Inspection on 07/07/05 for Cambstone Close 1

This inspection was carried out on 7th July 2005.

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 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cambstone Close 1 18/12/06

Cambstone Close 1 24/07/06

Cambstone Close 1 09/01/06

Cambstone Close 1 11/01/05

Cambstone Close 1 09/08/04

Cambstone Close 1 15/01/04

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

CARE HOME ADULTS 18-65 1 CAMBSTONE CLOSE New Southgate London N11 1JQ Lead Inspector Anthony Lewis Unannounced 7 July 2005 at 09.00 am 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. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 1 Cambstone Close Address 1 Cambstone Close, New Southgate, London N11 1JQ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8368 5169 Cedric Frederick for PentaHact Adam Mansell PC Care Home only 4 Category(ies) of LD Learning Disability registration, with number of places 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11 January 2005 Brief Description of the Service: 1 Cambstone Close is a care home registered to provide care for four adults who have learning and physical difficulties. The home is a large bungalow with off street parking for one vehicle to the front. The home is situated on a relatively new housing estate in New Southgate near local shops, a library, Barnet College campus and Brunswick Park. All service users have their own single furnished bedrooms, which are decorated and furnished to the service user’s personal preferences reflecting their hobbies and interests and with pictures of their family and various activities. There is a large well decorated lounge which has sensory equipment at one corner for service users. There is a well stocked kitchen/diner. There are two male and two female service users living in the home. All have learning, physical and sensory disabilities. Sanctuary Housing Association own the building and the home is operated by PentaHact, a company limited by guarantee, which provide a number of registered and care services in London and the South East of England. The staff team aims to provide a Person Centred Approach to service users individual needs, ensuring that they adhere to the principles of choice, respect, dignity, community presence and community participation. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on Thursday 7th July 2005 at 9am and was completed at 3.30pm. The registered manager was available throughout the inspection and was very helpful. To gather information and evidence for this inspection, two staff members were spoken to formally in private. There was also a tour of the building. The four resident’s and five staff files were viewed along with a number of relevant documents, policies & procedures. Due to communication difficulties none of the residents were spoken to formally but two were spoken to informally. What the service does well: What has improved since the last inspection? What they could do better: The statement of purpose must be regularly updated to reflect the present situation in the home to ensure that residents, staff and other parties have the correct information regarding the home. In order to ensure that the residents are receiving appropriate care, their care plans must be regularly reviewed. In order that residents a death is treated sensitively and the funeral arrangements go smoothly, arrangements in the event of a resident dying must be recorded in their file. In order for residents to fully take advantage of the back garden, it must be maintained to an acceptable standard. All staff must have a copy of their job description to ensure that they understand their roles and responsibilities. There should always be an identified person in charge/shift leader each shift to ensure that the shift runs smoothly and that there is an identified person who can be responsible for dealing with queries and other issues that may arise. To ensure the authenticity of all staff and the protection of residents, files must include a recent photograph of all staff. In 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 6 order to best meet the needs of residents, staff must receive adequate training and their must be a training development plan in place to ensure that identified and future training is monitored and updated. To ensure that all staff are supported and ensure that their personal development needs are monitored, regular supervision must occur. To ensure the safety of residents, staff and visitors to the home, the relevant agency/authority must be contacted to ascertain a date for their next inspection. 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. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 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 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 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, 2, and 5. Accurate information regarding the present situation in the home is not being produced for prospective residents and other interested parties. Residents are assured that a full assessment will take place prior to moving into the home. EVIDENCE: The home has a good statement of purpose, which includes all the information required in Schedule 2 of the National Minimum Standards. However, the home has a new assistant manager, yet the name of the previous manager is still in place. The home has a good service user guide, which has been produced in pictorial format. A requirement is made that the registered persons must ensure that the statement of purpose is updated to reflect the present situation in the home. The home has a policy and procedure file for admitting prospective residents into the home. The registered manager went through the admissions procedure and stated that the Operations Manager and other professionals would carry out the initial assessment of the potential resident and the registered manager, would carry out the assessment when the resident came to visit the home. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 9 The four resident’s files were viewed, all contained “details of agreement between service users and PentaHact” form, which contained information on fees and accommodations and signed by the registered manager. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9. Residents are assured that the staff team are doing all they can to improve the resident’s communication and comprehension abilities and that of the staff team too. Resident’s care plans are not being reviewed to reflect current needs and events. EVIDENCE: All residents have a comprehensive care plan, which contains information covering all aspects of the residents care, health related matters and social issues. They also contain information regarding how the staff will support the resident. However, the care plans had not been updated since 2003. A requirement is made that the registered persons ensure that all resident’s care plans are regularly reviewed. None of the residents are able to fluently communicate verbally. The registered manager said that resident’s decision making is based on the staff team’s previous observation of individual residents and previous information gathered about them. He went on to say that staff, especially the key-workers could understand some gestures and mannerisms made by the resident and have an understanding of the meanings. Resident’s care plans were seen to contain information on resident’s likes and dislikes. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 11 Due to the nature of the residents learning difficulties, they are not able to fully contribute to the day to day running of the home. However, staff have been working hard to ensure that outside professionals work with the residents to improve their awareness and comprehension. The registered manager stated that a behaviour team carried out an assessment on residents and the staff team from October 2004 to February 2005 in order to give advice on possible ways of communicating and understanding each other. The registered manager went on to say that a person centred planning facilitator came to the home on 26th February 2005 and did a days training with staff. The home also uses “objects of reference” and some residents have limited signs that they use and staff understands their meanings. It was a requirement at the previous inspection that residents and staff receive further training in order for residents to be able to participate more in the day to day running of the home; this standard has been met. All residents have risk assessments in place, which were seen to be updated every six months and more frequent if necessary if there are any significant changes to resident’s behaviour. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 16 and 17. Residents are confident that the staff team will ensure their continual development and integration into their local community and that their dietary needs continue to be met. EVIDENCE: The registered manager stated that one resident is supported to do a local paper round. Most of the residents have attended college over the years and have undertaken various courses and training. Resident’s files contained certificates from previous courses and training. The registered manager stated that one resident is at present doing a communication course at college. The registered manager said that residents are part of their local community and that one of the resident, who is Jewish, attends a Jewish day centre. He went on to say that all residents are regularly supported to go to the local shops and two residents regularly go to church. Residents were observed moving about the home freely. One resident regularly came into the office and spent time. Other residents were seen to either spend 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 13 time in the lounge or the kitchen. Staff were observed interacting with residents in a respectful and positive manner. A requirement from the previous inspection that meals are more varied has been met. On viewing the menu for the past few weeks, meals were seen to be more varied. There was a lot of variety added and the meals sounded appealing. The registered manager stated that the menu is planned every Sunday and are based on what residents have eaten in the past and liked. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 and 21. Residents are confident that the homes medication policies and procedures will ensure competent staff will administer their medication appropriately. Staff are not ensuring that residents wishes in the event of their death is being recorded. EVIDENCE: All residents’ medication is kept locked in a metal cabinet in the office. All staff have received training in the administration of medication. The home has a policy and procedure file regarding mediation. On viewing the resident’s files, two contained information regarding funeral information in the event of them becoming ill and dying and two did not. A requirement is made that the registered persons ensure that all residents have information in their file regarding their funeral arrangements in the event of their death and the resident, their family or representative signs it. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 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) 22 and 23. Residents are assured that they are protected from any form of abuse and that any concerns or complaints will be listened to and acted upon promptly and appropriately. EVIDENCE: The home has a complaints file and a complaints policy and procedure file. The last recorded complaint was 10th August 2004, which was dealt with appropriately. One member of staff was asked about the complaint procedure and was aware of whom to make a complaint to. The registered manager stated that the staff team was in the process of completing a Protection of Vulnerable Adults course. The companies whistle blowing policy and procedure file was viewed and contained information an introduction and background section, confidential reporting and whom to contact. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 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, 29 and 30. Resident’s independence is being met by the home ensuring that there are adequate specialist equipment in the home and that the home is being kept clean and tidy. The garden has been recently neglected. EVIDENCE: An immediate requirement was issued at the previous inspection due to the condition of the oven and hob. This requirement has been met. However, on touring the rest of the home, the grass in the back garden was overgrown due to neglect. The registered manager said that he is awaiting a gardener to maintain the front and back gardens. A requirement is made that the registered persons ensure that the grass in the back garden is cut and the garden is maintained to an acceptable standard. One of the residents has sensory difficulties and the other have physical disabilities. The home has been designed on one level and all areas are wheelchair accessible. There are also environmental adaptations such as a shower chair, a special bed with cot sides and adapted bath, hand rails and guiding/sensory aids on the wall in the hall. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 17 On a tour of the home, it was found to be clean and tidy and free from any offensive odours. To ensure that there is no spread of infections in the home, the company has produced an infection control manual, which contains information on management of infections. Bacterial soap was seen in the kitchen, where there is a separate sink for staff to wash their hands. There was also a test for legionella in July 2003 and the home is awaiting another test. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 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) 31, 32, 33, 34, 35 and 36. Residents cannot be assured that the staff team who support them are sufficiently trained ands supported and that they are protected by all staff having the necessary identification. EVIDENCE: Five staff’s files were viewed to ensure that they contained all of the required information. Two files did not contain a copy of the staff’s job description, including the deputy manager. A requirement is made that all staff files must contain a copy of their job description. Both staff that was on the early shift were spoken to individually and in private. Both had a good understanding of their roles and responsibilities within the home. They both know about the needs of the residents and of the resident’s individual personalities. The staff rota was viewed for the past three weeks. There are usually two staff per shift and the registered manager who stated that at times there are three staff on shift depending on the requirements of the residents such as when there are social events or if a residents is going out for the day. However, the staff rota did not identify which member of staff is in charge or the shift leader. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 19 The registered manager stated that staff usually makes decisions amongst themselves. A recommendation is made that the registered persons ensure that there is always an identified person in charge/shift leader each day and that the person is identified on the rota. At the previous inspection, a requirement was made that an identified staff member obtain a second reference and that all staff’s file contain a recent photograph. The reference has been obtained for the staff member but although there has been some work to obtain photographs of all staff, some staff still has no photograph of them in their file. This requirement is restated. A requirement was made at the previous inspection that all staff undertake appropriate training. On looking through staff files, there was still insufficient evidence in the form of certificates to indicate that staff had received the appropriate training and that a copy of their certificates is kept on file. There was also no training and development plan available. A requirement is made that the registered persons ensure that all staff receive appropriate training and that there is a training and development plan in place. This requirement is revised and restated. Both staff spoken to said that they felt very supportive of the manager and that they were able to discuss any issues with him. On looking through five staff files, it was noticed that some staff have waited more than three months without receiving supervision. A requirement is made that the registered persons ensure that all staff receive regular supervision. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 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) 38, 40, 41 and 42. Although policies and procedures are in place in the home, the registered persons are not proactive in ensuring that safety inspections are carried out regularly. EVIDENCE: Throughout the inspection, the registered manager demonstrated a clear understanding of his roles and responsibilities. His interaction with residents and staff was supportive and professional. Throughout the inspection, various policies and procedures were viewed and examined and found to be appropriate to the aims and objectives of the home. The policies and procedures were kept in the office and are available for residents and staff to view. All confidential records such as staff and residents personal files are kept in a lockable cabinet in the office. Access to staff files are restricted to the registered manager and the assistant manager. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 21 Fire safety policies and procedures were viewed and were generally in order and up to date. There are fire risk assessments for all areas in the home. The staff team carry out regular fire safety tests such as the testing of call points weekly, last one on the 5th July 2005 and fire drills, last one on 4th March 2005. The home’s boiler was last tested on 1st July 2005. The gas supply was tested on 29th June 2005 and the portable appliances on 31st July 2003. The emergency lighting is tested weekly and was last tested on 5th July 2005. The home has a policy and procedure file on moving and handling. There were certificates for moving and handling in staff files. Some safety inspections had not been conducted for some years such as; the London Fire and Emergency Planning Authority LFEPA who last visited the home on 10th July 2000. The last periodical inspection for an electrical installation was 24th July 1998 and stated that the next inspection was due for 2003 but according to the registered manager, had not taken place as yet. The last legionella was on 31st July 2003. A requirement is made that the registered persons ensure that the above agencies/authorities are contacted for a date for their next safety inspection of the home. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 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 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 3 Standard No 31 32 33 34 35 36 Score 2 3 3 1 1 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 CAMBSTONE CLOSE Score x x 3 2 Standard No 37 38 39 40 41 42 43 Score x 3 x 3 3 1 x G59 S10416 Cambstone Close V231342 07.07.05 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 YA1 Regulation Schedule 1 Requirement The registered persons must ensure that the statement of purpose is updated to reflects the present situation in the home. The registered persons must ensure that all residents care plans are regularly reviewed. The registered persons must ensure that all residents have information in their file regarding their funeral arrangements in the event of their death and it is signed by the resident, their family or representative. The registered persons must ensure that the grass in the back garden is cut and the garden is maintained to an acceptable standard. The registered persons must ensure that all staff files contain a copy of their job description. The registered persons must ensure that all staff files contain a recent photograph of them. (Timescale of 28/02/05 not met) The registered persons must ensure that all staff receive the appropriate training and that a copy of their certificates are kept Timescale for action 15/07/05 2. 3. YA6 YA21 15 (2) (b), (c) and (d) 12 (3) 29/07/05 29/07/05 4. YA24 23 (1) (a) and (2) (o) Schedule 4, 6 (e) 19 (4) (b) i, Schedule 2 (1) 18 (1) c (i) 15/07/05 5. 6. YA31 YA34 15/07/05 26/08/05 7. YA35 23/09/05 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 24 8. 9. YA36 YA42 on file for inspection and that there is a training and development plan in place. (Timescale of 28/02/05 not met). 18 (2) The registered persons must ensure that all staff receive regular supervision. 13 (4) (c), The registered persons must 23 (1) ensure that the LFEPA, electrical (a), (c) installation organisation and water authority are contacted to ascertain a date for their next visit to the home. 15/07/05 15/07/05 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. Refer to Standard YA33 Good Practice Recommendations A recommendation is made that the registered persons ensure that there is always an identified person in charge/shift leader each day and that the person is identified on the rota. 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 1 CAMBSTONE CLOSE G59 S10416 Cambstone Close V231342 07.07.05 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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