Inspection on 11/08/05 for 70 Castleton Road

This inspection was carried out on 11th August 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

70 Castleton Road 21/02/07

70 Castleton Road 14/02/06

70 Castleton Road 18/01/05

70 Castleton Road 19/07/04

70 Castleton Road 05/03/04

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Edenvale

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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 70 Castleton Road 70 Castleton Road Walthamstow London E17 4AR Lead Inspector Rob Cole Unannounced Inspection 11 August 2005 at 10:00am th 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. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 70 Castleton Road Address 70 Castleton Road, Walthamstow, London, E17 4AR 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 8531 5561 020 8531 5574 Sense UK Ms Julie Sandra Jordon Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18th January 2005 Brief Description of the Service: Castleton Road is a six-bed home for adults with learning disabilities and sensory impairments. The service users all have complex needs and some have additional physical disabilities and challenging behaviour. The home is part of SENSE and is situated in a residential area of Walthamstow in the London Borough of Waltham Forest, and is close to shops and other local amenities. The house is similar to others in the locality. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 11/8/05 and was unannounced. The inspector spoke with service users, staff and the homes manager was present throughout the inspection. Overall the inspector considers this to be a well run home, and that service users receive generally high levels of care. There are a number of issues that need to be addressed, as highlighted within the report. What the service does well: What has improved since the last inspection? 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. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 6 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 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 7 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) 1,3,4 and 5 The inspector was satisfied that service users are provided with sufficient information about the home in order to make an informed choice as to move in or not. This information is provided through documentation and the opportunity of visiting the home. EVIDENCE: The home has both a Statement of Purpose and Service User Guide in place. The Statement includes all information required by National Minimum Standards (NMS). The Guide has been updated since the previous inspection, and now includes details of the homes physical environment and the homes complaints procedure, and is now in line with NMS. Both documents are written in plain English and pictorial form. The home has an occupancy agreement in place for all service users, these included the terms of occupancy and the support provided. These are signed by a representative of the organisation and the service user or their representative were appropriate. However, these documents do not include all information required by National Minimum Standard 5, for example there is no mention of fees charged, what they cover and what is extra. This must be addressed for the home to fully meet this standard. This is a repeat requirement. From observation and discussion with staff and management there was evidence that the home is able to meet the assessed needs of service users. For example staff were able to demonstrate an ability to effectively 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 8 communicate with service users who have complex communication needs. For instance the home has drawn up a picture book for use with one service user, the inspector observed that this enabled the service to make choices and have more control over their daily life. Efforts are made to meet the cultural needs of service users, through dress, food, music and appropriate social activities. The home has a clear admissions procedure, and the manager demonstrated a good understanding of the procedure. The inspector was informed that prospective service users and their family have the opportunity to visit the home including for overnight stays prior to making a decision as to move in or not. There was evidence that meetings take place to review placements after six weeks, and these are attended by the service user, their family, keyworker, social worker and the homes manager. The home does not accept emergency admissions. There have been no new admissions to the home since the last inspection. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 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 and 10 The inspector was satisfied that service users are supported to have as much control over their daily lives and the running of the home as possible. Care plans and risk assessments are generally of a good standard, although care plans need to be regularly reviewed. EVIDENCE: All service users have individual care plans in place. These include personal care guidelines, medical information, health needs, goals and objectives. Plans are drawn up with the involvement of the service users, family, keyworkers and the homes manager. Plans were clearly set out and easy to understand, and of a good standard. However, not all care plans have been reviewed within the past six months, and it is required that care plans are regularly reviewed, at least every six months. Service users are encouraged to take reasonable risks to allow them to participate in everyday activities and to encourage independence. Service users have risk assessments in place which are very clear and comprehensive, covering all areas of potential risk, including medication, accessing