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Inspection on 03/10/06 for Charles Curran House

Also see our care home review for Charles Curran House for more information

This inspection was carried out on 3rd October 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There is a high level of care provided and service users are encouraged to be as independent as possible and to move on to live in small group living situations. Good use is made of community facilities such as day centres. The home was found to be clean, well decorated and odour free.

What has improved since the last inspection?

Risk assessments of the premises and of the service users have been reviewed. Parts of the care home have been redecorated and five bedroom were being re-floored on the day of the inspection. Rotten window frames have been replaced.Additional staff have completed their NVQ`s and further staff members are starting similar qualifications. The home has in place the Council`s current policies on restraint and on managing service users` money. Revised service user terms and conditions contracts are being used. Staff have been trained in the correct recording of fridge and freezer temperatures, and to report any significant variances in temperatures. A lockable cabinet for cleaning chemicals has been placed in the laundry. Additional work has been achieved on person-centred planning.

What the care home could do better:

When a prospective service user is being assessed, full records must be kept of the assessment process, and the representative of the service user must be notified in writing that the home is able to meet the assessed needs of the prospective service user. Old care plans must be kept for inspection for at least three years. Staff members need additional training in how to undertake a risk assessment of moving and handling needs of service users, including the risks associated with the use of hoisting equipment. The current form used for this purpose should be reviewed. The emergency cards held for each service user should always have a recent photograph of the service user attached. The light levels within some parts of the home must be improved by cutting back a tree in the garden, and by improving the electric lighting within one bathroom. A further staff recruitment drive is recommended so that the percentage of agency staff used may be reduced. Further work is needed in identifying and eliminating health and safety risks such as those caused by poor light, or by the `handling` of service users.

