Inspection on 28/09/05 for Green Lanes Projects

This inspection was carried out on 28th September 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Green Lanes Projects 05/06/07

Green Lanes Projects 23/01/07

Green Lanes Projects 27/03/06

Green Lanes Projects 17/01/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Green Lane Projects 40 Myddleton Road Wood Green London N22 8NR Lead Inspector Jackie Izzard Unnannounced 28 September 2005 @ 08.40 am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Green Lane Projects Address 40 Myddleton Road, Wood Green, London, N22 8NR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8888 6338 020 8888 6338 Pangisani Mabhena Miss Janet Brown PC - Care home only 6 beds Category(ies) of LD - Learning Disability registration, with number of places Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17 January 2005 Brief Description of the Service: Green Lanes Project is a registered care home providing care for up to six men and women who have a learning disability. The home is registered to care for adults between the ages of eighteen and sixtyfive years. The home is a large three storey house in Bounds Green, North Lonodn. The home is well situated for buses and overland trains and is a short bus ride away from the underground station at Wood Green. Residents of the home have easy access to local shops,churches, cafes etc within walking distance. The house has six single bedrooms with ensuite facilities and a large lounge, kitchen diner, conservatory and garden. The house is decorated and furnished to a high standard. The aim of the home is to empower individuals to live as independently as possible according to their preferences and abilities. The home currently has three residents with another three people using the home for respite care at weekends. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced so the home did not know the inspector was coming. The inspector was able to meet two of the three people living at the home and the manager and one staff member. The owner was present but left the home when the inspector arrived. This inspection included a tour of the building, inspection of records, checking that the manager has completed the things she was asked to do at the last inspection and talking to the manager and two residents. The inspector has also received written comments about the home from all three residents, two social workers, a community nurse and the parent of a person who stays the home for regular weekends. Their feedback is included in this report. What the service does well: What has improved since the last inspection? Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 6 As the residents have settled into the home, they have developed individual lifestyles following their interests. The home is doing a good job of looking after the residents and making sure they are happy. Since the last inspection, the owners and manager have worked hard to make improvements as required by the previous inspector. Two permanent staff have been recruited and it is hoped they will start work soon. 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. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 5 There is comprehensive information about the home available to potential residents and their families. Residents’ needs are assessed and support plans put in place to meet their assessed needs. Residents have a contract but the home needs to resolve the difficulties with a placing authority and produce a contract for a couple who live at the home. EVIDENCE: The home’ statement of purpose and service user guide contain all the required information and are easy to read and understand. The service user guide has pictures to help people with a learning disability understand. Each resident has an assessment of their needs in their personal file. These include risk assessments. The inspector looked at a sample of these in detail and found them to meet the required standard. Residents have a contract but the home is experiencing difficulties with the placing authority for two residents who live as a couple and share a room. The placing authority have not signed contracts for these residents yet but this is not the fault of the home who have supplied two rooms for the residents as required. A requirement to amend the contract for these two residents and get it signed by both parties is restated from the last inspection. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 Residents have support profiles and care plans which reflect their individual needs. Residents feel able to make decisions about their lives and feel well supported by staff in doing so. They are supported to take risks where appropriate and can be assured that staff are fully informed of the risks to their wellbeing. EVIDENCE: The inspector noted that residents’ care needs are clearly documented and followed. The inspector asked two residents if actions identified in their care plans were taking place and they confirmed this to be the case. Two residents were spoken to , both together and individually. Both told the inspector that they were supported by staff to be as independent as possible. They gave examples of day to day decisions that they make for themselves. One resident said that he chooses and makes his own packed lunch and decides what time he will leave to go to his voluntary work. Staff accompany residents everywhere. This was discussed with the manager as it was evident that two residents would be able to go out locally without staff. The manager was able to explain the reasons for these residents not Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 10 going out independently and this was clearly documented in the risk assessments. The decision was to be reviewed shortly after the inspection at a meeting with the relevant social workers. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17 Residents in this home lead a good quality of life where they follow their own interests and are supported to further their education and develop their independent skills. Their wishes and choices regarding relationships are fully supported by the staff and they are provided with well cooked food that they like. EVIDENCE: The inspector looked at two residents’ personal files, talked to both residents and to the manager and observed interactions between the manager and residents in order to assess this section. Both residents said they were happy living at the home and were supported by staff in their personal development. One resident said that he had been unable to make sandwiches when he arrived at the home but staff had showed him how to and now he made his sandwiches every day. Both residents said they were fully involved in looking after their own rooms, their laundry and in preparing food when they wanted to. Both attended college three days a week and told the inspector about the classes they were