Inspection on 05/10/05 for Davids Close (2)

This inspection was carried out on 5th October 2005.

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

The inspector 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 30 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Davids Close (2) 18/10/06

Davids Close (2) 12/05/06

Davids Close (2) 03/05/05

Davids Close (2) 01/12/04

Davids Close (2) 20/10/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Davids Close (2) Werrington, Peterborough PE4 5AN Lead Inspector Nicky Hone Unannounced Inspection 5th October 2005 17:55 Davids Close (2) DS0000015147.V257358.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 Davids Close (2) DS0000015147.V257358.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. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Davids Close (2) Address Werrington, Peterborough PE4 5AN 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) 01733 707774 01733 707811 Mr Alan George Atchison Mrs Beverley Lyne Harbour Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2005 Brief Description of the Service: Originally a large, detached private house, set in its own grounds, 2 David’s Close became a home for people with learning disabilities in 1995. Accommodation for the seven service users is offered on two floors and comprises four single and two double bedrooms, lounge, dining room, kitchen, and utility room as well as a bathroom, toilets and a sleeping-in room/office for staff. Both double bedrooms have ensuite facilities: one of the doubles is currently used as a single room. The gardens include a wooded area along the rear fence and there is a fully enclosed outdoor swimming pool. Located in a quiet cul-de-sac on the outskirts of Werrington, the home is within a ten minute walk of local amenities, and is three miles from the centre of the cathedral city of Peterborough with its wide range of shops and leisure facilities. Peterborough City Council has granted planning permission for a twostorey extension which would increase the size of some of the bedrooms, add some ensuite shower facilities and remove the shared bedrooms, as well as increasing the number of people able to be accommodated. Building work has not started yet. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of this service in the 2005/6 inspection year. The inspection was carried out in the evening and lasted four hours: all seven service users were at home, three of whom were happy to speak to the inspector. Two members of staff were also seen. What the service does well: What has improved since the last inspection? What they could do better: There is clear evidence that the management of the home is unsatisfactory and that the service being offered to the residents is deteriorating. There were 15 requirements made following the inspection in May 2005, 6 of which were carried forward from previous inspections. At the inspection to which this report refers, all of the timescales had expired and only 2 of those requirements had been fully met: 8 of the requirements had not been met and 1 was not fully met (4 were not inspected). 5 of the 6 requirements carried forward had still not been met. There was an immediate requirement notice sent to the home immediately following the inspection relating to 8 matters of serious concern regarding health and safety (see below). This report has resulted in 30 requirements being made. Staffing levels are not adequate to ensure residents are kept safe and are able to take part in activities of their choice: staff have not received all the mandatory training and do not receive regular, formal supervision. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 6 The environment is not maintained adequately, is not clean and is not acceptable and there is not enough attention paid to issues of health and safety. The immediate requirement notice related to the cooker, dishwasher, leaking toilet, storage of chemicals, lights, loose carpet, trailing wire and fire alarm tests, which are not carried out as required. It is the inspector’s overall judgement that the service offered at this home is poor. The CSCI will be considering the fitness of the registered provider and registered manager to operate this service. 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. Davids Close (2) DS0000015147.V257358.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 Davids Close (2) DS0000015147.V257358.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): None EVIDENCE: None of these standards were assessed at this inspection. No residents have been admitted to the home for several years. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 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 the following standard(s): 6, 7, 9 and 10 Staff know each resident’s support needs from the care plans. Opportunities for increased independence and supported risk-taking could be improved to make residents’ lives more fulfilling. EVIDENCE: Care plans for two residents were seen. Both were completed in June 2005 and contained full and detailed information. Each resident has two ‘tasks’ to work on each week, which are repeated until there is some improvement. For example, one person’s task is to remember to clean their teeth each morning and evening and another to empty the bin in their bedroom every day. Progress is recorded daily. Staff said residents are given more opportunities now for developing their independence, depending on which staff are on duty: there is still a tendency for staff to carry out tasks for service users. Residents are encouraged to help with household chores. At the time of the inspection two residents were helping to sort the clean laundry and one resident made a cold drink for other residents. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 10 A box containing care plans and other information, including information about residents’ finances, was on the table in the dining area. Residents’ records must be stored securely to ensure that confidentiality and privacy are protected. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 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 the following standard(s): 12 and 14 Although daytime activities and the opportunity for an annual holiday are satisfactory, leisure activities should improve so that residents have a broader range of opportunities for social contact. EVIDENCE: Residents have been able to choose whether or not they attend day care outside the home, and most choose to do so. This gives them a programme of day time activities which they seem to enjoy. One person who has chosen not to go to a day centre, goes bowling and does other activities with a specified support worker. There was no record of leisure activities seen on the files. It was noted that in one care plan it was written “I enjoy going to Breakaway on Wednesdays”. This did not happen on the day of the inspection as there was only one staff member on duty between 5 p.m. and 6.45 p.m. All seven residents have had a holiday this summer: they went in small groups with either the manager or the deputy manager to a caravan at Heacham. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 12 During the inspection the residents were having a discussion with one of the support workers about next year’s holiday. It was suggested they could each put their idea into a hat, and then everyone would go to the place that was picked out. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 13 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 Support and healthcare needs are at least partly met, but practices do not ensure residents’ privacy and dignity are upheld. EVIDENCE: Care plans contained information about the support needed by each resident regarding personal care and there was evidence that some healthcare needs are met. One resident’s care plan had one an entry which recorded visits by/to an optician and a GP. There were no records seen of any visits to/by other services such as chiropodist, dentist and so on. Residents’ privacy and dignity are not being upheld by practices in the home. There was no toilet roll in the ensuite toilet to the double room: residents have to ask for the toilet roll when they need to use the toilet. This toilet and shower, although in the bedroom, are used by several of the residents. One resident had very few clothes in the wardrobe: most of what was there were hand-me-downs from staff. Administration of medications was not inspected on this occasion: the CSCI pharmacist carried out an inspection in August 2005. There were five requirements and two recommendations resulting from the inspection, relating to policies, record keeping and staff training. The full report of the Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 14 pharmacist’s inspection is available in the CSCI office. Compliance will be assessed at the next inspection. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: These standards were not assessed in full at this inspection. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 and 30 The décor, furnishings and maintenance are poor and the home is not clean. The home is therefore not a homely, comfortable and safe place for the residents to live. EVIDENCE: Generally the home is looking neglected, both inside and outside, with gardening, maintenance and cleaning not being carried out as needed. In one bedroom, paintwork was scuffed and dirty, curtains were damaged and a wire was trailing across the floor causing a hazard. The walls, floor, skirting and toilet in the ensuite were all badly stained. Another bedroom had thick black cobwebs in both the bedroom and the ensuite, the tap at the washbasin was leaking badly and was badly limescaled, the plug was broken, and the carpet badly stained. The carpet at the doorway of one of the bedrooms had come away from the gripper rod causing a hazard and in two bedrooms, lights were not working. In one bedroom there was a very strong smell of urine. All mattresses seen were very worn and lumpy and one bed was broken. Some of the pillows were stained and one had no cover, the chest of drawers in one bedroom was damaged and the fabric on the chairs in the dining area was grubby and worn. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 17 In the downstairs cloakroom the toilet has obviously been leaking for some time: the floor covering has been removed leaving the floor badly stained from the water. The toilet mat had been wedged at the back of the toilet to catch the leak. The washbasin had no plug and there was a smell of foul drains from the plughole. There was an equally bad smell from the basin in the upstairs bathroom. In this bathroom the toilet was very badly stained, the shower attachment over the bath was not working, and the bath surround was damaged. There were no towels for hand drying in any of the three toilets in the home. In the kitchen, the front of the grill door has fallen off and the oven door has to be wedged shut with a mop handle so that the oven cooks properly. The door fascia to the built-in dishwasher fell off several months ago, leaving bare metal which gets hot when the dishwasher is operating. One resident sharing the double room has made it very clear that he does not want to share: he barricades himself into his half of the room as he is frightened of the other person. He says he has been promised a single room; this was promised several years ago but has not happened. The home has no facilities for staff: the staff member sleeping-in has to sleep on a futon in the dining area. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 33, 35 and 36 Staffing levels are not adequate to ensure residents are given all the opportunities they deserve. EVIDENCE: At the time of the inspection there was only one member of staff on duty, therefore there was no opportunity for anyone to go out, unless all seven residents decided to go together. A second member of staff came on duty at 6.45 p.m., so there were two until 9 p.m. when one went home. This member of staff sleeps at the home overnight: there are no waking night staff. Staff said that sometimes, when the residents are restless, they get little sleep. One staff member spoken to is currently undertaking a National Vocational Qualification (NVQ) in care level 2, and has done basic food hygiene training recently. Staff training records were not seen: no plan of training has been sent to the CSCI as required following the last inspection. Staff are not receiving regular supervision. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 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 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, 41 and 42 The management of this home is poor resulting in a deterioration in the service being offered to the residents. EVIDENCE: There is clear evidence that the management of the home is unsatisfactory and that the service being offered to the residents is deteriorating. The majority of the requirements made at the last inspection have not been met, including several that were carried forward from previous inspections. This is a clear indication that the manager does not have adequate time, or skill to manage the home properly, and the owner does not offer enough support or carry out his responsibilities adequately. Reports of unannounced visits to the home by the provider as required by Regulation 26, Care Homes Regulations 2001, are not being sent to the CSCI. Regulation 37 requires the home to notify the CSCI of any events that affect the well-being of the service users: staff said one of the residents had been taken to A&E earlier in the year. The CSCI has not been notified of this. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 20 A certificate displayed in the hall showed that fire training had taken place in the home in February 2005 for staff and residents. One staff member said training in food safety and hygiene had taken place recently. Training records were not inspected. There were a number of matters relating to health and safety which gave cause for concern. Some have been referred to in the sections above. Also, in the utility room there were a number of cleaning products, including bleach, in two of the cupboards, neither of which was locked. A record of tests of the fire alarm system showed that tests had not been carried out weekly as required: tests were carried out weekly from 01/07/05 to 14/08/05, then only one more test on 15/09/05. Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 2 X 2 2 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 1 1 1 1 X 1 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 2 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 1 X 2 1 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Davids Close (2) Score 2 2 X X Standard No 37 38 39 40 41 42 43 Score 1 X X X 1 1 X DS0000015147.V257358.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 YA9 Regulation 12(2) Requirement Timescale for action 31/10/05 2 3 YA10 YA14 4 5 6 YA18 YA19 YA24 7 YA24 Service users must be given opportunities for personal development and to take responsible risks. This was a requirement in May 2005 and has not been fully met. 17(1)(b) Confidentiality must be respected: residents’ records must be kept securely 16(2)(m)(n) A record must be available to demonstrate that service users are given opportunities for taking part in valued and fulfilling activities. This was a requirement in May 2005: the timescale has not been met 12(4) Privacy and dignity of residents must be maintained at all times. 