Inspection on 07/09/05 for Langdon Foundation Clore House, 11 Norwood

This inspection was carried out on 7th September 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Langdon Foundation Clore House,... 23/10/08

Langdon Foundation Clore House,... 11/10/07

Langdon Foundation Clore House,... 04/12/06

Langdon Foundation Clore House,... 25/01/06

Langdon Foundation Clore House,... 03/02/05

Langdon Foundation Clore House,... 06/09/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 LANGDON FOUNDATION - CLORE HOUSE 11 Norwood Prestwich Manchester M25 9WA Lead Inspector Sue Evans Unannounced 7 September 2005 th 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 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 Stationary 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. LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Langdon Foundation - Clore House Address 11 Norwood Prestwich Manchester M25 9WA 0161 773 3015 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Langdon Foundation CRH PC Care Home Only 6 Category(ies) of LD Learning Disabilities - 6 registration, with number of places LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The service should employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. The Registered Manager must undertake further training and development to increase her understanding and knowledge of the Care Homes Regulations 2001 by 1st November 2004. Evidence of this must be provided to the Commission for Social Care Inspection. The Home is registered for a maximum of 6 service users to include: Up to 6 service users in the category of LD (Learning Disabilities under 65 years of age). Date of last inspection 3rd February 2005 Brief Description of the Service: Clore House is part of The Langdon Foundation, a charitable organisation that was established to promote opportunities for young Jewish adults with learning disabilities. The home provides 24 hour support for young Jewish female service users, most of whom eventually move on to a more independent setting. A temporary variation to the homes usual registration has been in place for several months. This was done to allow the home to accommodate 6 people for a short time instead of the usual 5. This variation is no longer necessary and the registration is to revert back to the original 5 places. The house is situated in a quiet residential area of Prestwich, approximately three quarters of a mile from the village centre. It is within walking distance of bus routes, shops, and other local amenities. As the Prestwich area houses a large Jewish community, there is easy access to synagogues and kosher foodshops. Clore House is a large detached home, similar to other properties in the area and it is not distinguishable as a care home. All the bedrooms are single. One resident is accommodated in a self contained flatlet within the building. Facilities in the home are domestic in style and provide a homely living environment. Residents have use of a lounge, dining room, and kitchen. Outside there are gardens at the front and side of the house. LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took spent watching what went on in the home, interviewing one of the support workers. some parts of the house, examined some manager. 6¼ hours. Part of this time was talking to 3 of the residents, and The inspector also looked round key records, and interviewed the Since the last inspection, the Registered Manager has left. A new manager has been in post for 2 weeks. She is not yet registered with the Commission for Social Care Inspection. What the service does well: What has improved since the last inspection? Since the last inspection, the home has made some improvements to help promote the protection and rights of the residents. For example, staff LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 6 members have been on adult protection training to ensure that they understand their responsibilities in protecting residents by recognising, and reporting, any suspicions of abuse. The home has also amended its complaints procedure so that people know that they can complain direct to the CSCI if they wish. The lounge looks very smart following the purchase of new furniture. 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. LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 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 standard(s) None None of the above standards were assessed this time. EVIDENCE: Not applicable. LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 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 standard(s) 6 and 9 Residents know about their individual plans, and they are involved in reviewing their needs and goals. However, care plans and risk assessments need to be reviewed, and, if necessary, updated and expanded to reflect any changes in residents’ needs, so that they provide detailed guidance to assist staff in providing the necessary support to residents. EVIDENCE: The manager and support worker were asked about the needs of three of the residents. They were consistent in their descriptions of how they supported them, and this matched with information given by the residents. Each resident had a personal file containing care plans, risk assessments, review notes, and a wide range of other information. The files were not well organised, some information was undated, and it was difficult to find the most recent information. In line with good practice, care plans contained peoples’ likes and dislikes, wishes, and future goals but some of the guidelines needed to be more specific, for instance “needs assistance with mobility” does not provide staff members with detailed enough information. Care plans needed reviewing, LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 10 and where necessary, updating and expanding to specifically reflect the current support needs of each person and to clearly state what staff must do to ensure that those needs are met. The manager said that she hoped to introduce a new person centred format for care planning. Records showed that residents and their key worker held regular discussions about the resident’s needs and goals. Each person had a daily diary in which any key information was recorded. There was also evidence of formal review meetings, to which relatives and social workers were invited. Residents said that they knew about their written records and they said that they had attended meetings to discuss their support needs. Records showed that potential risks had been assessed, and balanced against the resident’s right to choice and independence. However, these varied in the amount of detail they contained. As with the care plans, the instructions they contained were not always specific enough. In one case the risk assessment had not been updated to reflect the resident’s changed support needs. The residents who were spoken with during the inspection said that they were happy with the support given to them by staff. One said, “Staff are