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Inspection on 09/06/05 for Greengates

Also see our care home review for Greengates for more information

This inspection was carried out on 9th June 2005.

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

The inspector found 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users benefit from a staff and management team who promote community involvement and have an interesting and varied lifestyle tailored to their individual likes and dislikes. Service users health care needs are met through good relationships with the staff and other health professionals and regular health checks.

What has improved since the last inspection?

The completion of the flat has meant that one service user has now been offered the opportunity to live semi-independently and promoted his ability to make life choices. One service user who recently moved into the home is now being introduced to the day centre services, this is a provision that he has not engaged in before.

What the care home could do better:

The communal accommodation is in need of re-decoration, new furniture and the general cleanliness in many areas of the home could be improved upon.

CARE HOME ADULTS 18-65 Greengates 96 Monkton Street Ryde Isle of Wight PO33 2DD Lead Inspector Liz Normanton Unannounced 9 June 2005 9:30 th 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. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Greengates Address 96 Monkton Roa, Ryde PO33 2DD 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) 01983 564418 01983 564418 Islecare `97 Limited Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1/2/05 Brief Description of the Service: Greengates is a residential home providing care and accommodation for up to five younger adults with learning disability. The home is a detached twostorey property situated in a residential area of Ryde , a short walk from local shops, beach and leisure facilities. Also close are Ryde town centre, bus station and the railway station. There is a good sized garden, which is laid mainly to lawn with patio and seating for use by the service users. Off road parking is limited but spaces can usually be found in the neighbouring streets. The home is owned by Islecare 97 and managed by Matthew Perkis who will soon become the registered manager for the home. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited the home towards the end of the week and arrived just before 10.00 am. On the inspector’s arrival she found two residents being cared for by a temporary staff member from BNA who said she had only worked once before in the home. The inspector observed that she interacted well with the service users and met their needs. The inspector was informed by the returning member of staff, that he had had to leave the bank staff member as one resident had had to be escorted to the day centre as he had “played up” and the Taxi driver would not take him without support. The reason they had not used the home’s car was because it had been damaged in a minor accident. The inspector observed that coats and jackets had been hung up on the back of the fire door leading from the kitchen, and the back door, also a fire door was propped open by using the doormat. An area outside the back door was being used by staff as an ashtray and looked unsightly. The home was found to be grubby in a number of areas, the kitchen although in need of repair was extremely clean. The flat has been completed and the service user has moved in and is being supported on a one-to-one. The manager was called at home and came to assist the inspector with the inspection. The inspector was able to talk to one resident who said he liked living at Greengates, two residents were not able to share their views and one was out. The home was experiencing some staffing difficulties due to staff absences so the inspector only spoke with one member of the staff team as well as the manager. Bedrooms were seen to be clean, tastefully decorated and personalised to reflect the interests and hobbies of the service users. One service user had been incontinent of faeces in the night and this had been smeared on to the carpet, the odour in the room continued to be offensive although there was evidence that staff had attempted to clean the carpet. A number of requirements from the previous inspection had not been met these are documented in the report. What the service does well: Service users benefit from a staff and management team who promote community involvement and have an interesting and varied lifestyle tailored to their individual likes and dislikes. Service users health care needs are met through good relationships with the staff and other health professionals and regular health checks. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 The home provides prospective service users and their families with sufficient information for them to make an informed decision. EVIDENCE: The home has updated the statement of purpose which sets out the objectives and philosophy of the home, however the service user guide is still missing a contract of terms and conditions. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9 The home provides service users with independent care plans. Service users in the home have learning disabilities and communication difficulties and may not fully understand the relevance of care plans. One service user is able to contribute and understands the assessment process. Service users are able to make decisions about their lives with assistance from staff. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: The inspector saw evidence that service users do have care plans. The existing care plans contained the relevant information for the care needs of each service user, however these were not signed or dated, this was a requirement from the previous inspection. The manager informed the inspector that he is currently in the process of reviewing the care plans and producing them in a different format. The inspector saw evidence of the new care plans on a template on the home’s computer. One resident is fully involved in the review of his care plan. Photographs of services users were not available with the care plans, the inspector was informed that up to date photographs were on the digital camera Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 10 waiting to be down loaded. The inspector viewed the photographs, which were a likeness of the residents. The manager has produced risk assessments for services users. Where possible the service users contribute to their care plan the home’s manager informed the inspector that health professionals and relatives also contribute to information in care plans. The plans are available in plain English but have not been produced in alternative formats. The home operates a key-worker system. The manager believes that only one service user would be aware of the different role the key worker provides. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,14,15,17 The service users are able with support to take part in activities away from the home, which are appropriate to their age group, gender and cultural background. Service users are supported to maintain links with their families and friends. The home provides residents with healthy nutritional meals. EVIDENCE: The residents are not able to work but attend day centre services during the week. Staff support residents to attend the centres, usually transporting them in the home’s car or escorting them in a taxi. The manager informed the inspector that one resident is doing a lot more now than he was at his previous home. He is now in the early stages of being introduced to a day centre service and is able to make choices about what activities he wants to participate in whilst there. Plans to move one resident into a flat within the home have gone ahead and the manager stated that he was doing very well. One-to-one care is provided to this resident and he is supported to access leisure facilities of his choice. The inspector was not able to consult with him as he was out. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 12 Staff support service users to go out into the local community shopping, walks, An visiting the seafront, going to pubs, cafes, out for meals etc. aromatherapist visits the home once a week, usually on a Monday night. Service users attend the Gateway club on a Sunday night. The manager is currently making arrangements to plan an individual holiday for each service user. Last year they went to Butlins at Bognor Regis which they enjoyed. One service user told the inspector that he was visiting his mother that day and it was evident that he was clearly looking forward to this. One service user goes home for overnight stays on a regular monthly basis. The manager informed the inspector that visitors do visit the home, however there was no record of this. Service users are able to have the privacy of their bedrooms to meet with visitors. Most meals are eaten in the kitchen or the lounge, this is down to service user choice. Service users are offered up to three meals a day, and meal choices are made on a daily basis. The inspector saw daily records which had information as to what meals people had been eating. One service user was recently on a high fat diet as recommended by his GP and had to have six small meals a day. Service users’ nutritional needs were seen to be written in the care plans examined by the inspector. The manager informed the inspector that the service users do not help to plan or prepare meals but are offered the chance to make snacks with assistance from staff. On the day of the inspection the service users were having pork chops, jacket potato, grilled tomato and vegetables for tea. The meal was well presented and the portion size was more than adequate. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20 The service users physical and emotional health needs are met by the staff team. Retention, control and administration of drugs is undertaken by staff as service users are not able to undertake this level of responsibility. EVIDENCE: The inspector viewed two care plans and found that they had details of the residents’ health care needs. The manager informed the inspector that residents’ health was measured by health checks when required. All four residents have annual hearing tests. The inspector saw a letter offering one resident a hospital appointment for dental treatment in July. All residents are registered with a general practitioner, one resident is waiting to have an operation. The home has policies and procedures in place for the safe handling of drugs. The manager has responsibility for booking medication into the home, all medication is kept in a secure cupboard and staff sign the MARs charts to indicate when medication has been taken or refused by residents. The manager has the responsibility for dealing with the return of drugs to the chemist. The manager informed the inspector that all the staff had taken the BTEC in medicines award. The inspector found that there were inaccuracies in Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 14 the number of tablets in one resident’s blister pack which was significantly less then what was recorded on the MARS sheet. There were also a number of occasions when staff have not signed. This matter is of concern. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were assessed at the last inspection and were met. EVIDENCE: Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 Service users’ bedrooms were very well furnished and comfortable but overall the home lacks warmth and is quite sterile in places with a lack of curtains/ window blinds. The home is in need of an overall “spring clean” as a lot of areas have become very grubby, in particular paintwork and carpets. EVIDENCE: The inspector completed a full tour of the property including the new flat. The bathroom was found to have a floor covering, which has become worn and faded. There was a tile missing off the wall by the door and missing grouting. The bath panel was damaged. There was no blind at the window, however privacy is provided by frosted glass. The bathroom door has two holes in it where it has been damaged in the past by a service user. The hatch leading into the loft space was very grubby. Two bedroom carpets have become badly stained and need replacing. The manager informed the inspector that he has plans to completely refurbish a vacant bedroom and incorporate an en-suite and then move one of the service users into this room. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 17 In the living room there is torn wallpaper above the radiator and along the wall. The paintwork on the central heating pipework is peeling off. The two settees have begun to look quite worn and the springing has gone in the seating. The manager stated that Islecare have plans to refurbish the living room. The kitchen was found to be clean, however the repairs to the kitchen remain a requirement from the previous inspection. The manager informed the inspector that some aspects of the work required are the responsibility of South Wight Housing from whom the property is leased, and until they complete the works Islecare cannot meet their responsibilities to undertake repairs. The carpet immediately inside the rear door had not been replaced on the day of the inspection but the inspector saw a letter confirming that this was to be done in early July. The home’s laundry facilities are kept separate from food preparation areas and the washing machine has the specified programme for washing any soiled clothing. The flooring is impermeable. The home has policies and procedures in place in relation to the control of infection. The laundry room is showing signs of decay with a hole in the wall next to the drainage pipe, and other walls are showing signs that the plaster has perished and looks unsightly. There is no hand washing facility in the laundry. The flat has been decorated, furnished and carpeted to a high standard and looks clean and comfortable. The bathroom in the flat has an old Jacuzzi style bath, which might be a health hazard, the manager stated that he has put in a request to Islecare to have this replaced. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,35 The home has an effective staff team who can meet the needs of the service users. The service users are protected by the home’s recruitment and selection policies and practices. Staff have been given appropriate training to meet the needs of service users. EVIDENCE: The home has a staff structure, which comprises the manager, a trainee senior and seven care staff. There is a vacancy for wakeful night staff and these hours are currently being covered by the staff team. The manager undertakes two days a week management time and three days care time. At the time of the inspection two staff were off, one was on sick leave and one was on holiday, which led to the need for using agency staff. The manager informed the inspector that Islecare have plans to employ seven staff from overseas who will be assigned to each home to meet staffing shortfalls, this will enable them to provide emergency cover using their own staff pool which should provide continuity of care. The composition of the staff team meets the gender needs of the service users, all staff are over twenty one. The inspector viewed the roster which indicated that there are two staff on duty each shift during the day and the flat is staffed on a one-to-one basis, this ensures that service users can spend uninterrupted time with staff. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 19 The manager informed the inspector that the staff team have meetings every two months, the inspector saw the minutes of the meeting held in January 2005. March and May team meeting minutes were not available. Staff are experienced in caring for the service users, one member of staff informed the inspector he had worked at the home for fourteen years. The inspector observed staff interacting with service users in a positive way and were patient in their approach. The inspector noted that Islecare 97’ are an equal opportunities employer and operate thorough recruitment policies and procedures. All staff have to complete an application form and provide two references and agree to being checked by the Criminal Records Bureau (CRB) and protection of vulnerable adults register (POVA). The inspector viewed three staff file, two of which had two references, one which did not. None of the files had evidence that CRBs/POVA checks had been done. The manager informed the inspector that the member of staff whose file did not have references had been transferred to Greengates from another home, and had worked for the company for a long time, and that Islecare keep other records at the head office. The inspector saw evidence that staff receive terms and conditions of their employment and are provided with the General Social Care Council code of conduct booklet. The inspector also saw evidence that staff are given a probationary period of 22 weeks. The manager informed the inspector that seven of the staff have completed the LDAF induction training and are now waiting for the paperwork to enable them to complete the foundation element. Two staff have completed NVQ level 2 in care and three are working towards achieving it. The member of staff who spoke with the inspector stated that he had started his NVQ level 2 at the beginning of 2004 and was about halfway through the course. Islecare 97 provide the home with a training development budget. The manager informed the inspector that all staff have undertaken mandatory training which includes health and safety at work, health and hygiene, manual handling, fire safety, etc. A member of staff confirmed this. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37and 42 The home has a new manager who is starting to make changes in the way in which the home is run and this is to the benefit of the service users. The health of service users is promoted and protected by the staff team. EVIDENCE: The manager has worked for Islecare since 1998 in various caring capacities and began the management of Greengates in October 2004. He has nearly completed the NVQ level 4 in care. The inspector saw evidence that the manager has a job description. The manager is responsible for the day-to-day operations of the home, and ensures that staff comply with policies and procedures through support on a daily basis, and staff supervision and team meetings. The manager works alongside his staff team undertaking hands on care. Islecare provide the home with Health & Safety policies and procedures. The home has a COSHH cupboard for the storage of hazardous materials, and the safe handling policies and procedures are kept in the cupboard. The gas appliances are serviced annually, the inspector viewed a gas safety record Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 21 dated 18/01/05. The manager stated that the hot taps are run for ten minutes every night by the wakeful night staff to control the risk of Legionella. The inspector saw evidence that the manager had undertaken a generic risk assessment of potential risk areas within the home. Safety notices were seen to be posted around the home. The inspector viewed the home’s accident report book, and noted that there is a separate incident book for staff. The manager ensures compliance through observation, working alongside staff, supervision and yearly appraisals plus training. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 2 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Greengates Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 5 (1) (c ) Requirement The home to provide service users with a statement of terms and conditions of their placement. Care plans and risk assessments must be regularly reviewed and signed and dated. Photographs to be kept in care plans. All medication administered must be signed and dated on MARS sheets. The kitchen worktops, tiles and sealant must be replaced where damaged, the rear door frame and lintel must be repaired. The bathroom requires new flooring, grouting needs attention in some areas, the bath panel must be repaired or replaced, the bathroom door mus be replaired or replaced. Bedroom carpets muso be replaced where worn and stained. The home must be cleaned throughout including the washing down of all paintwork, door frames, stairs and banister. Records of CRB/POVA to be held in staff files in the home for inspection as required. All records required by schedule 2 Timescale for action 08/07/05 2. YA6 15 (2) (b) 08/07/05 3. 4. YA20 YA24 & 30 17 sch3 (i) 23 (2) (b) (d) Immediate 30/09/05 Cleaning to begin immediately 5. YA34 19 sch2(7) Immediate Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 24 6. YA24 Reg 13(3) to be held in the home must be available The hole in the laundry wall to 30/09/05 be repaired and Islecare to contact South Wight Housing and request a survey re: damage to plastering on laundry walls, there is a possibility it could be raising damp. 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 YA24 Good Practice Recommendations Plans to refurbish the living room to be put into action before the end of the year. The garden to be kept free from cigarette ends. Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, PO30 2AA 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 Greengates H55-H04 S12494 Greengates V218541 090605 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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