Inspection on 07/08/06 for King Edward Road 50

This inspection was carried out on 7th August 2006.

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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

King Edward Road 50 04/05/07

King Edward Road 50 29/09/05

King Edward Road 50 20/01/05

King Edward Road 50 10/08/04

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 King Edward Road 50 Barnet Hertfordshire EN5 5AS Lead Inspector Anthony Lewis Key Unannounced Inspection 7th August 2006 09:00 King Edward Road 50 DS0000010458.V303530.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 King Edward Road 50 DS0000010458.V303530.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. King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service King Edward Road 50 Address Barnet Hertfordshire EN5 5AS Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8364 8282 020 8440 3035 www.adepta.org.uk Adepta Mr Trevor Peter Hopkins Care Home 5 Category(ies) of Learning disability (5) registration, with number of places King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Two specified service users who are over 65 years of age may remain accommodated in the home. The home must advise the registering authority at such times as either of the specified service users vacates the home. 29th September 2005 Date of last inspection Brief Description of the Service: 50 King Edward Road is a home, which provides care and support to five adults who have a learning disability. The home was opened in 1991. The property is a detached two storey building, which is maintained by Sanctuary Housing Association. Adepta, an organisation that manages several care homes for people with special needs, including learning disability, provide the care. The home is located in a quiet residential area in Barnet. Local bus and tube services and local shops are a short walk from the home. The home provides four bedrooms on the first floor and one on the ground floor. There is a bathroom and toilet upstairs and a toilet and walk-in shower room located on the ground floor. To the back of the house is a well maintained landscaped garden with flowers and shrubs, garden furniture and barbecue equipment. The front of the house has off street parking for several cares. The fee for residents living in the home is £1,000. The provider must make information available about the service, including inspection reports, to service users and other stakeholders. King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on Monday 7th August 2006 at 9am and was completed at 4.10pm. The registered manager and assistant manager were available throughout the inspection process and were very helpful and accommodating. Evidence was gathered for this inspection by viewing the personal files of all of the residents and four of the staff. Several documents, files and safety certificates were also viewed. Evidence was also gathered by talking briefly to all of the residents individually and as a group. In addition, four staff were spoken to individually and in private and a comprehensive internal and external tour of the home was conducted with the registered manager. What the service does well: What has improved since the last inspection? What they could do better: King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 6 Five requirements have been made at this inspection, one of which is restated from the previous inspection. One recommendation has also been made at this inspection. Further information about unmet requirements can be found in the relevant standard. Unmet requirements impact upon the welfare and safety of service users. Failure to comply by the timescale will lead to the Commission for Social Care Inspection considering enforcement action to secure compliance. The complaints procedures must be adhered to and there must be a system in place to ensure that all complaints are recorded to show that residents’ views are being listened to and acted upon. If residents are to be protected from abuse, all staff must receive adult protection training. Maintenance issues must be dealt with robustly to ensure that the residents live in a safe and homely environment. Staff must receive adequate training to ensure that they can meet all of the needs of the residents. To ensure that fire safety standards are maintained, the appropriate authority should carry out periodical inspections. 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. King Edward Road 50 DS0000010458.V303530.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 King Edward Road 50 DS0000010458.V303530.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 and 2. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Prospective residents to the home have sufficient information to enable them to make an informed choice as to whether the home can meet their needs. EVIDENCE: The assistant manager has updated the statement of purpose and the service users’ guide in accordance with a requirement at the previous inspection. The service users’ guide has been produced in written and pictorial format to enable the residents and prospective resident to understand the contents more fully. The home’s statement of purpose contains information on the “criteria for admission.” It states the requirements for admission to the home, including the moving in process. The registered manager explained in detail his role and that of the organisation with regards to prospective residents being admitted to the home. King Edward Road 50 DS0000010458.V303530.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 and 9. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Comprehensive care plans ensure that the needs of the residents and risk to residents are assessed and managed and support is provided to ensure that they are able to make decisions about their care. EVIDENCE: The care plans of all of the residents were viewed and all contained comprehensive information on their past and present needs. The care plans reflect the personality of the resident, which includes information on their likes and dislikes, their routines and rituals, their hobbies and interests and information on their health care needs. According to the registered manager, the assessment of each resident is used to compile their care plans. King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 10 Residents’ care plans contain information on decision-making and their choices. According to the assistant manager, residents, with the support of staff, compile information on the their understanding of decision making, areas that require support and the resident’s opportunity to make decisions. When spoken to a residents said, “I help in the house and a make decisions, “ although she did not go into what decisions she makes in the home. The assistant manager went on to say that there are residents’ meetings every Saturday. When viewed the minutes included information that showed that residents have the ability to discuss concerns, service delivery and make decisions. Risk assessments seen were thorough and covered everyday risk to the resident such as any risks when carrying out personal care, risks when out and about in the community, risk regarding residents’ finances and risk from challenging behaviour and how staff will support residents to manage the risk. The staff use Adepta’s standard risk assessment format, which seeks to identify the: risk to the resident, the service, staff and the organisation. In contrast they also contain information on the benefits to: residents, the service, staff and the organisation. King Edward Road 50 DS0000010458.V303530.