Inspection on 01/08/06 for Endymion Road, 2

This inspection was carried out on 1st August 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Endymion Road, 2 02/10/08

Endymion Road, 2 14/11/07

Endymion Road, 2 21/02/06

Endymion Road, 2 07/06/05

Endymion Road, 2 25/01/05

Endymion Road, 2 22/07/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Endymion Road, 2 2 Endymion Road London N4 1EE Lead Inspector Caroline Mitchell Key Unannounced Inspection 1st August 2006 11:30 Endymion Road, 2 DS0000060622.V298186.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 Endymion Road, 2 DS0000060622.V298186.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. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Endymion Road, 2 Address 2 Endymion Road London N4 1EE 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) 0208 341 3888 bowoffice@care4free.net Choice Support Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st February 2006 Brief Description of the Service: 2 Endymion Road is a large converted terraced house situated in the Finsbury Park area of North London. The home is registered to provide personal care for up to six service users of either sex and over the age of 18 who have a learning disability. The stated aim of the home is to provide a supportive environment where service users can live their lives according to their individual wishes and needs with the assistance of staff. There are three floors and all service users have single rooms. There are six single bedrooms and one sleep in room for staff; none of the rooms are en -suite. There are three bathrooms, and four toilets, a kitchen and a lounge. The accommodation is not suitable for service users with physical mobility problems. Choice Support, a large organisation that provides residential services for people with learning disabilities nationally, operates the home. Some housing management is provided by London and Quadrant. Placements at the home costs around £1,300 for each person per week. Service users are expected to pay separately for some toiletries. Following “Inspecting for Better Lives” the provider must make information available about the service, including inspection reports, to service users and other stakeholders. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took around four hours to complete. The inspector was shown around the home and aided in the inspection by a senior member of staff, as the manager was not in the home at the time of the inspection. The inspector saw a number of the written records that are kept in the home, such as the service users’ files, met several staff members and was able to spend some time with service users. The local authority had undertaken a recent monitoring visit to the home, and on the day of this inspection the manager had taken number of the written records to Choice Supports’ head office in order to provide evidence for this process. Consequently, the inspector was unable to see these particular records on the day. It is planned that the records will be reviewed at the time of the next inspection, particularly where they provide evidence of compliance with previous requirements and recommendations. What the service does well: What has improved since the last inspection? What they could do better: There are four main areas of improvement identified at this inspection and these are mainly in relation to the building and health and safety issues. It is important that the smell of damp in the basement is addressed as a matter of priority, as one service user has his bedroom in the basement. The temperature of the water in the first floor bathroom needs to be adjusted and people need to be provided with the means to wash their hands after dealing with dirty laundry. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 6 As some records were not available for inspection on the day, it is planned that they will be reviewed at the next inspection. These include service user risk assesments and learning disabilities partnership health care assessments. In addition new recommendations are made in relation to reviewing service users’ activities to ensure that there is a balance between home and community based activities, following up on a health care appointment for one service user and updating staff training regarding infection control. The recommendation remains relevant for magnetic closures to be fitted to service user’ s bedroom doors. 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. Endymion Road, 2 DS0000060622.V298186.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 Endymion Road, 2 DS0000060622.V298186.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): As there have been no admissions to the home in some time, these standards were not inspected on this occasion. EVIDENCE: Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 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 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The service users are encouraged to make decisions about their lives. A new Person Centered Planning format has been introduced and is being completed. However, this is taking a long time to complete. EVIDENCE: The service user plans that are in place emphasise service users being as independent as possible. Due to the nature of their learning disabilities, the service users do not communicate in conventional ways, and it is difficult to gain their opinions of life in the home. However, the inspector was able to spend some time sitting with the service users when they returned from their day services, and observed the interaction between the service users and the staff. The service users were able to go into the kitchen and get their drinks and snacks, and staff seemed quite proud of the level of independence that the service users have attained. At the previous inspection the registered persons were required to ensure that all service users plans are completed in the new PCP (Person Centered Planning) format. At this inspection the inspector found that some progress had been Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 10 made and all service users have the beginnings of a PCP plan. However, plans are at different stage of completion and none of the three that were seen by the inspector were fully complete. As there is still some work to be undertaken to ensure that everyone’s’ plans are properly completed, this requirement is restated. At the previous inspection the registered persons were required to ensure that the service users risk assessments are reviewed and updated. The assistant manager assured the inspector that all service users’ risk assessments had been thoroughly reviewed, and was competent in outlining what the pertinent risks were in relation to the service users. However, the updated risk assessments were not available, being part of the evidence taken to support the placing authority’s monitoring review, and it is planned that this requirement will be reviewed at the next inspection. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 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, 13, 15 & 16 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 opportunities for personal development and takes service users’ cultural needs and preferences into account. Service users do take part in social and leisure activities, both in the home and in their local community. However, there is a need to ensure that some of the service users have the opportunity to get out in the community more. EVIDENCE: One service user was at home at the time of the inspection, one service user was out shopping with a staff member, and four were attending the specialist day service for people with learning disabilities, which they attend regularly. The service user who was at home was getting ready to go to the local bowling alley with staff. There is evidence in the day-to-day records that the service users are assisted and supported to develop on a personal level and each service users’ written records include an ethnic minority cultural needs assessment. These are of a good standard, and provide guidance for staff in respect of the service users’ ethnic, cultural and religious needs and preferences. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 12 Specific plans and strategies are in place and staff work with service users to ensure they develop to their full potential. Records reflect that service users take part in various activities including going shopping, for walks in the park and attending a specialist day centre for people with learning disabilities and taking part in a variety of activities there. A board has been introduced in the hall that shows pictures of the service users and pictures of what their activities are for the day. In addition the activity schedules that are in place reflect that on the whole, service users are assisted to take part in the life of the local community. However, the inspector monitored the activities undertaken by one service user over the recent period of about 6 weeks, whilst the weather was nice, and found that this particular service user had spent significant amounts of time at home and watching television. This service user had engaged in lots of home-based domestic activities and it is noted that he especially likes to help out around the house. He had been out for some walks, but had not engaged in activities in the community. It is recommended that the registered persons review the activities actually undertaken by all service users, in order to provide a better balance of activities, both inside of the home and in the community. There was evidence on file and there were examples seen, of how the house routines support and promote the individuality and independence of service users. Some controls have been established because of some of the rituals service users engage in, and these are documented as part of individual plans and risk assessments. Evidence was seen in the service users’ files that staff support them to maintain family involvement and to make friends and develop relationships. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 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 & 20 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are assisted with their personal support needs in the way that they require and are supported to access appropriate health care. The arrangements that are in place in the home for the storage and administration of medication were acceptable and safeguard service users interests. EVIDENCE: There was detailed information on file of how the staff should support service users around their personal care needs. This guidance emphasised how to promote each service users’ independence. The inspector looked at one service user’s file in some detail regarding health care, and noted that there was very detailed health information in place for this service user. Another service user’s records included a recommendation for a blood test and there was no evidence that this had been followed through by the appropriate health care professionals. It is recommended that the registered person make an appointment for the service user with their GP to ensure that the issue is followed through. Evidence was seen on service users plans that they are assisted and supported to access appropriate health care facilities and each one is registered with a Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 14 General Practitioner. The service users are supported to attend the GP surgery and outpatient hospital appointments when necessary. At the previous inspection it was noted that some service users’ records included health care assesments, the format of which was devised by the learning disabilities partnership. This assessment is quite thorough and helps to ensure that service users’ health care needs are properly considered. However, at the time of the previous inspection, not all service users had one in place, and a recommendation was made in respect of this. Unfortunately, the newly completed health care assessments were not available, being part of the evidence taken to support the placing authority’s monitoring review, and it is planned that this recommendation will be reviewed at the next inspection. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 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): 22 & 23 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users and their representatives can feel that their views are listened to, and will be acted on, and that service users are protected from abuse, neglect and self-harm. EVIDENCE: The inspector saw a copy of the guidance for service users about how to make a complaint. It is written in accessible language and includes “widget” pictures to help service users to understand the process. No complaints had been recorded in the home since the previous inspection. Choice Support has developed an adult protection policy to comply with the Department of Health guidance “No Secrets” and this is available in the home along with a whistle blowing policy for staff. There have been no adult protection issues since the previous inspection. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 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, 27, 26, & 30 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Generally, the environment has been improved recently. However, the issue of damp in the basement has re-emerged and needs to be addressed and some service users’ bedrooms need to be re-decorated. The home was reasonably clean, but there needs to be hand washing equipment provided in the laundry room to minimise any risks of cross infection. EVIDENCE: During the tour of the building the inspector noted that the edging strip around the floor covering in the lounge had been replaced and repaired where necessary and that the light fitting in the bathroom on the first floor had been repaired. At the previous inspection the registered persons were required to ensure that the covers on the light fittings in the kitchen are cleaned. It was clear that this task had been completed. However, more flies had found their way into the light fitting, and it was in need of cleaning again. A requirement is made in respect of this. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 17 The registered persons were also required to ensure that the service users bedrooms were re-decorated, as necessary. No bedrooms have been decorated since the previous inspection, and this requirement is reworded and restated to reflect that two people’s rooms need to be prioritised. The inspector noted that there is a sink in the laundry so that staff can wash their hands after dealing with soiled laundry. However, at the time of the inspection there was no soap or hand towels available and a requirement is made in respect of this. The senior member of staff on duty explained that staff do use gloves when dealing with dirty laundry. It is also recommended that staff be provided with updated training regarding infection control. During the tour of the building the inspector noted that there was a strong smell of damp at the bottom of the stairs in the basement. This has been identified at previous inspections and was thought to have been satisfactorily addressed. Unfortunately, this does not appear to be the case, and the issue needs to be re-visited as a matter of priority, especially as one service user has his bedroom in the basement, and there may be resultant risks to his health. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Staff have the skills, competencies and experience, and are employed in sufficient numbers, to meet the assessed needs of service users. EVIDENCE: The numbers of staff employed in the home were sufficient to meet the needs of the service users living in the home. There were three staff on duty at the time of the inspection and the manager was at head office. One female staff member was out in the community with a female service user and two male staff in the home with one male service user. When the female staff member returned it enabled male service user to go bowling with two staff members, as the service user needs high levels of support whilst out in the community. Throughout the inspection the inspector saw evidence that staff have the skills, competencies and experience to meet the assessed needs of service users. Interactions between staff and service users were observed to be appropriate, professional and relaxed. It was apparent that the staff team are committed to working with individual service users to enable them to live as they wish and to fulfil their individual goals and aspirations. The inspector had the opportunity to talk to a senior staff member staff in some depth, and the Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 19 feedback was that Choice support do provide good quality training, and that providing training to staff is high on the organisation’s agenda. As this inspection was unannounced and the manager was not present, the inspector was unable to review the staff records that are held in the home. This included recruitment records, and records of training, appraisal and supervision. Therefore, it is planned that these records will be inspected at the next inspection. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 20 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 & 42 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. There remains a need for the manager to apply to be registered by the Commission and some areas of health and safety in the home that need to be addressed to ensure the service users and staff are protected. The way in which information is maintained in the home has been improved. EVIDENCE: At the time of the inspection, the Commission had no record of any application to be registered, being received from the manager of the home, despite this having been a requirement at the previous inspection. This requirement is restated as part of this inspection. In terms of health and safety, at the previous inspection the registered persons were required ensure that fire doors are not wedged open. This was not observed to be an issue at this inspection. However, the previous recommendation that the service users bedroom doors are fitted with magnetic closures of the same type that are currently in place in the rest of Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 21 the house remains relevant, as the inspector is aware that the practice of propping service users’ bedroom doors open, to air their rooms during the daytime, continues in the home. During the tour of the building, the bathwater was noted to be quite hot in the first floor bathroom and a requirement is made in respect of this. At the previous inspection it was recommended that the registered person review and rationalise the storage of written records in the office and the kitchen, and the inspector was able to confirm that this issue had been addressed. Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 22 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 X 3 X 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 2 27 2 28 X 29 X 30 2 3 X 2 X 2 LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 2 X 3 X 3 2 X Version 5.2 Page 23 Endymion Road, 2 DS0000060622.V298186.R01.S.doc 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 YA6 Regulation 15 Requirement The registered persons must ensure that all service users plans are completed in the new PCP format. The previous timescales of 31/08/05 and 30/06/06 were not met. The registered persons must ensure that the service users risk assessments are reviewed and updated. This requirement was not inspected. The registered persons must ensure that the smell of damp at the bottom of the stairs in the basement is properly investigated and appropriate remedial action is taken to address the issue. The registered persons must ensure that the covers on the light fittings in the kitchen are cleaned. The registered persons must ensure that M’s room and J’s bedrooms are re-decorated. The previous timescales of 30/05/05 and 30/06/06 not met. DS0000060622.V298186.R01.S.doc Timescale for action 30/10/06 2. YA9 13 (4) 30/09/06 3. YA24 23 (2) (b) 13 (4) (a) 30/09/06 4. YA27 23 (2) (d) 30/09/06 5. YA26 23 (2) (d) 30/11/06 Endymion Road, 2 Version 5.2 Page 24 6. YA30 13 (3) 7. YA37 8 8. YA42 13 (4) (a) The registered persons must ensure that soap and disposable hand towels are available in the laundry room. The registered persons must ensure that the manager applies to be registered by the Commission. The previous timescale of 30/06/06 was not met. The registered persons must ensure that the thermostatic control to the bathwater in the first floor bathroom be tested and adjusted to 43°c. 30/09/06 30/09/06 30/09/06 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. Refer to Standard YA13 Good Practice Recommendations It is recommended that the registered persons review the activities undertaken by service users, in order to ensure a good balance of activities, both inside of the home and in the community. It is recommended that the registered persons make an appointment for one service user with their GP, to ensure that a particular health care check is followed through. It is recommended that the learning disabilities partnership health care assessment be completed for each service user. It is recommended that the staff be provided with updated training regarding infection control. It is recommended that the service users bedroom doors are fitted with magnetic closures of the same type that are currently in place in the rest of the house. 2. 3. 4. 5. YA19 YA19 YA30 YA42 Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Endymion Road, 2 DS0000060622.V298186.R01.S.doc Version 5.2 Page 26 - 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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