the community and holidays. The home is on a waiting list to receive support from a local advocacy group. All service users have a designated keyworker who will advocate on behalf of 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 10 service users, and they also all have a social worker. Due to the nature of their disability, service users have only a limited ability to make choices over their lives, and are unable to manage their own finances. However, service users were observed to be offered as much choice as possible. For example on the day of inspection two service users indicated that they wished to go out, and this was arranged. Service users have only limited abilities to participate in the day-to-day running of the home. However, service users are able to participate in the recruitment process for new staff to the home, by a system of observing their interaction with prospective staff. Other areas that service users are able to contribute to the running of the home include menu planning and helping to choose decoration schemes for bedrooms. The home has a confidentiality policy in place, this has been updated since the last inspection, and now includes details of when a confidence may have to be broken in the health, safety and welfare interests of service users and others. Confidential records are stored securely; staff and service users can access confidential records as appropriate. Staff spoken to demonstrated a good understanding of issues around confidentiality. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 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) None The standards in this section were not tested on this occasion, but will be tested as part of the next inspection. EVIDENCE: The standards in this section were not tested on this occasion, but will be tested as part of the next inspection. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 12 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 and 21 It is the view of the inspector that the home is able to meet the personal care needs of service users. Service users have access to health care professionals as appropriate. However, the home must tighten up its recoding and administration of medications. EVIDENCE: Service users are encouraged to manage their personal care as much as possible, in line with their care plans. Staff were observed to knock and wait before entering bedrooms. At times during the inspection service users made it clear they wished to be left alone, and this was seen to be respected by staff. Service users are able to choose their own clothes to wear, and all were appropriately dressed on the day of inspection. All service users are registered with a GP. Since the last inspection the home now maintains clear records of all medical appointments, these evidenced that service users see health professionals as appropriate, including psychiatrists and physiotherapists, and since the last inspection service users now have access to regular dental care. The home makes use of the Continence Advisory Service, who supply advice and continence products, and used continence products are disposed of appropriately. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 13 The home has a clear medication policy, and all staff receive training from the supplying pharmacist before they are able to administer medications. The pharmacist visits the home every three months to carry out a check of medication practice and procedures. Medications are stored in locked cabinets inside individual service users bedrooms, no service users currently self medicate or are on any controlled drugs. Records are maintained of medications entering the home and those that are returned to the pharmacist. Medication Administration Record (MAR) charts are maintained. However, these contained several unexplained gaps in them, and this must be addressed. One service user has been prescribed Risperadol, the label on the medication states give 1mg a day, yet the instructions on the MAR charts states give 0.5mg a day. It is a repeat requirement that prescribing instructions on medication labels are consistent with those on the MAR chats, and that both are in line with the prescribing instructions of the medical practitioner who prescribed the medication. The home has a policy in place on death and dying. The manager informed the inspector that service users would be able to stay in the home with a terminal illness, so long as the home was able to meet their medical needs, and that family members would be made welcome during this period. Since the last inspection the home has made reasonable efforts to seek the views of service users or their family were appropriate on the arrangements to be made in the event of their death. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 14 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 The inspector was satisfied that the home has suitable policies and procedures in place around complaints and protection issues. However, all staff must receive training in adult protection issues. EVIDENCE: The home has a complaints log, although the manager informed the inspector that the home has not received any complaints within the past twelve months. There is also a complaints procedure, which is in plain English and pictorial form. The complaints procedure was prominently displayed within the home, and now includes contact details of the CSCI. The home has a policy in place on adult protection, which appeared to be in line with current legislation. However, the manager informed the inspector that most of the staff in the home have not received training in adult protection issues, and it is required that all staff receive this training. The home holds money on behalf of service users in a locked cabinet. Records and receipts are maintained of transactions involving service users monies. The inspector checked several service users finances at random, all of which appeared to be satisfactory. