Inspection on 27/07/07 for Gaywood Street 24

This inspection was carried out on 27th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Gaywood Street 24 16/07/08

Gaywood Street 24 14/07/06

Gaywood Street 24 19/01/06

Gaywood Street 24 23/09/05

Gaywood Street 24 04/01/05

Gaywood Street 24 05/10/04

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

CARE HOME ADULTS 18-65 Gaywood Street, 24 24 Gaywood Street London SE1 6HG Lead Inspector Lynne Field Unannounced Inspection 27th July & 10th August 2007 10:00 Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gaywood Street, 24 Address 24 Gaywood Street London SE1 6HG 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) 020 7261 9210 0207 261 9210 esterj@plus-service.org LINC Care Home 5 Category(ies) of Learning disability (0), Learning disability over registration, with number 65 years of age (0) of places Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 people with learning disabilities male or female, some of whom may be over 65 years old. 14th July 2006 Date of last inspection Brief Description of the Service: Gaywood Street is care home providing personal care and accommodation for up to 5 people with a learning disability some of whom may be over 65 years of age. Hyde Housing Association Limited owns the building but Choice Support manages this. The service is staffed and managed by PLUS support (Provident and Linc United Services), a voluntary organisation. The home is located in Elephant and Castle, close to shops, pubs, the post Office, underground and buses. The home consists of a two-storey building, and is designed to be wheelchair accessible, with passenger lift, and access to a patio area. All the home’s bedrooms are single. The manager said the current range of fees is charged from £277-60p per week. Additional charges are made for things such as hairdressing and toiletries. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two days in July and August 2007. The registered manager, deputy manager and five members of staff were present on the days the inspector visited the home. The inspection included a tour of the home and was facilitated by the manager on the second day. The inspector checked records of the care plans, staff records and building maintenance records. During the inspection staff interaction with residents was observed to be knowledgeable and conducted in a respectful manner. The inspector met and spoke to all five residents who live at the home during the inspection. One resident who is able to communicate verbally said they liked living at the home. The building was toured, both the residents and staff were observed interacting in a positive way. Documents and records were inspected. What the service does well: What has improved since the last inspection? The home has complied with all the previous requirements. Residents personal files have been updated. The manager has introduced new procedures into the house practices, such as task sheets, general house diary for all residents’ appointments, activity monitoring, record of transfers etc. Fire safety policies and procedures have been reviewed to give clearer advice on what to do in the event of a fire. Flooring in the kitchen, stairs and hall has been replaced. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides important information to prospective residents, families and health professional so that they are informed on services available. No resident is admitted to the home unless they have had their needs fully assessed first and the home is confident that they can meet their needs. Prospective residents and their relatives can come and look around the home and meet staff before they decide to move there. EVIDENCE: The home has up dated the statement of purpose and service user guide to include all the information relating to the new organisation that took over shortly before the last inspection in July 2006. The manager told the inspector they planned to re write in a format that is more acceptable to the residents who live in the home. The last resident moved in to the home before the previous inspection. As part of the assessment process, they were invited to visit the home and made several visits to see if they liked it. The manager assessed them before they Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 9 were accepted into the home. The manager told the inspector the home had made sure all adaptations were in place, such as handrails and a profiling bed, before they arrived to live at the home. The inspector checked three resident’s files and noted there are licence agreements and contracts in place. One is with Social Services and one with Choice Support. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are consulted and supported to make decisions about their lives by staff and appropriate independent professionals. Potential risks are identified and residents are supported to take risks within a risk management framework. EVIDENCE: The inspector viewed three residents’ files. The files are more organised and have been developed since the previous inspection. The home encourages residents make decisions for themselves by involving them in the development of the care plans through staff support. On the day of the inspection one resident was meeting with their advocate who comes to help them make informed decisions about aspects of their care. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 11 The residents’ files have been reorganised since the previous inspection and contain all the information needed to meet this standard. Care plans viewed by the inspector give a description of residents’ individual behaviours, reactions and preferences and how the resident likes to be treated. The inspector saw copies of risk assessments that have been carried out, but these need to be reviewed and up dated. Care plans and risk assessments are reviewed with residents where possible every six months or sooner if necessary. Details of any changes to the risks are recorded in the care plans along with details of how to manage the risk. The home has internal reviews. The inspector saw copies of one residents care plan meetings that are held every two months. Two residents reviews are planned for September 2007. The home has started to develop Person Centred Plans for each resident. This will help identify a number of goals and plans for the future. Each resident has a timetable of weekly activities kept in the file with the daily task sheets so that those activities do not get missed. Key workers regularly review the activities done by their resident in key worker meetings. This discussed in supervision or earlier if needed. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to access the community with the support of staff and engage in appropriate, enjoyable and fulfilling activities. Families and friends are encouraged to keep in touch with the residents and participate in social activities. Mealtimes are relaxed and residents enjoy a healthy, varied diet. EVIDENCE: Residents have a weekly programme in their file. They are encouraged to go out during the day and at weekends. They have regular access to the community and activities programmes are developed to meet each resident’s individual needs. In this way residents are supported and encouraged to take Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 13 part in activities that are enjoyable, beneficial to their mental and physical health. The inspector was told one residents’ family visit them five days a week. Another resident visits their friends in Lewisham with staff support when he wishes to do this. The manager told the inspector that there is enough staff on any one shift to provide support to at least one resident to go out into the local community. The manager said if it is planned that more than one resident wants to go out, extra staff will be rotated on for that shift. Two residents share a car that is adapted to take their wheelchair and only they are able use it. Staff said the other residents used public transport or Dial a Ride to access the community activities. The home records of all community based activities on sheets over a period of month. This gives the home an over view of what activities are happening and what is not happening and why is it not happening. The home plans regular outings apart from visiting the local community. Recently two residents went to Canterbury for the day with two carers and the inspector was told there was another outing planned for August. The inspector was shown a copy of the menu. The staff told the inspector that resident’s are encouraged to eat a healthy diet. The resident’s are asked about what food they would like on the menu. Meals have been devised from those preferences. The staff said most of the residents had lived at the home for a number of years and they are able to tell by their reaction whether they like the food they are given. The inspector was shown a copy of the menu that covers a four-week period. This has a good range of different food with healthy options, such as low fat food and fresh fruit. A record of what resident’s have eaten is kept in the daily records. The home has a sensory room, which was shown to the inspector. This has been moved to a bigger room and refurbished to include different sensory experiences. Staff said residents enjoyed going in there and it could be a calming or stimulating experience depending on how the resident was feeling. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents receive personal support, in the way they prefer and their physical and emotional needs are met. Residents are not able to take control of their medication and need assistance to take it. Residents could be put at risk when the procedure for the administration of medication is not followed. EVIDENCE: All the residents in the home need help with personal care. Staff spoke to residents with respect and addressed residents by the name they preferred to be called by. Three residents care files were inspected. These contained all the information staff need to support the residents in their preferred personal care routines and details of how much help an individual requires with different personal care tasks. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 15 The record of health appointments attended indicated that each resident is supported by care staff, to attend an appropriate range of healthcare appointments in line with their individual healthcare needs. This included the outcome of the appointment. One resident has had a number of assessments by the Speech and Language Therapist, for example there was an “Eating and Drinking” assessment. The out come of these are kept in the residents file. Another resident has a Health Action Plan The home has a waking night to ensure that residents receive adequate support during the night. All residents are checked on hourly basis through the night to ensure no one is left with their needs not being met. None of the residents are able to take control of their medication and well as needing assistance to take it. Medication is kept in locked cabinet in the kitchen area and key is kept by staff at all times. The resident’s medication comes in the blister pack system and liquid medication is dispensed into medicine pots by the staff. The inspector checked the MAR charts. Each chart had a photo of the resident and a list of the medications prescribed for the resident. Homely remedies list was signed by the GP. The inspector noted several signatures were missing from the charts for some liquid epilepsy medication. Because it is liquid it is impossible to tell whether it was dispensed and staff forgot to sign or if it was not given. Staff need to follow the homes medication procedure and make sure all medication is given and signed for. The manager said the home receives regular pharmacy inspection visit, which provides them with further recommendations if necessary. Staff team had also received a feedback and training form the very last visit done by pharmacy. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Practices and training at the home ensure that residents are protected from abuse. Resident’s views are listened to and acted upon. EVIDENCE: The home has a complaints policy, a copy of which is in the residents’ guide. Care staff spoke to the inspector during the inspection and said there were different types of abuse, not just physical abuse, such as verbal abuse and financial abuse. They said if they suspected abuse was happening they would reassure the resident and report what they suspected to the manager or the deputy manager. The inspector saw the complaints book. No complaints had been made since the last inspection. The manager told the inspector all complaints are taken seriously and appropriate action would be taken to ensure a residents’ complaint was addressed immediately. Each resident has their own petty cash book, which shows all transaction being done from their account into their own money tins. Receipts are kept for all transactions and they are checked by a deputy manager each week. The Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 17 inspector checked three of the resident’s money tins with the manager. All were correct. All residents receive a financial statement of all transaction being made and this regularly checked by senior management on monthly visits. To access residents’ account two signatures should be provided for such transaction and one of those is the senior manager of the company. One of the resident is able to access his own account and all transaction details are kept in the book. The inspector was shown copies of “Best Interest Meetings” that had taken place when a decision was needed to be made about where a resident should go during the time the lift was being replaced. All relavent profesionals and care staff attended this meeting. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in comfortable accessible accommodation but areas of the home have been allowed to become shabby. The lack of a robust and effective emergency maintenance contact for the lift means residents who rely on it are at a disadvantage if it is not repaired on the day it breaks down. EVIDENCE: The home was generally clean and smelt fresh and reasonably decorated. The living areas have been redecorated in colours of the resident’s choice. The flooring in the kitchen had recently been replaced but the kitchen was shabby and dated. The manager and staff said they hoped the kitchen would be refurbished in the near future, but it is dependent on funding. The garden is sunny and secluded and is accessed from the kitchen. The staff room/small office has been moved into a smaller room to enable residents to have a bigger Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 19 room for their sensory use. The inspector was able to view three of the resident’s rooms. All residents have their own bedroom that is wheelchair accessible. Residents have been supported to personalize their room with colour and items which they wanted. Each room is indvidual and reflects the residents style and preferences. House is spacious and is fully wheelchair accessible. The first floor bedrooms are accessed via a lift. The lift was replaced at the beginning of 2007 and building work around it is now finished. The manager said they had one episode since then where the lift would not work. The home called the emergency lift maintenance team but they were not able to repair it that day and residents had to sleep in the lounge for the night. This is poor practice and the home must have a more robust maintenance contract to ensure this does not happen again. The carpets on the stairs and landing have been replaced. The home has handrails in all the comunal areas and the toilets and bathroom have grab rails and handrails fitted to give residents extra support should they feel unsteady. There are adequate bathrooms and toilets with specialist equipment for staff to use to assist the residents safely with their personal care. At the previous inspection in July 2006 the inspector had noticed the laundry door was propped open and made a requirement that a fire door guard should be used for this door or the door kept shut. The inspector noted a fire door guard had been fitted to the door but the door guard was being propped open with a piece of cardboard. This defeats the object of having a door guard. If the door guard is defective that it needs a piece of cardboard to hold it open, it needs to be replaced. A new requirement has been made. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An effective staff team that is suitably qualified and competent to meet the needs of residents and to keep them safe supports the residents. The recruitment procedures followed are safe, thorough and comply with legal requirements. EVIDENCE: The staff rota reflected accurately the staff members that were on duty. It was evident through observations and from the rota that there were enough staff members working in the home. The inspector was told extra staff would be put on the rota if more than one resident wanted to go somewhere or staff had organised an outing that needed more staff on duty. The inspector met five staff during the course of the inspection. Throughout the inspection the inspector observed staff interacting with residents and the qualities seen included good listening skills, a calm and confident manner, and Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 21 a good grasp of the basic areas of need they needed to meet, including communication. The home operates a good recruitment process, which includes formal interview, taking up two references, CRB checks and POVA checks prior to appointment. The inspector was told they organisation always have residents on the panel as part of the recruitment process. All the residents who take part have training in interviewing skills and they are paid expenses for attending interview sessions. All staff has an employment contract, which include details of their terms and conditions of employment and has been signed by them. The home protects service users by obtaining references, CRB checks, and obtains employment histories. The manager said they hope to employ at least two more permanent staff and try to make sure that bank members are always use in preference to agency whenever possible. The inspector was shown the training file that is kept in the home. This is an up to date record of all the training undertaken by the staff in the home. Three staff members have undertaken NVQ3 and two staff members are in process of completing NVQ3. One staff member is in the process of completing NVQ2. The staff the inspector spoke to confirm they receive regular supervision once a month and said they felt they could talk to their manager whenever they are around. Copies of staff supervision notes, which are signed, by a manager and a staff at the end of the supervision to confirm the goals set in a meeting are kept locked in the staff office. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The manager has clear the expectations of staff and ethos and approach the staff at the home should take. Residents know the home is well managed and planned. Some working practices need to be more robust ensure that the residents health and safety are promoted and protected at all times. EVIDENCE: The manager holds BSc Psychology (Hons), NVQ4 in Management, Diploma in First Line Management and has many years of experience working within the organisation. The deputy manager is new in post, but has had two years management experience and is due to complete NVQ3 and the Diploma in First Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 23 Line Management. Both the manager and the deputy manager have undertaken specialist training reflecting the needs of residents group they support. Copies of the policies and procedures are kept in the staff office and are available for staff to refer to on a daily basis. Records indicated that all fire and electrical systems and equipment in the home are serviced and inspected appropriately and that all internal checks are conducted at appropriate intervals. The defective fire door guard must be replaced. See standard 29. As noted in Standard 24 the lift must have an effective emergency maintenance contract in place to ensure the lifts are kept working at all times. The inspector was given copies of the Quarterly Monitoring Report that monitors, evaluates and sets goals in all aspects of the home and the service provided to the residents. The home asked the residents through a specially designed questionnaire, if they were happy living at the home. The outcome was positive. Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 3 28 X 29 2 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 3 3 X X 2 X Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 25 No 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 YA20 Regulation 13(2) Requirement Timescale for action 13/10/07 2. YA24 23(4 3. YA42 YA29 (2) (c) The registered person must ensure that all medication is administered and recorded correctly at all times. The registered person must take 13/10/07 adequate precautions to protect the home from fire by keeping the laundry room fitted with a fire door guard that works. The registered person must 13/10/07 ensure the lift for use by residents or persons who work at the care home has an adequate and effective maintenance contract. 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 Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SE London Area Office River House 1 Maidstone Road Sidcup Kent DA14 5RH National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Gaywood Street, 24 DS0000007090.V340590.R01.S.doc Version 5.2 Page 27 - 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. 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