great here”. LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 16 and 17 Residents take part in activities that they enjoy doing and that help to increase their independence. They participate in the community, with staff support if needed, enabling them to lead fulfilling lifestyles. Practices in the home respect residents’ rights to privacy, independence and choice. Cultural needs are supported. The meals are good, offering choice and variety, and provide residents with a healthy diet. EVIDENCE: Residents were encouraged to participate in fulfilling activities, with staff support as necessary. The manager said that a new staff post had recently been created to further develop social activities and employment opportunities for residents. On the day of the inspection, one resident was out on a work placement during the morning, and in the afternoon she was accompanied by the manager to LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 12 enrol at college for a computer course. during the course of the day. Two residents went out shopping One of the residents was involved in two work experience placements. Another said that she had a work placement, and that she had also enrolled on a basic English course at college with a view to working up to gaining a qualification. She also said that she was hoping to start going regularly to an Arts project. The manager said that another resident, who was on holiday at the time of the inspection, had a work experience placement, and was also hoping to enrol at college on an independence course. Residents and staff gave examples of community facilities that were used, such as public transport, taxis, restaurants, shops, the cinema, and ten pin bowling. The home had its own minibus for use on outings. Resident said that, when not at work or college, they got up or went to bed when they chose. They had choices about how they spent there time although there was an expectation that residents will work towards gaining more independence. To achieve this, staff members supported and encouraged residents to do things for themselves, for example menu planning, cooking, washing up, and other household tasks. Residents were satisfied that their privacy was respected, for example nobody entered their bedrooms without knocking. Locks were fitted to bedroom doors, and residents had a key. It was observed that staff members and residents spoke with each other in a natural, friendly manner. Residents said that staff treated them with respect. Residents gave examples of how staff members helped them to follow their cultural beliefs, for example by ensuring that a kosher diet was provided. They said that Shabbas, and Jewish festivals were observed and celebrated. Residents said that they were involved in menu planning. Meals were planned to meet the cultural needs, and preferences of the group. There were written guidelines for staff members about keeping a kosher kitchen, health and safety in the kitchen, and information about special diets that were being followed for health reasons. Residents took part in the weekly shopping trips and in some of the meal preparation. They made themselves a drink whenever they wished. Residents said that they were satisfied with the meals. One said, “We cook healthily”. LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 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 standard(s) None None of the above standards were assessed this time. EVIDENCE: Not applicable. LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22 and 23 The home has a written complaints procedure, and most residents feel that any concerns will be listened to and dealt with. Protection policies, and staff training in adult protection, ensure that the home has the means to be able to respond properly to any suspicion or allegation of abuse. EVIDENCE: The home had a written complaints procedure. Since the last inspection it had been updated to make it clear that complaints could be made directly to the CSCI. The home also had a “Grins, Groans, and Grumbles” book where people could record any comments or concerns. Residents said that, if they had any concerns, they would speak to the manager, a staff member, or senior personnel within Langdon Community. Of the three residents who were spoken with, two felt that any complaints would be properly dealt with. One person gave an example of a complaint that she had made that she did not feel had been satisfactorily resolved. This complaint had been recorded in the home’s complaints book, dealt with by the manager, and action plans put in place to address the complaint within the limits of health and safety. The inspector was therefore satisfied that it had been appropriately dealt with. There were written procedures covering adult protection. The support worker who was interviewed during the inspection said that she had attended a training course on the protection of vulnerable adults, and had also watched an in-house video. She understood her responsibilities in LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 15 reporting any suspicions of abuse. She described some of the things that she had learned on the training course. LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 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 standard(s) 24, 27, 28 and 30 Clore House provides a clean, homely, well maintained environment for residents, suited to their lifestyles. In order to keep up these standards the home needs to attend to two items. EVIDENCE: The home is situated in a residential area of Prestwich, about three quarters of a mile from the village centre. It is close to bus routes, kosher shops, synagogues, and other local amenities. The house is a large detached home, similar to other properties in the area. It is not identifiable as a care home. All bedrooms are single. One resident lives in a self contained flat within the building. Only the communal areas of the home were inspected this time. These areas were comfortable, homely, and well maintained. The lounge was tastefully furnished, new furniture having been purchased quite recently. The kitchen and dining room contained domestic style furnishings and equipment. LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 17 There is a shower, bath and toilet on the upper floor, and a toilet on the ground floor. Both are lockable to provide privacy. Three rooms have en-suite facilities but these were not inspected this time. Outside there was a garden at the front and side of the house, and a patio area at the back, where people can sit out. The manager was asked to arrange for the removal of a number of discarded items that had been left at the back of the house, and the pile of cigarette ends that had been left at the side. The garden would also benefit from weeding. The areas that were looked at were clean. Liquid soap was provided for hand washing. However, there were no paper towels provided in the kitchen. These must be provided for hand drying in all communal areas