17/11/05

Blenheim Avenue Care Home 08/12/04

Blenheim Avenue Care Home 05/07/04

Blenheim Avenue Care Home 29/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Blenheim Avenue Care Home 9 Blenheim Avenue Mapperly Nottingham NG3 6GD Lead Inspector Joanna Carrington Unannounced 26 April 2005 11:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Blenheim Avenue Care Home Address 9 Blenheim Avenue Mapperly Nottingham NG3 6GD 0115 955 5221 0115 955 5221 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) Nottingham Community Houseing Association 12/14 Pelham Road, Nottingham NG5 1AP Lesley Rawlinson Care Home (CRH) 4 Category(ies) of Learning Disability (LD) 4 registration, with number of places Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 08/12/05 Brief Description of the Service: Blenheim Avenue Care Home is a detached bungalow located within the residential area of Carlton. There are some local shops and amenities nearby. The home is registered to provide care and support to four adults with a learning disability who all have additional physical disabilities. There are adaptations and equipment in the home required for providing assistance to service users with physical disabilities and who use wheelchairs. However, these adaptations are very old and need upgrading to ensure that the needs of service users are being safely and fully met. The accommodation comprises of four single bedrooms, a lounge/diner, and a bathroom/shower with toilet, separate toilet that is not suitable for wheelchair users, kitchen and a laundry room. The office is in the loft conversion, which also acts as a sleep in room for staff. There is an attractive garden to the back of the bungalow, which is accessible to wheelchair users. This is a partnership home, which is managed by the Nottingham Community Housing Association, with the Health Care Trust providing the employees. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day on 26th April 2005 and was the home’s first unannounced visit for this financial year. Due to people who live at this home having very limited communication and comprehension the inspector was unable to speak with service users during the inspection. Any judgements in this report are from observation and reading residents records and documents. A tour of the premises took place and staff records were also looked at during the inspection. Three members of staff were spoken with and the manager was available for discussion throughout the inspection. What the service does well: What has improved since the last inspection? Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 6 Training has improved since the last inspection. As well as mandatory training being available staff can attend their chosen courses, if it will ultimately benefit the residents and the efficiency of the team. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 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 standard(s) 1 and 2 The admission procedure that is followed at the home ensures that service users do not move to the home unless their needs have been assessed. There is not enough clear and concise information within the Statement of Purpose in order for service users to make an informed decision about where to live. EVIDENCE: Attempts have been made to update the statement of purpose. However, it still requires more specific information on what the arrangements are for social activities, maintaining the privacy and dignity of service users and how contact between service users and their family and friends is maintained. It has been recommended that the Statement of Purpose be presented following the order of topics as set out in Schedule 1 of the Care Home Regulations. All of the service users living at Blenheim Avenue are longstanding residents and have copies of their placing authority’s community care assessment on their files, which were required when the service users moved to the home. To ensure that the home continues to meet the needs of the service users the manager reports that she has made referrals to Social Services for reassessment and review of each service user’s needs. This is good practice. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 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 standard(s) 6 and 7 Despite the limited communication and comprehension of service users staff assist them in making choices and decisions about their lives, wherever possible. Care plans are thorough and ensure the needs of service users are met. However, more written evidence of some form of consultation with relatives or representatives is required. EVIDENCE: Staff spoken with demonstrated a good understanding of the individual needs of the service user group and it was evident that the service user plans are utilised effectively in order to meet the needs of service users and that changing needs are identified and recorded. Records are held both on the computer system and on a paper file, which means that the care plans are accessible at all times. Care plans are reviewed every 90 days and the computer system actually prompts this. In order to ensure that all staff are accurately informed of changing needs it is important that the paper files are up to date with the most recent amendment as made on the computer system. Speech and Language input has been essential in identifying the best ways to communicate with individuals and how ultimately their choices can be expressed. Communication needs were identified clearly in service user plans seen. Visual tools such as pictures and photographs are used to enable Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 10 service users to make choices and decisions about their lives. Staff spoken with gave examples of service users choosing activities, holidays and meals. Service users have little or no comprehension of their service user plans and assessed needs. The manager reports that the consent and involvement of relatives is sought although not all the service users have family that want to be involved. There needs to be more written evidence that service users or other appropriate representatives / advocates have been consulted about how service users are supported with signatures also obtained. