Inspection on 19/09/05 for 121a Foxley Lane

This inspection was carried out on 19th September 2005.

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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

121a Foxley Lane 13/03/07

121a Foxley Lane 23/01/06

121a Foxley Lane 17/03/05

121a Foxley Lane 27/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Townley Road, 2-3

Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 Foxley Lane (121a) 121a Foxley Lane Purley Croydon Surrey CR8 3HR Lead Inspector James Pitts Unannounced Inspection 19 September 2005 10:55 Foxley Lane (121a) DS0000028136.V254107.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 Foxley Lane (121a) DS0000028136.V254107.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. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Foxley Lane (121a) Address 121a Foxley Lane Purley Croydon Surrey CR8 3HR 020 8645 0277 020 8645 0605 sara.baldesare@sense.org.uk 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) Sense Mrs Sara Lei Baldesare Care Home 2 Category(ies) of Learning disability (2), Mental disorder, registration, with number excluding learning disability or dementia (1), of places Sensory impairment (2) Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th March 2005 Brief Description of the Service: Foxley Lane is owned and managed by SENSE, which is a national charity that caters for people with a variety of sensory impairments and other disabilities. The home can accommodate a maximum of 2 service users with complex needs. The home is a bungalow type property that is set within it’s own grounds and yet is indistinguishable as a care home. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a Monday morning, through to early afternoon. One service user was at home and the other was out participating in an activity. Both of the people who live here find it very difficult to speak to staff or other people to let them know how they are and what they need. These people can let staff know in small ways that they might want something and the staff have to get to know the service users very well to recognise the ways in which each person does this. An advocate for one of the service users filled out a comment card on their behalf and said that the staff offer very thoughtful and sensitive support. Two relatives also sent back comment cards and both said that they had never had any complaints about the home and are satisfied with the service that is provided. What the service does well: The home is good at ensuring that service users are supported appropriately in all aspects of their day-to-day living. This includes providing the necessary support to service users that will enable them to be a part of the wider community and to have aspirations, expectations and goals. This is done within a clear risk assessment framework, which properly balances the right to freedom within acceptable risks without imposing unreasonable restrictions. The staff team are good at making sure that all of the service users are protected from abuse (this means that the staff at the home do everything that they can to stop any of the service users from being hurt by someone else). The home also has the necessary safeguards in place to ensure that proper and diligent staff selection and recruitment occurs. The home has very good systems in place to support staff and to make sure that they have the necessary training and skills to undertake their work. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4 & 5 The service users can feel confident that the home will only care for people that the staff are trained and able to care for. EVIDENCE: The home has not admitted any service users since the previous annual inspection. Service User Plans are in place as too are risk assessments that are carried out by the home. It was previously required that the Registered Manager keep under constant review the combination of service users in the home, due to ongoing friction between them. On this visit the files of both service users were seen. Both of these showed that the proper consideration is being given to the needs of each of the people who live here. This includes the way in which the staff team will, and do, support each of the service users particularly if either of them is having a difficult time. As referred to above, the home has not had any admissions since the last inspection. The home’s policies about what to do when any new service users is admitted are appropriate. It should be noted that this home is designed to Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 9 be a long term placement for the people who come to live here and so it would be very rarer for anyone new to come to live here. There was one requirement outstanding from the inspection carried out in September 2003. This related to the need to review service user contracts so as to ensure that they fully met the requirements of the Regulation and Standards. These agreements were seen during this visit and this matter has been now been addressed. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 10 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 & 10 The service users can feel confident that staff know what they need. Service users can also be assured that the staff will make sure that each person who lives at the home is allowed to live the sort of life that they choose. EVIDENCE: There was one requirement outstanding from the inspection carried out in September 2003. This related to the need for service users or their representatives to sign the service user plans. It is evident that these plans are agreed and therefore this previous requirement has been met. At the most recent review of one of the service users it was noted that this person needed additional staffing support when they went out. This has been put to the placing authority. A decision is awaited about increasing the fee paid for this service user so that they will be enabled to participate in more external activities. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 11 The capacity of service users to make decisions, and express their opinions, about how to manage the practical aspects of their daily lives is severely limited by their disabilities. The detail of the service users plans demonstrate that diligent efforts are made to include service users as much as possible in making choices. The home’s system for managing service user’s money continues to be a sound system, two staff sign for any transaction made on behalf of each of the service users. It is the policy of the home that the service user must be present when purchases are being made on their behalf. Each service user has a bank account and copies of statements are held in the home. The Registered Provider’s finance department also issues statements documenting how service user’s money is spent. Service users’ opportunities to make a contribution to the day-to-day running of the home and to the development of policies and procedures are limited by the severity of their disabilities. Staff use observation of service user reaction to anything new in order to establish their likes and dislikes about the things that happen in the home and other aspects of their daily lives. During the monthly Regulation 26 visits the Responsible Individual contacts the families of service users to include them in the running of the home. The home is diligent at ensuring that risk management is included into the guidelines that form a part of each of the service user’s care plans. Additionally the home has extensive risk assessments drawn up in relation to service user involvement in a range of tasks and activities. The home has a confidentiality policy. Service user files are kept in a lockable cabinet in the office, which is also locked when not in use. The staff team are provided with clear guidelines about maintaining service users confidentiality and dignity. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 12 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, 14, 15 & 16 Service users can feel confident that the staff of the home will provide opportunities for each to develop their personal and social skills. This includes active support for each person to participate in the community both in terms of the activities of daily life and leisure interests. The opportunity for each service user to develop and maintain personal and family relations is also offered and is actively supported by the staff team. EVIDENCE: The service users have access to a wide range of activities outside of the home such as swimming, weekly visits to a sensory room, weekly aromatherapy sessions (funded by SENSE), country walks and other such outings. The Registered Manager ensures that service users access the local community as much as possible including meals out, trips to shops, pubs, the seaside etc. One to one staffing is always provided. It is sometimes necessary for a third member of staff to accompany the service users on outings, and this is Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 13 sometimes available. The home is currently seeking further resources to expand on the opportunities for one service user to engage in more activities outside the home. Service users have wide access to a range of activities within the home including the use of music facilities, video and television. The inspector observed the garden to be very well maintained and to provide a very pleasant space for outdoor activities. Service users have access to the home’s car to assist them to pursue leisure activities. The Registered Manager informed the inspector that service users are involved in activities such as swimming, personal shopping, further education and day trips. One service users attend church on a regular basis. SENSE provide a generous budget for the provision of activities and annual holidays. One service user prefers to stay at home and is offered day trips. The second had two holidays away from the home provided last year. Two to one staffing is provided for holidays away from the home. Service users are fully supported to have contact with their families, which is actively encouraged. The home organise family parties so support the service user to have contact with a wide range of their families and friends. The home has more than sufficient space where service users can receive their visitors in private. Service user’s involvement in daily living and domestic tasks is greatly limited by their disabilities. Staff support, service users to engage in those tasks that are appropriate and that do not cause too much anxiety. Clear guidelines are available that inform the staff how best to maximise each service user’s opportunity to be involved. One service user has a system installed in her room where the lights dim to let her know when staff are about to enter her room and the staff are always expected to use this. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 14 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 Service users can feel confident that they will get the right support to take care of their personal and healthcare needs. Anyone who needs to take medicine regularly to help them stay well will get the proper support from staff to make sure that this happens EVIDENCE: The staff showed that they are very aware of what each service user needs and they are sensitive about how they should meet those needs. Both of the service users need technical aids and equipment to help them to be as independent as possible. Each service user has a care plan that tells the staff in great detail the way that each service users wants to be cared for and supported and about what each person likes or does not like. Male staff do not provide personal care to female service users. However the family of the male service user have agreed that personal care for the male service user can be undertaken by female staff. Unfortunately the home does not have any permanent male staff at the present, although a regular member of the bank staff is male. The manager is actively seeking to recruit more male staff. Both of the service users are encouraged to maintain some routine on going to bed and getting up and they are able to set their own bed-times and getting up Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 15 times. Staff at the home try to discourage one service user from remaining in bed all day, as this would limit their opportunity to be involved in their day to day life. All of the people who live at the home usually go to see a local GP if they are not feeling well. The service users can see any local GP but both see the same one that the staff know very well and get along with. The staff are very good at writing down anything that happens if anyone becomes unwell. If any of the service users have an illness or something else is wrong with them then the staff do know what this is and how to help them to get the treatment that they need. Body maps are used for service users to document incidents of self-harming behaviour. These are monitored daily. The consultant psychiatrist of one service user visits the home regularly. The staff team are very good at mapping the changes in mood for one service user to try to establish patterns of mood change and triggers for mood change. This demonstrates a continued understanding of this service user’s complex needs and a commitment to meeting those needs. The home has a policy and procedure for handling medication. All staff receive medication training as part of their induction training. Both of the service users need to take medicine every day and the staff are very good at making sure that this happens so that they can stay well. The staff are also good at making sure that no one can get hold of any medicine that they should not have and so they keep medicines locked away. The staff also make sure that medicines are handled properly to help to keep everyone safe and two staff are always involved in giving medication. One service user also has PRN medication (this is additional medication that is given if it is needed). Staff have been given the appropriate guidelines about when this should be given and how it should be recorded. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 16 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 The service users can feel confident that the staff team at the home know what to do if there are complaints or concerns about abuse. The home has clear guidance for staff about the procedures to be followed in either of these circumstances. EVIDENCE: The service users are given clear information about how to complain and what happens when they make a complaint. However, due to their complex needs and communication impairments each would find it impossible to make a complaint without the assistance of either an advocate or family member. It is note that the one advocate and two family members who have made contact with the Commission are all very aware of how to make complaints if the need arose. No complaints about the standard of care have been made by anyone who either visits or works at the home. No complaints have been made to the Commission. The staff team are good at making sure that all of the service users are protected from abuse (this means that the staff at the home do everything that they can to stop any of the service users from being hurt by someone else). There is also clear written information for staff about what to do if they think that a service user is being hurt or abused by another person. The staff know what they then have to do to keep people safe. The home now has a copy of the local protecting vulnerable adults from abuse procedures. The home is now also reporting any significant incidents to the Commission, as was required at the previous inspection visit. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 17 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, 29 & 30 The service users can feel confident that they are living in a well maintained and clean home. EVIDENCE: One requirement was made following the last inspection. This related to the need to submit to the Commission an action plan, which indicated how the kitchen in the home was to be upgraded, including demonstrating how the kitchen would be made accessible to service users. This has now been achieved and there is totally new and modern kitchen. It was previously required that the manager obtain advice from a suitably qualified person re the furnishings and layout of the home, with particular regard for the needs of the service user who wears a hearing aid. The home has had new carpets fitted and softer furnishing that helps with the acoustics around the communal areas. The loop system in the lounge was tested during this visit and was found to be in need of repair. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 18 The home was found to be very bright, well decorated, clean and free from any offensive odours. Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 19 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): 34, 35 & 36 Service users can feel confident that there will be enough staff on duty each day to meet their needs and that these staff are safe and well trained in how to support them. EVIDENCE: Recruitment is processed by SENSE with the Registered Manager short listing and interviewing candidates with another SENSE manager. The file of one new member of staff was seen during this visit and all of the relevant documents were found to be in place. The home has one permanent staff vacancy. Bank staff and a small group of familiar agency staff currently cover this vacancy. The Registered Manager is careful to only use bank staff that are known to the service users. Bank staff receive the same training and support as permanent members of staff. All new staff are subject to a detailed induction programme that includes core training such as basic first aid, food handling, adult protection, communication and SENSE core values. All staff completing the induction automatically progress to NVQ. Additionally there is in- house induction in relation to the home’s procedures, service user needs etc, all of which are documented. Staff training profiles, are maintained in the home. Additional to all this core training there is evidence of extensive focus on communication training with most staff having had access to training on working with deaf/blind people, Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 20 Makaton, British Sign Language and Deaf awareness. All staff have training is Crisis Prevention and Intervention. All staff receive six weekly supervision, which is recorded. Recent visits under Regulation 26 showed that the home needs to improve this frequency of supervisions as some were falling behind the regularity that is expected. The home still maintains the minimum standard in this area so there is no need to make a requirement to address this at this stage. All staff are subject to observed practice sessions and the outcome of this is included for discussion at supervision sessions. All bank and agency staff receive supervision. It is the policy of SENSE that all staff have annual appraisals. Foxley Lane (121a) DS0000028136.V254107.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, 41 & 42 The service users can feel confident that they are living in a home that is well managed both internally and by SENSE and that most of the necessary health and safety checks are properly carried out. EVIDENCE: The manager of the home is soon to take up a temporary “acting up” position as an area manager with SENSE. This is initially for a six month period and the deputy manager will act as the manager during this time. SENSE must write to formally notify the Commission of this proposal, as it had not been reported prior to this visit taking place. The home continues to be subject to SENSE’s quality audit system; this system is service user centred and fully meets the requirements of this standard. This audit is subject to six monthly reviews. The Manager undertakes regular audits of all aspects of the running of the home. Each member of staff has designated responsibilities, their achievement of which is monitored through the Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 22 supervision system. The Responsible Individual visits the home on a monthly basis; detailed reports are submitted to the CSCI. As part of these visits the Responsible Individual contacts representatives of service users to establish their feed-back on the service. All documentation required by regulation is maintained in the home. The content of records was found to be relevant and appropriately detailed; the style of recording remains respectful of the service users and is nonjudgemental or demeaning. The following health and safety checks have been carried out within the last year: Fire Alarm System: 23/06/05 Fire Extinguishers: July 2005 Gas Safety Check: 25/08/04 (This now needs updating) Electrical Installation: 19/09/02 Legionellosis: 04/10/04 Portable appliances: 06/04/04 (This now needs updating) The home is generally good at making sure that the people who live and work here are kept safe from fire and other hazards. Weekly checks of the fire alarm warning system had been falling behind the required frequency that SENSE expect. This has been picked up at a regulation 26 visit and this is now improving. The only errors that have been made is that the home now need to update the gas safety and portable appliance check. These must be completed, and once they have been then written confirmation must be sent to the Commission. Foxley Lane (121a) DS0000028136.V254107.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 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x 2 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Foxley Lane (121a) Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 3 3 X 3 2 x DS0000028136.V254107.R01.S.doc Version 5.0 Page 24 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 YA29 Regulation 23 (2) (c) 8 (1) Requirement The loop system in the lounge was tested during this visit and was found to be in need of repair. SENSE must write to formally notify the Commission of the proposal to temporarily move the Registered Manager to other duties. The updated Gas and PAT test must be completed, and once they have been then written confirmation must be sent to the Commission. Timescale for action 19/11/05 2 YA37 26/10/05 3 YA42 23 (2) (c) 19/11/05 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 Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Foxley Lane (121a) DS0000028136.V254107.R01.S.doc Version 5.0 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!