to help reduce the possibility of infection spreading. Residents were pleased with the environmental standards in the home. LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Langdon Community provides training to equip staff with the knowledge and skills that they need to meet the needs of the residents. However, there are some gaps that need to be addressed. EVIDENCE: The support worker gave examples of some of the training that she had done. This included induction, adult protection, moving and handling, and food hygiene. She said that she had done first aid training some years ago and was due for an update. She said that she had not done medication training. Staff training records had not been kept up to date and not all copies of certificates were available. The manager said that courses coming up soon included moving and handling, food hygiene, and epilepsy awareness. Examination of the Fire Book showed that four staff members had done fire safety training during the past year. The manager was asked to bring the training records up to date to ensure that they accurately reflect the training that has been completed, and enable the manager to easily identify any gaps. Copies of all certificates need to be kept. The manager was asked to provide the CSCI with an up to date training plan listing all the mandatory topics plus NVQ training, and the date each staff LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 19 member had done, or was expected to do, the training on that topic. training will be looked at again during the next inspection. Staff LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42 The new manager needs to allocate specified hours, within her working week, to enable her to carry out her management and development responsibilities. The home has yet to produce a written plan that will show residents and others how their views are being used to improve the service. To ensure that the health and safety of residents and staff is fully promoted, a number of fire safety matters need attention EVIDENCE: Since the last inspection, the Registered Manager had left, and her successor had been in post for only 2 weeks. Before taking up this post, she had been working for Langdon Community doing quality performance reviews. She said that she had a BA (Hons) degree in Learning Disability. The manager had already identified areas for improvement and development in the service. However, she also undertakes senior support worker duties as well as management tasks. Her office also doubles as a staff room, and LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 21 residents’ money and medication are stored there. It was observed throughout the inspection that there was steady stream of residents and staff coming and going from the room requesting information, personal money, medication, and other things. The manager also spent a fair amount of time answering the telephone. Whilst it is commendable that the manager is not a remote figure and is spending useful time with residents and staff, she must be able to set aside a number of hours per week (approximately 15 hours is suggested at this time, subject to review) in order to allow her to carry out management and development tasks. Following the last inspection, the Langdon Community provided the CSCI with details of the action that the organisation had taken to review the quality of the service provided at Clore House. He had been asked to expand upon the information given, and produce a written plan to show what action the home was going to take to improve the service as a result of the information gathered. This had not yet been done. The home needs to carry out an annual quality audit, that includes the use of anonymous satisfaction questionnaires, and produce an improvement plan. A copy of the report needs to be made available to residents, and others, so that they know that their views have been noted and, where applicable, acted upon. A copy also needs to be sent to the CSCI. Several safety records were checked. These included the electrical installation certificate, the portable electric appliance tests, gas safety report, and servicing of fire alarms, and emergency lighting. The service of the fire extinguishers was overdue and needs to be arranged. The home also needs to produce a fire risk assessment. Records showed that the home had not been carrying out weekly tests of the fire alarms, emergency lights, and means of escape. LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 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 x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 3 3 x 2 Standard No 11 12 13 14 15 16 17 4 4 3 x x 3 3 Standard No 31 32 33 34 35 36 Score x x x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 LANGDON FOUNDATION - CLORE HOUSE Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 x 2 x x 2 x F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 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 6 Regulation 15 Timescale for action Residents files need re30 organising so that the most up to November date information can easily be 2005 found. Care plans must provide specific, detailed guidance on the current support needs of the resident. Risk assessments must contain 31 October sufficient detail, and they must 2005 be updated to reflect any changes. Attention is needed to the 14 October maintenance of the garden, 2005 including weeding, and the removal of discarded items and cigarette ends. Paper towels must be provided 30 for hand drying in the kitchen. September (Timescale of 28 February 2005 2005 not met) The home must provide the 31 October CSCI, by the date in the end 2005 column, with an up to date training plan, listing all training topics (including NVQ) and the date each staff member has completed, or will complete, training in that topic. The manager must be allocated 30 specific supernumerary hours to November enable her to carry out her 2005 Version 1.40 Page 24 Requirement 2. 9 14, 15 3. 24 23(2)(o) 4. 30 16(2)(j) 5. 35 18(1)(c) 6. 37 12(1) 18(1) LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc management duties. 7. 39 24 Following the quality review, an improvement plan must be produced The plan must be available to residents, the CSCI, and other interested parties. (Timescale of 30 April 2005 not met) The home must arrange for the servicing of the fire extinguishers. The home must produce a fire risk assessment. The home must carry out the weekly tests of fire alarms, emergency lights, and means of escape. 30 November 2005 8. 9. 10. 42 42 42 23(4) 23(4) 23(4) 30 September 2005 31 October 2005 7 September 2005 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 Good Practice Recommendations LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwick Bolton, BL6 6HG 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 LANGDON FOUNDATION - CLORE HOUSE F56 F06 S8478 Langdon (Clore House) V215559 071005 Stage 4.doc Version 1.40 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!