Inspection on 11/04/07 for Juliana Close 46

This inspection was carried out on 11th April 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Juliana Close 46 13/06/08

Juliana Close 46 23/11/07

Juliana Close 46 04/04/06

Juliana Close 46 12/12/05

Juliana Close 46 12/07/05

Juliana Close 46 12/08/04

Juliana Close 46 30/04/04

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Ashlong House

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Edenvale

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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 Juliana Close 46 Off Thomas More Way East Finchley London N2 0TJ Lead Inspector Tom McKervey Key Unannounced Inspection 11 & 26th April 2007 09:40 th Juliana Close 46 DS0000010456.V333322.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 Juliana Close 46 DS0000010456.V333322.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. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Juliana Close 46 Address Off Thomas More Way East Finchley London N2 0TJ 020 8343 0016 F/P 020 8343 0016 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.pentahact.org.uk Adepta ** Post Vacant *** Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specified service user. One specified service user who is over 65 years of age, may continue to be accommodated in the home for as long as the home continues to meet the service user`s needs. The home must advise the regulating authority at such times as the specified service user vacates the home. 4th April 2006 2. Date of last inspection Brief Description of the Service: 46 Juliana Close is a purpose-built home designed to provide personal care and support for six adults who have a learning and a physical disability. The home, which opened in November 1993, is leased from Servite Housing Association and is managed by Adepta, which is a Barnet based organisation. Adepta also manage several other homes in the borough. The six places available, are funded by a block contract with the local authority. The home is a six-bedded bungalow in a quiet cul-de-sac in a housing estate. The communal areas comprise of a large lounge, a quiet room and a kitchen/diner. There are two assisted bathrooms, two toilets and a shower room. The home has its own transport, which can accommodate wheelchairs. The stated aims of the home are to provide twenty-four hour care and support for people with profound learning disabilities and to enable them to live as independently as possible in the community. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out as part of the Commission’s inspection programme and to check compliance with the key standards. The inspection was completed in two visits over a total period of four hours and forty minutes. At the time of the first visit, which was unannounced, the manager was on leave and a further visit was arranged to inspect confidential records, held by the manager, in order to complete the inspection process. There were six people living at the home, the majority of whom had been there for several years and there were no vacancies. The inspection process included touring the premises, observing and speaking to all the people living in the home, the manager and staff. The process also included looking at records and examining documents pertaining to the running of the home. What the service does well: Residents receive a good quality of care from a dedicated staff team. The parent organisation provides a very good training and development programme for its staff. Recruitment procedures are thorough in ensuring new staff are properly screened before working in the home. A good range of activities are provided to keep the residents stimulated and they frequently access facilities in the community. Of particular note is a successful campaign by a resident of the home to prevent the closure of a local education centre for people with learning disabilities. This issue was reported in the local press, and a prestigious award was made. This initiative was a good example of how staff support the residents to be fully integrated and involved in the local community. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 6 The accommodation is purpose-built and is fully accessible for wheelchair users. Residents’ bedrooms are individualised to reflect their personal tastes. What has improved since the last inspection? What they could do better: Four requirements that were made at the last inspection, have been repeated in this report because they have not been complied with. In the “Timescale for Action” column, the date in ordinary type relates to the timescale given at the last inspection. The date in bold type relates to the new timescale. Further information about unmet requirements can be found in the relevant standard. Unmet requirements can impact upon the welfare and safety of residents. Failure to comply by the revised timescale may lead to the Commission for Social Care Inspection considering action to secure compliance. Residents’ care plans are not being reviewed at least six-monthly, which could lead to staff being unaware of changes in residents’ needs. There is a persistent problem with staff not always signing when they administer medication, which compromises the safety of residents. There is a long-standing problem with the drainage system in a shower room, which means that residents are unable to use the facility. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 7 Old furniture and equipment must be removed as soon as possible and not left lying around the garden. This could cause a health hazard to residents and visitors to the home and is unsightly. The lounge carpet must be thoroughly cleaned or replaced and the general cleanliness of the home must be improved. The manager must apply to the Commission for Social Care Inspection for her registration as manager of the home. The practice of borrowing residents’ money to lend to other residents without their permission must cease to avoid possible abuses occurring. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Juliana Close 46 DS0000010456.V333322.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 Juliana Close 46 DS0000010456.V333322.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives have good information about the service and staff have the skills and competence to support and care for them. People who live in the home had their needs thoroughly assessed prior to admission, and annual reviews of the residents’ care are being carried out to ensure that the home still meets their needs. EVIDENCE: There is a Statement of Purpose and Service User Guide in place to provide potential service users and their relatives with information about the service, however no new residents have been admitted since the last inspection. The home was purpose-built and is spacious enough to accommodate wheelchair users. Staff records show that they receive training appropriate to the needs of people with learning disabilities, all of whom have limited verbal skills. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 10 Through observation of the staffs’ interactions with the people living in the home, they demonstrated their ability to understand their needs and communicate effectively with them. Juliana Close 46 DS0000010456.V333322.