Inspection on 04/05/05 for Ferndale Crescent, 10

This inspection was carried out on 4th May 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ferndale Crescent, 10 30/06/09

Ferndale Crescent, 10 03/07/08

Ferndale Crescent, 10 14/02/07

Ferndale Crescent, 10 10/11/05

Ferndale Crescent, 10 23/09/04

Ferndale Crescent, 10 26/04/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 Ferndale Crescent (10) 10 Ferndale Crescent Moseley Birmingham B12 0HF Lead Inspector Sarah Bennett Unannounced 4th May 2005 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 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 Stationary 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. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ferndale Crescent (10) Address 10 Ferndale Crescent Moseley Birmingham B12 0HF 0121 772 1885 0121 766 6865 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Trident Housing Association Vacant Care Home 8 Category(ies) of Learning Disability registration, with number Physical Disability of places Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be the aged under 65 Date of last inspection 23rd September 2004 Brief Description of the Service: 10 Ferndale Crescent is located in a residential area of Highgate on the outskirts of the city centre. Therefore the city centre is easily accessed by public transport. The home is registered to provide support to eight adults who have a physical and learning disability on a permanent basis. The home is owned and managed by Trident Housing Association. At the time of this inspection there were five residents living in the home.The home caters for adults of mixed gender. All bedrooms are single and have an ensuite facility. There are six bedrooms on the ground floor and two on the first floor, which can be accessed by a chairlift if required. Three of the bedrooms have an overhead hoist. The communal areas comprise of an open plan lounge and dining room, kitchen and sensory room on the ground floor. The laundry is situated on the first floor. The home is staffed 24 hours a day and at night there is one waking night staff and one member of staff sleeping -in. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5 hours. A partial tour of the premises took place including communal areas and five residents bedrooms. Staff and care records were inspected. The manager, four staff and five residents were spoken to and observations of practice were made. Since the last inspection in September 2004 a further visit was made to the home in January 2005 to investigate a complaint. The requirements from the complaint investigation had been met at this inspection. What the service does well: What has improved since the last inspection? A new manager has been appointed who has many years experience of managing care homes for people who have a learning disability. Care plans have been reviewed and updated to reflect residents changing needs. Shower and room temperatures are kept within safe levels and are warm enough for individual residents. All the storage heaters have been covered so that residents don’t touch the hot surface. The garden looks nice and several plant pots have been planted providing colour. All resident’s shower chairs have been looked at and where necessary have been repaired. All residents have been to the weight clinic and those who needed to have seen a dietician. Three staff have almost completed NVQ level 2 in care. Staff give the right medication to residents at the right time and it is stored properly. The fire equipment is tested regularly to make sure it is working. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 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 standard(s) 1 & 5 Prospective residents do not have the information they need to make an informed choice about the home and the services it provides. Each resident has an individual written contract and statement of terms and conditions with the home, which informs them of their legal rights to occupy the home. EVIDENCE: The manager said that she has been unable to find the service users guide in the home. The statement of purpose needs to be reviewed to reflect changes in management. One of the resident’s records was sampled at this inspection. These included an individual Licence Agreement/ contract that had been signed by a representative of the resident. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8 & 9 Care planning in the home is adequate to ensure that staff can support residents appropriately. Sufficient, regularly reviewed risk assessments are not in place to ensure that residents are supported safely to take risks. Residents are supported to vote at elections if they wish to. Residents are consulted on aspects of their daily lives to enable them to make informed decisions. EVIDENCE: One of the resident’s records was sampled at this inspection. These included a care plan and risk assessments for the individual. The care plan had been reviewed in April 2005 and updated to reflect the residents changing needs. The risk assessments included a manual handling assessment that had not been reviewed since June 2004. Other risk assessments included relationships with other residents and a pressure area assessment. These had not been reviewed since September 2004. Residents said that they have regular residents meetings where they discuss holidays, the garden and food. The manager said that residents meetings are held regularly in the home. At the last inspection the inspector found that the appointee for some of the residents no longer worked at the home and therefore residents did not have daily access to their money. The manager said that since she has been in post she has been trying to resolve this by meeting with the bank manager. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 10 The manager is now able to access resident’s money on their behalf and bank accounts are being set up. The manager undertakes a weekly finance check, which was observed during this inspection. A handover of resident’s monies is completed between each shift. One resident said that they hoped to vote at the General Election the next day. Staff described their plans to ensure that if they wished to residents would be supported to access polling stations. Voting cards were available for all residents. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 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 standard(s) 14, 15 & 17 Residents are supported to participate in appropriate leisure activities inside and outside of the home. A wider range of leisure activities should be explored to provide them with a more fulfilling lifestyle. Residents are supported to maintain relationships to enable them to have appropriate personal and family relationships. Residents are informed of healthy diet options and fresh food is available. Additional support from staff should be given to ensure that specific diets are followed and residents health is promoted. EVIDENCE: All five residents and four staff were spoken to. One resident’s records were sampled at this inspection. The inspector saw pictures drawn by residents displayed around the home. One resident said that they are embroidering a tablecloth to be used in the home. Residents showed the inspector pots in the garden that they had been involved in planting. Residents records sampled indicated that the resident has been shopping, out for lunch, to church, pub and for walks. One resident said that their relatives visit the home regularly. One resident said that they recently celebrated their birthday with a party at the home to which they invited their friends and family. The manager and residents stated that they are exploring a wider range of leisure activities. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 12 Residents said that they are planning to go away on holiday later in the year and individuals talked about their holiday plans. The menus were sampled and adequate stocks of food and drink were seen in the home. Fresh fruit and vegetables were available. One resident was on a weight reducing diet and had their own menu. The menus for the evening meal on the day of the inspection were not being followed. Staff said that this was due to the meat not being defrosted. The records of food provided for one resident, indicated that a greater variety of food is being offered than at the last inspection. Residents said that they have a choice of food and adequate food is provided in the home. Records sampled indicated and residents said that they regularly attend the weight clinic and have recently seen a dietician. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 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 standard(s) 18, 19 & 20 Manual handling and pressure area assessments need to be reviewed regularly to enable staff to support residents appropriately with their personal care. The health care needs of residents are identified and met. The medication administration, recording and storage systems in the home are in good order. The completion of staff training in medication administration will ensure that staff have adequate knowledge to safely administer residents medication. EVIDENCE: One of the resident’s records was sampled at this inspection. These included a manual handling risk assessment and pressure area assessment that stated that the service user was at ‘high’ risk of developing a pressure sore. Neither of these assessments have been reviewed since September 2004. During the inspection a hairdresser visited the home to cut two of the residents hair. Records indicated that other health professionals are involved in the care of the resident including the speech and language therapist, psychiatrist, community nurse, dietician and the wheelchair service. Records indicated that the resident has seen a dentist regularly. On inspection of the medication administration, recording and storage systems in the home, it was noted that the medication administration records cross – referenced with the medication in the blister packs. One resident is prescribed a controlled drug that is stored appropriately. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 14 The Controlled Drug register cross – referenced with the amount of tablets stored. Two members of staff check the controlled drugs as they are administered and sign the register. The manager said that all staff are to be enrolled on the accredited ‘ Safe Handling of Medicines’ course. One resident said that they are always given their medication with a drink of water. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 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 standard(s) 22 & 23 The home has an effective complaints procedure that ensures that resident’s views are listened to. The home responded positively to requirements made following the complaint investigation. Staff need to receive training in adult protection to ensure that residents are protected from abuse, neglect and self-harm. EVIDENCE: A complaints policy that was produced using pictures and symbols is available to residents. Since the last inspection the CSCI has received two complaints about the home from the same complainant. The first complaint was investigated by the organisation. The second in January 2005 was investigated by the CSCI. Six requirements were made following the complaint investigation. At this inspection these requirements had been met. Staff training records indicated that none of the staff have received training in adult protection. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 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 standard(s) 24, 26, 27, 28, 29 & 30 The home is homely, comfortable and well decorated. Maintenance issues need to be addressed to ensure that residents live in a well maintained safe home. Space for people who use wheelchairs in the home is limited. The home need to consider this when admitting new residents. The home is clean and hygienic. EVIDENCE: The home was well decorated. Residents said that they like how their bedrooms are decorated and they have sufficient furniture. Much work had been done to improve the garden, including several potted plants. Residents said that they had been involved in this. Since the visit in January 2005 to investigate a complaint made about the home room temperatures and water temperatures have been tested daily. Records of these indicated that staff take appropriate action to ensure these are rectified if they are too high or too low. Since the visit in January 2005 covers have been fitted to storage heaters. The manager said that a building surveyor from Trident had visited on the morning of this inspection to look at maintenance issues within the home. The maintenance repairs record was available. This included the following that had Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 17 been reported to the maintenance team on 1st April 2004 but had not been repaired :one of the residents toilet seat was broken, a handrail in one of the residents en suite needed repairing and some tiles in one residents en suite needed repairing. In one resident’s en suite there was an offensive odour. The manager said that there had been problems with the shower not draining away efficiently and this had been reported to the building surveyor. At the last inspection the sensory equipment was not all working. The manager and staff said that this room is not used by residents that often and alternative uses are being considered for this room. Several doorframes had been ‘bashed’ and one resident was observed clearly struggling to get their wheelchair through their bedroom door. The manager said that the building surveyor had looked at this issue during their visit and this is to be addressed. The home was clean and generally free from offensive odours at the time of this inspection. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 The lack of a stable staff team does not enable residents to receive a consistent service from staff who know their needs. Staff have not received sufficient training to ensure that residents needs are met appropriately. EVIDENCE: The manager said that since she has worked at the home from January 2005 there have only been three contracted care staff working at the home. There are two relief bank care staff employed. One member of care staff has recently been recruited. The manager said because of this it has been difficult to run a consistent service. On the day of this inspection on the late shift there were three agency staff working. One of the agency staff has worked at the home for three years and the other for eight months. The other member of staff has recently started working at the home. The manager said that regular staff meetings take place to which bank and agency staff are invited and sometimes attend. Residents said that there are different agency staff working at the home, some of which they have to got to know but others who they do not know at all. The manager had completed a training matrix. This indicated that out of seven staff: five had received training in manual handling, three had received training in food hygiene, four had received training in first aid, four in fire safety and five had received training in health and safety. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 19 None of the staff have received training in adult protection or accredited training in the ‘Safe Handling of Medicines’. The manager said that three staff have almost completed NVQ level 2 in care. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 & 42 The manager is experienced and is taking steps to ensure that the home is well run. Some progress has been made in ensuring that the health, safety and welfare of residents is protected. Further progress is needed to ensure this continues. EVIDENCE: Shortly after the inspection in September 2004 the previous manager left the home. The new manager has been in post since January 2005. The manager has many years experience of managing care homes for people who have a learning disability. The manager has been a registered care manager in another home in Birmingham for several years. An application for the manager to be registered for this home has been sent by the CSCI but not completed at the time of this inspection. Fire records examined indicated that staff regularly test the fire equipment and this is regularly serviced by an engineer. The fire officer’s report of January 2005 made requirements. All but one requirement for a plan of the home to be in place have been met. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 21 The manager said that the portable electrical appliances had been tested on the day before this inspection. A report of this was not available at the inspection. Resident’s risk assessments sampled were not regularly reviewed. COSHH assessments were not available for all hazardous substances used. Staff training records indicated that staff require training in first aid, food hygiene, manual handling, fire safety and health and safety. Water and room temperatures are tested regularly by staff and records of these that indicated appropriate action is taken to ensure these are kept within safe levels. Residents said that the home is warm enough and their showers are at the right temperature. Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 1 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 3 1 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 2 2 3 2 3 Standard No 11 12 13 14 15 16 17 x x x 2 3 x 2 Standard No 31 32 33 34 35 36 Score x x 1 x 1 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ferndale Crescent (10) Score 2 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 2 x E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 23 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 1 Regulation 5 (1) (2) Requirement The service users guide must be available in the home. The statement of purpose must be updated to reflect the changes in the management arrangements. A new bed must be provided where identified. (Previous timescale of 31st January 2005 not met) The toilet seat in one residents en suite must be repaired. The tiles in one residents en suite must be repaired and replaced. The shower in one residents en suite must drain away efficiently. The hand rail in one residents en suite must be repaired. All the sensory lighting and equipment in the sensory room must be in working order.(Previous timescale of 31st December 2004 not met) The use of agency staff must not be to the detriment of residents. Staffing vacancies must be recruited to. (Previous timescale not met) All staff must receive training in: a) Food hygiene Timescale for action 30th June 2005 2. 26 16 (2) c, 23 (2) c 23 (2) (b, c) 23 (2) (b) 16 (2) (k), 23 (2) (b, c) 23 (2) (c, n) 23 (2) c 31st July 2005 13th May 2005 13th May 2005 3rd June 2005 13th May 2005 30th June 2005 3. 4. 5. 6. 7. 27 27 27 29 29 8. 9. 10. 33 33 35 18 (1) (a) 18 (1) (a) 12 (1) (b), 18 Immediate & ongoing 31st July 2005 30th september Page 24 Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 (1) (a, c) 11. 12. 37 42 13 (4) (a, b, c) 13. 14. 15. 42 42 42 13 (4) (a, b, c) 13 (4) (a, c), 23(4) (a, b, e) 13 (4) (a, b, c) 18 (1) (a, c), 23 (4) (d, e) b) Manual handling c) Handling of medicines ( Previous timescale of 31 December 2004 not met) d) Adult protection e) Care planning ( Previous timescale of 31st January 2005 not met) f) Cultural awareness (Previous timescale of 30th April 2005 not met) g) Managing behaviour The manager must submit an application for registered manager to the CSCI. COSHH assessments must be in place for all hazardous substances used in the home. (Previous timescale of 31st December 2004 not met) A copy of the portable appliance testing report must be faxed to the CSCI. A fire plan of the home must be in place. All residents risk assessments must be regularly reviewed. Risk assessments must be in place for all identified risks. All staff must receive training in fire safety. 2005 20th June 2005 30th June 2005 13th May 2005 30th June 2005 30th June 2005 & ongoing 30th June 2005 & ongoing 16. 42 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 14 17, 19 Good Practice Recommendations Residents should be supported to explore a wider range of leisure activities. Where residents are on specific diets these should be followed by all staff. E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 Page 25 Ferndale Crescent (10) Commission for Social Care Inspection Birmingham & Solihull Local Office 1st Floor,Ladywood House 45-56 Stephenson Street Birmingham, B2 4UZ 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 Ferndale Crescent (10) E54_ S16880_Ferndale Crescent_ V225605_ 040505 Stage 4.doc Version 1.30 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. 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!