Inspection on 02/06/05 for Grosvenor Terrace, 52-60

This inspection was carried out on 2nd June 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 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grosvenor Terrace, 52-60 16/02/09

Grosvenor Terrace, 52-60 05/02/08

Grosvenor Terrace, 52-60 18/12/06

Grosvenor Terrace, 52-60 18/05/06

Grosvenor Terrace, 52-60 18/10/05

Grosvenor Terrace, 52-60 11/11/04

Grosvenor Terrace, 52-60 23/08/04

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 52/60 Grosvenor Terrace Camberwell London SE5 ONP Lead Inspector Lisa Wilde Unannounced 2nd June 2005 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. 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 52-60 Grosvenor Terrace Address 52-60 Grosvenor Terrace Camberwell SE5 ONP 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 7277 1619 020 7277 1619 Odyssey Care Solutions for Today Mr Oydedle Salami CRH Care Home PC Care Home only LD Learning Disability 8 Category(ies) of LD Learning Disability registration, with number of places 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th November 2004 Brief Description of the Service: 52-60 Grosvenor Terrace is a home which can accommodate a maximum of eight adults with learning disabilities. It is located in a residential street just a short distance from the shopping area of Walworth Road. The home is made up of two large Victorian terraced houses that are connected with a garden and patio at the rear. There is a disabled parking bay outside the home that is used for the home’s minibus. On the ground floor are 2 bedrooms that are wheelchair accessible. No 60 has a specially adapted kitchen for wheelchair users. The home is situated close to local shops, entertainment and public amenities. There is no lift in the home. There were no vacancies at the time of this inspection and all the current service users have been at the home for a number of years.The vision statement of Odyssey is an aspiration to: “A society where a learning disability is not a barrier to somebody’s perceived value or ability to make a meaningful contribution” 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over six hours on one day in June 2005. The inspector spoke with staff and the manager of the service and then later called families of some service users to find out what they thought of the home. Most of the service users at the home cannot speak but the inspector chatted at length with one service user and met with four others. What the service does well: One service user said that he liked living at the home and he liked the staff. Two parents of service users said they are generally happy with the home with one having no complaints at all. The home involves service users’ families and independent advocates in the six monthly reviews of the service user plans to make sure that everyone is kept informed of what is going on and has a chance to add their views to what needs to happen next. The home has worked with these service users for many years and staff have developed close relationships where they can understand their behaviours and try to offer choice even though most of the service users cannot speak. Staff respect service users and treat them with dignity when offering personal care, health care or emotional support. Service users are treated as individuals and are offered support on an individual basis depending on their needs. Additional specialist support around health care is brought in quickly and effectively when need arises. The home generally provides a comfortable, homely, clean and safe environment for these long-term service users. The downstairs area is wheelchair accessible and one of the kitchens has been adapted to include adjustable worktops for wheelchair users. The staff team is trained in all necessary areas to be able to effectively meet the needs of the service users. The manager of the home has the skills, experience and training to operate the care home effectively. 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.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. 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.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 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.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 and 5 The Service User Guide is not in a language or form that could be understood by the service user group at this home and it does not include some of the areas required by the standard meaning that service users and their families are not provided with all the information they need to make an informed choice about where to live and whether they are being offered everything that they should be. As the current service user contracts have not been agreed by the service users or their representative’s the home cannot show that service users or people acting on their behalf have agreed to the terms and conditions of the placements. Again service users and their families may not be aware of exactly what their rights and responsibilities are if they haven’t seen the contracts. EVIDENCE: Most of the current service users at this home are non-verbal and cannot read or write; however, the home is registered for learning disabilities and it is possible to draw up a service user guide in a language and format that could be understood by some people from those groups who may wish to use this home e.g. by using pictures, video and language that is more simple. (See Requirement 1) The Service User Guide does not cover the required areas of the numbers of places provided; the relevant qualifications and experience of the staff; key contract issues of occupancy and termination; fees charged, what they cover 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 9 and fees for any ‘extras’; service users’ (or their families’) views of the home and a copy of the complaints procedure and information about how to contact the local CSCI office and local health and social services. (See Requirement 2) The inspector looked at three service user contracts on file and none were signed by the service user or their representative and none of them were dated. (See Requirement 3) 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8 and 10 The service user plans do not address fully how identified goals are to be worked towards and how the plans are to be changed if the plan does not work meaning that personal goals and changing needs are not fully addressed in the plans and it means that goals may be more likely to be unmet. Given the fact that most of the current service users are non-verbal the home is doing what it can to allow service user to participate in the day-to-day running of the home by involving their families. Service users and their families know that information is handled confidentially. EVIDENCE: The service user plans are reviewed annually or six-monthly and some goals are identified. The service user plan drawn up from this review does not identify what staff are going to do to ensure that any goals are worked towards and the plan is not changed until the next review, by which time the goal may not have been achieved. Staff described how they work on a day-to-day basis and do not work towards any goals identified in care plans. (See Requirement 4) 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 11 Most of the current service users are non-verbal and have significant cognitive impairment so it is more difficult to offer opportunities for them to participate in policy review and the day-to-day running of the home, but the manager said that he does include all families in reviews and receives regular feedback from them about what they feel about the service. The manager said that the service users can make their feelings known to staff and will exhibit behaviour or use equipment such as computers and speaking aids to communicate their views. The inspector managed to contact the parents of two service users who said that the manager did listen to what they said. The one service user at the home who can speak told the inspector that he chooses what he wants to do in the week. The issue of service user questionnaires is discussed under Standard 39. Information in service user files is stored in locked cupboards in the staff office and the confidentiality statements are included in the service user guide (See Standard 1). 