Inspection on 06/10/05 for Hazelwood Lodge

This inspection was carried out on 6th October 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hazelwood Lodge 07/05/09

Hazelwood Lodge 29/11/07

Hazelwood Lodge 04/09/06

Hazelwood Lodge 13/06/05

Hazelwood Lodge 16/12/04

Hazelwood Lodge 14/06/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Hazelwood Lodge 148 Chase Road London N14 4LG Lead Inspector Peter Illes Unannounced Inspection 6th October 2005 11:30 Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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 Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hazelwood Lodge Address 148 Chase Road London N14 4LG 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 8886 9069 020 8951 5577 Hazelwood Lodge Limited Mr Seth Obeng Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 2005 Brief Description of the Service: Hazelwood Lodge is a care home registered to provide care for a maximum of ten younger adults with learning disabilities. The home is owned by Hazelwood Lodge Limited. The home is situated in a pleasant residential area and within walking distance of the shops, underground station and other transport links of Southgate, North London. The home is a detached house divided into two floors. On the ground floor, there are four single bedrooms, a kitchen, lounge, dining room, laundry room, a toilet and a shower room. On the first floor, there are six single bedrooms (one with ensuite facilities), a bathroom, a separate toilet and the staff office. Washbasins have been provided in all bedrooms without ensuite facilities. The front of the building is paved and there is parking for cars. The large back garden is partly paved and accessible to service users. It is attractive and contains a variety of trees and shrubs. The stated aim of the home is to meet the different and individual needs of service users and to maximise their potential for independent living. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took approximately five hours. The registered manager was on sick leave on the day and the senior carer on duty was present or available throughout the inspection. The senior carer was open, helpful and knowledgeable about the service. The registered provider arrived at the home during the inspection and was also present or available throughout most of it. There were eight service users accommodated at the time of the inspection and two vacancies. The inspection included: meeting and talking to the majority of the service users although this was limited by the complex communication needs of some of them, the inspector was able to talk to one service user independently; discussion with the senior carer and two other care staff independently and discussion with the registered provider. Further information was obtained from a tour of the premises and documentation kept at the home. What the service does well: The home provides a good standard of care and strives to assist service user’s meet their assessed needs and their aspirations. The home provides a safe, secure and comfortable place for service users to live that they like. Service user’s opinions and decisions regarding their care are recorded and respected. Service users have confidence in the staff and management of the home and the way in which the home is run. The home provides a choice of healthy meals that service users enjoy and that cater for a range of cultural preferences. The home positively encourages service users to take part in a range of social, educational and leisure activities. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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 Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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 the following standard(s): No standards in this section were assessed. EVIDENCE: N/A Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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 the following standard(s): 6, 7 & 9 Service users assessed and changing needs were documented in their care plans to assist the home’s staff and relevant others in meeting these needs. They are supported to make as many informed decisions as possible about their daily lives. Service users are also supported to take appropriate risks in their lives to assist them to safely achieve their aspirations. EVIDENCE: Three service user files were inspected and each contained clear and detailed care plans that had are updated and re-written on a six monthly basis and reviewed every two to three months. The latest review of the care plans had been undertaken for the period July to September 2005. The plans had been informed by risk assessments that related to the care plans with these plans giving guidance to staff on how to minimise the identified risk. This effectively complied with a requirement made at the last inspection regarding more detailed strategies for staff on how to minimise the identified risk. Staff spoken to indicated that they were aware of the care plans and guidance. All the care plans seen were informed by current assessment information and the placing authority for one service user whose file was inspected had held a review since the last inspection. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 10 There was evidence seen that service users were consulted on a regular basis about the day-to-day life at the home. Service users confirmed that meetings with staff occurred on a regular basis. One also confirmed that the meetings included discussions about their preferences regarding meals and what food they enjoyed, outings and activities and about holiday destinations. One service user that attended college and who the inspector spoke to was keen to talk about a recent holiday in August 2005 at a Butlins holiday camp. The service user stated that she had found information about the holiday on the internet and had suggested service users and staff that they go there for their holiday. The feedback from the service user and from staff was that the holiday had been very successful. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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 the following standard(s): 13, 16 & 17 Service users enjoy a range of appropriate activities including within the local community and on planned holidays further a field. Service users rights and responsibilities are respected with any limitations agreed and recorded. They also enjoy balanced, varied and culturally appropriate meals that meet their needs and which they enjoy although an identified maintenance issue in the kitchen needs addressing. EVIDENCE: There was evidence from records seen and from discussion with service users and staff that service users have access to and enjoy a range of resources in the local community. Regular weekly events include the majority of service users attending a local disco and assisting staff with shopping and other outings locally during the week. Four service users attend a local college and two attend external day services on identified days during the week. Documentary evidence was seen that one service user, who was admitted to the home at the beginning of 2005, had been offered a college place from September 2005. After a trial period however it had been agreed that this was not working for the service user and the inspector was informed that a day service place was now being sought. The home has its own transport and those Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 12 service users that are at home on any given day ride can with the vehicle and