Inspection on 15/04/08 for Langthorne Road

This inspection was carried out on 15th April 2008.

CSCI found this care home to be providing an Adequate service.

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

Other inspections for this house

Langthorne Road 21/06/07

Langthorne Road 08/12/06

Langthorne Road 09/05/06

Langthorne Road 21/03/06

Langthorne Road 25/05/05

Langthorne Road 25/02/05

Langthorne Road 07/09/04

Langthorne Road 12/02/04

Similar services:

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

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

CARE HOME ADULTS 18-65 Langthorne Road 136 Langthorne Road Leytonstone London E11 4HR Lead Inspector Robert Sobotka Unannounced Inspection 15th April 2008 10:30 Langthorne Road DS0000007303.V361413.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 Langthorne Road DS0000007303.V361413.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. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langthorne Road Address 136 Langthorne Road Leytonstone London E11 4HR 020 8989 5768 0208 9895768 joomascarehome@gmail.com 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) Mr Yusuf Oomar Jooma Mrs Rooksanah Jooma Mrs Rooksanah Jooma Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st June 2007 Brief Description of the Service: 136 Langthorne Road is a care home offering support, guidance and accommodation to a maximum of five service users who have learning disabilities. The home is privately owned. Service users are encouraged to participate in a range of activities and hobbies of their choice. The home is located in the Leyton area, within the London Borough of Waltham Forest. Bus and rail links are nearby, as are local amenities. At the time of the inspection, there were 3 service users accommodated in the home, all of whom were funded by the London Borough of Waltham Forest. The current range of fees charged by the home ranges between £500 and £1090 per week. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection took place over one day and was unannounced. The inspector spoke to two members of staff working in the home, as well as the registered manager. He also spoke to one person who used the service. The inspector conducted a tour of the premises and viewed various records. Prior to this inspection the home was asked to complete the Annual Quality Assurance Assessment. Some of the information provided in the assessment has been incorporated into this inspection report. The aim of this announced inspection was to check the home’s progress towards full compliance with the National Minimum Standards for Younger Adults (18-65) and the Care Homes Regulations. The inspector would like to thank everyone who contributed to this inspection. What the service does well: What has improved since the last inspection? Since the last inspection a number of staff working in the home have either achieved National Vocational Qualification Level 2 or 3 in Care or they were working towards it. Although some improvements have been made to the premises, further work was required to ensure that all parts of the home are reasonably decorated. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 6 Since the last visit, the registered manager has ensured that cracks in the walls were replastered and a missing lampshade in the hallway has been replaced. There was now evidence that care plans were drawn up with the involvement of the people who used the service together with their family, friends and/or advocate as previously required. Improvements have been noted to the home’s risk assessments. The registered manager has ensured that records of all medication received into the care home was now maintained. Disposable gloves were now available in the home, as previously required. A copy of the duty rosters of persons working at the care home, as a record of whether the roster was actually worked was now maintained and available for inspection. What they could do better: There are three statutory requirements, which remain outstanding from the last inspection: - The registered manager must obtain NVQ Level 4 in Care. - The registered manager must ensure that all parts of the home are reasonably decorated. - The registered manager must ensure that all parts of the home are kept clean. The following three requirements were made after this visit: - In order to protect service users from abuse, the registered manager must ensure that appropriate systems are in place for maintaining records and auditing any finances kept in the home of behalf of each service user. - The registered manager must ensure that emergency lighting checks are carried out on regular basis, in order to comply with the fire safety. - The registered manager must ensure that the home’s risk assessment is updated/reviewed to include information and frequency for testing emergency lighting. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 7 One good practice recommendation was also made: - It is recommended that in order to maintain accurate medication records, staff should not use the word “home” on the medication administration sheet when referring to social visits. Alternative code/explanation should be used for this purpose. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was adequately meeting the needs of those who used the service. EVIDENCE: There have been no changes/updates to the home’s Statement of Purpose and the Service User’s Guide since the last inspection. At the time of this visit, there were 3 service users living in the home and there were 2 room vacancies. There have been no new admissions to the home for a considerable length of time. Standards relating to the home’s admission systems and trial visits to the home were therefore not assessed during this inspection and will be tested following any new admissions to the home. Following the review of documentation, direct and indirect observation, and discussion with the service users and staff working in the home, the inspector was satisfied that the assessed needs of the current service user group were being met. Each service user had a costed contract in place, which included terms and conditions. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements have been noted to the home’s care planning process and individual risks assessments. Confidentiality was being maintained. EVIDENCE: As part of this visit, the inspector viewed care plans of all 3 people who used the service. At the last inspection visit, the inspector noted that although there was evidence that each care plan was being reviewed on a regular basis (approximately every 6 months), there was very little to suggest that service users were involved or consulted about their wishes and opinions. As a result, the requirement was made that the registered manager must ensure that care plans are drawn up with the involvement of the service user together with family, friends and/or advocate as appropriate, and relevant agencies/specialists. During this visit , it was noted that there was evidence that those who used the service were involved in their care planning process and each person signed their care plan and risk assessments. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 11 People who used the service have received monitoring visits from their placing authority, however at the time of this inspection, no reports from their reviews have been forwarded to the home. Daily notes were being maintained in respect of each service user. One of the service users living in the home confirmed that that he was able to make informed choices and decisions and that both staff and the registered manager respected their views. Those who used the service were free to make choices around their daily living and were consulted about how the home should be run. The inspector checked risk assessments in respect of the service users accommodated in the home. At the last inspection some risk assessments were very general and required to be more specific and they were not being reviewed on a regular basis. These have been reviewed since the last inspection, as previously required. Each person had an individualised missing persons form. Confidentiality was being maintained and all files were securely stored when not in use. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those who lived in the home are encouraged and supported to become part of the local community and develop and maintain friendships and family links. Service users enjoyed food in their home. EVIDENCE: Following discussion with one of the service users and review of care plans and records of activities offered to those who lived in the home, the inspector was satisfied that those who live in the home were supported and encouraged to take part in appropriate leisure activities. Daily records reflected that service users are encouraged and supported to become part of and participate in the local community. Each service user had an activity timetable in their care plan folder. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 13 At the time of this inspection visit two service users were out in the community. One person was attending a day centre and another was visiting her mother. The third service user was relaxing in the home. The home adequately supported service users in attending their places of worship. Those living in the home were supported and encouraged to maintain appropriate friendships and family links. One of the service users regularly visited her mother. Service users said that they enjoyed food served in the home. There were sufficient food supplies in the home, which were appropriately stored. Record of food offered to each service user was being maintained in each person’s daily diary. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was meeting personal and healthcare needs of the current service user group. Medication systems needed minor improvement. EVIDENCE: The home continues to appropriately meet personal and healthcare needs of the service users who live at Langthorne Road. Files examined showed that person was registered with a General Practitioner and that those accommodated in the home were supported and encouraged to utilise community health resources. Each person had a “Health Action Plan” in place, which was incorporated into his or her care plan. As part of this visit, medication systems were checked. The home uses Boots Nomad box system. All medication was appropriately stored. Appropriate medication administration records were in place. Since the last inspection registered manager has ensured that records of all medication received into the care home was now maintained, as previously required. Medication administration records were checked during this visit. They were generally Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 15 well maintained, however the inspector noted that staff administering medication were using a symbol “O” for noting any medication not administered to one service user when she was going to visit her mother. Staff were writing an explanation against the symbol “O” stating “home”. This was misleading. It is recommended that in order to maintain accurate medication records, staff should not use the word “home” on the medication administration sheet when referring to social visits. Alternative code/explanation should be used for this purpose. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Appropriate complaints systems were in place. Improvements were required to the home’s financial systems to ensure that people who use the service are protected from potential financial abuse. EVIDENCE: The registered manager informed the inspector that there have been two complaints made about the home since the last inspection, both of which have been resolved promptly. Although the inspector did not discuss this topic with the service users on the day of this inspection, those who live in the home have previously told the inspector that they would raise any complaints with the registered manager. The home had an appropriate complaints policy was in place. The registered manager stated that there have been no accident/incidents since the last inspection. The home had an appropriate adult protection procedure/policy in place. The registered manager informed the inspector that all staff working in the home have received Adult Protection Training. As part of this inspection visit, the inspector checked financial records of two of the service users. Whilst financial records were appropriately maintained, the actual amounts kept in the home one behalf of both service users were found incorrect. Finances kept on behalf of one service user were £14 short, whilst another person’s finances were 50 pence short. In order to protect service Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 17 users from abuse, the registered manager must ensure that appropriate systems are in place for maintaining records and auditing any finances kept in the home of behalf of each service user. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Little progress has been made to ensure that the premises are improved. Some areas of the home required cleaning. Improvements are required to ensure that appropriate systems are in place to prevent the spread of infections. EVIDENCE: The home has recently been refurbished and extended. Two additional bedrooms have been added. Four out of five bedrooms have now en-suite facilities. In addition there is one bathroom located on the first floor. The inspector is concerned that very limited progress has been made to ensure that the general condition and decoration of the place is improved. At the time of this inspection some parts of the building continued to require additional work, such as paintwork. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 19 Although the home has been opened for more than two years since the refurbishment, little work has been made to ensure that the service users have been made more personalised and paintwork in some parts of the building still remained unfinished. Since the last visit, the registered manager has ensured that cracks in the walls were replastered and a missing lampshade in the hallway has been replaced. At the time of this inspection, the registered manager stated that she had plans to purchase new settee, fridge freezer and washing machine, as some of the equipment was old and worn. The inspector viewed two out of three occupied bedrooms at the time of this visit. One bedroom in particular required thorough cleaning and some walls required repainting. This has been an outstanding requirement since the last inspection. It has been repeated and must be met without any further delay. The registered manager must ensure that all parts of the home are kept clean. At the time of this inspection none of the service users had mobility issues. Standard in relation to specific equipment was therefore not applicable. Disposable gloves were now available in the home in order to prevent infections, as previously required. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were supported by appropriately trained staff. EVIDENCE: The home appeared to have appropriate staffing levels continue to be able to meet the needs of the current service user group. The registered manager works from Monday till Friday between 9am and 6pm. There is a member of staff working in the late afternoon/early evening. The home has a sleep-in cover in place. A copy of the duty rosters of persons working at the care home, as a record of whether the roster was actually worked was now maintained and available for inspection, as previously required. According to the Annual Quality Assurance Assessment provided by the registered manager, there were 5 care staff employed in the home. Since the last inspection a number of staff working in the home have either achieved National Vocational Qualification Level 2 or 3 in Care or they were working towards it. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 21 No new staff have commenced or left employment in the home in the last 12 months. Staff personnel files were not examined during this inspection, as these were found to be up-to-date at the last inspection. During this visit, the inspector spoke to two members of staff, both of whom stated that they received appropriate level of supervision and they were satisfied with the level of training offered to them. Both members of staff were aware of the needs of the people accommodated in the home. The registered manager informed the inspector that staff have been provided with training in Food safety, Infection Control, The Protection of Vulnerable Adults, Dementia and Basic Life Support (First Aid), and Health and Safety including COSHH. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered manager must obtain the National Vocational Qualification Level 4 in Care. Majority of the health and safety checks were in place, however the registered manager must ensure that emergency lighting is tested on regular basis. The home’s fire risk assessment required updating/further development. EVIDENCE: The registered manager is also the proprietor. She has been managing the home since it was established. The registered manager has the NVQ Level 4 Registered Managers Awards, however she must also complete the NVQ Level 4 in Care, as required by law. She demonstrated her awareness of the assessed needs of those accommodated in the home. Based on the observation and discussion with the service users and during previous inspection with the service user’s relative, the inspector was satisfied Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 23 that she promotes service user’s rights and encouraged them to maintain their rights and independence whenever possible. Service users who spoke with the inspector felt that they were well looked after in the home. The inspector remains concerned that little progress has been made to ensure that the condition of the premises is improved. Non-compliance with the Regulations and the National Minimum Standards adversely affects the wellbeing of the service users. Further non-compliance will result in the Commission issuing an enforcement notice to the provider. Appropriate quality assurance systems were in place. As the proprietor is also the registered manager, monthly visits from the responsible individual were therefore not required. There was evidence that those who use the service and their relatives (where appropriate) are asked to complete satisfaction questionnaires. At the last inspection it was noted that some documents were not dated and as a result, the inspector was unable to verify whether the documents were recent. He therefore recommended that quality assurance questionnaires are dated when returned to the home, so that it is possible to establish when they were completed. The inspector was satisfied that since the last inspection the registered manager has ensured that this recommendation has been met. The majority of health and safety checks were in place, however it was noted that emergency lighting checks were not being carried out. The registered manager must ensure that emergency lighting checks are carried out on regular basis, in order to comply with the fire safety. The home’s risk assessment was also checked and it did not include any information about testing emergency lighting. The registered manager must ensure that the home’s risk assessment is updated/reviewed to include information and frequency for testing emergency lighting. The home was appropriately insured for its stated purpose. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 24 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 X 2 X 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 2 X Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? YES 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 YA37 Regulation 9(2)(i) Requirement The registered manager must obtain NVQ Level 4 in Care. (Previous timescales of 01/01/07 and 30/12/07 were not met.) The registered manager must ensure that all parts of the home are reasonably decorated. (Previous timescales of 01/08/06, 01/03/07 and 01/09/07 were not met.) The registered manager must ensure that all parts of the home are kept clean. (Previous timescale of 01/09/07 was not met.) In order to protect service users from abuse, the registered manager must ensure that appropriate systems are in place for maintaining records and auditing any finances kept in the home of behalf of each service user. The registered manager must ensure that emergency lighting checks are carried out on regular basis, in order to comply with the fire safety. The registered manager must ensure that the home’s risk DS0000007303.V361413.R01.S.doc Timescale for action 15/10/08 2. YA24 23(2)(d) 15/06/08 3. YA26 YA20 23(2)(d) 15/06/08 4. YA23 16(2)(l), 17(2), Schedule 4. 15/05/08 5. YA42 23(4) 15/05/08 6. YA42 23(4) 15/05/08 Langthorne Road Version 5.2 Page 26 assessment is updated/reviewed to include information and frequency for testing emergency lighting. 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 YA20 Good Practice Recommendations It is recommended that in order to maintain accurate medication records, staff should not use the word “home” on the medication administration sheet when referring to social visits. Alternative code/explanation should be used for this purpose. Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection London Regional Conatct Team Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Langthorne Road DS0000007303.V361413.R01.S.doc Version 5.2 Page 28 - 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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