Inspection on 16/11/05 for Kingscourt

This inspection was carried out on 16th November 2005.

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 no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kingscourt 25/04/07

Kingscourt 27/10/06

Kingscourt 12/07/05

Kingscourt 02/03/05

Kingscourt 12/10/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Kingscourt 100/102 Kings Drive Bishopston Bristol BS7 8JH Lead Inspector Karen Walker Unannounced Inspection 16th November 2005 09:30 Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingscourt Address 100/102 Kings Drive Bishopston Bristol BS7 8JH 077680 94473 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) Supported Independence Ms Nicola Jane Stanworth Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 10 persons with Learning Disabilities aged 19 to 64 years. The shared management arrangements will be reviewed no later than one year from the issue of the certificate. 12th July 2005 Date of last inspection Brief Description of the Service: Kings Court is registered with the Commission for Social Care Inspection as a care home for up to eleven residents with a diagnosis of a learning disability. The home is able to accommodate people aged 18 to 64. The home is based in one of two adjoining semi detached houses in a residential area in North Bristol. It is approximately a quarter of a mile to local shops and a variety of community facilities. Public transport links (buses) are available in Kings Drive close to the home. All residents have to be physically able as the home is based over three floors with stairs being the sole means of access to each floor. There are three ground floor bedrooms. There is a social care facility on site. Supported Independence is the registered organisation. The home has four services under the umbrella of Supported Independence including Kings Court. The other services are for residents who wish to live within more independent housing. Kingscourt is presently the only service registered with the Commission for Social Care Inspection as personal care is given to one or more residents. The philosophy of care for Supported Independence is that a continuum of care is available to provide residents with an opportunity to progress towards greater levels of independence from within a consistent and planned environment. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector met with a number of the staff team and joined them in a team meeting. The manager provided additional information on the management of the home. The inspector toured the environment and met with Residents. Two residents agreed to show the inspector their bedrooms and agreed for the inspector to look at documentation put in place to support them. Care plans were examined alongside staffing records. Other records relating to care provision and the general management of the home were also examined. The inspector was given information relating to a complaint received by Bristol Social Services regarding service provision. As part of this inspection elements of this complaint were addressed. What the service does well: What has improved since the last inspection? Residents are informed of and are invited to take part in different religious festivals to enable them to make an informed choice about which religion if any to follow. The home is commended for its actions in seeking appropriate information. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 6 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. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1-5 Residents’ have the information they need to make an informed decision about the place in which they choose to live. Residents are involved in the assessment process and in the care plan reviews. EVIDENCE: The inspector met with the last resident to move into the home. The manager described the ‘gradual’ moving in process, which began as day care visits only. The resident in question was pleased to show the inspector her bedroom and said she was happy at the home. The gradual moving in process had allowed her to become friendly with the staff and residents and she said this made her ‘feel comfortable’. The statement of purpose makes the admissions process very clear in that a comprehensive assessment must be in place prior to moving in, this ensures an accurate care plan can be drawn up and that the residents needs can be met. It was noted that there were the appropriate assessments in place and the care plan reflected the assessed needs and aspirations. The service user guide details the ‘house rules’ and this is given to the prospective resident prior to admission to ensure they are in agreement. At the last inspection it was noted that contracts of residence are in place signed by residents. These were not re-examined. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6-10 Residents are involved in the daily running of the home and are able to take assessed risks as part of an independent lifestyle. Residents are expected to take part in their care plan reviews and some have signed them as understood. ‘House rules’ and ‘sanctions’ although agreed by individual residents do not promote independence and decision making skills or enable residents to take responsibility for their own actions. EVIDENCE: Much discussion was held with the staff team and the manager on the subject of ‘rules’ and ‘sanctions’. The inspector examined various documentation relating to sanctions for example, ‘no TV for one week and not allowed to see (friend)’. The Key-worker had recorded this and the manager said the sanction was his decision although she agreed it. The inspector does not feel this type of sanction is either appropriate or beneficial to the resident and is seen as a punishment. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 10 One staff member said a sanction is only carried out after a ‘threat’. Sanctions and house rules formed part of the complaint received by Social Services and included the rule that all residents must be in bed by 10pm at night. Although the service user guide clearly states the ‘rules of the home’ the ‘sanctions’ used must be deemed appropriate and agreed in advance with the placing authority. This agreement must be fully recorded. The manager and the staff team discussed the need for positive reinforcements to replace the sanctions. One care plan was not signed as reviewed and another was not signed or dated by the person completing the care plan. The two care plans examined were detailed containing all aspects of daily living; however, one still required an update to accurately describe the goals, action to be taken, support to be given and the desired outcome. Residents are supported to move to more independent settings within the organisation. Staff stated that this is done based on the wishes of the individual and within a risk assessment framework. Risk assessments seen were based on enabling and did not appear to hinder residents from any activity. The manager said and residents confirmed that weekly house meetings are held where residents are supported to make decisions on the running of the home including décor, menus and activities. One to one ‘supervision’ meetings are held on a weekly basis between residents and their key-worker. The manager stated that the term supervision had been adopted so that there was no distinction between the staff and the residents. Meetings were recorded and used to discuss residents concerns and goals. Residents agreed that they found these meetings valuable and keyworkers thought it was a good way of ensuring needs are being met. Staff were observed conducting conversations of a confidential nature in the office with the door closed. The home has a policy on confidentiality and access to information. This was seen on a previous inspection. Records of a confidential nature were kept in a lockable facility. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11-16 Residents feel a part of the local and wider community and have the appropriate support to make and maintain friendships. EVIDENCE: At the last inspection residents confirmed they take part in the cooking and the cleaning of the home. This was observed today. There are two ‘training kitchens’ available and one resident said he often cooked his own meals. Another resident confirmed she was supported to carry out her own washing and ironing and other household chores. The menu plan was examined at the last inspection and a varied diet was on offer. It was noted that although the menu recorded ‘vegetables, these were now detailed in daily notes. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 12 At the last inspection the home was commended on the strategic planning of social activities to ensure that all residents could attend their placements. There were guidelines for staff on planning the day including times for residents to leave and return to day placements. The day care plans were individually led and based on their interests. One resident said ‘I like to go on courses and things and staff help me’. The inspector joined the team at the staff meeting and the manager reiterated the need to ensure all residents had a chance to attend social activitities regardless of their ability or mobility needs. Records of expenditure, conversations with staff and residents demonstrated that residents had access to regular social outings in the local community including the theatre, cinema, swimming and pubs. Residents have access to two vehicles the costs of which are included in the fee for the home. Residents said they are consulted on social activities both in the home and the community. The inspector saw that there were many paintings, drawings and arts and crafts displayed around the home carried out by the residents. Records show that residents are supported to maintain friendships and family members are welcomed into the home. Key-workers liaise with day care placements and address problems or concerns with them. This is good practice. The manager explained that residents are given the opportunity to experience and find out about other religions. A visit to a Sikh temple has been arranged and leaders from various disciplines have provided information. The manager said the residents have been made to feel welcome and have been offered food and drink as part of a religious festival. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18-20 Residents receive support in the way they prefer and healthcare needs are assessed and met seeking support from the appropriate professional. Medication practices are not clear and care plans do not contain the appropriate information to enable staff to safely administer PRN medication. EVIDENCE: The medication administration sheets were examined. There were gaps in the medication recording and the manager agreed that some of the sheets were confusing. It was also noted that more detail is needed regarding the administration of as and when (PRN) medication ‘Lorazepam’. This medication is prescribed by the general practitioner to ‘sedate’. The staff are instructed to administer ‘up to 6, 1mg tablets in 24hours’. This is inadequate information and staff must be aware of how long they can wait between doses before giving a second or even third dose. The care plan details the behaviour that must be managed by medication but this requires more input to include what medication is used, when to use it, the dose required and the protocol to follow. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 14 Residents confirm their attendance at dentist, opticians and allied healthcare professionals. At the last inspection one resident said he attended an ‘aromatherapy for men’ course and really enjoyed it. Professionals involved in the home varied depending on the needs of the residents but included physiotherapists, occupational therapists, social workers, speech therapists, district nurse and consultant psychiatrists. It was noted that staff were recording any ‘falls’ as part of one residents ‘epilepsy recording’; this is good practice and can be used to inform reviews. Seizures were also adequately recorded. All residents had a distinctive individual style; this was noted with the choice of haircut and clothes. A member of staff said residents are enabled to choose their own clothes on a daily basis and can purchase their own clothing and toiletries. Bedrooms were individualised and staff were observed knocking on doors before entering. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22-23 Residents feel their views are listened to and they are protected from abuse. EVIDENCE: The complaints log showed no complaints were received by the home. However one resident’s care records detail a complaint made by a family member. This is fully documented and has Social worker involvement. The inspector looked at elements of this complaint whilst carrying out this inspection. See standards 7 and 30. Residents confirmed they knew how and who to complain to should it be necessary. Feedback forms confirmed residents were happy with their care and did not wish to make a complaint to the CSCI. Health and Social Care feedback comment cards confirmed no complaints were received about the service. The complaints procedure is detailed in the statement of purpose and the service user guide and is available in ‘symbol’ format. The home ensure Complaints cards are given to residents who then have the opportunity to discuss any concerns at their one to one sessions with their key-staff member. One resident confirmed this. The staff were observed feeding back any key-worker issues to the manager, this included any concerns about residents. The manager confirmed and records evidenced that staff have attended the Protection Awareness training day delivered by Bristol Social Services. Records show the manager is booked onto the ‘Training for Trainers in abuse’ course. Staff have access to the ‘No secrets’ In Bristol DOH document alongside the Protection from abuse policy. Staff members confirmed they were aware of both documents. Staff also are aware of the whistle blowing policy and confidentiality policy. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 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): 24,25,26,28,30 Residents do not benefit from a clean hygienic environment and require additional support to ensure the environment remains clean and meets their needs and safety. EVIDENCE: Part of the complaint received by Social Services included ‘dirty’ areas of the home. The inspector toured the environment and two residents invited the inspector to view their bedrooms. It was noted that the home throughout would benefit from ‘deep cleaning’. The kitchen floor was dirty and the inspector found a plated meal in the microwave that residents said had been there for two days. The weekly menu confirmed this was the case. The toilets and baths were stained and require cleaning. Residents clearly need additional support to maintain a clean and healthy environment; therefore it is a requirement that the home be kept clean and unpleasant odours eliminated. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 17 Bedrooms seen on this occasion and at the last inspection were noted to be individualised and furnished according to taste. The rooms seen had the added benefit of being en-suite. Both bedrooms seen today require additional cleaning. The manager said that residents are expected to carry out daily cleaning chores with staff support and supervision; this clearly requires improvement and is the ultimate responsibility of the staff. The manager added that there was currently a vacancy for a cleaner. Shared spaces are pleasantly furnished and the dining room is a sociable area where residents are encouraged to eat together. All equipment left in shared spaces must be stored securely to help eliminate the risk of trips and falls. It was noted that some of the doorways within the home could also cause trips and falls as some thresholds were slightly ‘raised’. It is recommended that these doorways be assessed by the appropriate professional to see if they can be ‘made safe’. Residents have access to a large garden surrounding the property. There were sheds and a summerhouse available. At the last inspection one resident stated that everyone who wants to get involved in the garden is encouraged and pointed out the fruit and vegetables that were being grown. The home operates a no smoking policy; however, residents and staff can smoke in the garden. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 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): 34,35 Residents are not currently protected by the recruitment practice and records relating to staff members are lacking. Staff attend the appropriate training necessary to provide support to the current resident group. EVIDENCE: It was noted that the recommendation to provide epilepsy training to the staff team has been met. Staff have also received ‘Protection from abuse’ training provided by Bristol Social Services. The manager said that all staff were now signed up to complete their NVQ 3; this is commendable. The inspector viewed the staffing records and noted that the requirement made at the last inspection in July 2005 to ensure the appropriate recruitment records are in place, has not yet been met. Records for new staff members were examined and CRB certification was not available. The manager said they had been received but were at Head Office ‘being checked’. The inspector advised that in future the manager must record the CRB ‘disclosure number’ and other necessary documentation before sending the CRB certificate to the Head Office. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 19 It was further noted that some staff members did not have copies of their personal identification available including a recent photograph of them. This is a requirement under schedule 2 of the Care Homes Regulations 2001. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 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): 41,42 The completion of the fire risk assessment will provide additional safety for residents. EVIDENCE: At the last inspection the fire risk assessment was examined and found to contain inadequate information. The manager was required to contact the Avon Fire Brigade (AFB) for advice on the content and then to agree the completed assessment. This has now taken place and the manager has produced a draft assessment, which will be sent to the visiting fire officer for agreement. A copy of the agreed fire risk assessment is required by the CSCI. One support worker has the fire logbook as his area of responsibility. The logbook was up to date with all training and drills carried out in the required timescales as set by the AFB. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 21 A policies and procedures file was in place, which was accessible to residents and staff. Staff stated that policies and procedures were discussed as part of the induction to the home and reviewed where relevant at staff meetings. Induction records show that the staff member when read signs a policies checklist. Records viewed at the home were adequate and any requirements relating to records have already been discussed throughout this report. All other standards were assessed at the last inspection in July 2005 there were no requirements made. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 2 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 X 3 X 1 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 1 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kingscourt Score 3 3 1 X Standard No 37 38 39 40 41 42 43 Score X X X X 3 2 X DS0000040011.V265102.R01.S.doc Version 5.0 Page 23 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 Regulation 15(1) Requirement For care plans to include an action plan of who will do what and when and detail measurable outcomes to ensure an effective review. Sign and date all care plans. Timescale for action 01/01/06 2. 3. YA20 YA20 Sch 3(3)(i) 13(2) 13(2) All medication administered 01/12/05 must be recorded at all times. A medication protocol must be 01/12/05 put in place for all residents receiving PRN medication. This must include when staff may administer, how much, how long between doses, side effects etc. Contact the Environmental Health Authority to ensure satisfactory standards of hygiene are maintained in the home. Deep clean all areas of the home. Ensure residents receive the support necessary to maintain a clean and healthy environment. 31/12/05 4 YA24 16(2) 5 YA30 16(2)(j)(k) 01/12/05 6 YA7 12(3)(4)(a) Any ‘sanctions’ put in place for DS0000040011.V265102.R01.S.doc 31/12/05 Page 24 Kingscourt Version 5.0 individual residents must be appropriate and fully agreed by the placing authority and documented. 7 YA34 Schedule 4 6(a-f) It is a requirement that all documentation as highlighted in schedule 4 of the Care Homes Regulations be kept on the premises. This requirement is carried over from the last inspection. Record the CRB ‘disclosure number’ and other necessary documentation before sending the CRB certificate to the Head Office. 8 YA42 13(4)(6) Provide a copy of the Fire Risk Assessment agreed by the visiting Fire Officer. 31/12/05 01/12/05 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 YA24 Good Practice Recommendations Ensure all equipment is appropriately stored and seek professional support to ‘make safe’ door thresholds. Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Kingscourt DS0000040011.V265102.R01.S.doc Version 5.0 Page 26 - 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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