Inspection on 20/09/05 for Chandos House

This inspection was carried out on 20th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Chandos House 03/07/07

Chandos House 26/07/06

Chandos House 25/01/06

Chandos House 21/03/05

Chandos House 21/01/05

Chandos House 03/03/04

Similar services:

Clouds House

Closereach

Westcliffe House

Hilldales

Longreach

Cherry Orchards Camphill Community Ltd

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

CARE HOME ADULTS 18-65 Chandos House 36 Chandos Road Redland Bristol BS6 6PF Lead Inspector Sandra Gibson Unannounced Inspection 20th September 2005 13:30 Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chandos House Address 36 Chandos Road Redland Bristol BS6 6PF 0117 9243071 0117 9243071 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Joyce M Dickinson Mr James Dickinson Care Home 10 Category(ies) of Past or present alcohol dependence (10), Past or registration, with number present drug dependence (10) of places Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st March 2005 Brief Description of the Service: Chandos House is operated by Mrs J Dickinson and is registered by the Commission for Social Care Inspection to provide secondary care residential treatment for up to ten males, aged 18 – 65 years who are recovering from drug and alcohol dependency. The management team are committed to the twelve-step programme and aim to provide a holistic environment which combines the use of counselling with alternative therapies. Residents are expected to participate in an activities programme that includes group and individual therapy sessions, as well as focusing on life skills. Chandos House is not intended to be a home for life and an average stay lasts no longer than six months. The service is not staffed during the evening or at the weekends. Arrangements for support in an emergency are in place. The home is accommodated in a large Victorian house which comprises four stories. It is situated in a residential area, close to local amenities and major transport routes. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place midweek between the hours of 1.30 pm and 5.30 pm. Evidence was gathered from: talking to three service users , talking to two members of staff , looking at the premises, and examining records, policies and procedures. What the service does well: There is a clear care planning system in place to provide staff with the information they need to satisfactorily meet service users needs. Service users are well supported by the staff team of Chandos House who enable them to gain knowledge and understanding of the condition of addiction. As a consequence service users have the opportunity to learn to take greater personal responsibility for themselves and their recovery. Confidentiality safeguards are in place which protects service users’ personal information. Chandos House provides service users with the opportunity to engage in a rehabilitation programme which helps them prepare for a lifestyle that is free from drug and alcohol dependency. Meals are well managed and provide daily variation, good nutrition, life skills and social contact for service users. Service users’ physical care and emotional health needs are fully met and support and counselling is delivered in a way that meets the individuals’ assessed needs. Service users benefit from an experienced, effective staff team who safeguard their rights and interests. Chandos House is kept under constant review and development by the management team which ensures that the service users benefit from a well run home. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 6 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. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Information about the Chandos House Treatment Centre provided to service users and their representatives may be misleading. This may have the result that they may not be able to make an informed decision about whether the treatment centre can meet their individual care needs. The admission procedure in place is good, but it needs to be improved to ensure that a person’s needs have been fully assessed prior to moving into the treatment centre. Without this information there is no assurance that an individual’s needs can be met. EVIDENCE: It was noted that the information leaflet about Chandos House was developed a number of years ago and according to the staff team it is given to prospective service users before they visit the treatment centre. The leaflet is neither a statement of purpose nor a service user guide. One service user said he had not received the introductory leaflet about Chandos House, but had heard about the treatment centre through “word of mouth” and by looking at the Commission for Social Care Inspection website. Another service user confirmed that he had received the leaflet and had also heard about the house through “its good name”. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 9 A sample of records was inspected and it was noted that the majority included a detailed and comprehensive pre-admission assessment format. However, it was noted that there was no needs assessment in place for a couple of service users. The inspector was informed that this practice was relatively common, particularly with some London Boroughs who failed to send needs assessments despite requests being made from the treatment centre. Potential residents complete an application form for admission to the home and are usually offered the opportunity to spend a day and overnight stay where practicable. This gives them the opportunity to meet the existing group of residents, have discussions with the staff and get a fuller understanding of the ethos of the home. Two service users seen at the time of the inspection confirmed this. One had been to visit the house before he was admitted and the other had come from another part of the country which had made an introductory visit difficult. Records inspected confirmed that service users are provided with a written contract/statement of terms and conditions which they are required to sign on admission. It was noted that this information contains house rules, their rights and obligations. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 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 the following standard(s): 6,7,8,9,10 There is a clear care planning system in place to provide staff with the information they need to satisfactorily meet service users needs. Service users are well supported by the staff team of Chandos House who enable them to gain knowledge and understanding of the condition of addiction. As a consequence service users have the opportunity to learn to take greater personal responsibility for themselves and their recovery. Confidentiality safeguards are in place which protects service users’ personal information. EVIDENCE: Care records examined confirmed that all service users have care plans that are reviewed monthly. In some circumstances, service users write and review their own care plan with counsellor and peer input. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 11 Service users consulted confirmed that they’re a very strong group identity in Chandos House and this was based on trust between individuals and staff members. The inspector heard that as their recovery programme progresses there is more flexibility to pursue identified interests and activities. This might mean missing a group to complete voluntary work or, perhaps, taking a day away from the programme for home leave or to plan discharge arrangements. Service user participation is encouraged. Household responsibilities and tasks are delegated to both individuals and small teams of service users. The whole group is responsible for the weekly food allowance which is delegated to the housekeeper (a service user) who budgets for the week. A different service user each week is nominated to act as house keeper. Service users consulted did not consider this to be too difficult, but said that it enabled them to develop independent living skills. One service user said that he was learning to cook with the support of other services users and expressed pride that he had made very good progress. Chandos House Treatment Centre is a second stage home. There are house rules, but few actual restrictions. Individuals are able to make their own decisions by sharing them with the group who give feedback about risks and possible consequences. Service users consulted were aware of their right of access to their own records, which are maintained in a secure, confidential manner in the office. Confidentiality is respected i.e. it was noted that there were notices situated by the residents’ telephone, advising on what information could be given in the event of a stranger telephoning the home asking to check on a resident’s whereabouts. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 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 the following standard(s): 11,12,13,14,15,16,17 Chandos House provides service users with the opportunity to engage in a rehabilitation programme which helps them prepare for a lifestyle that is free from drug and alcohol dependency. Meals are well managed and provide daily variation, good nutrition, life skills and social contact for residents. EVIDENCE: Three service users consulted during the inspection all spoke highly of the quality of the programme. They said that the therapeutic programme was demanding but agreed it was well-balanced. The programme is underpinned by group work and regular one-to-one sessions and also aims to enable all residents to go to a monastic retreat at least once during their stay. The inspector heard how the next retreat was planned for October 2005. However it was noted that one resident who was relatively new to Chandos House was not aware of this retreat and had not been provided with this information prior to admission (as discussed in Section one). Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 13 Service users are encouraged to participate in team games at a local gym and are supported in accessing college courses and voluntary work with the support of their counsellor. During the inspection service users were seen going to the local gym to play team games such as badminton or squash, or returning from college where they confirmed that they have the opportunity get involved in a variety of courses. These include reading and writing skills, access to further education and learning a new language. In the first two weeks of the programme new residents can go out escorted by one of their peers. They also regularly participate in Alcoholics Anonymous and Narcotics Anonymous groups and other community projects including voluntary work. In agreement with counsellors and peers, residents’ families can visit as part of their recovery programme. The twelve step programme and routine underpins the life of the home, but within this there is flexibility and a high degree of trust. There is an expectation of honesty about what people have been doing and how they are feeling which they share with other service users and their counsellors. There was evidence to confirm that staff use risk assessments where they feel it is necessary to do so. There are robust on-call arrangements when the home is not staffed during the evenings and at weekends. Residents said that they felt this encouraged selfresponsibility. The kitchen is well equipped to meet the needs of those accommodated. The meals are planned and prepared by residents. All residents consulted with spoke highly of the catering arrangements and the high standard of food they ate. The main communal meal is in the evening and is seen as a time for all service users to get together and support each other about the day’s events. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 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 the following standard(s): 18,19,20 Service users’ physical care and emotional health needs are fully met and support and counselling is delivered in a way that meets the individuals’ assessed needs. The medication administration system in place is not satisfactory. It must be improved to protect service users and safeguard staff. EVIDENCE: The home has a positive relationship with the local GP who is willing to accept service users accommodated at Chandos House as temporary residents on his GP list. Records confirmed that service users are supported to access health care professionals as identified throughout their stay. Service users confirmed that they had been informed that staff at Chandos House reserve the right to request a urine sample from any service user suspected of using alcohol or drugs. Service users who are subject to a drug testing and treatment order are required to provide a sample at intervals specified by the court . It was noted that staff members carry out these tests sensitively. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 15 The inspector was informed that very little medication is managed within the home unless a service user has a medical condition or requires homely remedies. All medication brought into the home is signed in and held securely by the staff team. A sample check was completed and it was noted that fifty paracetomol tablets signed in for one service user were no longer being used but were not available for checking. There was no record of the paracetomol having been returned to the pharmacist. It was also noted that medication prescribed for a service user who suffers with hay fever was not recorded accurately. Furthermore the staff team also used paracetomol that is held for service users. A staff member had administered and signed for service users’ medication, but there was no record of service users also signing when they had received the medication. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 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 the following standard(s): 22,23 The complaints procedure needs to be updated to ensure that service users are fully protected. Arrangements for protecting residents from harm are partially satisfactory but staff recruitment procedures must be improved to protect services users from harm. EVIDENCE: Service users confirmed that they are familiar with the complaints procedure that is in place, as it’s explained to them on admission. However, there are some gaps in the information found in this procedure. This includes details of the Commission for Social Care Inspection and the response time for dealing with a complaint. This information must also be provided to service users in the statement of purpose/service users guide neither of which currently exists in the treatment centre (as discussed in section one of this report). There have been no complaints received by the Manager of Chandos House or The Commission for Social Care inspection since the last inspection. There is an adult protection policy and procedure in place and the home hold a copy of ‘No Secrets in Bristol’. The staff team have experience and knowledge of adult abuse and what guidelines are in place to protect a service user from harm. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 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 the following standard(s): 24,25,26,27,28,29,30 Chandos House continues to be a clean, comfortable, safe home. There has been an improvement in the exterior of the home and maintenance of equipment since the last inspection which ensures that residents are kept safe and comfortable . EVIDENCE: The environment is well maintained and suited to service users’ needs. However there is currently no lift or accessible toilet facilities for disabled persons. The home has four levels with the lower ground floor accommodating the lounge/kitchen diner. Service users were seen using this area and looked comfortable and relaxed . Chandos House is decorated and furnished to a good standard which creates a comfortable homely atmosphere. All service users spoken with said that they valued this environmental standard and it helped them to “feel valued”. Communal rooms are tastefully furnished and attractively decorated. There is an attractive garden area as well as a conservatory for service users. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 18 There are four shared rooms and two single rooms available in the home. The shared room is part of a programme of support when service users move into the home. As service users progress through the treatment/rehabilitation programme they move into a single room in preparation for leaving the treatment centre. One shared room was seen during this inspection. It looked homely and adequately equipped. It had been personalised with the two service users’ personal possessions. The toilet and bathroom facilities are sufficient to meet the needs of the residents. The home smelled fresh and the rooms were cleaned to a reasonable standard. One of the two domestic assistants was seen during the inspection and it was observed how support is provided to service users. The service users explained how they are encouraged to do cleaning and laundry themselves but domestic assistants support them with these tasks. The house cleaning day is held on a Thursday each week when all service users are expected to participate. There is scaffolding currently to the front of the building to undertake maintenance work that includes the fitting of new windows. This work has been ongoing since the last inspection and according to the owner is almost finished. The existing central heating boiler has also been upgraded. Service users confirmed that there had been minimal disruption to their daily lives. It was noted that there is a programme of maintenance work and redecoration in place. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Service users benefit from an experienced, effective staff team who safeguard their rights and interests. The staff recruitment procedure needs to be improved to ensure that all service users are protected at all times. EVIDENCE: The home has a manager/counsellor, a full time counsellor and a business development manager who has joined the team following the last inspection . Service users stated that they have at least 1 hour 1:1 counselling per week, more if they wish and access to staff at any time during the day. As previously stated the home is not staffed at night or at weekends but there are robust support systems in place in the event of an emergency Both the counsellor and manager have diplomas in counselling and considerable experience in the field. They have regular professional independent counselling supervision, paid for by Chandos House. The Business development manager, who has considerable experience in Social Care including management, explained that his role is to support the manager and counsellor with the administration of the home and reviewing all policies and procedures. All services users consulted confirmed that they were aware of the roles and responsibilities of each member of staff. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 20 The inspector viewed two staff files and noted that the appropriate checks had been completed on one staff member. This included two written references, proof of identification, work experience and Criminal Bureau check. The other file contained the required information, but no evidence of a criminal records bureau check or Protection of vulnerable adults check which is now required. The member of staff assured the inspector that this information had been obtained by the manager but confirmed that it was not currently held on his personnel file. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43 Chandos House is kept under constant review and development by the management team which ensures that the service users benefit from a well run home. The management of health and safety records is reasonably good. However further improvement is needed in respect of maintaining fire safety records to ensure that service users and staff are fully protected from risk of harm. EVIDENCE: The management of the home is currently working well with the support of the manager, counsellor and business administrator. The owner and responsible individual of the treatment centre who was seen at the time of the inspection, confirmed this. It was also confirmed by the owner through information received in the monthly reports sent to The Commission for Social care Inspection. Staff and service users seen at the time inspection also confirmed this information and added that they had no complaints about the management of Chandos House. All said that they “felt safe” and “well looked after”. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 22 It was noted that service users complete a survey prior to leaving the home. This information was not seen during this inspection. However it was noted that is used as part of the quality assurance system in place. Samples of records were examined and it was noted that the majority of these were up to date except for the fire log. It was observed that staff were not receiving six monthly fire safety or participating in six monthly fire drills as recommended by Avon Fire Brigade . The fire risk assessment was noted to be in place but had not been reviewed since March 2004. There was also no evidence in place to indicate what fire safety training had been provided to service users. Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 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 1 2 3 3 3 Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Chandos House Score 3 3 1 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 1 3 DS0000026580.V249797.R01.S.doc Version 5.0 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 2 3 Standard 1 1 2 Regulation 4 5 14 Requirement A statement of purpose must be developed for Chandos House A service users’ guide must be developed for Chandos House An up to date needs assessment must always be in place before a service user moves in to Chandos House The registered manager must make arrangements for the recording, handling, safekeeping, safe administration and disposal of all medicines received into the home. The complaints procedure must contain up to date details of The Commission for Social Care Inspection and the response time for dealing with a complaint. A copy of all staff members Criminal Records Bureau and Protection of Vulnerable Adults checks must be available for inspection All staff must receive six monthly fire safety training and participate in a fire drill at least once in a six month period Timescale for action 20/03/06 20/03/06 20/11/05 4 20 13(2) 20/11/05 5 22 22 20/11/05 6 34 19 20/11/05 7 42 23(4)(e) 20/11/05 Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 25 8 42 23(4)(e) All service users must be made 20/11/05 aware of the fire procedures in place and participate in fire drills 20th November on a regular basis during their stay at Chandos House. This information must be recorded and be available for inspection RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard 20 20 42 Good Practice Recommendations Service users as well as staff should sign for any medication administered by staff Any homely remedies held for service users should be held separately from those held for staff The fire risk assessment in place should be reviewed annually Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Chandos House DS0000026580.V249797.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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