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Service user’s rights are respected at this home and choices are offered in their daily routines and activities. Service users have individual and independent lives and freedom of movement is only restricted by plans put in place for their safety. EVIDENCE: The inspector saw staff talking with service users when there was no planned activity taking place, not just sitting in the office or talking with staff. The two parents spoken to said that they could visit the home whenever they wanted and take their son/daughter out. As mentioned in previous standards the manager talked of how it is sometimes difficult to know what these service users want but by getting to know them over a period of years they believe that they understand each individual and what routines they choose. On the day of the inspection service users were following individual programmes; some were at the day centre, one was cooking with staff, one was having a review and others were around the house. Service user files described necessary plans in place to limit service users freedoms for reasons of safety e.g. one service user couldn’t go out alone due to them being unsafe on the streets and with strangers. 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.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) 18 and 19 Service users receive personal support and care in private and as far as can be known, in the way they choose. All healthcare needs of service users are met either by staff at the home or by bringing in specialist input from other professionals when necessary. Even though most of the service users cannot speak the home shows that as far as possible they are able to identify and meet their needs and service users will feel safe and supported. EVIDENCE: Service user files contained detailed guidance around all areas of personal and health care for each service user. Monthly reviews of health issues are conducted and other professionals are used when necessary. On the day of the inspection one service user had a minor health issue which was dealt with appropriately by staff. Service users were dressed in different styles and fashion according to their gender, culture and age. The parents of the service users said they had no problems with the way their son/daughter was cared for around personal care and health issues apart from one ongoing issue that is being monitored and managed by the home. 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 14 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 Staff and management do listen to service users and their families when they make comments about the home. The current complaints procedure is not being used effectively and information about where service users and their families can complain outside of the home is not correct meaning that the home is not showing that they are responding to people’s complaints or comments and service users families are not being given useful information about what they can do if they have a problem and don’t want to talk to staff at the home. EVIDENCE: The home has a complaints book, but no complaints have been recorded since 2003. The manager said that no complaints of any kind have been received. When the inspector spoke with one parent of a service user they said that they do complain or make comments to staff and the manager at the home and they feel that they are listened to and actions taken when they raise concerns. Although it seems the home does respond to complaints effectively it is not recording them in the book unless the complaint is made formally as part of the complaints procedure which may not always be the way service user families choose to voice concerns. (See Requirement 5) The current Complaint Procedure needs updating as it still says NCSC instead of CSCI and the address and telephone contacts for the Commission are wrong. The procedure must include a brief description of who the Commission are/what they do to ensure that people understand why they might need to complain directly to the Commission. (See Requirement 6) 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 15 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, 25, 27, 28, 29 and 30 Generally the home is comfortable and safe although the bathrooms, one upstairs in particular, are institutional rather than homely which isn’t the best physical environment for these long-term service users. The home isn’t currently able to make day-to-day repairs quickly enough to maintain the home adequately and safely. The bedrooms, bathrooms and other shared spaces in the home all meet the size requirements of the standards and are adapted appropriately to maximise the independence for wheelchair users. Checks take place to ensure the ongoing effectiveness of any adaptations and fittings. The home is clean, hygienic and free from odours. EVIDENCE: Generally the home is comfortable and safe although the bathrooms could be made more homely and one in particular (upstairs No 60) is decorated in an institutional manner with no additional fittings or decoration to make it more like a bathroom someone may have in their home. (See Requirement 7) There was a previous requirement that the Registered Provider must supply a copy of any further planned maintenance and renewal for the fabric and decoration of the premises to the C.S.C.I. which has not been done and is repeated. (See Requirement 8) 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 16 The manager and staff said that since the handover of this service from Southwark Social Services to Odyssey last year they have been having problems getting maintenance issues dealt with quickly. The manager said that there is no clarity about who is responsible for different repairs and this means that when an issue comes up it cannot be dealt with within the required time. (See Requirement 9) All bedrooms in the home are single and meet the size requirements of the standards. There are enough bathrooms and toilets in the home to meet the standard. Both downstairs bedrooms are en-suite. The home has two good-sized lounges that are have comfortable furniture and are spacious enough to accommodate wheelchair users. There is a large activities room that is used for group activities and stores a variety of equipment used in activity sessions. The two dining rooms are situated off both kitchens with adequate seating provided for service users in each house. The home has conducted occupational therapist assessments for people who require assistance in moving and transferring and for people who use wheelchairs. The manager stated that these would be reviewed if the service users’ needs changed. One kitchen in the home is adapted for wheelchair users with adjustable kitchen tops. On the day of the inspection one service user was having their annual wheelchair check. On the day of the inspection the home was clean and free from offensive odours. The home has appropriate health and safety policies and procedures for the control of infection. The home has appropriate laundry facilities. 