Inspection on 06/06/06 for Homer Road (22A-B)

This inspection was carried out on 6th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Homer Road (22A-B) 20/06/07

Homer Road (22A-B) 18/01/06

Homer Road (22A-B) 10/09/05

Homer Road (22A-B) 29/12/04

Homer Road (22A-B) 24/08/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Homer Road (22A/B) 22a/b Homer Road Hackney London E9 Lead Inspector Robert Sobotka Key Unannounced Inspection 6th June 2006 09:00 Homer Road (22A/B) DS0000035305.V298160.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 Homer Road (22A/B) DS0000035305.V298160.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. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homer Road (22A/B) Address 22a/b Homer Road Hackney London E9 020 8525 3933 020 8502 3543 philipa.jones@heritagecare.co.uk www.heritagecare.co.uk Heritage Care 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) Ms Phillipa Jones Care Home 7 Category(ies) of Learning disability (7), Physical disability (7), registration, with number Sensory impairment (7) of places Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 Brief Description of the Service: 22 Homer Road is a registered care home that provides 24-hour residential care for adults with learning disabilities and/or physical disabilities. Homer Road opened as a care home on 31st of March 2003. The premises are owned and managed by Peabody Trust and Heritage Care provide care. The home is situated in a residential area of Hackney within walking distance from local amenities and public transport links. All bedrooms in the home are single. The home has a garden at the rear of the building. The downstairs part of the house is wheelchair accessible. Homer Road (22A/B) DS0000035305.V298160.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 one day (morning and afternoon) and was unannounced. The inspector spoke to some of the staff working in the home and spent time with the service users. He also conducted a tour of the premises and viewed various records. The aim of this announced inspection was to check the home’s progress towards full compliance with the legislation. What the service does well: What has improved since the last inspection? There has been a number of improvements made to the premises. Service users’ weight is now being recorded and monitored, as required during previous inspection visit. Regular visits from the responsible person take place regularly. The home has got a new responsible person, who has been registered with the Commission. Fridge/freezer temperatures are now being recorded. Visitors book is now being maintained. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 6 What they could do better: There are 3 requirements, which remain outstanding from previous inspections. These include for the individual care plans to be regularly updated/reviewed to reflect changing needs of the service users accommodated in the home, for individual contracts to be signed by all relevant parties, and for the responsible person to ensure that the service users’ financial affairs are resolved and that they have access to their own finances. In addition the following areas for improvement have been identified: - The registered manager must ensure that all necessary risk assessments are drawn up and reviewed on regular basis. - The registered manager must ensure that all food is labelled when opened and that it is within its expiry date. - The registered person must ensure that within 28 days after the date in which the complaint is made, or such shorter period as may be reasonable in the circumstances, inform the person who made the complaint of the action (if any) that is to be taken. - Communal premises (lounges on both floors) and a bedroom occupied by the service user in a wheelchair must be repainted. - It is required that copies of Criminal Records Bureau checks are available for inspection and can be destroyed once they have been seen by the Inspector. - The registered manager must ensure that the Portable Appliances Testing is carried out without delay. - The registered manager must ensure that emergency lighting tests are carried out and recorded on a monthly basis, as indicated in the home’s fire risk assessment. - The registered manager must ensure that the Electrical Wiring Test is carried out without delay. - The registered manager must ensure that confidentiality is maintained at all times in line with the Data Protection Act. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 7 The following good practice recommendations have also been made: - It is recommended that more stringent checks be undertaken by the organisation to satisfy themselves that all staff working in the home have been granted permission to work in the United Kingdom. - It is also recommended that the Criminal Records Bureau checks be undertaken every 3 years. 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. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 8 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 Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 9 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): 3, 5. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Limited progress has been made in relation to the above standards. The home appeared to meet the needs of the service users, however further improvements were required to ensure that all service users’ needs are included in their care plans. Service users’ contracts required to be signed by the service users’ representatives/relatives. EVIDENCE: There have been no changes to the home’s Statement of Purpose and the Service Users Guide since the last inspection visit. At the time of this inspection, there was one service user vacancy in the home. There have been no new admissions to the home since it has opened. Standard relating to admission systems and trial visits could not therefore be assessed. The home appeared to meet the needs of the service users accommodated in the home, however further improvements are required to ensure that care plans in respect of each service user have been reviewed on regular basis. In order to meet this standard fully, the registered manager must demonstrate that all care plans are kept up-to-date and have been reviewed on regular basis and that staff enable and support service users to achieve goals identified in each care plan. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 10 The requirement that the responsible person ensures that individual service user contracts are signed by all relevant parties remains unmet and has therefore been repeated. It must be met without any further delay. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 11 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, 8, 9, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Limited progress has been made to ensure that care plans are brought up-todate and that they accurately reflect the current needs and goals of each service user. Maintaining confidentiality required improvement. EVIDENCE: During this inspection visit, the inspector viewed 4 randomly chosen care plans. There was no evidence within documentation seen, that care plans have been reviewed since the last inspection visit. Two of the care plans were due to be reviewed in January and April 2006, however no updated care plans were in place. The requirement in relation to care planning process has therefore been repeated and must be met without any further delay. The home was able to evidence that resident meetings have now restarted and minutes from those were available for inspection. Those living in the home have access to the advocacy service. Service users are unable to contribute to the development and review of policies and procedures, due to their disabilities. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 12 During the case tracking exercise, it was noted that a new risk assessment needed to be drawn up, following an incident in the home. Although it was identified by the registered manager, that the risk assessment should be drawn up, this has not been followed up. One risk assessment viewed contained information relating to another service user in the home. The registered manager must ensure that all necessary risk assessments are drawn up and reviewed on regular basis. Maintaining confidentiality required improvement. One of the service users’ file required sensitive information in relation of a member of staff who had previously worked in the home. The registered manager must ensure that confidentiality is maintained at all times in line with the Data Protection Act. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 13 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): 11, 12, 13, 14, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a good range of activities offered by the home and are supported with personal development and maintaining personal friendships/relationships. Appropriate food arrangements were in place. EVIDENCE: Following the review of documentation, discussion with staff working in the home, direct and indirect observation, the inspector was satisfied that service users received appropriate support in accessing and engaging in leisure activities and personal development. Some of the service users attend local day centres for people with learning disabilities. Each care plan viewed included an activity timetable. Service users are also supported by staff to access leisure activities in the community. Regular visits to leisure centres, cinemas and other places of interest are organised. On the day of this unannounced inspection, the most of service users were out on activities with staff. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 14 Staff working in the home support and encourage service users in maintaining friendships and family relationships. Relatives are invited to participate in reviews and also to act as advocates on behalf of service users. Visitors are welcome in the home. The visitors’ book was being maintained. There were appropriate food supplies in the home. All food was labelled when opened, however it appeared that staff did not always check whether the food was still within its expiry date when being opened. At the time of this inspection one of the fridges contained a bottle of sauce, which had expired prior to when it had been opened. This was brought to the attention of a member of staff, who discarded the product immediately. The registered manager must ensure that all food is labelled when opened and that it is within its expiry date. Records of fridge/freezer temperatures were now being maintained, as required at the last visit. Since the last inspection, the home has also introduced a pictorial menu for the service users. Records of food offered/served were also maintained. Food was mainly prepared by staff, but the service users also had an opportunity to assist in food preparation in accordance with their wishes, assessed abilities and risk involved. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 15 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ emotional and health needs were being met. Medication systems were satisfactory. EVIDENCE: All service users living in the home required assistance and support in attending to their personal care. Care plans viewed contained appropriate guidelines for providing personal care, and moving and handling guidelines. Following a review of documentation in relation to the healthcare needs of service users, the inspector was satisfied that the needs of those using the service were appropriately met. Weight of service users was now being maintained, as required at the last visit. The home appropriately utilised local healthcare facilities. Each person living in the home was registered with a General Practitioner and was able to receive input from multidisciplinary team. Medication systems were found to be satisfactory. Record of medication entering the home, administered to each service user and disposed of was maintained. The inspector also crosschecked medication supplies and these were found correct. All medicines were appropriately stored. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is appropriate. This judgement has been made using available evidence including a visit to this service. The home’s complaints systems required improvement. Service users were protected from abuse, however the situation of service users not being able to access their own finances remains unresolved and must be addressed as a matter of urgency. EVIDENCE: There has been one complaint since the last inspection. Record viewed did not indicate whether the complaint was resolved and what was its outcome. Although the staff on duty provided the inspector with a verbal feedback about the outcome of the complaint, in order to meet the standard fully, the registered person must ensure that within 28 days after the date in which the complaint is made, or such shorter period as may be reasonable in the circumstances, inform the person who made the complaint of the action (if any) that is to be taken. Appropriate adult protection was in place. Staff working in the home have attended adult protection training. The situation of service users not being able to access their finances remains unresolved and must be addressed as a matter of urgency. It is noted that the responsible person has been working towards resolving the issues and has kept the Commission informed of the progress made. Accidents/incidents records were appropriately maintained and there was evidence that both documents were being monitored by the management team. Homer Road (22A/B) DS0000035305.V298160.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Some improvements have been made to the premises since the last inspection. The premises were meeting the needs of the service users accommodated in the home. EVIDENCE: The home provided adequate living space for service users. None of the service users living in the home were on respite/emergency/short-term placement. The home had one wheelchair user at the time of the Inspection, who occupied the room on a ground floor. The have been several minor improvements undertaken in the home since the last inspection to bring the premises up to the required standard. Kitchen drawer next to the cooker/stove in the upstairs kitchen has been replaced. The worktop in the same kitchen has also been made stable, as previously required. The wall tiles in the kitchen on the first floor have also been replaced. Stains on ceilings in toilet/wet room and bathroom have been repainted. Cracks in the wall around the doorframe by staff sleepover room have been refilled and replastered. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 18 Some of the communal premises (lounges on both floors) and a bedroom occupied by the service user in a wheelchair required repainting. The inspector viewed all bedrooms occupied to service users. They were found well maintained and all furniture and fittings in accordance with the National Minimum Standards. There are two kitchens (one on each floor in the building). The kitchens were generally clean and well maintained with the exception of one oven, which was not working. The home was awaiting a new replacement. The home has a sufficient number of toilets, bathrooms and shower facilities. Homer Road is a purpose built building; those service users who needed specialist equipment (i.e. hoist) have been assessed by occupational therapists. Satisfactory equipment was in place and available throughout the house. The home met the needs of the current service user group in terms of moving and handling. The home had satisfactory arrangements for repairing and maintenance of specialist equipment. The home had appropriate clinical waste disposal arrangement. Appropriate laundry facilities were in place. The home was found clean and hygienic at the time of this inspection. Homer Road (22A/B) DS0000035305.V298160.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by well trained staff team. Appropriate staffing levels were in place. Recruitment practices required minor improvement. EVIDENCE: Duty rosters were displayed in the home. These showed that there were sufficient numbers of staff on each shift to meet the needs of those living in the home. There are 4 staff working in the home during daytime on each shift (2 members of staff on each floor). In addition there were either 1 or 2 care staff working flexible hours during the day. There is one person sleeping in and one waking night staff in place during night time. There was a mix of gender to provide personal care. There was an assessed person on each shift, who would be in charge of the medication. Staff spoken to during this inspection stated that the current staffing levels were satisfactory to meet the needs of the service user accommodated in the home. Staff training records showed that Heritage Care provide a wide range of courses to its staff. The majority of care staff working in the home have obtained their NVQ qualifications. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 20 Staff personnel files were also viewed during this inspection visit. They were generally well maintained, however it is recommended that more stringent checks are undertaken by the organisation to satisfy themselves that all staff working in the home have been granted permission to work in the United Kingdom. It is required that copies of Criminal Records Bureau checks are available for inspection and can be destroyed once they have been seen by the Inspector. At the time of the inspection, the inspector was informed that the CRB disclosures are destroyed once received by the organisation, and were subsequently not available for inspection. It was noted however that unique disclosure numbers of checks undertaken on the staff have been kept by the organisation. It is also recommended that the Criminal Records Bureau checks be undertaken every 3 years. Homer Road (22A/B) DS0000035305.V298160.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 41, 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some improvements are required in relation to the record keeping and ensuring that all health and safety checks are regularly carried out. EVIDENCE: The standard relating to the registered manager could not be assessed, as at the time of this inspection, the registered manager was on secondment until the end of January 2006. This standard will be inspected during next inspection visit. Visits from the responsible person were now taking place and copies from his visits were sent to the Commission on regular basis, as required by law. The new responsible individual has now been registered with the Commission and the new registration certificate has been issued to the home. Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 22 The majority of documentation required by law was being maintained, however improvement is required to ensure that all care plans and risk assessment are brought up-to-date and reviewed on regular basis. Appropriate health and safety risk assessments were in place. Most of the health and safety checks were carried out, although the Portable Appliances Testing was overdue and monthly emergency lighting tests have not been carried out since 27/10/05. The registered manager must ensure that the Portable Appliances Testing is carried out without delay. The registered manager must ensure that emergency lighting tests are carried out and recorded on a monthly basis, as indicated in the home’s fire risk assessment. In addition, the registered manager must ensure that the Electrical Wiring Test is carried out without delay. The home was appropriately insured for its purpose. Homer Road (22A/B) DS0000035305.V298160.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 x 3 2 4 x 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 x 26 3 27 3 28 x 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x x x 3 x 2 2 x Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 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 YA6 Regulation 15(2)(b) Requirement It is required that care plans are regularly updated/reviewed to reflect changing needs of the service users. (Previous timescales of 15/03/05, 15/11/05 and 01/03/06 were not met.) It is required that the responsible person ensures that the individual service user contracts are signed by all relevant parties. (Previous timescales of 01/12/05 and 01/04/04 were not met.) The responsible person must ensure that the service users financial affairs are resolved and that they have access to their own finances. (Previous timescale of 01/04/06 was not met.) The registered manager must ensure that all necessary risk assessments are drawn up and reviewed on regular basis. The registered manager must ensure that all food is labelled when opened and that it is within its expiry date. Timescale for action 01/08/06 2. YA5 17 01/09/06 3. YA23 20 01/09/06 4. YA9 13(4) 15/07/06 5. YA17 16(2)(i) 01/07/06 Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 25 6. YA22 7. YA24 8. YA34 10. YA42 11. YA42 12. YA42 13. YA10 The registered person must ensure that within 28 days after the date in which the complaint is made, or such shorter period as may be reasonable in the circumstances, inform the person who made the complaint of the action (if any) that is to be taken. 23(2)(d) Communal premises (lounges on both floors) and a bedroom occupied by the service user in a wheelchair must be repainted. 7, 9, 19 It is required that copies of Sch 2 Criminal Records Bureau checks are available for inspection and can be destroyed once they have been seen by the Inspector. 23(2)(c) The registered manager must ensure that the Portable Appliances Testing is carried out without delay. 23(4)(c)(v) The registered manager must ensure that emergency lighting tests are carried out and recorded on a monthly basis, as indicated in the home’s fire risk assessment. 23(2) The registered manager must ensure that the Electrical Wiring Test is carried out without delay. 17(1)(b) The registered manager must ensure that confidentiality is maintained at all times in line with the Data Protection Act. 22(4) 15/07/06 01/09/06 15/07/06 01/08/06 15/07/06 01/08/06 01/07/06 Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 26 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 YA34 Good Practice Recommendations It is recommended that more stringent checks be undertaken by the organisation to satisfy themselves that all staff working in the home have been granted permission to work in the United Kingdom. It is also recommended that the Criminal Records Bureau checks be undertaken every 3 years. 2. YA34 Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Homer Road (22A/B) DS0000035305.V298160.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!