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 15 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) 24,25,26,27,28,29 and 30 It is the view of the inspector that the homes environment is suitable to meet its stated purpose. Service users have adequate private and communal space to meet their needs, and the home was generally well maintained, both internally and externally. EVIDENCE: The home is situated in a residential area of Walthamstow, in the London Borough of Waltham Forest, and is close to shops and other local amenities. The home is in keeping with other homes in the area, and has recently had a lot of renovation work done to the outside of the building, and is now in a generally good state of repair. However, some damage has been done to internal walls and skirting boards caused by damp, and this must be addressed. The home is accessible to service users who make use of a wheelchair, and suitable to meet its stated aims. On the day of inspection the home was clean, tidy and free from offensive odour. The home has a sitting room, garden, dinning/kitchen area and conservatory. The downstairs communal areas have recently been painted, and had a new carpet fitted. The manager informed the inspector that there are plans to convert half of the conservatory into a specialist sensory room. The garden has appropriate 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 16 garden furniture and a BBQ, and is accessible to all service users. As well as the three ensuite bedrooms there is one bathroom/toilet, one shower room/toilet and one toilet on its own. Bathrooms and toilets have been adapted and are accessible to all service users. All bathrooms have locks fitted, with an emergency override device. Bathrooms were clean, tidy and free from offensive odour on the day of inspection. All service users have their own bedrooms, three of which are ensuite, and the others all have hand basins in them. Bedrooms are decorated to service users own personal tastes. Bedrooms had appropriate furniture, including table and chair, wardrobe and chest of draws. Carpets, bedding and curtains were all well maintained. Rooms all had adequate natural lighting and ventilation, and windows were fitted with appropriate safety devices. On the day of inspection bedrooms were clean, tidy and free from offensive odours. Bedrooms meet National Minimum Standards on size requirements. There are numerous adaptations around the home. As mentioned, bathrooms have been adapted, and the home has a lift between floors which is regularly serviced. Carpets and walls have contrasting colours, to aid service users with sensory impairments to find their way around the home. Since the last inspection a physiotherapist has visited the home to advise on any further adaptations that may be beneficial. There was evidence that the advice of the physiotherapist has been acted upon, for example they recommended that one service user would benefit from orthotic shoes, and this have subsequently been arranged. The home has a policy in place on infection control, and protective clothing such as gloves and aprons were available to staff. COSHH products were stored appropriately. Laundry facilities were domestic in scale and suitable to meet the homes needs. Hand washing facilities were situated throughout the home. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 17 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 The inspector was satisfied that the home is staffed in sufficient numbers to meet service users needs. Staff demonstrated a generally good understanding of the needs of service users, and an ability to meet these needs. EVIDENCE: The home provides 24-hour support, including a waking night staff and a sleeping night staff, and an emergency on-call procedure. The home employs four staff on both the early and late shift, as well as one person on a 9-5 shift. The manager is supernumery, and informed the inspector that she believed current staffing levels satisfactory to meet the assessed needs of service users. The home had a staffing rota on display, which accurately reflected the staffing situation on the day of inspection. However, the rota did not identify who was the responsible person at any given time, and this must be addressed. The staff team reflects the cultural/gender composition of the service users. Regular staff meetings are held and minuted, and staff spoken to informed the inspector that they are able to bring items to the staff meeting agendas. All staff are given a copy of their job description, and demonstrated a good understanding of their roles. Staff have also been supplied with a copy of the General Social Care Council codes of conduct. From observation of staff interaction with service users, it was evident that staff are aware of individual service users needs, and have developed good relationships with service users. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 18 The home has policies in place on both equal opportunities and recruitment and selection. Service users are involved the recruitment process for new staff. The inspector checked several staff employment files at random, all of which appeared to be satisfactory, and contained all required documentation, including references and CRB checks. All staff receive a structured induction programme when they commence work at the home. This includes the environment and service user issues. Records are maintained of staff training, these evidenced that staff have recently had training in medication, food hygiene and epilepsy. Since the last inspection some staff have undertaken training in working with adults with sensory impairments, and it is required that all staff receive this training. Of the fourteen care staff employed at the home one has completed a relevant care qualification, and eight more are currently working towards a qualification. The manager informed the inspector that it is the intention of the organisation that all staff will be given the opportunity of completing a qualification. All staff receive regular formal supervision, from either the manager or deputy manager. Supervision covers service user issues, performance and training. Staff also receive annual appraisal. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 19 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) 37,38,39,40,41,42 and 43 It is the view of the inspector that this s a well run home, and that the manager is suitably qualified and experienced to carry out their duties. EVIDENCE: The manager has fifteen years experience of working with adults with learning disabilities, including nine years in a managerial capacity. They have a City and Guilds advanced management in care certificate and the Registered Managers Award. The registration certificate was on display in the home, and accurately reflected the homes situation. The home also has a deputy manager and two senior support workers. From discussion with the staff team, there was evidence that the management approach to the home creates an open and inclusive atmosphere. Staff were observed to interact with the manager in a relaxed manner. The home has a policy in place on equal opportunities, and the recruitment procedure outlined by the manager demonstrated a commitment to equal opportunities. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 20 Staff meetings and supervisions all contribute to the quality assurance within the home. Copies of previous inspection reports were available to view in the home. The home carries out an internal audit, which includes seeking the views of service users and their relatives. Feedback seen was generally positive, one relative commented “Your on going care package has always been totally centred around … needs”. However, the home could only evidence that three Regulation 26 visits have taken place so far this year, it is required that these visits are carried out unannounced and monthly, and that a copy of the report of these visits is forwarded to the CSCI, and a copy retained in the home. The home has a comprehensive set of policies, most of which have been updated recently. The inspector checked several at random, including recruitment and selection, equal opportunities and adult protection. All of which appeared to be satisfactory. All confidential records were stored securely, and staff and service users can access their records as appropriate. Staff have received training in various health and safety subjects, including food hygiene and moving and handling. There are relevant health and safety policies, for example on infection control and fire safety. Fire fighting equipment was situated around the home, and was last serviced on the 26/7/05. Fire alarms are tested weekly, and were last serviced by an engineer on 26/6/05. Fridge/freezer and hot water temperatures are regularly checked, and COSHH products were stored securely. The home has in date employer’s liability insurance cover. 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 21 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 x 3 3 2 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score 3 3 2 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 70 Castleton Road Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 3 3 3 G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 22 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 OP20 Regulation 13 Requirement The registered person must ensure that records are maintained of all medications administered in the home. (Timescale 30/4/05 not met) The registered person must ensure that prescribing instruction on medication labels are consistent with the instructions on the MAR charts, and that both are in line with the prescribing instruction of the medical practitioner who prescribed the medication. (Timescale 30/4/05 not me) The registered person must ensure that all care staff employed at the home receive appropriate training in working with adults with sensory impairments. (Timescale 30/4/05 not met) The registered person must ensure that the CSCI is sent copies of reports of all Regulation 26 visits, and that these visits are carried out monthly. (Timescale 30/4/05 not met) The registered person must ensure that each service user G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Timescale for action 30/11/05 2. OP20 13 30/11/05 3. YA35 18 31/3/06 4. YA39 26 30/11/05 5. YA5 5 30/11/05 Page 23 70 Castleton Road Version 1.40 6. YA6 15 7. YA24 23 8. YA18 13 has a written and costed contract/statement of terms and conditions as specified in Standard 5 of the National Minimum Standards. (Timescale 30/4/05 not met) The registered person must ensure that care plans are regularly reviewed, a least once every six months. The registered person must ensure that areas within the home that have been damaged by damp are made good. The registered person must ensure that all staff employed at the home receive appropriate training in adult protection issues. 30/11/05 30/11/05 30/11/05 9. 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 Good Practice Recommendations 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Gredley House 1-11 Broadway London E15 4BQ 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 70 Castleton Road G56 G06 S7280 Castleton Road V244311 110805 Stage 4.doc Version 1.40 Page 25 - 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!