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 17 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) 35 Generally the staff team is appropriately trained through induction at the start of employment, undertaking the NVQ Level 3 in Care and ongoing additional training which means that they are further able to meet the needs of the service users, although some staff need refresher training in basic areas. EVIDENCE: All staff apart from two hold the NVQ Level 3 in Care and all have undergone the induction based on the Learning Disabilities Award Framework. From the records and discussion with the manager it was evident that all staff have adequate basic training in first aid, manual handling, medication and health and safety but some need refresher courses in Fire Safety and Food Hygiene. (See Requirement 10) Additional training is provided to all staff around protection of vulnerable adults, Makaton, autism and challenging behaviour. The manager said that the effectiveness of training is monitored in staff supervisions. 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 18 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) 37, 38, 39 and 42 The manager of the service has the skills, experience and training to operate this care home effectively. His management approach benefits service users and enables staff to be clear in how they need to support them. The home is not doing enough to show that it is gathering service user and their families’ views on the service and then making plans to develop the service based on those views which means that they are not showing that they are making sure that the service is being run for the benefit of the people who use the service. EVIDENCE: The registered manager is currently undertaking the NVQ Level 4 in Management and will then begin the Level 4 in Care. Throughout the inspection the manager talked with the inspector around issues of care and management within the home and showed awareness of the needs of the service users and staff and his role in meeting those needs. The parent of one service user said that the manager was good, that he listens to them and shows that he is interested in the welfare of the service users. 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 19 The manager has created his own plan for the home as part of his NVQ course but this has not been incorporated into the plans for the home. Currently the home does not conduct an annual audit based on the views of service users and their families that should evaluate satisfaction with the service and set out plans for the following year. The home does not operate a professionally recognised quality assurance system and does not conduct an annual service user/family survey. (See Requirement 11) The manager does conduct quarterly reviews of progress based on identified service user goals/targets. The home does have an independent advocate for all service users who has worked with them for a number of years. Throughout the tour of the home and inspection of all checks, certificates and health and safety monitoring it was shown that the home is ensuring as far as possible the health and welfare of the service users. 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 20 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 2 Standard No 22 23 ENVIRONMENT Score 2 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x 3 x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x 3 3 3 3 Standard No 11 12 13 14 15 16 17 x x x x x 3 x Standard No 31 32 33 34 35 36 Score x x x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 52/60 Grosvenor Terrace Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 2 x x 3 x G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 21 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 Requirement The Service User Guide must be drawn up in a format that can be understood by more people from the service user groups for which the home is registered i.e learning disabilities. The Service User Guide must cover all areas required by Regulation 5 and Standard 1. Service user contracts must be signed by the service user or their representative e.g. family member of advocate and dated Service User plans must focus on forward planning and how staff will support service users to achieve identified goals, develop positive behaviour and minimise negative or challenging behaviour and maximise independence. These plans must be reviewed at regular intervals to allow for plans to be changed if they are not working to ensure (as far as possible) that goals are met by the time the next six monthly mutli disciplinary review takes place. All complaints must be recorded in the complaints book with evidence of action taken, G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Timescale for action 14/10/05 2. 3. YA1 YA5 5 5 (3) 14/10/05 30/09/05 4. 15 YA6 14/09/05 5. YA22 22 31/07/05 52/60 Grosvenor Terrace Version 1.30 Page 22 6. YA22 22 7. YA24 23 (2) (b) & (d) 8. YA24 23 (2) (b) 9. YA24 23 (2) (b) & (d) 10. 11. YA35 YA39 18 (1) (c) (i) 24 timescales and whether the complainant was happy with the outcome. The Complaints Procedure must be updated to include current contact details of the Commission and a brief explanation of what the Commission do so that people understand why they may need to complain directly to them. Work must be done on all the bathrooms and toilets, particulary the upstairs bathrrom in No 60, to ensure they are homely rather than institutional with regard to decoration and fittings. The Registered Provider must supply a copy of any further planned maintenance and renewal for the fabric and decoration of the premises to the C.S.C.I. which has not been done and is repeated. Previous requirement: Unmet timescale 31/08/04 The organisation must ensure that the home is issued with clear guidance about who is responsible for repairs and maintenance in the home and that all necessary repairs are carried out in a timely manner. Refresher training must be offered to staff in the areas of Food Hygiene and Fire Safety. The home must develop an annual development plan that reflect aims and outcomes for service users. Views of family, friends, advocates and other stakeholders (e.g. G.Ps, local community) must be sought annually to feed into this development plan. 31/07/05 30/09/05 31/08/05 31/08/05 31/10/05 31/10/05 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 23 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 Good Practice Recommendations 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 24 Commission for Social Care Inspection Ground Floor 46 Loman Street Southwark SE1 OEH 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 52/60 Grosvenor Terrace G52-G02 S60236 52GrosvenorTer V225122 020605 Stage4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!