CARE HOME ADULTS 18-65 Charles Curran House 36 Boniface Road Ickenham Middlesex UB10 8BU Lead Inspector Robert Bond Key Unannounced Inspection 3rd October 2006 09:30 Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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 Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Charles Curran House Address 36 Boniface Road Ickenham Middlesex UB10 8BU 01895 674 935 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) lgarlick@hillingdon.gov.uk London Borough of Hillingdon Mrs Kim Sharon Jebson Care Home 22 Category(ies) of Learning disability (0), Physical disability (0), registration, with number Sensory impairment (0) of places Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th November 2005 Brief Description of the Service: Charles Curran House is a purpose built two storey care home for adults with profound learning disabilities, operated by Hillingon Council and opened in 1981. It is located at the end of a cul-de-sac, very close to the centre of Ickenham village and hence is close to all local facilities and public transport. The home is divided into four units and can accommodate 22 permanent service users of either sex who have usually a mixture of learning and physical disability and sensory impairment. All service users attend day centres upto four days per week and the home has the use of three vehicles to take them out. Weekly fees are up to £845.48. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a ‘key’ inspection that considered the home’s performance as measured by the CSCI Inspector against the key National Minimum Standards (NMS) of the Department of Health’s National Minimum Standards and Regulations for Care Homes for Younger Adults. The Inspector assessed 23 of the NMS and found that the anticipated outcomes were fully met in 18 instances, only partly met in 3 cases, and not met for 2 of the NMS. This led to the Inspector making 6 requirements and 3 recommendations. During the inspection, which lasted 4 hours, the Inspector interviewed the Registered Manager and the Administrator, met other staff, met service users, toured the premises, and examined a variety of records. The care records for one service user were examined in detail (case-tracked). The home was fully occupied by service users except that one service user was in hospital. The home was found to be adequately staffed but a substantial number of the permanent posts are vacant, with a high reliance being placed on temporary agency staff, although some of these staff members have worked in the home for a long time. The previous inspection report contained 22 requirements, most of which have been met. The new Registered Manager is commended for her efforts to further improve standards within the care home. What the service does well: What has improved since the last inspection? Risk assessments of the premises and of the service users have been reviewed. Parts of the care home have been redecorated and five bedroom were being re-floored on the day of the inspection. Rotten window frames have been replaced. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 6 Additional staff have completed their NVQ’s and further staff members are starting similar qualifications. The home has in place the Council’s current policies on restraint and on managing service users’ money. Revised service user terms and conditions contracts are being used. Staff have been trained in the correct recording of fridge and freezer temperatures, and to report any significant variances in temperatures. A lockable cabinet for cleaning chemicals has been placed in the laundry. Additional work has been achieved on person-centred planning. 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. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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 Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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): 2 and 3 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. Prospective user’s individual aspirations and needs are not adequately assessed judging by the records that have been kept. Prospective users and their relatives are not adequately made aware that the home they are choosing will be able to meet the needs of the service user. EVIDENCE: The Inspector case-tracked the care records for a service user who had moved into the care home since the previous CSCI inspection. Using the evidence contained on the files the Inspector was provided with, a community care plan and an overall assessment of the prospective service user’s needs had been provided by Hillingdon Social Services Department, but there was no referral letter or form requesting a place at Charles Curran House, and no written assessment of the home’s ability to meet the identified care needs of the prospective service user. It is clear that the prospective service user did visit the care home on a number of occasions before moving in, and that a close relative was informed of the assessment decision, but this seems to have been done verbally rather than formally as the Regulations require. See Requirement 1. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 9 Although a care plan was created using the assessment that was provided, that original care plan was not available for inspection. The Registered Manager reported that it had been destroyed once a revised care plan had been put in place six months after the service user had moved in. The Regulations require that care plans and all related written information must be kept for inspection for at least three years. Requirement 2. The file examined also contained two ‘handling assessments’, dated six months apart. The earlier version identified some risks. The latter version identified no risks. The form, which is very tick-box orientated, asks whether equipment should be used and the answer given was ‘no’, this despite the fact that hoists are used to assist the service user to transfer. The suitability of the form currently used should be reviewed (Recommendation 1) and further training of staff is required in the risk assessment of moving and handling service users. See Requirement 3. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users or their relatives know to a satisfactory extent that the assessed and changing needs and personal goals are reflected in the service user plan. Service users are enabled to make decisions about their lives to a satisfactory extent. Service users are supported to take risks as part of an independent lifestyle to a satisfactory extent. EVIDENCE: The Inspector examined the care plan of one of the more recent service users to move into the home. The Inspector found that the care plan satisfactorily recorded care needs and service user goals. The care plan had been reviewed after six months. In addition, the file examined contained a person-centred plan that made excellent use of photographs. The file contained an ‘emergency card’ with basic details, but no photograph of the service user. See Recommendation 2. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 11 The file contained a three month review for the period March to May 2006, but not for the period June to August 2006, and yet a review had taken place in September 2006, and a revised care plan had been created. The revised care plan left blank the required information on ‘culture and religion’ although this was recorded elsewhere. A day centre review on the service user recorded the use of rectal diazepam but the home’s records did not note this anywhere. The Registered Manager agreed to investigate. The Registered Manager reported that service users are involved in drawing up care plans so far as they are able as the majority are non-verbal. The home has recently purchased a computer software programme named Boardmaker that will produce pictures (of food for example) that can be printed and laminated to aid service users make informed choices. Relatives are generally involved in reviews. No service user is able to manage their own finances. The home is the appointee for all but one service user. There are no formal service user or relative consultation meetings but relatives are invited to attend social occasions twice a year. Responsible risk taking and independence are promoted within the constraints of service user abilities. Risk assessments are undertaken and reviewed on a regular basis. The Inspector saw the evidence of this on the file he casetracked. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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): 12, 13, 15, 16 and 17. Quality in this outcome area is good This judgement has been made using available evidence including a visit to the service. Service users are able to take part in age, peer and culturally appropriate activities to a satisfactory extent. Service users are part of the local community to a satisfactory extent. Service users have appropriate personal and family relationships to a satisfactory extent. Service user’s rights and responsibilities are recognised to a satisfactory extent. Service users are offered a satisfactory healthy diet in an appropriate setting. EVIDENCE: The Registered Manager reported that all 22 service users attend 5 day centres for 3 or 4 days a week, and occasionally for 5 days. In addition, some service users go to Berkshire College to learn cookery, art and craft. None are able to engage in work or volunteering. Community visits are undertaken to libraries, pubs, restaurants, cinema and bowling. There are day outings to the zoo or the coast. The Registered Manager is investigating the possibility of ‘door to door holidays’. The home has three vehicles, one of which is soon to be replaced Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 13 with a more suitable smaller vehicle. Relatives are appropriately involved. This was confirmed by the case-tracked records the Inspector examined. The home does not have a cook at present so the care staff prepare meals on the individual units, but follow an agreed six week menu for the main meal, during weekdays. The Inspector examined the menu and considered that it offered a suitably balanced diet. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to the service. Service users receive good personal care in the way they prefer and require. Services users’ physical and emotional health needs are met satisfactorily. Service users are not able to retain control of their own medication but are adequately protected by the home’s policies and procedures for dealing with medication. EVIDENCE: The Inspector toured the home and observed care being provided to six service users. The care plan examined by the Inspector contained sufficient detail on how personal care needs should be met. Service users all have a person-centred plan. This practice is commended. The Inspector noted that Health Action Plans are in place. The Registered Manager reported that two GP surgeries provide a service to the care home, and annual health checks are undertaken on every service user. Occupational Therapy assessments have recently been undertaken on 5 service users, and appropriate aids and equipment provided. A physiotherapist is available, Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 15 district nurses visit as necessary, as does an optician, dentist, chiropodist and aromatherapist. The Inspector undertook a medication check in one unit of the home. Everything was in order. The Registered Manager reported that Boots the Chemist undertaken full quarterly audits. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users and their relatives should feel that their views are listened to and acted on well. Service users are adequately protected from abuse, neglect and self-harm. EVIDENCE: The Inspector asked to see the home’s record of complaints. The Registered Manager reported that no complaints had been received since the previous CSCI inspection. The Inspector noted that the complaints leaflets in the home contained the old CSCI contact details, hence they must be updated. The Registered Manager reported that no referrals had been made to the Protection of Vulnerable Adults (POVA) section of Hillingdon Council, and no staff had been reported for inclusion on the POVA list. She added that all staff have received POVA training. The Inspector noted that the home does have the latest version of Hillingdon’s POVA policies. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users live in an adequately homely, comfortable and safe environment except that a few areas are too dark. The home achieves a good standard of cleanliness and hygiene. EVIDENCE: The Inspector toured most parts of the home. He noted that flooring contractors were at work in five service users’ bedrooms. He also noted that some new windows had been fitted, and substantial redecorations had taken place. The home was clean throughout, and there were no unpleasant odours anywhere. The Inspector noted that the tree outside that made part of the home dark had not yet been cut back, although the Registered Manager said this was due to happen. Requirement 4. The Inspector noted that one bathroom remains too dark. The shade is discoloured. It could be replaced, and/or a higher wattage strip light bulb fitted. Requirement 5. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 18 The Inspector also noted substantial settlement cracks in one part of the building. The Registered Manager said a structural engineer was due to inspect the damage. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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): 32, 33, 34, 35 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Service users are well supported by sufficiently qualified and competent permanent staff. Service users are not adequately supported by an effective staff team as the proportion of temporary agency staff remains too high. Service users are adequately supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are satisfactorily met by appropriately trained staff. Service users benefit from adequately supported and supervised staff. EVIDENCE: The Registered Manager reported the following staff vacancies: day care, 287 hours per week; night care, 86 hours per week; domestic, 90 hours per week; senior staff, 108 hours per week. The Registered Manager added that due to future possible restructuring of the service, the senior staff posts, including that of Manager, were filled by staff acting up on short-term contracts, whereas recruitment to their substantive care posts was frozen. Recruitment drives for the other vacant care and domestic posts took place from time to time. See Recommendation 3. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 20 The Registered Manager reported that most of the temporary agency staff are supplied by the same agency, and those in more senior positions have all been at the home for a substantial period of time. The Registered Manager reported that three staff members had recently completed their NVQ qualifications and a further five were now undertaking the qualification. The Inspector saw evidence of staff training, and members of staff the Inspector talked to confirmed that good levels of training were provided. The Inspector examined the recruitment file for a member of staff who had started work at the home, but who subsequently left. All appropriate checks had been undertaken, and an exit interview conducted. The Inspector saw evidence of staff supervision, appraisals and ‘personal development plans’. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users benefit from a well run home. Service users’ and relatives’ views sufficiently underpin all self-monitoring, review and development by the home. The health, safety and welfare of service users are not sufficiently promoted and protected. EVIDENCE: The Manager has been assessed by the CSCI as being ‘a fit person’ to manage a care home and hence is the Registered Manager. She reported that she is about to commence the Registered Manager Award training. The Inspector saw records of other training the Registered Manager has recently undertaken, such as ‘Asbestos Awareness’. The Registered Manager reported that quality assurance questionnaires are sent to family members annually, that she undertakes internal auditing of care Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 22 plans for example, and her manager undertakes Regulation 26 visits. The Inspector receives these reports. The Registered Manager confirmed that a business plan for the home is currently being updated. The Inspector checked sample records of fridge and freezer temperatures, the contents of a First Aid box, and some risk assessments. The Inspector also examined a Health and Safety check-list for the home, that is followed and completed weekly. This practice is commended. However elsewhere within this report concern is expressed about the risk assessing of moving and handling, and about poor light levels in parts of the home, both of which are Health and Safety issues, therefore Requirement 6 is made. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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 Standard No Score 1 x 2 1 3 1 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 2 x Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 24 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 YA3 Regulation 14(1)(d) Requirement The registered person must confirm in writing to the service user (or their representative) that having regard to the assessment, the care home is suitable for the purpose of meeting the service user’s needs in respect of health and welfare. The registered person must keep the records required in Schedules 3 and 4 (including old care plans) available for inspection for at least three years. The registered person shall provide additional training to staff on undertaking complete risk assessments that will aid providing a safe system for moving and handling service users. The premises must be kept in a good state externally (cut back trees). THIS IS RESTATED AS THE ORIGINAL TIMESCALE HAS NOT BEEN MET. Lighting suitable for service users must be provided DS0000032472.V310918.R01.S.doc Timescale for action 01/11/06 2. YA2 17 01/11/06 3. YA2 13(6) 01/12/06 4. YA24 23 (2) (b) 01/12/06 5. YA24 23 (2) (p) 01/12/06 Charles Curran House Version 5.2 Page 25 (bathrooms). THIS IS RESTATED AS THE ORIGINAL TIMESCALE HAS NOT BEEN MET. 6 YA42 13(4)© Unnecessary risks to the health and safety of service users (and staff) must be identified and so far as possible eliminated. 01/12/06 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 YA2 YA6 YA33 Good Practice Recommendations That the form used for risk assessing moving and handling of service users is reviewed. All ‘emergency cards’ should have a photograph of the service user attached. A further recruitment drive is recommended. Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West London Area Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Charles Curran House DS0000032472.V310918.R01.S.doc Version 5.2 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. 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