a staff member if they chose to take and/ or collect those service users that use this transport to and from college or their day activities. One service user spoken to stated that they travel to college on public transport and very much enjoy their college attendance. As stated earlier in this report the majority of service users had enjoyed a week’s holiday at a Butlins holiday camp during August 2005. Service users participate in a range of activities during the weekend and there was evidence to show that this has included various outings throughout the summer including regular trips into central London. The inspector was informed that keys are available to service users for their bedroom doors. However, although one service user did have a key the majority of service users could not manage or did not want keys to their bedrooms. Staff were seen to interact with service users appropriately and with respect and were aware of the differing amount of support each one needed. Service users were able to demonstrate, either verbally or non verbally that they enjoyed contact with the staff that were on duty at the time of the inspection. Some service users needed a high degree of support in their daily lives and this was reflected both in observed interaction with staff and in the care plans sampled. The home’s menu was seen and listed a range of healthy and balanced meals. A requirement was made at the last inspection that specific options for service users from different cultures were to be written on the menu. This was seen to have been complied with and options such as yam, fried plantain stew and jallof rice were seen as options included on the menu. The inspector was invited to have lunch with the service users and this included a range of sandwiches, dry roast plantain, peanuts, crisps and fruit. This was delicious and service users indicated that they enjoyed the meal. The kitchen was generally clean and tidy although it is required that some broken tiles on the windowsill are replaced. There was sufficient food in the home that matched the menu and was stored appropriately. Some food was being stored in the fridge that had been removed from its original packaging and this had been appropriately covered and labelled. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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 the following standard(s): 18, 19 & 20 Service users receive appropriate personal support in accordance with their needs and preferences. Their healthcare needs are addressed on an individual basis including accessing a range of healthcare professionals where appropriate. Service users are protected by clear polices and procedures regarding prescribed medication and its administration although the home must ensure that medication is accurately labelled when it is received into the home. EVIDENCE: Service users personal support needs were identified in the care plans sampled. These ranged from significant individual support with personal care to occasional verbal prompts regarding hygiene. Some service users were able to indicate that the support they received in this area met their needs. Observation of the staff’s interaction with those service users that were less verbal and discussion with staff on individual’s personal care needs and the way that this was provided indicated that this was satisfactory. The three service user files inspected showed that they were all registered with local GP’s and had been supported to attend appointments with a range of healthcare professional as appropriate. These included appointments with; Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 14 their GP, dentist, optician, and outpatient appointments where necessary at a local hospital, including a nutritional assessment for one service user. All but one service user, who had a cold at the time, had recently received an influenza inoculation from a local health professional. One service user with complex needs had sustained a fracture to their ankle and this was strapped and being treated at the time of this inspection. There was evidence that the placing authority for this service user was in the process of identifying an alternative placement for them. The registered provider told the inspector that the main reason for this was that the service user’s family had requested that the service user be placed more locally to where they lived. Medication and medication administration record (MAR) sheets were inspected for three service users at random and these were generally seen to be satisfactory. One service user had a bottle of medication that stated on the label that it was to be administered four times a day. The records however stated that it was to be administered four times a day when required. A requirement is made that medication entering the home should be checked to ensure that it has the correct labelling provided by the dispensing pharmacist. The home had an appropriate medication cupboard and a record of satisfactory temperature checks on this was seen. The home also had a dedicated fridge for storing medication when this was required. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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 the following standard(s): 22 & 23 Service users and stakeholders benefit from a clear complaints policy and are able to express their views and concerns and have these appropriately dealt with by the home. Service users are also protected by a satisfactory adult protection policy that staff are aware of although additional documentation is needed to ensure that this remains up to date. EVIDENCE: The home had a satisfactory and accessible complaints policy that contained details of the Commission and that was seen displayed in the entrance hall of the home. The senior member of staff on duty stated that no complaints had been received at the home since the last inspection. Service users spoken to indicated that they could and did raise any issues that arose with the staff and that these were acted upon. The home had a satisfactory whistle blowing policy that was seen that also gave details of the Commission for information as an agency staff could contact if they felt this was appropriate. A satisfactory adult protection policy was seen and those staff that were asked were aware of the actions the home needed to take should an allegation or disclosure of abuse be made. The home did not have available for inspection a copy of the adult protection policy and procedure for the local authority the home was situated in. The inspector was aware that this had recently been reviewed and updated following the appointment of an adult protection coordinator by that authority. A requirement is made that this is obtained and Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 16 that the home reviews its own procedure and guidance to staff in the light of this. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 & 30 Service users live in a home that is generally comfortable, well decorated, well maintained and meets their needs. However, identified items of maintenance need to undertaken, including to the hot water system and laundry room, to ensure that service users needs are fully met. The home was clean and tidy throughout creating a pleasant environment for those that live and work at the home as well as for those that visit it. EVIDENCE: A tour of the home revealed that it remains generally well maintained, brightly decorated to suit individual service user’s tastes and comfortable. Service users interviewed expressed satisfaction with their bedrooms and the home generally. During the tour however some routine maintenance items were identified and requirements are made regarding these. Those service user’s bedrooms that were seen were generally well equipped and decorated although one identified first floor bedroom needed the curtains repaired and re-hung. One identified ground floor service user’s bedroom needed the ceiling repaired and redecorated and a sofa in the home’s lounge had been torn and needed repairing or replacing. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 18 The inspector was told that the bathroom taps were fitted with a thermostatically controlled valve to ensure that the water was not too hot when run. On testing this however it was noted that the water from the hot tap was only tepid in temperature even though the home’s boiler was alight at this time. Staff checked the boiler although the water temperature in the bathroom had not increased significantly when checked again later by the inspector. There was evidence that the boiler had been serviced in the last twelve months. A requirement is made that hot water, of a satisfactory temperature, is available in the home at all times for the use of service users and staff. The home had satisfactorily equipped laundry facilities although a requirement was made at the last inspection that the flooring in the laundry room needed to be replaced as it was not securely sealed around the edges and this posed a risk of spreading infection. This requirement had not been complied with and is restated with a timescale that the registered provider assured the inspector it would be met within. The home was generally clean and tidy during the inspection. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 & 36 The home had a permanent staff team, in sufficient numbers, to support service users in meeting their assessed needs although the home needs to ensure that all staff have sufficient notice of when they are needed to work. Staff are offered a range of relevant training to assist them in their own personal development and in meeting service users needs. Staff are also supervised and supported to further enable them to develop their own potential that also contributes to their ability to meet service users needs. EVIDENCE: The home had a satisfactory staff rota that was seen. The rota showed three staff on duty on the early shift, three staff on the late shift and one waking and one sleeping-in staff at night. This level of staffing was considered satisfactory for the current service users. The rota had been amended to show the registered managers absence due to sick leave. The staff on duty during the inspection matched those recorded on the rota. One of the three staff spoken to independently who works full time, stated that when the rota was produced her shifts were often not shown and were then added later. She felt that this only happened to her. She went on to say that her shifts were then added later and that meant that she had some difficulty arranging other personal commitments within a satisfactory timescale. The staff member stated that she had raised this with the registered manager but the situation had not improved significantly and that was why she was raising it with the inspector. The inspector raised the issue with the registered provider who stated that he Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 20 would speak to the registered manager about it. A requirement is made that all staff are given as much notice as is possible of the hours they are expected to work, within the exigencies of the service. Other staff spoken to indicated that morale at the home was generally satisfactory. Staff files were not available for inspection at the time as the registered manager was on sick leave. The inspector was informed however that no new staff had been recruited to the home since the last inspection. Evidence was seen that identified staff had undertaken food hygiene refresher training as required at the last inspection. Evidence was also seen that all staff were undertaking infection control training. This was being run by a local further education college that was supplying a tutor to come into the home to give the training over a fourteen week period. Staff spoken to confirmed this. All of the staff spoken to stated that they had received regular supervision from senior staff as required at the last inspection. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 42 Service users benefit from a well run home and this assists in meeting their needs. Effective health and safety procedures in the home protect service users, staff and visitors. EVIDENCE: There was evidence that the home is generally well run and two staff spoken to indicated that staff morale was generally good although one staff member had raised an issue that is recorded in the Staffing section of this report. The registered manager, who was on sick leave, has a nursing qualification and substantial management experience. A range of satisfactory health and safety documentation was seen by another inspector at the last inspection although a requirement was made that the home acquires safety data sheets for each chemical product that is used in the home. This requirement was seen to have been complied with. There was evidence that the fire fighting equipment had been serviced in July 2005. A fire Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 22 escape plan was seen displayed in the entrance hall to the home. No further health and safety issues were identified at this inspection. Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X 2 X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X 2 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hazelwood Lodge Score 3 3 X 2 Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000010581.V256598.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA17 Regulation 23(2)(b) Requirement Timescale for action 30/11/05 2 YA20 13(2) 3 YA23 13(6) 4 YA24 23(2)(b & c) The registered persons must ensure that the broken tiles on the kitchen windowsill are replaced. The registered persons 30/11/05 must ensure that prescribed medication and MAR sheets received into the home are correctly labelled by the dispensing pharmacist. The registered persons 30/11/05 must ensure that the home obtains, from the local authority the home is situated in, that authority’s revised and updated adult protection procedure and that the home reviews its own procedure and guidance to staff in the light of this. The registered person must 30/11/05 ensure that the following items of routine maintenance are satisfactorily completed: 1. The curtains in one identified service user’s bedroom are Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 25 repaired and rehung; 2. The ceiling in one identified service user’s bedroom is repaired and redecorated; 3. The sofa in the lounge is repaired or replaced. The registered persons 30/11/05 must ensure that the hot water in the home is of a satisfactory temperature at all times. The registered persons 31/12/05 must ensure that the laundry room flooring is replaced (previous timescale of 13/09/05 not met). The registered persons 30/11/05 must ensure that all staff are given as much notice as is possible of the hours they are expected to work, within the exigencies of the service. 5 YA27 23(2)(j) 6 YA30 13(3)(4) (c) 7 YA33 12(5) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hazelwood Lodge DS0000010581.V256598.R01.S.doc Version 5.0 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. 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!