Inspection on 10/01/06 for Franklyn Lodge 9 Grand Avenue

This inspection was carried out on 10th January 2006.

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

Other inspections for this house

Franklyn Lodge 9 Grand Avenue 12/02/07

Franklyn Lodge 9 Grand Avenue 16/09/05

Franklyn Lodge 9 Grand Avenue 29/11/04

Franklyn Lodge 9 Grand Avenue 07/06/04

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

CARE HOME ADULTS 18-65 Franklyn Lodge 9 Grand Avenue 9 Grand Avenue Wembley Middlesex HA9 6LS Lead Inspector Julie Schofield Unannounced Inspection 10th January 2006 4:05 Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.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 Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.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. Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Franklyn Lodge 9 Grand Avenue Address 9 Grand Avenue Wembley Middlesex HA9 6LS 020 8902 3070 020 8903 9860 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) Residential Care Services Ltd Dr Frank Eribo Ms Milly Suyi Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th September 2005 Brief Description of the Service: Franklyn Lodge, Grand Avenue is a care home providing personal care to 6 adults with learning disabilities. At the time of the inspection there was one vacancy. The house is in a quiet residential part of Wembley but close to the Harrow Road and with easy access to the shops on Wembley High Road. There are bus routes along the Harrow Road and there are underground stations relatively close by. The property is a corner plot and the house is slightly elevated from the road with steps in the front garden, leading from the pavement to the front door. There is off street parking outside the home. The house consists of 2 floors, ground and first floor, and the office is situated on the ground floor at the front of the house. There is also a resident’s bedroom (with en-suite bathroom), kitchen, staff sleeping in room (with en-suite toilet) and open plan lounge and dining area. The laundry room is situated in the back garden. On the first floor there is a bathroom (with toilet), shower room (with toilet), a separate toilet and five residents’ bedrooms (one of which has an en-suite shower room), Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two Inspectors carried out the inspection. The inspection took place on a Tuesday afternoon in January 2006 and started at 4.05 pm and finished at 6.20 pm. The deputy manager and a support worker were on duty and the manager returned to the home during the inspection. All five residents were present in the home. A site visit, examination of records and discussions with manager, staff and residents took place. The Inspectors would like to thank everyone for their assistance during the visit. What the service does well: What has improved since the last inspection? What they could do better: Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 6 A statutory requirement was identified during the previous inspection in September 2005 that a copy of the minutes of each review meeting must be kept on the individual case files. When 2 files were inspected the minutes of the last review meeting for the resident were not on the case file. The home needs to review the opportunities available to residents for exercising choice on a daily basis and to develop means to increase these. Staff must encourage residents to wear a dressing gown over their nightclothes when they are seated in communal areas. Some minor redecoration is needed to the wall in one of the residents’ bedrooms. 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. Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.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 Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.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): No residents have been admitted to the home since the last inspection. Standard 2 was inspected during the previous inspection in September 2005. EVIDENCE: Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 The purpose of reviewing care plans on a regular basis is to ensure that the resident receives a service that responds to any changes in their needs. Minutes of the last review meeting held had not been placed on 2 of the residents’ files. Minutes provide a point of reference for staff, enable the manager to monitor the achievements of the resident and inform the resident of their progress in meeting goals and targets. Offering a resident choice encourages and supports the resident to develop their independent living skills. Residents said that in some aspects of their life the member of staff is making choices on their behalf. In order to enhance the quality of life of the resident the home needs to introduce more opportunities for the resident to make choices in their day-to-day life. Standard 9 was inspected during the previous inspection in September 2005. EVIDENCE: A statutory requirement was identified during the inspection in September 2005 that a copy of the minutes of each review meeting must be kept on the resident’s case file. Two case files were examined. The minutes of a review meeting for one of these residents, convened by the home in the summer of Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 10 2005, were not on file. The minutes of a review meeting in December 2005 for the other resident, convened by the placing authority, were not on file. A resident confirmed that they discussed matters with their key worker, who gave the resident information, and that they told their key worker what they had decided. Other residents were asked about making decisions or exercising their right to choose on a day-to-day basis. A resident confirmed that residents were able to choose what time they got up or went to bed at the weekend and said that they got up “late” at the weekend. One resident said that “staff” chose the clothes that she wore each day. A resident was asked who chose their clothes when they were taken shopping and the response was that staff chose although the resident did say they were happy with the choice. Residents need assistance with managing their finances and the home provides help if there are problems with benefits. Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14, 15, 16, 17 The residents’ quality of life is promoted by the provision of an annual holiday and by attending clubs and discos they have the opportunity to develop a stimulating and enjoyable lifestyle. The support of staff enables residents to maintain contact with their families so that residents can enjoy fulfilling relationships. Residents’ rights are respected and involvement in daily routines encourages residents to develop a sense of “home”. Residents are offered a balanced and varied diet, which contributes towards their wellbeing. Standards 12 and 13 were inspected during the previous inspection in September 2005. EVIDENCE: One resident said that he frequently goes out for meals and has ordered meals at Chinese and Greek restaurants. In addition to this he is taken on bus rides to places like Kilburn and then stops for a meal. Residents attend the Gateway Club, the Apple club and the club, which the company organises. One resident indicated that he was looking forward to attending “the party on Saturday”, Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 12 and felt that he needed to rest that evening instead of going to the Tuesday night club. Residents said that they had gone to Minehead for a holiday and that they had enjoyed this. One of the residents showed the Inspectors photographs taken during the holiday. A resident confirmed that that their mother had been invited to and attended the end of year party. Another resident said that their brother visited them and telephoned them. One resident is supported in having contact with a friend who lives in another care home and goes to visit him or telephones him. Residents confirmed that they took part in the day-to-day domestic routines. Residents are allocated daily tasks to take part in, according to their abilities and skills. One resident said that they brought the milk in, brought the daily diaries for the staff to record an entry and then place in the resident’s bag and that they helped to do their own laundry. Two other residents help to set the table before the evening meal. Other tasks include feeding the fish, clearing away their plates at the end of the meal etc. There was a record in the visitors’ book that a visit had been made on the 28th September 2005 by an Environmental Health Officer who commented that the visit was “o.k.” The menu was viewed and it consisted of a 4-week cycle. Staff said that the menu incorporates each of the residents’ likes and also allows for choice of either a meat or fish dish. It was observed that during the inspection that the residents were offered choice in the menu. One resident said that she wanted potatoes instead of rice and this is what she received. Snacks are also available to residents and after their return from the day centre the residents sat down to have a drink and fruit/biscuits, before the evening meal. Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 20 Residents receive assistance with or prompting with personal care in a manner, which respects their dignity. Wearing appropriate clothing in communal areas protects the dignity and privacy of residents and staff must encourage residents to wear a dressing gown over nightclothes. The records of the administration of medication had not been completed on the day prior to the inspection so there was no confirmation that medication had been taken. In order to promote good health residents require support from staff to take their medication at the time and in the dosage directed by the GP. Standard 19 was inspected during the previous inspection in September 2005. EVIDENCE: A female resident said that female staff help her with personal care tasks including those of an intimate nature. A resident was sitting in the lounge in his pyjamas. He was aware of his clothing and said that he wanted to go to his room after supper. (Although he wanted to go to his room he said that he liked to read or to write and would not be going to bed straight away). It was noted that a member of staff dealt discretely with a resident who needed to change their clothing. A resident said that staff knocked on their bedroom door and waited for them to respond, “come in”, before they entered. Another resident said that they were given the opportunity to carry out their own personal care in privacy. One of the residents is deaf and communicates by Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 14 signing and another resident partially communicates with using Makaton. The deputy manager discussed the books used by staff to familiarise themselves with the signs used. He said that as part of NVQ level 3 training there is a session on verbal and non-verbal communication and that a training course on signing was being arranged soon. The storage of medication was satisfactory and the cabinet is kept locked. The medication records were inspected. It was noted that were gaps in the records for the medication given on the 9th January as these had not been initialled. There are no residents who self-administer medication. There are medication policies and guidelines in place to support staff in both administering and recording medication. All staff members administering medication have received training. Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 An adult protection policy and protection of vulnerable adults training for staff contribute towards the safety of residents. Standard 22 was inspected during the previous inspection in September 2005. EVIDENCE: A statutory requirement was identified during the inspection in September 2005 that all staff receive training in adult protection procedures. The manager said that a course had taken place in December 2005 for any member of staff who had not already undertaken training. A resident said that if they were worried about something they would talk to their key worker. Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 30 A comfortable and “homely” environment provides residents with an enjoyable place in which to live and a maintenance programme for the property keeps it in a good state of repair. Single bedrooms provide residents with privacy and they were satisfied that the size of the room provided them sufficient space to relax. A minor repair is required in one of the rooms. Sufficient bathing and toilet facilities provide residents with the choice of having a bath or taking a shower and the facilities are close to personal and communal areas. Communal areas provide a homely environment in which residents can relax. Residents live in a home where standards of hygiene and cleanliness are good. EVIDENCE: A site inspection took place. The upkeep of the property is good and the house is comfortably furnished and decorated, in a “homely manner”. The company has a programme of maintenance and renewal. Rooms are airy and clean and free from offensive odours. Levels of heating and lighting were suitable for the time of year. It is accessible to all of the residents. Local shops and transport facilities are within walking distance of the home. The appearance of the property is in keeping with its neighbours. Each resident has their own single bedroom and one of the bedrooms has an en-suite bathroom, with toilet, and another bedroom has an en-suite shower Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 17 room, with toilet. All other bedrooms have a wash hand basin. All bedrooms have been decorated to reflect the resident’s individuality. During the site inspection it was noted that one of the bedrooms felt rather cold, although the radiator was warm. The deputy manager said that the resident did not like the room being warm and would ask staff to turn the heating down. Other rooms in the house were warm. It is recommended that a thermometer is installed in this room so that staff can monitor the temperature and take action, if necessary, to ensure that the temperature does not fall below safe levels. Residents said that they liked their rooms and it was noted that they were all had different colour schemes and had been