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are good care plans for each person living in the home, but some care plans are not being reviewed at least six monthly, which could lead to staff being unaware of changes in residents’ needs. Residents are consulted about their views of how the home is run and they are supported to make choices. Risk assessments are carried out to support residents to be as independent as possible while ensuring their safety. EVIDENCE: Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 12 There is a written care plan for each person, four of which I sampled. The home has introduced a person-centred approach to care planning, which enables a comprehensive view of the person and involves them and their relatives in the process. Each person has an identified key-worker. The care plans were very detailed and provided good information and guidance about how to meet the person’s needs. However, some care plans had not been reviewed in the last six months, which is a minimum standard, and there were old care plans in the folders, which could cause confusion about which plan was current. A requirement is made to address these issues. The daily diaries of the residents contained evidence of when they took decisions about their lives; for example, choosing the colour scheme of their rooms. One person who was non-verbal and who was receiving one to one support that day, showed me their bus pass, indicating that they wished to go out and use the bus. I observed another person being consulted by staff about what they would like for lunch. Two-weekly meetings are held between staff and residents where activities are discussed and the residents are supported to decide, using pictures, symbols and objects of reference. All the residents need considerable support by staff and the types of activities they can do independently is limited. However, the records I examined contained risk assessments that covered a broad spectrum of activities in the home and in the community; for example, safety in the bathroom and travelling in the community. Juliana Close 46 DS0000010456.V333322.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. JUDGEMENT – we looked at outcomes for the following standard(s): All these standards were assessed. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff support the people who live in the home very well to integrate with the local community and the residents have a lifestyle that reflects their individual needs and aspirations. There is a good programme of activities provided, which are stimulating and enhance residents’ development. Meals are well balanced and nutritious and the residents are supported to choose their meals. EVIDENCE: Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 14 At the time of the first visit, three residents were at day centres and a fourth person was being supported by a staff member on an outing for the day. Some residents were again at their day centres on the second day of my inspection. The home had recently acquired a computer, which was waiting to be installed. The manager named two or three residents who will be using this facility to play games and go on the internet. The residents’ daily records show that they frequently access the local community facilities; for example; residents assist with food shopping, go out for meals in local pubs and restaurants and use leisure centres for swimming etc.. Sensory equipment is situated in the lounge, and an outside entertainer provides a music session every week. I noted that a resident had been awarded the “John Levinson Award” following a successful campaign to preserve a local educational facility for learning disabled people, which was under threat of closure. As recorded in my last report, the resident and staff are highly commended for this initiative. I saw records of residents being visited by relatives, and of going home for weekends, and there are procedures in place for residents to express their sexuality appropriately. The menus showed a good variety of nutritious meals and the people who live in the home are supported in planning the menu at fortnightly meetings. A person who has diabetes and another who is overweight, are provided with appropriate diets, following the advice of the dietician. The service provides support for a non-practising Jewish resident who does not currently require any specific diet. There was a letter to this effect from the resident’s relatives. Juliana Close 46 DS0000010456.V333322.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The personal care of residents is provided discreetly and with dignity and their physical and emotional healthcare needs are being met. There is a recurrent problem of poor recording of the administration of medicines, which potentially puts residents’ health and safety at risk. EVIDENCE: The staff rotas showed that female staff are always on duty, so that female residents’ personal care can be supported appropriately. During the inspection, I observed that when personal care was provided in the bathroom, the door was locked to preserve the resident’s dignity. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 16 All residents are registered with a G.P, and there were good records of a range of healthcare appointments. One resident has diabetes, and all staff had been trained by the District Nurse to monitor blood glucose and to administer insulin. The residents’ case files contain information about appointments with psychiatrists and psychologists as appropriate, and individual physical and emotional needs of the people who live in the home were well documented. One person was being regularly monitored by a specialist from the Community Learning Disability Team because of frequent seizures. I saw good records of these incidents being maintained by the staff. Another person has a special chair, designed to support their back. No residents were able to self-medicate. Medication was stored safely, however, there although there was some improvement since the last inspection, there were still some gaps in the records where staff had failed to sign for the administration of medicines. This issue could compromise the safety of the residents and a requirement is restated to address this. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The last recorded complaint satisfactorily resolved. was received in April 2005, which was The people that I saw and spoke to, appeared well cared for and they indicated that they were happy in the home. There was a relaxed and friendly atmosphere and the interactions between the staff and residents were warm and friendly. There were records of staff attending training in adult protection procedures, and staff who were spoken to were knowledgeable about the “whistle-blowing” procedure and their roles in relation to protection of the residents from abuse. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The people who live in the home do not have an attractive nor properly maintained environment. The standard of cleanliness is poor. Both of these problems can affect the comfort and welfare of the residents and visitors to the home. EVIDENCE: I carried out an internal and external tour of the premises. On the morning of my first visit, (at 10am), which was unannounced, the kitchen, lounge and dining areas were very untidy and there were bits of food on the dining table and kitchen floor. The two staff on duty were busy Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 19 supporting the residents to get up, providing breakfast, and preparing those who were going out to day centres. The oven was very greasey, which I also commented on at the last inspection. The home does not have a cleaner, so care staff are unable to do cleaning until later in the morning. There were dead plants in the hanging baskets around the building, and there was a broken parasol, an old desk and a mattress lying in the rear garden. (These had been removed when I returned on my second announced visit). There is a raised bed to the side of the property, which enables access to wheelchair users, but it was not very well tended. The lounge carpet was badly stained and the walls in communal areas were in need of repainting. A shower room was out of service for some time. On my first visit, there was a pool of water on the floor which gave off a foul odour. I was informed that in spite of several requests and visits by the landlords maintenance people, This appears to be a caused by a serious problem with the drainage system. The manager told me that she has been given a budget that will allow her to employ a part-time cleaner and for redecoration this year. In the meantime, requirements are made to address these issues. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 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 residents are supported by staff who are well trained and competent to meet their needs. The residents welfare is safeguarded by thorough staff recruitment procedures. EVIDENCE: Since my last inspection, three new staff have been employed. Their records showed that they had a written induction programme for the home that covered all areas of care and the various policies and procedures in the home. The staff to whom I spoke, were knowledgeable about the people living in the home and their roles in providing care and support. The manager informed me that she is advertising for a cleaner, which is necessary, given my comments above about the environment. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 21 I saw evidence that the staff attend Adepta’s comprehensive training and development programme for staff, including health and safety subjects, care of people with epilepsy and care planning. many staff have also obtained, or are in the process of obtaining, National Vocational Qualifications. The staff records also showed that they had been properly screened before starting work in the home. This included obtaining references from previous employers. There was a reference number for each staff, relating to clearance from the Criminal Records Bureau. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has many years experience of managing homes within organisation. However, she has not yet applied for registration with Commission for Social Care Inspection, which was a requirement made at last inspection. This requirement is restated with an urgent timescale compliance. the the the for Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 23 I saw minutes of regular meetings between the staff and the people living in the home, which showed that they had an input into the running of the home. The manager showed me a newsletter that she sent out to relatives to inform them about the progress and development of the service. The manager intends to send out information on a quarterly basis. The personal money of two residents was checked and found to balance against the records. Receipts were seen for goods purchased on residents’ behalf. However I was concerned to note that money was being borrowed from residents and lent to others when their funds were low. The manager explained that this was because there were no authorised signatories in the home. This means that staff who used to work in the home who performed this function, have to come from other homes to withdraw money from the bank on residents’ behalf. Although there were records of these transactions, the individual residents’ permission had not been sought for this practice and a requirement is made for Adepta senior managers to address this problem. Staff have been trained in health and safety issues. There were records to show that the fire alarm and emergency lighting systems had been recently serviced and the fire log showed that fire alarms were checked weekly. Hoists had been serviced and portable appliances had been tested. Earlier this year, Legionella had been detected in the water system. However this had been treated successfully and is being monitored regularly to ensure safety. There was a current certificate of the employers liability insurance on display. I was concerned that washing powder was left out in the laundry, which was unlocked. The manager said there was no locked cupboard in the laundry for storing materials. A requirement is made about this issue. In the kitchen, I noticed that the keys were left in the cupboard containing cleaning materials and I saw some food in the fridge that although covered, was not dated. Requirements are made to address these matters. Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 24 Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 25 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 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 1 28 X 29 X 30 2 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X 2 2 X Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 26 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Timescale for action 15(2)(b) The registered person must 31/05/07 ensure that care plans are reviewed at least six-monthly and old care plans are removed and archived. This requirement is restated from the last inspection. The previous timescale was 31/05/06. 13(2) The registered person must 31/05/07 ensure that staff sign for all administered medication. This requirement is restated from the last inspection. The previous timescale was 30/04/06. 23(2)(b)(d) The registered person must 31/05/07 ensure that: The problem with the drainage system in the shower room is resolved. This requirement is restated from the last inspection. The previous timescale was 30/04/06. 23(2)(b)(d) The registered person must 31/05/07 ensure that litter and old furniture is not allowed to accumulate on the premises. DS0000010456.V333322.R01.S.doc Version 5.2 Page 27 Regulation Requirement 2. YA20 3. YA24 4. YA24 Juliana Close 46 5. 6. 7. YA24 YA24 YA30 7. YA37 23(2)(b)(d) The registered person must ensure that the lounge carpet is cleaned or replaced. 23(2)(b)(d) The registered person must ensure that communal areas in the home are redecorated. 23(2)(d) The registered person must ensure that the general cleanliness of the home is improved, particularly the kitchen oven. 8.1(a) The manager must apply to the Commission for Social Care Inspection for registration. This requirement is restated from the last inspection. The previous timescale was 31/05/06. 31/07/07 31/07/07 31/05/07 31/05/07 8. YA41 12(3) 9. YA42 13(4)(a) 10. YA42 13(4)(c) The registered person must 31/05/07 ensure that the practice of borrowing residents’ personal money ceases. The registered person must 31/05/07 provide a lockable facility for storing materials used in the laundry. The registered person must 31/05/07 ensure that keys are not left in the cupboard containing cleaning materials and that food in the fridge is properly dated. 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 Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Juliana Close 46 DS0000010456.V333322.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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