Inspection on 21/06/07 for Langthorne Road

This inspection was carried out on 21st June 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Langthorne Road 15/04/08

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 21st June 2007 08:30 Langthorne Road DS0000007303.V346151.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.V346151.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.V346151.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.V346151.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th December 2006 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 Leytonstone 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. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day and was unannounced. The inspector arrived in the home at 8.30 am, just as the service users were going out with a member of staff to the day centre. He had a chance to have a brief chat with the service users in order to obtain their views about living in the home. The inspector came back at 10.00 am the same morning and continued the inspection with the registered manager being present. One of the service users was present in the home at the time of this visit. As part of this inspection 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? Limited progress has been made since the last inspection to ensure that the previous requirements have been met. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 6 The registered manager has ensured that the service users’ bedrooms include all items listed in Standard 26.2 of the National Minimum Standards and that the broken cupboard in one of the service users’ has been repaired/replaced. The collapsed fence at the back of the garden has also been re-erected. What they could do better: The inspector is concerned that 5 out of 9 requirements remain unmet from the previous inspection visits. These were: - The registered manager must ensure that care staff complete appropriate NVQ training. - 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 missing lampshade in the hallway must be replaced. - The registered manager must ensure that cracks in the walls in the hallway must be replastered. The inspector remains concerned about very 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. The following requirements were made following this inspection visit: - 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. - The registered manager must ensure that risk assessment are further developed and are more detailed. - The registered manager must ensure that risk assessments are reviewed on a regular basis. - The registered manager must ensure that accurate records are kept of all medication received into the care home. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 7 - The registered manager must ensure that all parts of the home are kept clean. - The registered person must ensure that disposable gloves are available in the home at all times in order to prevent the spread of infection. - The registered manager must ensure that a copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked is maintained and is available for inspection. 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.V346151.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.V346151.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 appropriately meeting the needs of those who used the service. EVIDENCE: There have been no changes/updated to the home’s Statement of Purpose and the Service User’s Guide since the last inspection visit. At the time of this inspection, 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 a new admission 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.V346151.R01.S.doc Version 5.2 Page 10 Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although each person who used the service had an up-to-date care plan in place, further evidence is required to demonstrate that service users are involved in their care planning process. Improvements were required to the frequency of how often risk assessments are reviewed. Confidentiality was maintained. EVIDENCE: As part of this visit, the inspector viewed care plans of all 3 people who used the service. Although there was evidence that each care plan was now 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. 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. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 12 The registered manager informed the inspector that none of the service users have received their annual statutory reviews from their Placing Authority in the last 12 months. Daily notes were being maintained in respect of each service user. Service users living in the home confirmed that that they were 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. It was noted that some risk assessments were very general and required to be more specific. Some care plans have not been reviewed on a regular basis. The registered manager must ensure that risk assessment are further developed and are more detailed. In addition, she must ensure that risk assessments are reviewed on a regular basis. Since the last inspection, the registered manager has produced an individualised missing persons procedure, as previously recommended. Confidentiality was being maintained and all files were securely stored when not in use. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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 the service users and review of their 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. Two of the service users were out for the duration of this inspection. One service user was due to visit her mother later on in the afternoon. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 14 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. Service users spoken to confirmed that they had good relationship with their family and friends and visited them on regular basis. 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. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was meeting personal and healthcare needs of the current service user group. Medication systems required 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. Medication systems required improvement, as at the time of this inspection visit received into the home on a weekly basis was not always recorded and/or it was recorded incorrectly. The registered manager must ensure that accurate records are kept of all medication received into the care home. The home uses Boots Nomad box system. All medication was appropriately stored. Appropriate medication administration records were in place. Langthorne Road DS0000007303.V346151.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 good. This judgement has been made using available evidence including a visit to this service. Appropriate complaints systems were in place. Service users were protected from abuse. EVIDENCE: The registered manager informed the inspector that there have been no complaints made about the home since the last inspection. 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. The inspector was unable to assess care staff knowledge in this field, as none of the staff were present during this inspection. This will be retested during the next visit. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 17 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 poor. 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. The lampshade in the hallway was still missing and it must be replaced without any further delay. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 18 Although the home has been opened for more than a year 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. This is a repeated requirement and must be met without any further delay. Further non-compliance with the legislation will result in the Commission considering an enforcement notice again the provider in order to ensure that the living environment for the service users is improved. The inspector viewed all three occupied bedrooms at the time of this visit. One bedroom in particular required thorough cleaning and some walls required repainting. The registered manager must ensure that all parts of the home are kept clean. The registered manager must also ensure that cracks in the walls in the hallway must be replastered. This is the repeated requirement and must be met without delay. At the time of this inspection none of the service users had mobility issues. Standard in relation to specific equipment was therefore not applicable. The collapsed fence at the back of the garden has now been re-erected. Appropriate clinical waste arrangements were in place, however the inspector was concerned to learn that even though staff were required to use disposable gloves to handle incontinence waste products, no gloves were available in the home at the time of this inspection. This is even more concerning, given the fact that staff have recently attended an Infection Control training. The registered person must ensure that disposable gloves are available in the home at all times in order to prevent the spread of infection. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 19 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, 33, 34, 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Duty rosters must be maintained at all times. Some training has been offered to the care staff. The home’s recruitment systems were satisfactory. 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. The registered manager was unable to produce an up-to-date copy of the duty roster covering the period of the last few months. This required improvement. The registered manager must ensure that a copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked is maintained and is available for inspection. According to the Annual Quality Assurance Assessment provided by the registered manager, there were 6 staff employed in the home. Although the registered manager stated that 4 staff had the National Vocational Qualification Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 20 Level 2 or above, no evidence to this effect was available in individual staff personnel files. The requirement in relation to staff having NVQ qualification has therefore been repeated and must be met without any further delay. Staff personnel files were examined during this inspection and these were found to be up-to-date. The registered manager informed the inspector that since the last inspection member of staff have 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. The inspector checked individual files and found certificates to confirm that the course took place, however the certificates of attendance did not contain any names of staff who attended the training session. In order to verify the names of the staff who attended the training, the inspector contacted the trainer. As previously mentioned no members of staff were present during this inspection. The inspector was therefore unable views of those working in the home. No new staff have commenced or left employment in the home since the last 12 months. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are required to the way the home is managed. The registered manager must obtain the NVQ Level 4 in Care qualification. Some of the records kept in the home required review and further work. Appropriate health and safety checks were in place. 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. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 22 Based on the observation and discussion with the service users and during previous inspection with the service user’s relative, the inspector was satisfied 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 about very 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, however some documents were not dated and as a result, the inspector was unable to verify whether the documents were recent. It is recommended that quality assurance questionnaires are dated when returned to the home, so that it is possible to establish when they were completed. As previously mentioned, some shortcoming were identified during this inspection in relation to the home’s record keeping. Documents which required improving included: - Care plans in order to evidence that service users are involved in their care planning process, - Risk assessments, - Records of medicines brought into the care home, - Duty Rosters. Appropriate health and safety checks were in place. The home was appropriately insured for its stated purpose. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 23 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 3 ENVIRONMENT Standard No Score 24 2 25 x 26 2 27 x 28 x 29 N/A 30 1 STAFFING Standard No Score 31 x 32 2 33 2 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 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 2 x 2 x 2 X 2 3 x Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 24 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 YA32 Regulation 13(1)(c) Requirement The registered manager must ensure that care staff complete appropriate NVQ training. (Previous timescales of 31/12/05, 01/06/06 and 01/04/07 were not met). The registered manager must obtain NVQ Level 4 in Care. (Previous timescale of 01/01/07 was not met.) The registered manager must ensure that all parts of the home are reasonably decorated. (Previous timescales of 01/08/06 and 01/03/07 were not met.) The missing lampshade in the hallway must be replaced. (Previous timescale 01/02/07 was not met.) The registered manager must ensure that cracks in the walls in the hallway must be replastered. (Previous timescale of 01/03/07 was not met.) 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 DS0000007303.V346151.R01.S.doc Timescale for action 01/10/07 2. YA37 9(2)(i) 30/12/07 3. YA24 23(2)(d) 01/09/07 4. YA24 23(2)(c) 01/09/07 5. YA26 23(2)(b) 01/09/07 6. YA6 15(2)(c) 01/09/07 Langthorne Road Version 5.2 Page 25 agencies/specialists. 7. YA9 13(4)(b), 13(4)(c) 13(4)(b), 14(4)(c) 13(2) The registered manager must ensure that risk assessment are further developed and are more detailed. The registered manager must ensure that risk assessments are reviewed on a regular basis. The registered manager must ensure that accurate records are kept of all medication received into the care home. The registered manager must ensure that all parts of the home are kept clean. The registered person must ensure that disposable gloves are available in the home at all times in order to prevent the spread of infection. The registered manager must ensure that a copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked is maintained and is available for inspection. 01/09/07 8. 9. YA9 YA20 01/09/07 15/08/07 10. 11. YA26 YA20 YA30 23(2)(d) 16(2)(j) 01/09/07 01/08/07 12. YA32 17(2) Sch 4. 7 01/08/07 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 YA39 Good Practice Recommendations It is recommended that quality assurance questionnaires are dated when returned to the home, so that it is possible to establish when they were completed. Langthorne Road DS0000007303.V346151.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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.V346151.R01.S.doc Version 5.2 Page 27 - 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. 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