personalised by the residents. They said that there was sufficient room in which to store their belongings and to move around. One of the bedrooms had a patch of bare plaster where a repair had been carried out. The door handle had gouged a hole in the wall and a doorstopper had been fitted to the skirting board to prevent a reoccurrence. The bedroom on the ground floor has an en-suite bathroom, which includes a toilet. A bedroom on the first floor has an en-suite shower room, which includes a toilet. There is a bathroom (including a toilet) and a shower room (including a toilet) on the first floor. There is also a separate toilet on this level. The four bedrooms without en-suite facilities have their own wash hand basin. There is an open plan lounge and dining area on the ground floor. This has patio doors leading to the garden. It is comfortably furnished and decorated and is “homely” in appearance. There is sufficient seating for all residents, if they wish to sit in the lounge at the same time. All areas of the home were clean and tidy and free from offensive odours. Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35 The quality of the support given to residents is enhanced when staff have the knowledge and understanding of the needs of the client group and the home continues to support staff undertaking NVQ training. There were sufficient staff on duty to support the residents and staffing levels enabled staff to support residents both inside the home and in the community. The training programme for members of staff ensures that staff are able to meet the objectives contained in the Statement of Purpose and to meet the individual and changing needs of residents. Standard 34 was inspected during the previous inspection in September 2005. EVIDENCE: The manager said that all the permanent staff are enrolled on either NVQ level 2 or level 3 training. The deputy manager said that he had completed his NVQ level 4 studies and was preparing his portfolio, ready for assessment. At the start of the inspection 2 staff were on duty and during the inspection the manager returned to the home. The rota was available for inspection. During the week there are 2 support workers on duty 7 am to 10 am and from 3 pm to 10 pm. (Residents attend day centres during the day). At the weekend there are 3 members of staff on duty Saturday morning and 2 members of staff at other times. (One resident spends the weekend with his family and Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 19 this includes an overnight stay). The manager’s hours are in addition to support workers. At night 1 member of staff sleeps in but is on call in the event of an emergency. The deputy manager said that the residents sleep through the night but if they need any help they would come to the sleeping in room for attention. The sleeping in room is on the ground floor, where one of the residents’ bedrooms is situated. The other bedrooms are on the first floor. The home is one of a number of care homes within the company and the company has a training budget, with a manager who has responsibility for overseeing the training needs of the staff and developing a programme of training to meet these. The company provides induction and foundation training for new staff, using the TOPSS training package. The company also provides NVQ training, training in areas specific to the client group e.g. autism and training in safe working practices e.g. infection control and food hygiene. Records are kept of the training undertaken by each member of staff and their training needs are identified and recorded in personal development plans. The training needs analysis is developed from looking at these plans. An external company carried out an analysis for each home and drew up a training plan. A member of staff on duty stated that they had received training in medication, epilepsy, food handling and PoVA. Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 Quality assurance systems are in place to gather feedback on the quality of the service provided and to assist in the development of the service. Standard 42 was inspected during the previous inspection in September 2005. EVIDENCE: The post of registered manager is vacant. A manager from another care home owned by the company has recently taken up the post of manager at Grand Avenue. She has submitted an application for registration with the CSCI and this is being assessed. There were systems for gathering feedback on the quality of the service. The home holds a residents’ meeting on a monthly basis and the minutes of these were available. The last meeting had been held on the 16th December 2005. Residents who are able to communicate verbally are able to give feedback on the quality of care received either directly to managers or proprietors or during their review meeting. Relatives of residents had the opportunity to give their feedback to managers or proprietors, at review meetings, at social events Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 21 taking part in the home or the end of year party organised by the company and by recording their comments in the visitors’ book. Staff have the opportunity to give feedback on the quality of service provided at the monthly staff meetings, supervision sessions, review meetings and discussions with managers or proprietors. Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 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 X X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 2 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Franklyn Lodge 9 Grand Avenue Score 2 X 2 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000017452.V269717.R01.S.doc Version 5.0 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 YA6 Regulation Requirement Timescale for action 17/04/06 2 YA7YA6 3 YA18YA18 4 5 YA20YA20 YA26 14.2&15.2 That the minutes of each review meeting are placed on file. (Previous timescale of 01 December 2005 not met). 12.2 That the home reviews the opportunities for residents to exercise their right to choose so that the number of opportunities can increase. 12.4 That staff encourage residents to wear a dressing gown over nightclothes when they are seated in communal areas. 17.4S3.3 That the records of the administration of medication are up to date and complete. 23.2 That the repair to the wall in the bedroom is painted over and made good. 17/04/06 17/04/06 17/04/06 01/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 24 1 2 3 4 YA6 YA7YA7 YA18 YA26 That the home contacts the placing authority for a copy of the minutes of the review meeting held in December 2005. That the review of opportunities for residents to exercise their right to choose includes a discussion with residents. That all staff receive training in signing and/or the use of Makaton. That a thermometer is installed in the bedroom, on the ground floor, so that staff can monitor the temperature and take action, if necessary, to ensure that the temperature does not fall below safe levels. Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Franklyn Lodge 9 Grand Avenue DS0000017452.V269717.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!