Inspection on 06/11/07 for Grindleford Avenue 2

This inspection was carried out on 6th November 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grindleford Avenue 2 01/02/07

Grindleford Avenue 2 27/06/06

Grindleford Avenue 2 31/10/05

Grindleford Avenue 2 03/08/04

Grindleford Avenue 2 14/04/04

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 Grindleford Avenue 2 New Southgate London N11 1JN Lead Inspector James Pitts Key Unannounced Inspection 6th November 2007 10:25 Grindleford Avenue 2 DS0000010447.V345638.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 Grindleford Avenue 2 DS0000010447.V345638.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. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grindleford Avenue 2 Address New Southgate London N11 1JN 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 8368 5177 020 8368 5177 alinjard@adepta.org.uk www.pentahact.org.uk Adepta Miss Louise McInnes Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Limited to 4 adults of either gender who have a learning disability (LD) and who may also have a physical disability (PD). One specified service user who is over 65 years of age may remain accommodated in the home. The home must advise the registering authority at such times as the specified service user vacates the home. Two specified service users who have dementia may remain accommodated in the home. The home must advise the registering authority at such times as either of the specified service users vacates the home. 1st February 2007 Date of last inspection Brief Description of the Service: 2 Grindleford Avenue is a purpose built bungalow, situated at the end of a culde-sac on a relatively new housing estate in New Southgate. The home accommodates four adults who have learning and physical disabilities. The home is owned and maintained by Sanctuary Housing Association and managed by Adepta through a written agreement. The current group of residents have lived in the home since it opened in 1997. The home is specially adapted and furnished to meet the needs of residents with physical disabilities, whilst still providing a comfortable homely environment. The home consists of four double bedrooms, one bathroom, a shower room, a toilet, a lounge, a kitchen/diner and an office. The home has a well-maintained back garden and a small front garden, with off street parking for several vehicles. Twenty-four hour care and support is provided. The home has a minibus, which provides access to a range of day care and leisure facilities. Public transport, shops and amenities are a short walk from the home. The fee for residents living in the home is £1,505 per week. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over the course of one day. The manager was present and provided assistance during this visit. This inspection also involved a visit by an expert by experience who spent time talking with some of the people who live here and members of staff. No surveys were received from the people who live here, relatives or other stakeholders prior to this visit. However the expert by experience said that during her conversations with people there were no serious concerns raised or any concerns about the standard of care at the home. Some points of individual concern were raised by some people who live here and the expert raised these with the inspector to discuss with the manager. Apart from one issue about possible fire safety in the garden, these concerns were about individual choices and needs. A number of records were also examined, including care plans, assessments, management records and those that relate to medication handling and administration. A tour of the building also took place and two people who live here gave permission for their own bedrooms to be seen, which is much appreciated. What the service does well: The home continues to be very good at ensuring that the people who use this service are supported appropriately in all aspects of their day-to-day living. This includes providing the necessary support to enable people to be a part of the wider community and to have aspirations, expectations and goals. This is done within a clear ethos, which properly balances the right to freedom within acceptable risks without imposing unreasonable restrictions. The expert by experience was told by some of the people who live here that they like the staff and the expert noticed the good communication that exists. The staff team are diligent in maintaining an appropriate degree of awareness to ensure that each of those who live here is protected from abuse (this means that the staff at the home do everything that they can to stop any harm coming to anyone or being hurt by someone else). The managing organisation also has the necessary safeguards in place to ensure that proper and diligent staff selection and recruitment occurs. The home has effective systems in place to support staff and to make sure that they have the necessary training and skills to undertake their work. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Grindleford Avenue 2 DS0000010447.V345638.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 Grindleford Avenue 2 DS0000010447.V345638.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standard 2 was assessed at this inspection. The people who use this service can feel confident that the home will only care for people that the staff are trained and able to care for. EVIDENCE: The home has not admitted anyone new since the previous key inspection. As this is a long term service for the four people who live here it would be normally unusual for any new admissions to occur. This standard will not be assessed again until such time as anyone new is admitted to the home. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 6, 7 & 9 were assessed at this inspection. The people who use this service can feel confident that the staff team continue to know what they need. They can also be assured that the staff will make sure that each person who lives at the home is encouraged and allowed to live the sort of life that they choose. EVIDENCE: Care plans are currently being updated for everyone who lives here, in some instances this is very near to completion. The amount of support that is required by the people who live here to make decisions, and express their opinions, about how to manage the practical aspects of their daily lives continues to be governed by individual disabilities. The detail that is contained in each person’s care plan demonstrates that Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 10 diligent efforts are made to include people as much as possible in making choices. The home’s system for supporting each person to manage his or her own money continues to be sound. It is the policy of the home that the individual must be present when purchases are being made on their behalf. The continued and effective diligence that the home exhibits is not only of the necessary standard but is commendable in the way that people’s rights are safeguarded. The keywork system at the home is also well operated and aims to ensure that each person who lives here has individual monthly time with his or her keyworker. This helps to make sure that progress on things that need to happen is monitored. The opportunities for people who use this service to make a contribution to the day-to-day running of the home and to the development of policies and procedures are again limited by the severity of their disabilities. Staff use observation of reactions where necessary in order to establish each person’s likes and dislikes particularly for anyone who is limited in the way that they can communicate. The home continues to use diligent risk management strategies and risk assessment ‘s that also describe how to lessen the risks that anyone might face. Additionally the home continues to use extensive risk assessments drawn up in relation to each person’s involvement in a range of other tasks and activities. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 12, 13, 14, 15, 16 & 17 were assessed at this inspection. The people who use this service can remain confident that the staff of the home will provide opportunities for each to develop their personal and social skills. This includes active support for each person to participate in the community both in terms of the activities of daily life and leisure interests, although this should be explored further in light of some comments that were made during this visit. The opportunity for each person to develop and maintain personal and family relations is also offered and is actively supported and encouraged by the staff team. EVIDENCE: The people who use this service have access to a wide range of activities outside of the home such as attendance at college or “work” placements, music, therapeutic sessions and other activities of personal interest. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 12 The staff team ensures that the people who use this service access the local and wider communities as much as possible including meals out, trips to shops, pubs (sometimes) etc. Sufficient staffing is always provided. The staff team are able to demonstrate a clear understanding of the cultural and religious practise preference that each person who uses this service chooses to adhere to. It would also be useful to check with everyone who uses this service if they have changed their mind about wishing to attend any form of religious worship, as it seems that at least one person may have done as a result of comments that were made to the expert by experience. The expert did note that the people who live here do get the opportunity to go on holidays and trips, such a visit to the ‘Paul O’Grady’ show this week in London. There were pictures from al these activities involving involving the people who live here all around the walls of the home. The people who live here have access to a range of activities within the home including the use of music facilities, video and television. The expert questions whether the weekly activities that are offered are really the true choice of the people who live here. This should be verified not least in order to discover if anyone would like a change to the weekly activities that they engage in. The garden is well maintained and provides a very pleasant space for outdoor activities, but this is diminished by the need to reduce certain unnecessary rubbish (please refer to the later section in this report entitled “environment” for further comment). The home has an adapted vehicle that is shared with another local home, although this is usually readily available when needed. Where family contact is maintained for any of the people who live here then this is fully supported and is actively encouraged. The home has more than sufficient space where visitors can be received in private. As mentioned earlier in this report, the ability for individuals to be involved in daily living and domestic tasks is greatly limited by their disabilities. Staff support people to engage in those tasks that are appropriate and that do not cause too much anxiety. Clear guidelines are available that inform the staff how best to maximise each person’s opportunity to be involved. The meals that the home provides are very much in keeping with the known preferences of each of the people who live here. A variety of methods are used to gauge the particular likes and dislikes that each person has. The expert noticed that on the day of the visit there did not appear to be much variety of food in the house, although in later discussion with the manager it was said that people do go shopping regularly which helps to maintain choice rather than just doing a single large weekly shop. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 18, 19 & 20 were assessed at this inspection visit. The people who use this service can remain confident that they will get the right support to take care of their personal and healthcare needs. Anyone who needs to take medicine regularly to help them stay well will get the proper support from staff to make sure that this happens properly and safely. EVIDENCE: The methods of supporting each individual continue to be clearly written down in a way that focuses on the unique preferences and personality of each person. Staff who have spoken during this visit seem clear that their responsibility includes being sensitive and flexible in providing personal support. The people who live here continue to make use of the range of community health services. Each person’s unique health care needs continues to be reflected in his or her care plan. A full medical profile is compiled which details the reason for prescription medicines and any risks that might arise Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 14 about the use of the medication. The outcome of all medical appointments is also written down. Risk assessments continue to indicate that none of those who live here are able to take their medication without the staff supporting them. The home has detailed written policy and procedure guidelines for the handling and administration of medication. All staff members responsible for administering medication have been trained to do so. A monitored dosage system is used with all records being accurately kept. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 22 & 23 were assessed at this inspection visit. The people who use this service can feel confident that the staff team at the home know what to do if there are complaints or concerns about abuse. The home has clear guidance for staff about the procedures to be followed in either of these circumstances, EVIDENCE: The people who use this service are given clear information about how to complain and what happens when they make a complaint. However, due to complex needs and communication impairments some would find it impossible to make a complaint without the assistance of either an advocate, family member, friend or member of staff. This having been said it is evident that the rights of the people who live here to raise concerns are kept very much on the agenda. The staff team are good at making sure that all of the people who use this service are protected from abuse (this means that the staff at the home do everything that they can to stop anyone from being hurt by someone else). There is also clear written information for staff about what to do if they think that anyone is being hurt or abused by another person. The staff know what they then have to do to keep people safe. The home has a copy of the geographical authority’s local protecting vulnerable adults from abuse procedures. One concern was raised in the previous twelve months. This Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 16 involved the behaviour of a member of staff. The concern was properly responded to and it was found that disciplinary action was warranted as a result. However, the member of staff ceased their employment at the home before this process was completed. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 24 & 30 were assessed at this inspection. The people who use this service can continue to feel confident that they are living in a usually well maintained, clean and pleasant home. Some areas for improvement were noted but these should not be at all difficult to achieve. EVIDENCE: The home remains in a good condition and no significant repairs were identified. The house is pleasantly decorated in bright colours; furniture, fixtures and fittings coordinate well. The manager stated that the owners of the building, Sanctuary Housing Association, respond to repairs efficiently. The manager of the home should, however, consult with the people who live here to find out if there are repairs that are needed to any of their own Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 18 electrical equipment. It should also be asked if they would like other items in their bedrooms, for example, more pictures put on the wall. It was also noted that the washing machine and dryer had been out of order, which the staff confirmed had been the case for quite some time. This was raised with the manager who said that, after some delay, new machines were going to be installed very shortly. The only matter of concern is that waste from people smoking in the garden needs to be more properly dealt with as it is unsightly and imposing upon the people the people who do not smoke. There were lighters in the garden and the expert noticed that some fire lighters were placed on the BBQ which could pose a fire risk and must be removed. The manager agreed that this needs to be managed properly. This was identified by the expert by experience that visited and this person also noted that there is an issue about access from the garden by the side gates. Local youths have trespassed on the property and caused nuisance. The manager said that the side gates and fencing are soon to be replaced by the housing association, which would help with ease of access from the garden to the street without compromising security. The fire brigade are aware that the side gates need to be kept locked with a key at present until the work occurs and have agreed that this is acceptable for the time being. The home is clean and hygienic and free from offensive odours and the part time ancillary worker who is employed by the home maintains this standard of cleanliness. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 32, 34 & 35 were assessed at this inspection. The people who use this service can feel confident that the home carries out the proper pre-employment background checks on new staff, and that the staff team is well trained to support them to live their lives. EVIDENCE: The staff rota shows that there are adequate numbers of staff on both the early and late shifts. Staff who spoke with the inspection team believes that there are sufficient numbers of them employed to support the people who live here. It was noted at the previous inspection that one staff member had no CRB details on file even though notes on file indicated a previous manager saw the disclosure. This has been rectified and the manager now receives confirmation by e-mail from Adepta’s human resources department that the correct background checks have been completed. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 20 The staff team have access to a good selection and variety of relevant training. The training plans that were introduced last year continue to be well received by staff. The manager is able to keep track of the training that is undertaken by staff and receives confirmation of attendance and completion from the organisation’s human resources department. Apart from the manager, nine other staff are employed. Four of these have achieved the NVQ level 2 qualification or higher, one is currently undertaking it and the remainder will commence this qualification in due course. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 37, 39 & 42 were assessed at this inspection. The people who use this service can feel confident that they are living in a home that has good internal and external management. They can also feel confidant that the safety of their home is taken seriously and that they are not placed at undue risk from fire or other hazards. EVIDENCE: The registered manager is a qualified counsellor and has a National Vocational Qualification (NVQ) level 4. Having been in this position for some time the manager must now apply for registration with the Commission without delay. Adepta has a quality assurance manager, whose role is to co-ordinate reviews of the quality of service provided, through sending out questionnaires to Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 22 people who use this service, relatives, staff and other stakeholders. The information from the questionnaires received back are forwarded to operations managers and registered manager who then compile the annual development plan according to the views and comments from the questionnaires based on their overall findings. This process is just being started for the forthcoming year and the manager has agreed to supply a copy of the development plan once this has been written and agreed. The staff continue to ensure that all health and safety checks are carried out, as they should be. Fire drills and tests have been occurring regularly and all safety certificates such as gas and the Portable Appliances Test (PAT) were seen and were up to date. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 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 Standard No Score 1 x 2 3 3 x 4 x 5 x 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x 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 3 x 2 X 3 X X 3 x Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 24 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 YA24 Regulation 23 (2) (o) Requirement Timescale for action 06/12/08 2. YA37 8 (1) (a) The waste from people smoking in the garden needs to be more properly dealt with as it is unsightly and imposing upon the people the people who do not smoke. Fire hazards in the garden, for example open box of fire lighters and cigarette lighters must be stored more safely. Having been in this position for 03/01/08 some time the manager must now apply for registration with the Commission without delay. 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 YA12 Good Practice Recommendations It would be useful to check with everyone who uses this service if they have changed their mind about wishing to attend any form of religious worship, as it seems that at least one person may have done as a result of comments that were made to the expert by experience. DS0000010447.V345638.R01.S.doc Version 5.2 Page 25 Grindleford Avenue 2 2. YA13 3. YA24 The home should verify with the people who live here whether the weekly activities that are offered are really what they wish to do. This would also be useful not least in order to discover if anyone would like a change to the weekly activities that they engage in. The manager of the home should consult with the people who live here to find out if there are repairs that are needed to any of their own electrical equipment and if the would like other items in their bedrooms, for example, more pictures put on the wall. Grindleford Avenue 2 DS0000010447.V345638.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Grindleford Avenue 2 DS0000010447.V345638.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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