Inspection on 29/08/05 for Carlton Avenue (64-66)

This inspection was carried out on 29th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Carlton Avenue (64-66) 10/09/07

Carlton Avenue (64-66) 25/09/06

Carlton Avenue (64-66) 12/01/06

Carlton Avenue (64-66) 02/03/05

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 64-66 Carlton Avenue 64-66 Carlton Avenue Kenton Middlesex HA3 8AY Lead Inspector Virginia Allen Unannounced 29 August 2005 12.00 noon 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. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 64-66 Carlton Avenue Address 64-66 Carlton Avenue Kenton Middlesex HA3 8AY 020 8907 4918 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) Care Management Group Limited Mr Vernon Ambris Care Home 9 Category(ies) of LD, PD registration, with number of places 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 2nd March, 2005 Brief Description of the Service: 64-66 Carlton Avenue is a care home registered to provide care for nine adults who have a learning disability and of which five may have physical disability. Currently there are seven service users resident. The registered provider is Care Management Group Ltd (CMG), which owns many care homes in the South East of England. The home is situated in a quiet residential area of Kenton, Harrow, close to amenities. Public transport is located near by although the home has an adapted vehicle to transport passengers in wheelchairs. The home is newly renovated and is light and airy. All bedrooms are single with ensuite facilities. Four bedrooms are located on the ground floor and five bedrooms are on the first floor. There is a passenger lift. The dining area opens onto a garden and patio area which service users can access. The care home was first registered on the 26th November, 2004. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a warm Bank holiday Monday afternoon. The inspector met with five of the seven service users and talked individually with morning and afternoon staff. Records were checked and care practices observed. The home environment was also inspected. The Deputy Manager and Senior Support Worker assisted with the inspection. The inspector thanks everyone at the home for their patience and helpfulness throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home needs to provide a more varied programme of activities both indoor and outdoor. More personal items need to be provided for the service users bedrooms. Food in the freezer if opened should be dated accordingly. The garden terrace should be weeded and a garden setting provided for service users to be able to entertain family and friends. Service user files must be locked away to maintain maximum privacy and confidentiality. Fire doors must not be obstructed. The office door needs to be free to close and to lock. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 6 The training targets for NVQ of at least 50 should be achieved All care plans should be reviewed at least 6 monthly with evidence of service user involvement. 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. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 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 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 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) 1,2,3,4 Individual service users aspirations and needs are assessed before they enter the home. EVIDENCE: After a prospective user has made application to the home, and prior to their admission, they are assessed by a referral team for suitability to both the type of community they would enter and the physical home environment. This assessment is comprehensive and detailed. A further assessment is performed by the manager. Family as well as staff from any previous placement is asked to contribute to the process of information gathering to enable the home to make informed decisions about how to provide the best care possible in accordance with the wishes and needs of the individual prospective service user. The prospective user is encouraged to visit the home and to spend some time at the home before making their choice concerning placement. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 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) 6,7,8,9, Service users are involved in their care planning and are assisted to make decisions about their own lives. Service users participate in home life. EVIDENCE: From the detailed assessments, individual service user care plans are devised. Inspection of the care plans showed that they reflected the needs of the service user and their “likes” and “dislikes”. All aspects of the service users daily routine and how the user wishes these to proceed were documented in the care plans. Because language is difficult for most of the service users, various methods are used for communication between the staff and the service user, such as pictures, cards and signing. This facilitates staff understanding the service users wishes. The individual forms of communication are documented in their care plans. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 10 Risk assessments covering a comprehensive range of activities such as fire evacuation, scalding, bathroom risks, and access to the garden are documented for each service user. Guidelines covering parental feeding and specialist health needs were added to the care plans. The home has two service users who are epileptic. The epilepsy nurse has visited the home and all staff have undergone epilepsy training. In-house activities allow each service user to participate in the community life within the home. Service user participation in these activities and their level of enjoyment is documented each day. Although it was evident from interviewing the staff that the service user was involved in the planning of their care, documentation needs to reflect this. All files containing information relating to the service user must be stored in a locked cupboard or room, to maintain privacy and confidentiality. Each care plan should be reviewed at least every six months with staff and service user input. Service user involvement should be documented. All service users should have access to their own finances. Currently one service user has access and management is pursuing a system of managing all service user finances. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 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) 12,13,14,15,16,17. Service users take part in appropriate peer related activities. Service users take part in the local community and engage in leisure activities based in the community. Where possible regular contact is made with families and the rights of the service user are recognised and respected. EVIDENCE: Carlton Avenue is home to seven service users with severe learning disabilities. Five service users also have physical disabilities. Inspection of the activity documentation showed that the home encourages peer related activities. During term six of the service users attend day centre where they engage in a variety of activities which encourage their personal development. Documentation showed “In-house” activities during term break involved the employment of outside staff to conduct sessions in reflexology or grooming. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 12 Service users are encouraged to participate activities based in the local community. Activities such as, visits to the local pub, visiting the park to feed the ducks, going on a picnic or to the zoo were also documented. However, staff said that lack of funding limits the variety of activity available due to cost involved in providing a more varied plan. During the inspection service users were taken to the local park in their wheelchairs. The home has an adapted car which can accommodate three wheelchairs at one time and service users are encouraged to participate in shopping outings. The home has a full time driver. When the inspector arrived at the home, one service user was watching television and four service users were listening to music. Documentation showed that service users are able to utilise a sensory room. Individual care plans record the service user’s activity likes and dislikes. Each service user has a key worker who encourages and facilitates family contact. Four service users have family contact each week, two service users have contact monthly and one service user has family contact three times a year. During the inspection two service users were with family. The inspector was informed that when family visit, they are encouraged to have private time with the service user in their own bedrooms. There are several communal areas where visitors may meet with the service user, including the garden. However, the garden does require seating. Each service user is provided with documentation informing them of their rights and responsibilities. Their bedrooms were lockable, however, due to personal physical limitations, keys are kept in a key cupboard in the office. It is recommended that service users lock their rooms if they are out for the day or going on holiday, to help maintain the privacy of their personal space. The inspector was informed that personal mail is opened in the presence of the service user. The service user’s preferred form of address is now recorded in their care plans. The inspector noted that staff interacted with the service users in an informed manner. They understood the individual needs and were able to utilise specific techniques of communication. The inspector viewed the menu which was varied and nutritious. Three service users are fed parentally and the individual programme is recorded in their care plan along with guidelines. The service users were served lunch during the inspection. The food was wholesome and nutritious and the serving size was 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 13 generous. Diced fruit was offered at the end of the meal. The service users were happy with their lunch. Staff were able to feed those who needed assistance without hurrying. It was noted that the food temperature was checked and recorded before serving the food. Food likes and dislikes were clearly documented in their care plans. Staff were all aware of the different food choices of the service users. Food storage was inspected. Storage was clean. The fridge and freezer temperatures were recorded daily. One item in the freezer had been dated but the date exceeded. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 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) 18,19,20,21 Service users receive personal support in their preferred way. Their physical and emotional health needs are met. The policies and procedures of the home protect them when dealing with medications. Individual ageing, illness and death wishes are respected and recorded. EVIDENCE: The service user’s individual likes, dislikes and wishes with regard to all aspects of daily care are clearly documented in their care plan. This included preferences for choosing their own clothing or jewellery. There were no individual mobility needs assessments, performed by specialist professionals ie, occupational therapy. However, there was documented evidence of each service user being referred to a variety of health professionals depending on their individual needs. This included the epilepsy nurse, chiropodist, dentist or optician. Documentation showed that all service users were registered with a GP. The epilepsy nurse has visited the home on two occasions and all staff have undergone epilepsy training. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 15 The home has now purchased weighing scales and each service user has their weekly weight recorded. All medications are stored in a locked cupboard in the office. Only those who have undergone specific medication training, give out medications. The inspector viewed the medication records and found these to be neat, accurate and well recorded. PRN medication guidelines have been further developed since the last inspection and documented. Six of the seven service users had their ageing, illness and death wishes recorded in their care plans. The seventh and newest service user is yet to be asked. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The service user is aware that they are listened to and are protected from abuse, neglect and self-harm. EVIDENCE: The inspector viewed the home’s complaints recording book. There had been one complaint since the last inspection. This complaint was being dealt with in an appropriate manner, through the line management. A meeting has been organised with the complainant in the next few weeks. The home has an Adult Protection policy. These records are available for viewing. All staff have received Adult Protection training through the Care Management Group. The inspector was shown the financial procedures. A record of service user expenditure was also viewed. Currently only one service user has access to their own finances. Management is negotiating with the service user’s families in regard to them managing their own finances. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 17 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) 24,25,26,27,29,30 The home is homely, comfortable and safe with bedrooms to suit the individual needs and lifestyles. Service user bedrooms promote independence and supplement shared spaces. Toilets and bathrooms promote privacy and meet needs. The home is clean and hygienic. EVIDENCE: The home is situated in a quiet residential area in Kenton, Harrow. The house is in keeping with the other residences in the avenue. The inside of the home has been freshly painted and carpeted and changes made in accordance with appropriate occupational health and safety regulations. The lounge has been comfortably furnished and a large television is accessible. There are pictures on the walls of the shared areas. At this unannounced inspection, the home was clean, light and airy. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 18 The home has the recommended fire doors separating each area. These are set to close in the event of a fire. On the day of inspection two of these doors had been obstructed. This must be rectified. The laundry is small but useable. The inspector found it clean and tidy. The home employs a maintenance person and a gardener. The garden is well maintained, and the back terrace is accessible from the dining room. However, at the time of the inspection the terrace area was in need of weeding. There was no evidence of any garden settings for service users or their visitors to use. There was available documentation relating to fire and safety checks. Service user bedrooms were inspected. These were adequate in size, clean and tidy. Because the home is new, the décor is still very fresh. However, only three service users appear to have a good supply of their own belongings around them. The other bedrooms were quite clinical. Although each of the bedrooms are lockable, keys are stored in the office. This is because the service users need assistance to use the keys. It is recommended, however, that the bedrooms are kept locked when the service user is away from the home to maintain their sense of privacy. Each bedroom has an en-suite bathroom with a lockable door. This promotes the privacy of the service user. None of the bedrooms inspected had an offensive odour. All individual bathrooms were fitted with specialist equipment to aid with any disability. The home has ramps at the entry and in the back garden for wheelchair access. Several of the service users had specialist beds. The home is on two levels. A lift is available for those with bedrooms on the first floor. All doorways into the six bedrooms currently being used by wheelchair users are accessible. The laundry was clean and dry though small. Dirty linen waiting to be placed into the washing machine was contained. Guidelines for handling soiled linen was displayed in the laundry. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 19 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) 32,33,34,35 Service users are supported by competent and qualified staff who presented at inspection as an effective team, meeting individual and joint needs. Service users are protected by the homes recruitment policy and practices. EVIDENCE: Staff reported that they believed staffing levels to be adequate to the ratio of service user. Inspection of the roster showed that there were regularly three staff plus a driver on the morning shift with three staff and a driver until five pm in the evenings. One awake and one sleeping staff overnight. The home is a new home and staff recruitment recent. Training is still in progress. There are nineteen staff. Two have NVQ level 2, one has NVQ level 3, and the manager has NVQ level 4. The home also endeavours to recruit staff with prior qualifications. However, to achieve the standard of 50 of the workforce achieving training, the amount of staff undergoing NVQ training must be increased. All staff on duty at the time of this inspection, reported that they had undergone Induction Training, Manual Handling, Food Hygiene, Specialist Feeding, Abuse Training, Fire Training and Epilepsy Training. Two of the four morning staff had undergone Medication Training. The inspector spoke with all 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 20 of the morning and afternoon staff and found they were enthusiastic about commencing their NVQ training but were waiting for the organisation to give them a place in the course. At the time of the inspection the morning team leader was a senior support worker. The afternoon shift was lead by the Deputy Manager. Both of these members of staff were aware of their responsibilities and to whom they were responsible. The inspector viewed staff records. These were in a locked cupboard in the office. They were well organised. Prior to employment, a CRB check, two references, proof of address and qualifications are examined. Supervision contracts were also available for inspection. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 21 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) 42 EVIDENCE: Staff meetings are held monthly to discuss issues that have arisen. Service user meetings, at which staff are also present are also held monthly. The service user is encouraged to share their opinions in these meetings. The likes, dislikes and wishes of all service users are recorded in their care plans. During this inspection the inspector was shown the recorded evidence of electrical portable appliance checks and the electrical installation check. A copy was taken for the Commission. A risk assessment with regard to the laminated floor has been completed and the deputy manager informed the inspector that the manager is reviewing accident/incidents regularly. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 22 All personal information relating to the service user must be kept in a locked cupboard or in a locked room. Service user files were found to be kept in the office which is not lockable. This needs to be rectified. The office door is a fire door and needs to be able to close in the case of a fire. This was found to be wedged open and after removal of the wedge, the door was then obstructed by the desk and could not close. This must be rectified. All other standards were met in the previous inspection. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 23 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 2 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 2 3 x 3 3 Standard No 11 12 13 14 15 16 17 x 2 2 2 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 64-66 Carlton Avenue Score 3 2 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x 1 x G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 24 no 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 42 (2) (4) Regulation 16 (2) (j) Requirement Food in freezer should be dated if opened. This food should then be removed after the useby date. The garden terrace should be weeded and a garden setting installed to allow service users to sit outside and to entertain their visitors. Service user files must be locked away to maintain maximum privacy and confidentiality. Service user bedrooms should be personalised. Training targets for NVQ of at least 50 should be achieved. All care plans should be reviewed at least 6 monthly with service user involvement. Fire doors must not be obstructed. Office door needs to be free to close and to lock. Variety of activities for service users, particularly outings into the community need to increase in variety and community involvement. Timescale for action 29/10/05 2. 28 23 (2) (g)(h) (i) (o) 17 (a) (a) 12 (4) (a) 23 2 b 18 (a) 14 (2) (a) (b) 23 (4) (e) 16 (2) (m) (n) 29/11/05 3. 4. 5. 6. 7. 8. 10.3 26 35 6.10 42, 24 14 29/10/05 29/11/05 29/08/06 29/12/05 29/10/05 29/11/05 9. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 7 29 Good Practice Recommendations All service users should have access to spending money for puchasing personal items. The registered person should review the laundry facilities in regard to its ability to meet the needs of the service users when the home does not have vacancies. 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection 4th Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 64-66 Carlton Avenue G62-G11 S62165 64-66 Carlton Ave v217519 200805 Stage 4.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!