attending. One does Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 12 voluntary work at a local garden centre one day a week and said he really enjoyed this. Residents’ care plans show that they are supported to follow their interests and make choices about how they spend their time. The inspector saw that residents were supported to maintain their relationships with their families where appropriate and were protected where this was necessary. The manager told the inspector how staff have supported a resident in making contact with a relative who s/he has not seen for many years and renewing this relationship, which is very positive. Two of the residents are a couple and their relationship is respected and supported by staff. Both residents said they enjoyed the meals and had been involved in choosing the menu. The inspector saw three weeks of menus and saw that the meals were varied and balanced with a good selection of fruit and vegetables in the diet. Two social workers said they were satisfied with the service provided at the home and the parent of somebody who stays the home for weekends regularly said that she was happy with the home. The manager has developed positive relationships with residents and the inspector saw that she was caring and supportive to them whilst encouraging them to do things for themselves and be as independent as possible. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21 Residents are protected by the home’s policies for dealing with medicines. Residents have been consulted about their wishes in the event of illness and death. EVIDENCE: The requirements in the last inspection regarding medication have been complied with. The medicine cabinet has been secured and the temperature regularly monitored to protect the medicines. The medicines policy now contains information regarding the home’s procedures for dealing with controlled drugs. The home’s policy on homely remedies is that they will not buy or give homely remedies for residents. The inspector advised that the manager obtain a copy of the medication policy for Haringey and Enfield care homes and use the section on homely remedies to inform the home’s policy. The manager was advised that there is a list of remedies which the home can administer to residents for minor ailments. The inspector saw that two residents have been consulted about their wishes if they were to become ill and/or die whilst living at this home. The third resident is new and this matter will be raised when it is seen to be appropriate. Both of the other residents have set out their individual wishes clearly and this is recorded in their personal files. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 14 Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Residents feel their views are listened to and know how to complain should they need to. The home has an adult protection procedure and takes positive steps to protect residents from abuse or harm. Staff need to be provided with training in adult protection to further protect residents from harm. EVIDENCE: The home has a complaints procedure and there have been no complaints made so far. The inspector asked two residents what they would do if they wanted to complain about something in the home. Both were very confident that they could complain to the manager or owner and have their complaint acted on. Both residents said that staff listened to them and helped them in ways that they wanted. A requirement to improve the home’s adult protection procedure has been complied with. The manager had been trained in adult protection and was able to inform the inspector of the correct procedures to follow if a resident at the home was abused. The inspector advised that the telephone numbers of Haringey Adult Protection Manager and each resident’s placing authority be added to the adult protection procedure. The manager did this when asked. The manager was also aware of the requirement to report any adult protection issue to the Commission for Social Care Inspection immediately. A requirement to ensure all staff have been trained in adult protection procedures has been restated. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 16 From inspection of care plans and discussion with the manager, the inspector was satisfied that the home was actively protecting all residents from risk of abuse whilst out in the community. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 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 standard(s) 24, 30 The house is attractively furnished and decorated and provides a pleasant homely environment. The level of cleanliness and hygiene in the home was excellent at the time of this inspection. EVIDENCE: The inspector looked at all the communal rooms in the house and the garden plus four of the six bedrooms. The standard of cleanliness was excellent throughout. The rooms had been decorated and furnished to a high standard and the house was in very good condition. Two residents confirmed that staff do not enter the laundry via their bedroom which joins the laundry. The laundry facilities are adequate for the residents and the laundry is not used after 8pm as this would disturb residents. A sign to this effect was on the wall and the residents confirmed that staff adhere to it. Two residents told the inspector they had chosen their rooms and that they were happy with all the facilities. They had also chosen to display personal items in the communal areas which made the house even more homely. Two Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 18 bedrooms are on the second floor of the house with no alternative fire exit. The inspector advised the manager that although no condition had been imposed on the home regarding this, that only residents who would evacuate themselves in the event of a fire should live on the second floor. Nobody who has a physical or sensory disability, is unsteady on their feet or whose behaviour/abilities would prevent them from co operating with a fire alarm should be allowed to sleep on the top floor. The manager confirmed that this would not take place. Some health and safety matters were identified and these are in a later section in this report. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 34, 35, 36 Residents are well looked after by the registered persons and team of agency staff and the home is recruiting permanent staff. The registered persons need to ensure staff working at the home are properly trained and provide evidence to the CSCI that staff are receiving regular recorded supervision. EVIDENCE: The manager has a team of agency staff at present and the home is actively recruiting new permanent staff. The manager and owner work in the home and provide continuity to the residents. A requirement to have thorough recruitment procedures in place has been met. This information was on the home computer but the manager printed it off and sent it to the inspector after the inspection. A requirement was made in January 2005 that all newly appointed staff must have an enhanced CRB before they commence work in the home. No new staff have started since then. The manager said that the home has recently recruited two new staff but that they haven’t started yet as their CRB disclosures have not yet been received. The inspector looked at three staff files. The home does not have copies of the CRB disclosures undertaken for agency staff by their agencies. A requirement is made to obtain copies of these CRBs Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 20 for inspection. The manager was advised to obtain these copies from the agency or the individual staff member. The manager was advised that long term agency staff should be included in the training offered to permanent staff. A requirement to ensure all staff undertake statutory training has not been complied with. This is due to the home being staffed by agency staff so far. The requirement is restated with an extended timescale to allow the registered persons to recruit further permanent staff. The inspector saw a copy of the home’s induction training which was good. One of the newly appointed staff is working towards NVQ 3 and a requirement to ensure 50 of staff are qualified to NVQ 2 or above by the end of 2005 is restated with an extended timescale. The manager said that staff supervision notes are stored on the computer in the home. A requirement to ensure regular supervision is recorded and made available for the inspector is restated. The manager was informed that written records must be available as the inspector does not have the right to access the home computer. The manager said that supervision is taking place as detailed in the national minimum standards for care homes for adults. This will be verified at the next inspection. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Requirements are made to protect residents from risk of fire and scalding. Overall, the home is promoting the health and safety of residents. EVIDENCE: The manager was able to show evidence that the gas and electrical installations have been serviced and are in safe condition. A sample of other health and safety records were inspected and found to be satisfactory. The inspector noted that the temperature of baths and showers was above the safe temperature of 43 degrees. The manager said she had been advised that baths and showers were able to be used at higher temperatures and was guided to standard 42 regarding water temperatures. A requirement is made to fit thermostatic mixing valves to each bath and shower locking the water temperature at 43 degrees to prevent risk of scalding. One bedroom fire door was not effectively self closing and a requirement is made to check all fire doors and ensure all close effectively. The home has Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 22 recently been inspected by the fire brigade and the registered persons have acted on the recommendations made. The home has fire extinguishers in place and a fire alarm system which is regularly serviced. Staff need to be trained in fire safety and the home’s emergency plan. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 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 3 3 x x 2 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x x 2 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Green Lane Projects Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 24 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA5 Regulation 5(b) Requirement The registered persons must amend the contract for two specific service users so as to reflect their right of access to their two shared rooms. This should be signed by both parties and retained on file. This requirement is restated. Previous timescale of 28/2/05 not met. The registered persons must ensure all care staff that work in the care home undertake adult protection training which is in line with local authorities procedures. Once completed a copy is to remain on the indivduals personnel file. This requirement is restated. Previous timescale of 30/4/05 not met. The registered person must ensure a copy of the current CRB disclosure for every staff is kept in the home available for inspection. This includes CRB disclosures obtained by agencies for agency staff employed at this home. The registered persons must ensure all the statutory training Timescale for action 30 November 2005 2. YA23 13(6) 31 December 2005 3. YA34 19(4)(10) 31 December 2005 4. YA35 18(1)(c)(i ) 30 April 2006 Page 25 Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 5. YA36 18(1)(c)(i ) 6. YA35 18(1) 7. YA42 13(4)(a) 8. YA42 23(4)(c) 9. YA42 23(4)(d) is undertaken by all care staff working in the home. Copies of the certificate awarded to staff are to be kept on each staff s personnel file. This requirement is restated. Previous timescale of 30/4/05 not met. This training must commence as soon as the first two permanent staff are in post and should include long term agency staff working at the home. The registered persons must ensure that all staff receive regular recorded supervision meetings at least six times a year with their senior/manager in addition to regular contact on day to day practices. Supervision meetings must be recorded and made available for the inspector. This requirement is restated. Previous timescale of 28/2/05 not met. The registered person must ensure that 50 of the care staff team must be qualfied to NVQ 2 or above ensuring it is accredited to the Learning Disability Award Framework. This requirement is restated. The registered persons must ensure that bath and shower temperatures are locked at 43 degrees by having them fitted with thermostatic mixing valves which lock the temperature. Written confirmation by a suitably qualified person that this work has taken place must be sent to the CSCI. The registered persons must ensure that all fire doors in the home self close effectively at all times. The registered persons must ensure that all staff in the home are trained in fire safety and the 31 December 2005 30 April 2006 30 November 2005 31 October 2005 and from then on 30 November 2005 Page 26 Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 homes emergency fire plan. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA21 Good Practice Recommendations The registered persons should obtain a copy of the Haringey/Enfield policy regarding medicines in care homes and use this to inform their own policy on use of homely remedies. 2. 3. Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Solar House, 1st Floor, 282 Chase Road, Southgate, London N14 6HA 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 Green Lane Projects G59 S57935 Green Lane Projects V246343 08.09.05 Stage 4.doc Version 1.40 Page 28 - 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. 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