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 and 17. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Residents are supported by staff to actively engage in appropriate activities in the community. Staff are ensuring that they respect residents rights and that they receive varied and healthy meals. EVIDENCE: According to the registered manager and assistant manager, none of the residents engage in any paid or voluntary work. However, they stated that in the past some residents have attended college for courses in art therapy. When looked at individual care plans contained comprehensive information regarding residents’ structured week and the activities that they are involved King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 12 in. The care plans show that residents are active in the community and go to pubs, cinemas, cafes and restaurants. When spoken to, a resident said, “I like going to the shops with staff.” Another resident said, when asked, “I go out a lot. I go to the pub and shopping, the staff come with me all the time.” When asked if she enjoys going out she said, quite quickly, “Yes,” while nodding her head quite rapidly. A residents who returned to the home in the afternoon from his day centre was asked if he enjoyed his day, he said, quickly, “yes, I did, it was good.” According to the assistant manager, two of the residents are good friends and have, in the past, gone away on holiday together. She went on to say that they also go out in the community together, with staff support. When looked at, their files contained information about their relationship. There was also information in all of the resident’s files regarding their next of kin and some information on the relationship that they have with family members. Throughout the inspection, the staff were indirectly observed and overheard interacting with the residents in a courteous and respectful manner. Residents seemed happy and comfortable in the presence of staff. When touring the home with the registered manager, he was careful to ensure that he knocked on bedroom doors and asked permission to enter. The registered manager stated that all letters addressed to residents are opened in the presence of the resident. The menu for the past three weeks was viewed and contained an adequate range of health and nutritious meals. A support worker said that the weekly menu is compiled with residents every Saturday at the residents’ meeting and according to the registered manager, the staff are looking into a menu planning process that ensures that the residents are more involved. King Edward Road 50 DS0000010458.V303530.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 and 21. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Staff ensure that the residents are supported according to their preferences and ensure that their emotions and physical wellbeing is regularly monitored. EVIDENCE: Two members of staff were spoken to about the support that they give residents in the home. Both have a good understanding of the residents’ individual and collective needs and were able to describe how they ensure that residents are supported with their personal care in the way that they prefer. Residents’ care plans show that staff are supporting them to access health care professionals on a regular basis and that information is recorded of all visits to health care professionals such as the: GP, dentist, chiropodist and out patient appointments at the hospital. King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 14 While looking through residents’ files, they all contained information on the present medication that the resident is taking. Their Medication Administration Record (MAR) sheets were viewed and staff have been ensuring that they are completed correctly in accordance with a requirement at the previous inspection. The registered manager stated that none of the residents administer their own medication. A requirement was made at the previous inspection that residents’ wishes in the event of them becoming terminally ill and dying are recorded. When their personal file was looked at, they all contained the resident’s funeral arrangement plans, which included information on, whom they would like to invite to their funeral and any hymns that they would like played. The residents also have a funeral pre-payment plan if they wish to choose their own personal arrangements and pay in advance for any special arrangements. King Edward Road 50 DS0000010458.V303530.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 and 23. Qualities in these outcome areas are poor. This judgement has been made from evidence gathered during the visit to this service. Complaints are not being taken seriously and because staff are not receiving adequate training, residents are being put at risk from abuse. EVIDENCE: Although the home has Adepta’s complaints policy and procedure, they do not have a book or file to record information about any complaints that the home may receive. There was also no information about any past complaints. This was discussed at length with the registered manager and the assistant manager and a requirement made. The home has the London Borough of Barnet’s Multi-Agency Adult Protection Policy and Procedure and Adepta’s protection of vulnerable adults policy and procedure. However one member of staff spoken to had not as yet received adult protection training. When discussed with the registered manager and assistant manager, they stated that most of the staff have received adult protection training but that there are still some staff who require the training. A requirement is made regarding this. King Edward Road 50 DS0000010458.V303530.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 and 30. Qualities in these outcome areas are adequate. This judgement has been made from evidence gathered during the visit to this service. Although residents’ personal rooms reflect their tastes and interests and the home is clean and hygienic, maintenance issues are not being dealt with robustly, which does not ensure the safety or comfort of the residents. EVIDENCE: Although the home is an old Victorian house, the staff have ensured that most areas are homely and comfortable. However, while touring the home, three areas were not adequately maintained and were unsafe. In the downstairs shower room, tiles were missing from the bottom of the shower unit and the basin was cracked. In addition, the seals on the shower glass panel were worn. Also, in the upstairs toilet, part of the flooring had lifted. The large lounge/dining room has recently been painted in warm neutral colours, however, the sofas and armchairs are a mismatch, with throws on all of them due to the wear and tear. Sitting in some of them was uncomfortable due to their base being worn. The registered manager stated that he has reported all of the identified maintenance issues some time ago and is still waiting for the work to be carried out. A requirement is made regarding the identified maintenance issues. King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 17 Two of the bedrooms were viewed with the residents’ permission. Both bedrooms were cosy and included items of interests or hobbies of the residents. One of the resident’s bedroom contained musical instruments and two mirrors in the shape of musical instruments. He said, when asked if he enjoys music, “Yes, I can play this,” pointing to his drum set. When asked about his bedroom he said, quite enthusiastically, “Its nice.” While touring the home, all areas were clean and free from any offensive odours. The laundry facilities are located away from the kitchen and contain a dryer and washing machine with sluicing facilities. The registered manager stated that the staff support the residents to do their laundering. King Edward Road 50 DS0000010458.V303530.