Inspection on 05/06/07 for Elmstead House

This inspection was carried out on 5th June 2007.

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

Elmstead House 18/07/06

Elmstead House 24/02/06

Elmstead House 27/09/05

Elmstead House 24/01/05

Elmstead House 10/08/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOMES FOR OLDER PEOPLE Elmstead House 171 Park Road Hendon London NW4 3TH Lead Inspector Daniel Lim Key Unannounced Inspection 5th June 2007 09:05 X10015.doc Version 1.40 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 Elmstead House DS0000010436.V336601.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 Older People. 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. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elmstead House Address 171 Park Road Hendon London NW4 3TH 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) 020 8202 6177 020 8202 4157 manager.burroughs@careuk.com Care UK Community Partnerships Limited Ms Diane Maddaford Care Home 50 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (30), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (20) Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Three specified service users who are under 65 years of age may be accommodated in the home. The home must advise the regulating authority at such times as any of the specified service users attains 65 years of age or vacates the home. As agreed on the 17th October 2006, one (1) named service user, with dementia, under the age of 65 years can be accommodated. The CSCI must be informed when this service user no longer resides at the home. 18th July 2006 2. Date of last inspection Brief Description of the Service: Elmstead House is a care home registered to provide both nursing and personal care for people with dementia and other mental health problems. The home is part of a scheme originally developed by Barnet Health Authority for the reprovision of patients who were receiving long term care at Napsbury Hospital. The original Elmstead House has now combined with April Lodge (adjoining home) and is now registered as a single home. The home may accommodate a maximum of fifty older adults who are over the age of 65 years. It is owned by a Colchester based company Care UK Community Partnerships Limited. The company has a number of care homes in London. The aims and objectives of the home are; To provide a safe and homely environment To offer a stimulating environment To recruit adequate, qualified and experienced staff. Invest in employees To provide care support in a way which encourages self-determination and enable each service user to achieve their best quality of life. To deliver care in a manner which maintains dignity and respect and which recognises service users rights. The home consists of two separate adjoining buildings. The building accommodating service users requiring nursing care is a large single storey building with thirty bedrooms. The manager’s office is at the front of this building. The building accommodating service users requiring personal care is in the adjoining double storey building. It has twenty bedrooms located across Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 5 both floors. There is a parking area at the front of the home and gardens at the back and sides of the home. The home is situated at the end of a residential street and is close to transport and community facilities around Hendon Central Station. The fees charged by the home range from £420 - £630 each week. The provider must make information about the service available (including reports) to service users and other stakeholders. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 5th June 2007. The inspection took a total of five hours to complete. The inspector found that all previous requirements made had been complied with and the quality of care provided was good. During this inspection, the inspector was accompanied by the manager of the home (Mrs Diane Maddaford). The inspector was able to interview four residents and two relatives. The feedback received from them indicated that they were satisfied with the care provided. Attempts were made to interview two other residents, but they were unable to express an opinion regarding the services provided due to the condition of their health. Statutory records were examined. These included four residents’ case records, the maintenance records, accident records, complaints’ record, financial records and fire records of the home. These records were well maintained. The premises including bedrooms, bathrooms, lounges, treatment room, kitchen, garden and communal areas were inspected. These areas were clean and tidy. A total of four staff on duty were interviewed on a range of topics associated with their work. Staff records, including supervision records, evidence of CRB disclosures, references and training records were examined. Staff on duty were noted to be knowledgeable regarding their roles and responsibilities. The minutes of staff and residents’ / relatives’ meeting were also examined. What the service does well: Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 7 The home was well maintained, clean and furnished to a high standard. Residents interviewed were satisfied with their accommodation. The gardens were attractive and residents were seen using the garden. Residents and relatives interviewed spoke positively of staff. The arrangements for the provision of meals was satisfactory and residents were happy with the meals provided. The home had a comprehensive training programme for staff. Staff at the home had won the company’s national award for providing the best training. Staff worked as a team and the turnover of staff is low. Special effort had been made to provide social and therapeutic stimulation for residents. The home had a complementary therapy room. The home had a multi-faith room for use by residents of different religions. What has improved since the last inspection? What they could do better: Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 8 The registered person must ensure that comprehensive pre-admission assessments are carried out before a prospective resident is admitted into the home. A safety inspection must to be carried out by a qualified professional on the electrical installations of the home. 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. The summary of this inspection report can be made available in other formats on request. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Evidence suggest that people moving to the home can be assured that they will be assessed to ensure that their needs can be met. These are generally undertaken satisfactorily. However, further improvements are required in specific areas to ensure that the required standard regarding these assessments is fully met. EVIDENCE: The four residents and two relatives interviewed informed the inspector that they were well cared for and their care needs had been attended to. This was reiterated in completed consumer questionnaires received from relatives. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 11 Comments made by residents and relatives included, “high standard of care provided”, “well cared for” and “happy with care provided here”. Residents in the home were noted to be clean and appropriately dressed. A sample of four residents’ case records which was examined contained assessments. These assessments were not sufficiently comprehensive as they did not include information on cultural background and spiritual beliefs of people who may be admitted into the home (as required in Standard 3, NMS). Standard 3 requires that comprehensive assessments are carried out to ensure that important information regarding the care needs of people who may be admitted into the home are obtained. This is necessary to ensure that the appropriate care can be provided in all areas. These assessments must include cultural background and religious beliefs in addition to assessments regarding the physical health, mental health, potential risks, social needs and financial situation. This deficiency was brought to the attention of the manager who agreed that the required information would be obtained for future admissions. The manager stated that the home does not provide intermediate care. A requirement was made in the last inspection report (18 July 2006) for three residents whose needs were not being met at the home to be transferred to appropriate accommodation. Two of them had been transferred. The third resident is due to be transferred when suitable accommodation is found. (This requirement was made as the inspector noted that staff had experienced difficulties meeting the needs of three residents because of their inappropriate behaviour. Reviews carried out with mental healthcare professionals involved had concluded that they should be transferred.) Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Satisfactory arrangements for personal and specialist healthcare, nursing and dietary requirements were in place. Personal support provided was responsive to the individual needs and preferences of people who use the service. The service was sensitive to the changing needs of residents. This ensures that the healthcare and personal needs of residents are met. Residents and relatives interviewed were happy with the care provided. EVIDENCE: The three residents and two relatives interviewed, indicated that the healthcare and personal needs of residents had been met. Comments made by residents included, “I have seen my doctor”, “my medication has been given to me”, and “satisfied with healthcare available”. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 13 The sample of four case records examined were up to date and plans of care examined, were appropriate. These had been reviewed monthly. People who use services have access to healthcare. A record of medical and healthcare visits / appointments had been kept. This included chiropody, dental and optician’s appointments. The visiting optician was interviewed. The feedback received from him indicated that he was satisfied with the arrangements for meeting the optical needs of residents. The weather was warm on the day of inspection. Guidance had been provided for staff regarding how to prevent dehydration. Staff were noted to be offering drinks to residents. The case records of a resident with significant weight loss was examined. A nutrition care plan and the relevant diet monitoring charts had been provided and his care had been reviewed by the GP. The case records of residents which were examined contained Waterlow assessments. The manager stated that there were no residents with pressure sores. The arrangements for the administration of medication (including the policy and procedures) were noted to be satisfactory. A record of daily fridge and room temperatures had been kept. These were satisfactory. Medication administration charts (MAR) were appropriately filled in. The inspector noted that staff regularly interacted with residents when attending to them and they were respectful to them. Residents were clean and appropriately dressed. The relatives of two residents who visited the home regularly, indicated that staff were responsive and residents had been treated with respect and dignity and they were fully satisfied with all the care provided. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The daily life, meal arrangements and routines of residents were on the whole, well organised. The service has a strong commitment to enabling residents to remain as independent as possible and engage in meaningful activities. Personal and family relationships are being maintained. This ensures that the personal, cultural and social preferences of residents are met. EVIDENCE: The home had a varied programme of weekly social and therapeutic activities. The programme which was available for inspection included exercise sessions, outings, aromatherapy, hand massage, cookery, bingo and art and crafts sessions. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 15 The three residents interviewed were of the opinion that the activities were appropriate. On the day of inspection, residents were involved in making cakes. The activities organiser who was present informed the inspector that the home had a sensory therapy room where complimentary therapies such as aromatherapy, light therapy and music therapy were provided. In addition, the home had allocated a small lounge as a multi-faith prayer room. The manager explained that this room was for the use of residents of different faiths and they may use this room for praying or for religious functions. She added that religious services are sometimes conducted there by clergy from the Catholic church, Anglican church and by the local rabbi. The kitchen was clean and well equipped. A record of fridge and freezer temperatures had been kept. These were satisfactory. Residents interviewed indicated that they were satisfied with the meals provided. The chef was knowledgeable regarding special meals to be provided. This included special meals for residents with diabetes and swallowing difficulties. The menu which was examined, appeared varied and balanced. There was documented evidence that the ethnic dietary preferences of residents had been catered for. Meals provided included ethnic foods such as curries, pasta, pizza and kosher food. Food hygiene training had been provided for staff and documented evidence was available in staff files. Two relatives were present during this inspection. They stated that they were always welcomed by friendly and caring staff. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for responding to complaints and for adult protection were satisfactory. The home has an open culture that allows residents to express their views and concerns in a safe and understanding environment. This ensures that residents are well treated and protected from abuse. Residents and others involved with the service say they are happy with the service provision. EVIDENCE: No complaints had been documented in the complaints book since the last inspection. The deputy manager explained that none had been received. The four residents who were interviewed indicated that they had been well treated. The issue of equalities and diversity was discussed with the manager and her staff. Staff indicated that they had been instructed to treat all residents Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 17 sensitively and with respect regardless of disability, gender, race, religion or sexual orientation. The residents’ charter which was on display in bedrooms indicated that the aim of the home was to treat all residents with respect and dignity. The manager and staff who were interviewed were aware of the procedure to be followed when responding to allegations of abuse. There was documented evidence in the staff records to indicate that staff had been provided with adult protection training. One adult protection issue which was brought to the attention of CSCI last year, had been reported to the relevant social services department. The proper procedures had been followed and the matter has now been resolved. A record of compliments received by the home had been kept. These indicated that relatives were satisfied with the care provided. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home provides a physical environment that is appropriate to the specific needs of the people who live there. The well-maintained environment provides specialist aids and equipment to meet the needs of people who use the service. Residents stated that they were pleased with their accommodation. EVIDENCE: Residents interviewed stated that they were happy with the accommodation provided. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 19 The premises were inspected and found to be clean and cheerfully furnished. No offensive odours were detected. The manager explained, that special effort had been made to eliminate unpleasant odours in the home. All bedrooms have ensuite facilities and were well equipped. The laundry was inspected and arrangements for the laundering of soiled linen were found to be satisfactory. The home was maintained to a high standard. The gardens were attractive, colourful and seating had been provided. Specialist equipment for the care of residents with nursing needs is available in the home. There are 6 hoists, 4 assisted baths and pressure relieving mattress and cushions. The home had also recently purchased 30 brand new special beds aimed for residents with high nursing needs. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The staffing arrangements were satisfactory. People who use the service and their representatives have confidence in the staff who care for them. Rotas indicate that the staffing levels were good and staff had the required training. This ensures that residents are well cared for. EVIDENCE: Four staff who were on duty were interviewed on a range of topics associated with their work (such as fire safety, adult protection, care of residents with dementia and mental illness, equality & diversity, staffing arrangements, team work). They were noted to be knowledgeable regarding their roles and responsibilities. They stated that they had been instructed to treat all residents with respect and dignity regardless of their race, religion or sexual orientation. This was confirmed in the induction programmes seen. Residents who were interviewed indicated that staff were respectful and they had been well treated. This was confirmed by two relatives present. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 21 The duty rota was examined. Staffing levels were as follows: Am- 13 staff (includes 2 nurses) Pm-13 staff (includes 2 nurses) Night- 7 staff One care staff was providing one to one supervision for a resident The manager and her two deputies were supernumerary. Ancillary staff working at the home were five kitchen staff, 5 cleaners, two maintenance person and two administrator. Staff indicated that they were able to perform their duties. No concerns regarding staffing levels were expressed by those interviewed. The training records examined, indicated that staff had been provided with the required training (such as health & safety, care of residents with mental illness, fire training, food hygiene and adult protection). The manager informed the inspector that the home had won the company’s national award for providing the best training for staff. The award (certificate) was on display in the home. Recruitment records examined indicated that the required recruitment procedures (including obtaining of satisfactory CRB disclosures and two references) had been followed. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home was run in the best interest of residents and satisfactory arrangements were in place to ensure the safety and welfare of residents in the home. The manager has a clear understanding of the key principles and focus of the service. She works continuously to improve services and provide an increased quality of life for residents. EVIDENCE: Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 23 The registered manager was a trained nurse and had received her RMA (Registered Manager’s Award). She was knowledgeable regarding her responsibilities and the needs of residents. There was evidence that staff and residents meetings had been held. The minutes of these meetings were available for inspection. The fire log book was examined. The weekly fire alarm tests had been carried out and evidence was provided. Fire drills and fire training had been documented. One of the drills had been carried out after dark. The fire risk assessment had been updated. A recent inspection carried out by the LFEPA (in April 2007) was noted to be satisfactory and no requirements had been made in the inspection report which was seen. Windows inspected had been fitted with window restrictors. These were engaged. Safety inspections had been carried out on the portable appliances, gas installations, lift and hoists. Significant incidents are promptly reported to CSCI via Regulation 37 report forms. The five year electrical installations safety inspection was due in June 2007. the manager explained that quotes had been obtained and the safety inspection would be carried out soon. A requirement is nevertheless, made for this to be done. The home had a current certificate of insurance. The accounts of two residents whose money were kept by the home were examined and noted to be satisfactory. The home had an effective quality assurance and monitoring system. A recent consumer survey report of the services provided by the home was available for examination. This was positive and the satisfaction level was high. Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 OP3 13(1) 14(1) 15(1) The registered person must ensure that comprehensive preadmission assessments are carried out before a prospective resident is admitted into the home. This must be in accordance with Standard 3 of the National Minimum Standards for older people and include information on the physical, mental, social, financial, cultural and spiritual needs of the prospective resident). 2 OP38 13(4) 23(2) (a)(b) (c) The registered person must arrange for a safety inspection to be carried out by a qualified professional on -the electrical installations. 13/07/07 Standard Regulation Requirement Timescale for action 13/07/07 Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 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 Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Elmstead House DS0000010436.V336601.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!