Inspection on 14/12/06 for Jubilee Road (42)

This inspection was carried out on 14th December 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jubilee Road (42) 11/01/06

Jubilee Road (42) 13/09/04

Jubilee Road (42) 13/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Jubilee Road (42) 42 Jubilee Road Mytchett Surrey GU16 6BE Lead Inspector Suzanne Magnier Key Unannounced Inspection 14th December 2006 13.00p Jubilee Road (42) DS0000013499.V305489.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 Jubilee Road (42) DS0000013499.V305489.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. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jubilee Road (42) Address 42 Jubilee Road Mytchett Surrey GU16 6BE 01252 540113 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) www.new-support.org.uk New Support Options Limited Mrs Clare Church Care Home 5 Category(ies) of Learning disability (5), Physical disability (2) registration, with number of places Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the category: Learning Disability (LD), up to 2 may have an additional physical disability (PD). The age/age range of the persons to be accommodated will be: 30 64 Years 11th January 2006 Date of last inspection Brief Description of the Service: The home is a detached bungalow located in the village of Mytchett and is owned by New Support Options. The service provides accommodation, services and facilities for up to five younger adults (male and female) who have learning and physical disabilities. Accommodation is on one floor with ample communal space including a Snoozelam room and an enclosed garden to the rear of the home. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced site visit took place over 3.5.hours. The service was represented by the registered manager and a senior staff member. For the purpose of the report the registered manager advised the inspector that the people who live in the home are referred to as ‘supported people’. The home is currently supporting four people and has one vacancy. All the supported people have very complex needs and do not use formal speech to communicate. The environment can be noisy with people communicating in their own way, which could be viewed as testing, and who need specific understanding of their individual needs. Due to the complexity of the of the lifestyles and needs for the people supported the inspector observed staff interaction with the people being supported noting communication through tone, eye contact, support interactions and other body language. A full tour of the premises was undertaken. The inspector sampled some person centred care plans, active support profiles, health and safety records, medication practices and several policies. The inspector wishes to thank the people being supported, staff and the manager for their cooperation during the inspection. The feedback following the inspection was given to a senior staff member in the absence of the manager. What the service does well: What has improved since the last inspection? The home has improved and maintained strong links with the community nurses and has undertaken some joint work to benefit the supported people. Part of the joint work includes working with the staff to build a health plan for each supported person which would be helpful in assisting other health care professionals to understand the needs of the individuals who are unable to communicate using formal speech. The plans will be implemented with the support of the district nurse and will involve a full medical assessment. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 6 The home has significantly improved the general environment and supported people’s bedrooms, which has created a more homely environment for the supported people. The improvements include increased overhead lighting, new flooring in specific areas, curtains for the lounge and dining area windows, framed pictures, a variety of houseplants, and redecoration in pastel colours. New staff have been recruited and the staff team continue to offer a consistent and well-managed service both within the home and also with increased opportunities for people to take part in meaningful activities outside of the home. 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. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Supported people have sufficient information to make an informed choice if they would like to live in the home, pre assessment needs are assessed prior to residency and the individual has the opportunity to visit the home prior to residency. EVIDENCE: The Statement of Purpose and the Service Users guide have both been updated since the previous inspection. There is one current vacancy in the home and the manager explained that there have been several referrals and she forms part of the pre assessment team. Prospective supported people are encouraged to visit and stay at the home for a trial period. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has maintained robust care planning and risk assessments. The documents were current and well recorded to ensure the supported people’s well being and health needs were evidenced as being met. The active support programme has been re-introduced to assist supported people to participate in their daily living skills and in the running of their home. EVIDENCE: The inspector sampled two supported peoples person centred plans which included clear documented details of the supported peoples daily needs and support offered by staff. The plans also contained details regarding the person’s communication skills, their likes and dislikes and how they preferred to arrange their day with specific predictable routines with staff support. Daily records of the supported person activities were in place. In general the daily notes were factual and non judgemental however some improvement is necessary for example staff should sign records in full and descriptions of Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 10 supported peoples attitudes and demeanour should be recorded in an objective manner detailing the supported persons behaviour and communication. The person centred plans sampled included risk assessments detailing significant hazards in the supported persons life. All risk assessments were up to date and reviewed when necessary in order to promote the safety and well being of the supported person. The manager explained that due to ill health issues for some supported people the programme of active support had been suspended and was currently being re-introduced in order to more fully engage with the supported people. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home continues to encourage and enable the supported people to lead appropriate and fulfilling lifestyles both inside and outside the home. Menus sampled evidenced a healthy diet. EVIDENCE: Two supported people were at home during the site visit and the inspector noted that they were calm and relaxed. Both supported people moved freely around their home and one person spent some time sitting on the sofa in the lounge looking at a magazine. Several other supported people came home during the site visit and were assisted by staff to have a cup of tea. One supported person was waiting for a visit from a relative and staff explained that there was an agreed support plan for the time leading up to the visit in order to ensure that the supported person did not become too excited. Staff were attentive towards the supported person during the anticipated time and helped them to relax until their visitor Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 12 arrived. The inspector observed that the visitor was welcomed into the home and arrangements were in place for the visitor to meet with their relative in private, share a cup of tea and move freely around the home. The grounds of the home were well maintained and several staff commented that in the summer the gardens were full of bloom. The manager explained that several staff were interested in gardening and had included some of the supported people in the interest of growing plants which had been successful and had formed part of a meaningful occupation. The home has purchased a trampoline in the garden, which has been enjoyed by the supported people. Whilst sampling supported persons care plans the inspector noted that there was reference to meaningful activities which included going to Art Venture, going to parties, going out on a one to one basis with a community support worker, playing with their collection of cars and having a head massage. The home activities room has been cleared in order that supported people can meet on their own with their link worker and take part in activities, which includes sensory objects, musical instruments, painting, clay modelling, assembling bricks, making collages, and doing jigsaws. Several supported people stayed at the coast for an annual holiday and the manager explained to the inspector that there may be plans for next year to obtain passports for some of the supported people to visit Euro Disney in Paris. Several photos of people’s holidays were displayed on the dining rooms notice board along with several photos related to activities provided in the home. The inspector observed two supported people having their lunch, which was a sandwich and fresh fruit. The staff told the inspector that ‘See-read’ menus were going to be introduced which would consist of pictures of food, which the supported people could identify and assist them with making choices regarding their diet. The kitchen of the home was clean and orderly. Fresh fruit and vegetables were available and the fridges and freezers were well stocked. The staff member explained that a full Christmas meal on Christmas day would be available and the home were expecting a variety of visitors. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected 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. People are supported in a way, which they prefer and the support is consistent and predicable. Consistent recording and documentation to evidence that supported people attend health care appointments are in evidence. The homes medication procedures are robust to ensure the safety and wellbeing of the supported people and staff. EVIDENCE: The person centred plans sampled by the inspector demonstrated that the supported people receive care and support in a predicable manner. Guidelines for bathing, washing, dressing and support with meals were well documented. The plans also evidenced that the supported people are encouraged and supported to attend health care appointments including the GP, dentist and other health care specialists for example psychologists, psychiatrists, speech and language, occupational and physiotherapists. The manager explained that the homes staff hold care plan reviews and the local authority have reviewed all supported persons care plans over the year Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 14 which has generally been prompted by a change in the supported persons communication and behaviours. The home are currently working towards becoming a autism accredited service and all staff are undertaking training to further understand the complexities of working with people with autistic spectrum disorders. As part of the focus the manager explained that the community nurses have strong links with the home. Part of the joint work includes working with the staff to build a health plan for each supported person which would be helpful in assisting other health care professionals to understand the needs of the individuals who are unable to communicate using formal speech. The plans will be implemented with the support of the district nurse and will involve a full medical assessment. The inspector observed the medication procedure undertaken by the manager and a senior staff member. The home has a specific medication procedure due to the support needs of the supported people and the inspector observed that medication was administered, stored and recorded in a competent and safe manner. The staff undertake a stock check during each medication time and the inspector observed that the medication administration charts were well recorded and a photograph of the supported person was available in each section of the records. Several supported people were prescribed medication on a basis that it is given when needed (PRN). The inspector sampled that the home had implemented clear guidance for staff to read prior to administering the medication in order to ensure that the medication was not given without a clear reason as detailed in the guidelines. The staff document when and why medication has been given. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected 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 good. This judgement has been made using available evidence including a visit to this service. The home and the organisation has a complaints and safeguarding adults awareness policy and procedure, which can be used by supported people or their representatives to air their views and to protect them against abuse and neglect. EVIDENCE: The inspector sampled the New Support Options complaints procedure, which the inspector was advised is the complaints procedure used in the home. The home has not received any complaints as indicated by sampling the logbook. The home has a copy of the Surrey Multi Agency Safeguarding Adults policies and procedures dated 2005 and the inspector sampled the New Support Options generic policy and procedure for safeguarding adults. There have been two safeguarding vulnerable adult referrals since the previous inspection both of which have been satisfactorily concluded. The manager advised that she has undertaken the role to facilitate staff training in the safeguarding of vulnerable adults and all staff have attended the training. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,28,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises have been significantly improved to provide a homely and safe environment. Supported peoples rooms reflected individuality. Communal areas, including bathrooms in the home were spacious and met the current needs of the individuals. The home was viewed as clean and bright throughout with no malodours. EVIDENCE: Following the previous inspection the environment of the home has significantly improved and the whole house and supported people bedrooms have been redecorated. The main hallway has been redecorated in pastel colours, the carpet has been replaced to wooden flooring, two armchairs and a coffee table have been placed centrally in the corridor and framed pictures have been purchased for the walls. The manager and staff commented that the supported people have accepted the improvements and the inspector noted that several supported people sat and watched the comings and goings in their home whilst seated in the armchairs. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 17 The overhead lighting throughout the home has improved and the lounge has been improved to include new flooring, framed pictures on the walls, curtains for the windows and a variety of houseplants. The supported peoples bedrooms were viewed as well equipped, contained a variety of personal items, were well furnished and pleasantly decorated. One person’s bedroom contained a new profiling bed to promote the supported persons and staff safety during times of assistance. Another supported persons room had been equipped with foam protectors in specific areas in order to ensure the safety and welling of the supported person. Following the previous inspection the home has purchased a new specialist bath, which has been installed. The manager explained that the supported people like the bath as it has a Jacuzzi and is comfortable to sit in. All three bathrooms in the home are now in full working order and have the necessary aids for example hand rails and the bathrooms are pleasantly decorated to create a homely and relaxed atmosphere. The standard of cleanliness throughout the home was good and no malodours were present. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a robust system for the induction, training development and recruitment of staff to ensure that the supported peoples needs are met appropriately and safely. EVIDENCE: The inspector sampled the staff files on the 1st September 2006 at the New Support Options local area office in Aldershot. New Support Options undertake the initial advertising of the vacancy and the short-listing process is undertaken by two senior managers, which includes the registered manager. New Support Options have recruitment and selection policy, which incorporates equal opportunities and the inspector, sampled three staff files all of which complied with the current legislation regarding information and documentation in respect of persons working in the care home. All staff have job descriptions and employment contracts in order that they are clear about their roles and responsibilities. The inspector was advised that staff applicants are invited to visit the care home in order that both parties can meet and the supported people have an opportunity to express their views about the prospective member of staff. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 19 Staff training records were in place however the training records did not give a clear indication of the attendance of staff. The manager advised the inspector that all staff had received mandatory training. The inspector requested confirmation to this effect following the inspection, which was forwarded to CSCI. The manager advised the inspector that New Support Options would be implementing a database in order that staff training records could be more accessible. The home have recruited several new staff members and initially it was reported that this had an unsettling effect on the supported people in their home however the staff have settled well into the routines and support needs of the supported people and the staff talked enthusiastically about their work. Staffs spoken with during the site visit were well motivated and demonstrated a sound understanding of the supportive peoples communications and behaviours and responded professionally and used discretion where necessary. Staff told the inspector that they had regular supervision and support of their work and had team meetings. The home had employed a handy person who had assisted in the significant improvements to the homes premises and also assisted staff in supporting individuals in the homes vehicle. The manager advised that an advertisement had been posted for the replacement and hopefully the home would be recruiting in the coming months. Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall management of the home is robust, supported people and their representative’s views and opinions are considered. Some areas regarding the safety and welfare of supported people must be improved. EVIDENCE: The management of the home is stable, effective and efficient and the staff spoke highly of the manager’s approach and inclusion of staff in the home. Records in the homes office were well organised, available and up to date. New Support Options promotes inclusion by the supported people and has a quality assurance document of the South Regional Quality Assurance ‘growing together-making a difference’. The document has set out areas of priority actions from April 2006 to March 2007 in response to the evolution project undertaken by New Support Options in order to consult and make meaningful Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 21 differences to the lives of the supported people. The plan was noted as simple to read and has set clear goals related to supported people and service quality, diversity, finance, staff, growth and development and communications. The home has a health and safety policy and procedure in place, which was displayed in the home to promote staff awareness and promotion of a safe environment. Accident and incident records demonstrated that appropriate supportive action was taken following any incidents affecting the supported people. Fire evacuation, drills and practices had been undertaken and fridge and freezer temperature checks had also been measured and recorded to ensure the safety and well being of supported people. The inspector noted that water temperatures throughout the home had not been recorded for three weeks and a requirement was not made as the staff undertook the checks during the site visit, which were noted to be within safe ranges. The inspector noted that the laundry area had been reorganised and the staff informed the inspector that it was a good improvement. Access to a fire extinguisher in the laundry room was blocked by a free standing clothes rack and it is required that the home must ensure that all fire equipment is accessible in order to ensure the safety of all persons within the home. The homes had purchased a new washing machine and tumble drier. During the tour of the premises it was observed that the office carpet in the home was very soiled and a requirement has been made that the carpet is deep cleaned or replaced. Additionally as lock was required on a bathroom door to ensure the privacy and dignity of all persons using the bathroom. . Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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 YA42 Regulation 23.(4)(b) (c)(iii) Requirement The registered person must review the current storage of the freestanding clothes rack, which was blocking access to a fire extinguisher. The registered person must ensure that the office carpet in the home was very soiled deep cleaned or replaced. The registered person must ensure that a lock is fitted to a bathroom door to ensure the privacy and dignity of all persons using the bathroom. Timescale for action 14/01/07 2 YA42 23.(2)(d) 13/03/07 3 YA42 23.(2)(b) 14/01/07 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 Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Jubilee Road (42) DS0000013499.V305489.R01.S.doc Version 5.2 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. 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