CARE HOME ADULTS 18-65
Faraday House 16 Faraday Road Acton London W3 6JB Lead Inspector
Sarah Middleton Unannounced Inspection 4th October 2005 10:00 Faraday House DS0000027704.V252047.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 Faraday House DS0000027704.V252047.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. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Faraday House Address 16 Faraday Road Acton London W3 6JB Tel: 0208 248 4599 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) Mrs Solony Gopal Mr Runjith Gopal Mrs Solony Gopal Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (0) Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Residents to be accomodated on ground and first floor only. Date of last inspection 6th April 2005 Brief Description of the Service: Faraday House is a home for three service users with mental health needs. The home is situated in a residential area and in close proximity to Acton town centre, a mainline railway station and major roads into London. The Proprietors/ Registered Managers and their immediate family reside at the home, occupying part of the ground floor and top floor of the building. Service users are accommodated in single bedrooms. There is a small lounge, bathroom and separate toilet for service users on the first floor. There is a small garden to the rear of the home. The home offers twenty four hour support and care to the service users, accessing local resources such as the Community Mental Health Team. Other community ammenities, such as shops and libraries are also available near to the home. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of just under four hours, 10am-1.50pm, was spent at the inspection. The Inspector carried out a tour of the home and inspected one service user plan, staff files and maintenance records. Two service users were spoken with as part of the inspection process. It must be noted that it is sometimes difficult to ascertain the views of service users with mental health needs. A new service user moved into Faraday House the end of May 2005. They appear to have settled into the home. Several requirements were made at this inspection and several were re-stated from the previous inspection. One immediate requirement was set at this inspection. What the service does well: What has improved since the last inspection? What they could do better:
There continues to be a high number of requirements set at the inspection. The documentation on service users and general information required to be viewed during an inspection is located in several areas of the home. The Registered Manager at times seems unclear as to what is expected of him as a Registered Person of the home. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 6 Care plans must contain sufficient details on how to encourage and support service users, currently they are general and do not outline the exact support each individual requires. Daily records had not been written on each service user. In particular the new service user had not had anything documented about them since they had first moved into the home four months ago. There were no comments on how they had settled in or how they were managing living with two other service users. There must be evidence regarding what service users have done with their day and the records must include service users mental health and general health. Health appointments and how service users health needs are to be met must be documented. The above information is vital so that all staff are aware of how to meet service users health and social needs. There continues to be difficulties in engaging service users in activities. However the home fails to demonstrate the activities offered to service users and whether they refuse to take part in the activities offered to them. The sparse records kept on service users makes it difficult to ascertain what service users do with their time. The home must consider opportunities in the community that service users might be able to engage in or interests they might have that the home could encourage. The home has not addressed, with the relevant authorities, the problem in accessing one service users personal money. This had been a difficulty identified at the previous inspection. This had been regarding a different service user. The risks of giving a service user money from the Registered Person’s accounts were discussed at the April 2005 inspection. However this has occurred once more and has not been sorted out for at least two months. The Registered Manager believes the service users need money on a daily basis, especially if they smoke cigarettes. However the Registered Manager has not sought to solve the problem quickly enough. This situation cannot continue long term and an immediate requirement was issued to ensure the matter is resolved. Although staff are keen to complete NVQ courses, general training has not occurred for all staff. Specialist training, on subjects such as mental health, dementia and alcoholism, is necessary so that all staff are aware of the issues surrounding these particular areas and how these issues could have an impact on service users lives. Staff would benefit from having an individual plan that identifies the courses staff attend and areas staff are interested. Through devising a clear record of training on each member of staff they could be encouraged, on a regular basis, to examine their personal professional development and identify where they require additional support and training. Finally, servicing records must be up to date to safeguard both service users and staff. The Registered Manager must be aware of what areas require servicing. Certificates and documentation regarding servicing must be made available to the inspector so that the home is confident they are considering the health and safety of service users at all times.
Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 7 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. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 8 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 Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 & 5 Service users are assessed prior to admission. Assessments from the Local Authority are obtained to ensure the home can meet the needs of the service user. Prospective service users and their representatives are encouraged to visit the home in order to allow them to make an informed choice. Terms and conditions had not been given to the new service user. Information must be given to the service user to ensure they are fully aware of the services they will receive from the home. EVIDENCE: The Registered Manager had carried out a pre-admission assessment on the new service user, prior to them moving into the home. This assessment had only been partially completed and did not contain sufficient details on the service users particular individual needs. However the Registered Manager had received a detailed assessment from Social Services. This highlighted the service users needs and any risks they presented. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 10 The new service user had visited the home prior to admission and had spent some time at the home meeting staff and the other service users. They had absconded on an introductory visit, as they were confused about the new surroundings. However they did return and are now settled into living in their new home. The Registered Manager stated they had not issued the new service user with terms and conditions about living at Faraday House. A requirement was made that this information is given to the new service user. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Care plans did not contain sufficient detail on how to support and assist service users. This can place service users at risk of not having their needs identified and met. Daily records must be completed to ensure relevant information is recorded each day. Without this information staff are not aware of any changes or important events in service users lives. Service users, where possible, take part in contributing and agreeing to their care plans. In addition service users attend meetings to discuss any issues they might have. There were shortfalls in the detail noted on risk assessments. They must contain information about potential risks and how to minimise them to ensure staff protect both service users and themselves. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 12 EVIDENCE: A care plan was inspected regarding the new service user and this contained information about their health and social needs. Overall the topics covered were detailed, however the care plan did not contain sufficient information regarding how to prompt, encourage and support the service user with regard to their personal care. It has been an ongoing requirement that care plans must clearly offer details of how to care and encourage service users in their every day life. In addition, a requirement was made that there must be a photograph of the new service user. Daily records were inspected. These records were sparse and did not contain daily records for all service users. There were gaps over a period of several weeks regarding one service user, with no record of any information regarding the service user’s mood, care they received or any activities they took part in. A requirement was made that records must be completed on a daily basis. These must contact details of any significant information about the service user. Service users are now part of devising and implementing care plans. Where able they sign to show they are in agreement with the care plan. Staff stated service users are asked to take part in activities but if they refuse their decisions are respected. Service user meetings take place and minutes were seen where various topics had been discussed. Risk assessments had been carried out but as noted at previous inspections, these did not contain sufficient details on the individual service user and they did not indicate how to minimise identified risks service users might pose to themselves or others. This was made a requirement. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14 & 17 The home is seeking ways to encourage service users to develop practical skills, such as preparing snacks. There are shortfalls in the home providing evidence that a variety of activities have been identified and offered to service users on a regular basis. Service users must have the opportunity to be stimulated, occupied and engage in the community. Meals are well balanced and offer a variety of choices to service users. Food prepared or opened must have a date of opening on it to safeguard service users health and safety. EVIDENCE: Service users are encouraged to prepare small snacks. The aim is for service users to become involved in developing practical skills. However due to the nature of the service users mental health needs, the home has only been successful with one service user taking a more active role in making a small meal.
Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 14 Staff stated they continuously encourage service users to take part in activities, such as visiting the local library or pub. One service user goes out into the community unsupervised and attends local courses. However there was little evidence of how the other two service users spent their days. Both service users spoken with said they did not go out much. One service user stated they preferred to stay in. The other said they had been to the pub, but this was only once a fortnight. There must be evidence of activities service users have taken part in and when they have refused to participate in activities. The home must consider various ways to support and encourage service users to engage in the local community and meet other people. This has been an ongoing issue with the home and a requirement was made that the home demonstrates the action they have taken to address this shortfall. Samples of menus were viewed. These contained service users preferences and aimed to offer a varied and balanced diet. Records are kept if service users eat something different or when the menu had altered. Fridge temperatures are taken on a daily basis and were recorded at appropriate ranges. The kitchen was clean and tidy. Some food that had been opened did not have a date of opening written on it. This was made a requirement. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 15 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): 19 & 20 The health needs of service users must be met and accurately recorded. Any shortfalls in meeting the health needs must be noted on individual’s files. Service users refusing to seek advice and treatment from a health professional must have this written on their care plans for all staff to be aware of areas needing attention. The Medication Administration Records must be correctly completed. Staff must not sign records when they have not administered medication. Errors regarding medication could place service users welfare at risk. EVIDENCE: There was no evidence on the service users file of how their health needs are met. There was no documentation that outlined the health professional they see or when they have health appointments. It was not clear where the service user health needs had been addressed or if they had refused to see a health professional. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 16 Medication is stored safely and securely. Medication Administration Records were inspected. These had not all been correctly completed. The Registered Manager had signed for medication that had not been administered to one of the service users. A requirement was made that there must be an accurate recording of administering medication. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 17 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): 23 There were major shortfalls in how the home successfully accesses service users own personal money. The Registered Manager must not fund service users personal requests for items, such as cigarettes on a long term basis. The Registered Manager must liaise with the relevant professionals if there is a problem in accessing service users money. The Registered Manager must not leave themselves or the service user vulnerable with regard to finances. Their role is to protect service users and their interests, which has not been occurring over the past few months. EVIDENCE: The Registered Manager had difficulties in accessing one service users personal money and had been giving the service user money from their own account. This was whilst they waited to access the service users account. The Registered Manager was not certain how long this had been occurring but it had been for at least two months. This is not acceptable and had been an issue, with regard to a different service user, at the previous inspection. Whilst it could have a serious impact for service users who might not have money to purchase items of their choice, the implications for continuing this practice are severe. Discussions took place with regard to the risk for both service user and Registered Manager should this practice continue. The Registered Manager had been keeping a clear account of the money that had been given to the service user. However they had failed to address this problem sooner through identifying, along with Social Services, a more effective method in accessing this particular service users money. The matter must be sorted out and service users must be able to access their money, with the necessary support from staff. An immediate requirement was made as this had been identified and should have been addressed following the previous inspection.
Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 18 Staff are due to attend training on the protection of vulnerable adults in November 2005 through the Local Authority. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 19 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 & 30 The home maintains a good standard of cleanliness and has begun considering the décor and furnishings in the home. EVIDENCE: The home has been looking at ways to maximise the space in the communal lounge, which is a small room. The Registered Manager stated this room would be decorated in the near future. One service users bedroom had been decorated and another had new flooring in their room. One service user spoken with was happy with the new flooring in their bedroom. Overall the home was clean and tidy at the time of the inspection. The service users do not use the laundry facilities. Staff stated the service users do not show any interest in doing their own laundry. Therefore the home has always used the local launderette. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Staff must have an individual training and development plan to ensure they have up to date information and skills to meet the needs of the service users. This includes attending training on specialist areas that are specifically linked to those service users living in the home. The staff vetting practices are robust to protect vulnerable adults. EVIDENCE: The Registered Manager had recently attended training on alcoholism, however the other two members of staff had not received training on this subject, or any other specialist training, such as mental health and dementia. This was identified at the previous inspection and was made a requirement at this inspection. One member of staff is studying the NVQ level 4 and another has applied and is waiting a date to begin studying the NVQ level 2. Staff employment files were viewed. The staff team remains the same, as this is a family business. The files examined contained Criminal Record Bureau checks. The staff team do not have individual training and development plans. Therefore it is not clear what courses have been attended. In addition there is no evidence or planning available to show how staff’s professional development and knowledge is to be met in the future. This is a requirement.
Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The home must review the care it offers and the systems in place within the home. Internal audits ensure the home is aware of the areas that require improving and those areas that are running successfully. There were major shortfalls in the servicing records. These must be up to date and cover all the maintenance areas of the home to ensure there are no risks posed to the service users. EVIDENCE: The Registered Manager has applied to study for the Registered Managers Award and is waiting to hear when they will begin the course. Questionnaires have been sent to professionals and service users to begin the process of reviewing the care offered at Faraday house. However this has only recently occurred and the home has not yet produced a report on any findings of the reviews they have started to carry out. This had been identified at the previous inspection and is to be a requirement following this inspection.
Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 22 Servicing records were viewed at random. The fire equipment and emergency lighting had been serviced. The staff stated the gas boiler was new but there was no evidence of when it had been serviced. There were shortfalls in records on the testing for Legionella and Portable Appliance Testing as these were not available at the time of the inspection. Requirements were made for all of these. Several cleaning products were stored in an unlocked cupboard under the kitchen sink. A requirement was made that these must all be stored in a secure locked cupboard. A current business plan was viewed and was satisfactory. Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 2 Standard No 22 23 Score x 1 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 2 x Standard No 24 25 26 27 28 29 30
STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 3 12 2 13 2 14 2 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 2 x 3 2 x CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Faraday House Score x 2 2 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 2 3 DS0000027704.V252047.R01.S.doc Version 5.0 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA5 Regulation 5 (b) Requirement The Registered Person develops and agrees with each prospective service user a written and costed contract/statement of terms and conditions between the home and the service user. Care Plans must indicate how to support and assist service users in everyday life. (Previous timescale 3/5/05 not met). Daily records must be completed on all service users on a daily basis, regarding their health and welfare. There must be a photograph of each service user living in the home. The Registered Person must ensure that any unnecessary risks to service users are identified, on a risk assessment, and as far as possible eliminated. (Previous timescale 23/5/05 not met). Service users must have the opportunity to take part in activities that are appropriate
DS0000027704.V252047.R01.S.doc Timescale for action 30/11/05 2 YA6 12 (1) (a) (b) & 15 19/12/05 3 YA6 17 Sch. 3 &4 17 (1) (a) 13 (4) (c) 04/10/05 4 5 YA6 YA9 30/11/05 19/12/05 6 YA12YA13YA14 16 (m) (n) 31/01/06 Faraday House Version 5.0 Page 25 7 8 YA17 YA19 16 (i) 12(1)(a) (b) & 12(3) 9 10 YA20 YA23 13 (2) 13 (6) 11 YA32 18 (1) (c) (i) (ii) 12 YA35 18(1)(a), (c)(i)(ii) 24 13 YA39 to meet their needs and interests. Records must be kept of activities service users have taken part in or refused to engage in. (Previous timescale 30/6/05 not met) Food prepared or opened must have a date of opening on it. The home must ensure service users health needs are addressed. Health appointments must record any treatment service users receive. Medication Administration Record sheets must be completed correctly. The Registered Person must not assist service users financially when the service users wait for their own personal money to be made available to them. Appropriate arrangements must be put in place to ensure they can readily receive their money on a regular basis. (Previous timescale 11/4/05 not met) Immediate requirement issued. The Registered Person must ensure that all staff are appropriately trained in areas such as Mental Health & Alcoholism. (Previous timescale 4/7/05 not met) Staff must have a training and development plan. (Previous timescale 6/5/05 not met) The Registered Person must ensure a regular review of the home is carried out to monitor the care offered in the home. 04/10/05 01/11/05 04/10/05 19/10/05 28/02/06 30/12/05 28/02/06 Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 26 14 YA42 13 (4) (a) 15 YA42 13 (4) (a) 16 YA42 13 (4) (a) 17 YA42 13 (4) (a) The findings of the review must be made available to both service users and CSCI. (Previous timescale 1/8/05 not met) Cleaning products, which could prove hazardous to service users, must be locked in a safe and secure place. There must be evidence that the water in the home has been tested for Legionella. A certificate must be available for inspection. The Gas Boiler must be serviced annually. A certificate must be available for inspection. The Portable Appliances in the home must be serviced. A certificate must be available for inspection. 04/10/05 30/12/05 30/12/05 30/12/05 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 Faraday House DS0000027704.V252047.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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