12(1)(a) All healthcare needs of residents must be met 23 The home’s premises must be kept well maintained and must be suitable for the needs of the service users 23(2)(p) Suitable lighting must be provided in all parts of the home used by service users. An immediate requirement notice was left at the home DS0000015147.V257358.R01.S.doc 21/10/05 21/10/05 21/10/05 21/10/05 30/11/05 06/10/05 Davids Close (2) Version 5.0 Page 23 8 YA25 23(2)(f) 9 YA26 16(2)(c) 10 YA27 23(2)(j) 11 YA27 23(2)(j) 12 YA27 16(2)(c) 13 YA27 12(4)(a) 14 YA28 23(2)(c) regarding the lights in the two bedrooms A means of providing suitable accommodation to meet the needs of the resident wanting to have a single room must be considered Adequate and suitable furnishings, bedding and so on must be provided for service users Toilets and bathrooms in the home must be well maintained, clean and usable: in the downstairs toilet the leak must be repaired; the washbasin must be repaired; the flooring must be replaced. An immediate requirement notice was left at the home regarding this. Toilets and bathrooms in the home must be well maintained, clean and usable: the two ensuite bathrooms must be cleaned and any faulty equipment repaired; in the upstairs bathroom the toilet must be cleaned and the bath repaired. The carpet in the ensuite upstairs must be cleaned or replaced. The flooring in the downstairs ensuite must be cleaned or replaced The registered person must ensure that the arrangements for service users to take showers respect the privacy and dignity of all the service users. This was a requirement in May 2005: the timescale has not been met The cooker must be repaired or replaced. An immediate requirement notice was left at the home regarding this. 31/12/05 30/11/05 13/10/05 31/10/05 31/10/05 31/10/05 13/10/05 Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 24 15 YA28 23(2)(c) 16 17 18 19 YA28 YA30 YA30 YA33 23(3)(b) 16(2)(d) 23(2)(k) 18(1)(a) 20 YA35 18(1)(c)(i) 21 YA36 18(2) 22 YA37 9(2)(b)(i) The dishwasher must not be used until it is made safe. An immediate requirement notice was left at the home regarding this. Adequate facilities for staff sleeping on the premises must be provided All parts of the home must be kept clean. All parts of the home must be kept free from offensive odours The registered person must ensure that at all times suitably qualified, competent and experienced staff are working at the care home in such numbers as are appropriate for meeting service users’ needs. This was a requirement in October 2004 and May 2005. The timescales were not met. Staff must receive training appropriate to the work they perform. All staff must receive a minimum of five paid days training per year. A training plan must be drawn up and submitted to the CSCI.This requirement is carried forward from the inspections in December 2003, October 2004, December 2004 and May 2005: timescales of 30 November 2004, 31 January 2005 and 31 May 2005 for the training plan were not met Staff must receive appropriate supervision at least six times per year. The requirement following the inspection in May 2005 that all staff must have received two supervision sessions by 31/07/05 was not met The registered provider must ensure that the manager of the home has the qualifications and DS0000015147.V257358.R01.S.doc 06/10/05 30/11/05 21/10/05 21/10/05 21/10/05 30/11/05 30/11/05 30/11/05 Davids Close (2) Version 5.0 Page 25 23 YA37 8 24 YA41 17 25 YA41 26 26 27 YA41 YA42 37 23(4)(c) 28 YA42 13(4) 29 30 YA42 YA42 13(4)(c) 13(4)(a) skills necessary to manage the home effectively. The proprietor must ensure that adequate management time is available to complete management tasks effectively. This requirement is carried forward from the inspections in December 2003, October and December 2004, and May 2005: timescales were not met Records must be kept as required by this regulation and must be available for inspection. This was a requirement in October 2004 and May 2005: timescales were not met Reports of visits by the registered provider must be submitted to the CSCI as required by this regulation Notification of significant events must be given to the CSCI as required by this regulation Tests of the fire alarm system must be carried out weekly and recorded. An immediate requirement notice was left at the home regarding this Staff must receive training in infection control. This requirement is carried forward from December 2003, October 2004 and May 2005. Timescales were not met Chemicals must be stored safely Any hazards to service users’ safety must be removed, for example the wire trailing across the floor in one bedroom and the damaged carpet in another bedroom. An immediate requirement notice was left at the home regarding this 21/10/05 31/10/05 31/10/05 21/10/05 06/10/05 30/11/05 06/10/05 06/10/05 Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Davids Close (2) DS0000015147.V257358.R01.S.doc Version 5.0 Page 28 - 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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