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 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 standard(s) 13, 14, 16 and 17 Until a vehicle becomes available opportunities for service users to access the community and participate in group activities are limited. Nevertheless, current resources are managed well in order to provide some meaningful and therapeutic activities to service users and meals offered are healthy and varied. Daily routines within the home ensure that the rights of service users are respected. EVIDENCE: The manager has appointed an activities co-ordinator on a trial basis to ensure that service users, especially those who have limited statutory day service provision available to them, are involved in therapeutic and meaningful activities. This arrangement has been working successfully and it is recommended that funding is available to ensure that this can continue. There is an activities file for recording what activities service users have been doing which also includes the assessment of individuals’ functional skills during these activities. Where one to one activities have been identified as being more appropriate for individuals then efforts are made by staff to provide this. An extra member of staff came into work during the inspection to take a service Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 12 user out who did not go to the Elvis tribute night the previous weekend. Staff spoken with mentioned going out on trips to the theatre and bowling but expressed frustration over how activities are restricted due to lack of wheelchair accessible transport and its cost. The manager mentioned how a decision from senior management has now been reached to provide funding for the lease of a wheelchair accessible vehicle, which both staff and service users have now been informed of. This will be identified as a recommendation in this report until the vehicle has become available. A member of staff spoken with explained how the family of a minority ethnic service user was consulted about his cultural dietary needs. Staff show pictures and packaging to service users so that they can express some choice. Menu plans seen indicated that various balanced and nutritious meals are on offer and an attractive meal was seen being enjoyed by both staff and service users together. Staff were observed interacting with service users rather than just with each other, which is inclusive and respectful. Permission was gained before bedrooms were entered, which respects service users right to privacy and individual space. Because of their profound disability service users do not have unrestricted access to the home and do not have their own key. It is recommended that this is included within care plans to demonstrate that full consideration has been given to service users’ right to privacy and freedom of movement. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 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 standard(s) 18 and 19. Although staff aim to provide personal support that is flexible and takes into account service users’ preferences personal support can not be given to service users comfortably and safely until there are the necessary equipment and adaptations. The health care needs of service users are adequately met but to ensure that this continues better recording is required. EVIDENCE: Detailed plans for health, personal and social care needs were seen on service user plans and staff spoken with all demonstrated an awareness of individual service users needs and preferences. It is recommended that in order to ensure that there are no inconsistencies with support given that the paper files are updated at the same time as the computer system as recent entries made on the computer had not replaced paper copies. There is evidence on care plans that physiotherapists and occupational therapists advice has been obtained on how to best meet the needs of service users and where possible this has informed changes to care plans and the way support to service users is given. Despite recommendations from specialist professionals for new equipment, this essential equipment has still not been provided. This puts both service users and staff at serious risk of significant harm and injury. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 14 Health care plans are detailed and health care appointments and outcomes were seen recorded on daily notes, but this information was not always transferred onto the separate health care plans. In order to ensure that the health needs are met and that all staff are aware of any significant changes this information needs to be recorded on the relevant part of the care plan, rather than as a general note which has the potential to get lost. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 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 standard(s) 23 The current arrangement for the management of service users’ finances is not good practice for ensuring the protection of service users from abuse. EVIDENCE: The manager remains as the appointee for all of the service users living at the home despite the relinquishment of appointeeship being set as a requirement at the last inspection. This arrangement potentially puts service users at risk and also places the manager in a difficult position. The manager reports that this practice is expected of managers in order to ensure that any financial affairs can be dealt with quickly. An email was seen to indicate that the manager is under strict instructions not to relinquish appointeeship. This issue will need to be addressed with Nottingham Community Housing Association at a higher level. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 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 standard(s) 24, 27, 29 and 30 No progress has been made with providing upgraded equipment, which is essential for the health and safety of both service users and staff, and also to improve the dignity and comfort of service users. Bathroom facilities currently do not meet the needs of service users. A homely environment is promoted at Blenheim Avenue and it is clean throughout but not all areas are safe and some communal areas require redecorating. EVIDENCE: Bedrooms are pleasantly decorated and well personalised. A member of staff spoken with explained how colour cards and carpet samples were used to give service users choices in how their rooms were decorated. The bathroom walls are in desperate need of maintenance and redecoration. However, there is no point doing this until the upgraded equipment that is urgently needed has been installed. The track-ceiling hoist in the bathroom is very old and has black tape being used to hold foam around the boom in place. A member of staff explained how the sling does not move along the track smoothly, which makes the experience of using the hoist neither comfortable Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 17 nor dignifying for service users. An Assisted Bath is also necessary to ensure that service users hygiene needs are fully met and also for the health and safety of staff. The need for new equipment was identified two inspections ago. Therefore, this will now need to be set as an immediate requirement. There is equipment being stored in the bathroom due to lack of space that is causing an obstruction to continence supplies, which staff need to access. Staff are at considerable risk of injury. Therefore, this equipment needs to be stored elsewhere where it will not create a hazard. On tour of the premises the environment was clean throughout. It is recommended that in the bathroom paper towels be used instead of having one shared hand towel in the bathroom, which is not hygienic. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 and 36 There has been some progress made with the provision of staff training. No progress has yet been made with neither retaining staff records on the premises, which is important for ensuring the recruitment process protects service users nor with formal supervision sessions taking place with staff, which is important for their development and support and subsequently, ensuring that service users receive sufficient care and support. EVIDENCE: All staff spoken with during the inspection feel that training is good at Blenheim Avenue. Not only is all of the necessary mandatory training provided but one member of staff said that there is the opportunity to go on other courses if it enables staff to carry out their roles more effectively and efficiently and will ultimately benefit the service users. The manager reports that staff records such as Criminal Records Bureau (CRB) disclosures and references are held centrally. This issue needs to be discussed at a higher level. There was no evidence on staff files seen of supervision sessions taking place despite this being a requirement set at the last inspection. The manager reports that now a deputy manager has been appointed this requirement will Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 19 be addressed. Some of this responsibility will be delegated to him, to ensure that all staff are properly supervised and supported. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 41 and 42 There are good systems in place for quality assurance that focus around service user outcomes. In order to maintain confidentiality and respect service users’ right to privacy all records need to be held securely. Improved practice is required to ensure that the health, safety and welfare of service users is promoted and protected. EVIDENCE: The manager explained how there are internal audits held approximately three to four times per year and other initiatives for quality assurance are used by Nottingham Community Housing Association such as ‘Better Lives’, ‘ Promoting Person-Centred Services’ and the Nottinghamshire document ‘The Quality Tree’. Advocates are accessed to represent the views of service users for identifying ways to develop the service. The issues of activities and transport have been represented in order to obtain a vehicle for the home. Communication records, which contain sensitive information about service users are held downstairs and are not being stored securely. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 21 A water temperature check is done weekly. However, records show a number of entries where the temperature is significantly below 43 degrees celcius, which is the safest temperature for the prevention of Legionella. The manager reports that the efficiency of the boiler is questionable but was unable to provide documents evidencing that the boiler has been serviced because these records are not kept at the home. Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 1 x 1 3 Standard No 11 12 13 14 15 16 17 x x 2 3 x 2 3 Standard No 31 32 33 34 35 36 Score x x x 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Blenheim Avenue Care Home Score 1 3 x x Standard No 37 38 39 40 41 42 43 Score x x 4 x 2 2 x C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 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 1 Regulation 4, Schedule 1 Requirement Ensure that the Statement of Purpose includes all information, as listed in Schedule 1 of the Care Home Regulations. This requirement is outstanding and was set at the previous inspection held 08/12/04. Ensure that consultation with service users relatives and / or represenatives is obtained and evidenced following reviews and any identified changes to support. Ensure that adequate equipment is provided so that the needs of service users can be safely met. This is an outstanding requirement and was set at the inspection on 05/07/04. To ensure that no person working at the care home acts as an agent to service users the manager must relinquish appointeeship. This is an outstanding requirement and will need to be addressed at a higher leve. Ensure that all staff are appropriately supervised. Ensure that information as listed in Schedule 2 of the Care Home Timescale for action 30/06/05. 2. 6 15(2) 30/06/05 3. 18, 27 and 29 12(1)(a), 13(5), 16(2)(c), 23(2)(n) 20(3) immediate requiremen t set. 4. 23 31/07/05 5. 6. 36 34 18 (2) 19(1)(b) (i) 31/07/05 31/07/05 Page 24 Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Schedule 2 7. 8. 41 42 17(1) 12(1)(a), 23(2)(j) Regulations is retained on site. This is an outstanding requirement and will need to be addressed at a higher level of NCHA. Ensure that all records held about service users are stored securely. Ensure that adequate hot water is provided in the home and that any necessary action is taken for the prevention of Legionella. 31/05/05 31/05/05 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. 2. 3. Refer to Standard 1 13 14 Good Practice Recommendations It is recommended that the Statement of Purpose be presented following the order of topics as set out in Schedule 1 of the Care Home Regulations. It is recommended that the home has its own vehicle to enable service users to access community facilities. This was recommended at the previous inspection. It is recommended that the Organisation consider the recreation budget (and continue with the post of activities co-ordinator) to take into account the severity of disabiilty and the location of the home. This was recommended at the previous inspection. It is recommended that on service user plans it is indicated that due to their level of disability service users do not have their own key and do not have unrestricted access to and and from the home. It is recommended that health care appointments and any outcomes affecting support given is recorded under the appropriate section of the care plan. It is recommended as stated that supervision sessions are held for individual members of staff at least six times per year. It is recommended that records of the servicing of boiler and central heating system are held on site. 4. 16 5. 6. 7. 19 36 42 Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Blenheim Avenue Care Home C53 C03 S8633 Blenheim Avenue V223522 260405 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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