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): 33, 34, 35 and 36. Qualities in these outcome areas are adequate. This judgement has been made from evidence gathered during the visit to this service. Although staff support the residents in a competent and confident manner and residents are well supported, not all of the staff are receiving sufficient training to ensure that they can meet all of the needs of the residents. EVIDENCE: Three of the staff were spoken to individually and in private. They all had a good understanding of the needs of the residents. Throughout the day, the staff were indirectly observed and overheard interacting with and supporting the residents in a competent and confident manner. Residents spoken to were very complementary of the staff team. The registered manager stated that there are some staffing issues identified that are being managed by himself, the assistant manager and the operations manager. At the previous inspection, a requirement was made because some of the staff files did not contain all of the necessary information such as a recent photograph, Criminal Records Bureau (CRB) check. All of the staff files were viewed and the manager and assistant manager have ensured that they all contain the required information. The files were also in an orderly and consistent format. King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 19 The home has a training matrix with details of the training that staff have undertaken and training that staff are still to undertake, such as health and safety, food hygiene, adult protection and moving and handling. While looking at the matrix, there were a number of entries indicating that some staff did not attend the training or the course was cancelled. There was no evidence to show that the staff had undertaken the training at a later date. A requirement is made regarding this. All of the staff files seen all contained a copy of the staff’s supervision. All staff have been receiving regular supervision from the registered manager and assistant manager in accordance with a requirement from the previous inspection. Staff spoken to said that they felt able to meet with the manager to discuss any issues or concerns that they may have. King Edward Road 50 DS0000010458.V303530.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, 40 and 42. Qualities in these outcome areas are adequate. This judgement has been made from evidence gathered during the visit to this service. Competent management and administration of the home and service monitoring and supported staff benefit residents. Safety inspections need to be monitored more closely to ensure the safety of people in the home. EVIDENCE: The registered manager has worked for the organisation for more that fifteen years, the past four at management level. He stated that he has completed his National Vocational Qualification (NVQ) level 4 and is awaiting the result from his assessor. Throughout the inspection process, the registered manager demonstrated a good understanding of the needs of the residents and staff team and his roles and responsibilities. King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 21 Adepta has a quality assurance manager, whose role is to co-ordinate reviews of the quality of service provided, through sending out questionnaires to residents, staff and other stakeholders. The information from the questionnaires received back are forwarded to operations managers and registered managers who will structure their development plan according to the views and comments from the questionnaires based on their overall findings. The home has a brief development plan for June – August 2006, which was viewed and contained information on how the service intends to develop in the near and longer future. Areas such as: staff development, meeting the needs of residents and health and safety were included along with the action required and the people responsible. Throughout the inspection process, the registered manager and assistant manager were able to locate and produce the required policies and procedures asked for, which was a requirement at the previous inspection. The office has been refurbished and information is easily accessible. The staff are ensuring that all health and safety checks are carried out regularly. Fire drills and tests have been occurring regularly. When asked for, the most recent Portable Appliances Test (PAT) certificate was not available for inspection This was a requirement at the previous inspection. A requirement is made regarding this. The London Fire and Civil Defence Authority last visited the home on 5th August 1999 and stated that they would not be able to provide a service in the future. However, a fire risk assessment of the home was carried out on the 14th April 2006 by a fire inspecting office, who found all areas of the home to be safe and the risk level low. A Recommendation is made that the registered persons contact the London Fire and Emergency Planning Authority (LFEPA) to ascertain if they can provide e service to the home. King Edward Road 50 DS0000010458.V303530.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 X 5 x 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 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 3 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 3 3 X 2 3 X 2 X King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 23 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 YA22 Regulation 22 (1) (3) (5) Requirement Timescale for action 15/09/06 2. 3. 4. YA23 YA24 YA35 5. YA42 The registered persons must ensure that a complaints file/book is in place and all complaints are recorded. 13 (6) 18 The registered persons must (1) (c) (i) ensure that all staff receive adult protection training. 23 (2) (b) The registered persons must (e) (g) (n) ensure that the maintenance issues identified are repaired. 18 (1) (c) The registered persons must (i) ensure that the training needs of staff are identified and staff receive appropriate training. 23 (2) (c) The registered persons must ensure that the (PAT) certificate is available for inspection. (Timescale of 28/10/05 not met). This requirement is revised and restated. 24/11/06 29/09/06 26/01/07 29/09/06 King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 24 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 YA42 Good Practice Recommendations It is recommended that the registered persons contact the London Fire and Emergency Planning Authority (LFEPA) to ascertain if they can provide a periodical service to the home. King Edward Road 50 DS0000010458.V303530.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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