Inspection on 04/08/06 for Mount Adon Park

This inspection was carried out on 4th August 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 20 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mount Adon Park 17/02/06

Mount Adon Park 09/06/05

Mount Adon Park 24/01/05

Mount Adon Park 14/05/04

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

CARE HOME ADULTS 18-65 Mount Adon Park 49 Mount Adon Park Dulwich London SE22 0DS Lead Inspector Lisa Wilde Unannounced Inspection 4th August 2006 10:00 Mount Adon Park DS0000060229.V306794.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 Mount Adon Park DS0000060229.V306794.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. Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mount Adon Park Address 49 Mount Adon Park Dulwich London SE22 0DS 020 8299 0305 020 8693 8675 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) www.odyssey-csft.org Odyssey Care Solutions for Today Mr Satyanand Mungul Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th February 2006 Brief Description of the Service: Mount Adon Park provides a home for four adults with learning disabilities. It is run by Odyssey-Care solutions for today, a private who also have other homes in the area It is a three-story building that is indistinguishable from the other buildings in a residential road near Forest Hill. The home is close to shops and transport links but is situated in an extremely hilly street which would cause difficulties for anyone with mobility problems. There are gardens front and back and on-street parking. Each resident has a single room and there are communal kitchen, living and dining areas. At the time of inspection there was one vacancy. The fees for a place at this home are £1859.97 and these are currently paid by social services with the service users contributing £62.35. Mount Adon Park DS0000060229.V306794.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 on one day in August 2006. The inspector met with one service user who was at home, staff and the registered manager. The inspector tried to ring the relatives of service users to find out what they think of the home but couldn’t get in touch with anyone by the time this report had to be written. What the service does well: Some things at this home are good. • • • • • • • • • • • • • • Someone new can only move to the home if staff know they will fit in. Someone new can only move to the home if staff know that they can help them. Staff find out what service users want and write this down for them. Staff write plans so they can help service users do what they want to do. Staff help service users make decisions. Staff listen to families and other people who know what service users want. Service users get to go out and do the things they want to do. Service users choose their own food and join in with cooking as much as they are can. Staff make sure service users go to the doctor when they need to. Staff give service users their medication properly and write down that they have done this. Staff protect service users from people who might hurt them. Service users have their own bedrooms. Service users can decorate their bedrooms how they want to. The home is clean and comfortable. Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 6 • Staff find out what service users and their families think and put in place plans to make things better. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Mount Adon Park DS0000060229.V306794.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 Mount Adon Park DS0000060229.V306794.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users and their families are not provided with all the information they need to make an informed choice about where to live and whether they are being offered everything that they should be. When someone new wants to move to the service, staff assess their needs and decide whether they can meet those needs before they offer them a place. EVIDENCE: There was a previous recommendation that the Service Users’ guide is produced in a format accessible for this service user group. Some of the current service users at this home cannot read or write; however, the home is registered for learning disabilities and it is possible to draw up a service user guide in a language and format that could be understood by some people from those groups who may wish to use this home e.g. by using pictures, video and language that is more simple. (See Requirement 1) There is new legislation in place now that will come into force on 01/09/06 and 01/10/06 which will require services to state exactly what fees each service user is paying and how it breaks down into different areas, in the service user guide. (See Recommendation 1) Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 10 No service users have moved to this home since the last inspection but there is a procedure in place that meets the requirements and the staff team fully assess whether a new service user would fit in with other service users and whether the staff team could meet their needs before they are offered a place. Mount Adon Park DS0000060229.V306794.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users have in place detailed support guidelines that describe how staff will support service users day-to-day and also develop their skills and enable them to achieve any identified goals. Plans in place to manage risk are not changed as soon as when the risk change so service users or staff may be being put at risk of harm. There aren’t plans in place yet that describe service users’ needs and wants and how staff will help them achieve goals. Service users are supported to make their own choices whenever possible and other people are brought in to help them make choices if they don’t have any family to help them. EVIDENCE: Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 12 Monthly summaries are done that assess how the service user has been over the period and identify work that has been done to enable them to meet identified goals. Person Centred Planning a major piece of work that this organisation is currently working on in order to assist with identifying longer term goals for service users and support them in a way that focuses on their individuality. The organisation is now working on Communication Passports that describe a service user’s life and what they need and want but this home has not yet begun this work. (See Requirement 2) The inspector examined the files and found a wide range of support guidelines in place to describe how staff are to support service users. Some of these guidelines were not dated so it was not possible to see when they have been reviewed. (See Requirement 3) The home has service user meetings and keyworker sessions to meet with service users and find out what they want and tell them about things that are happening. The home uses a local advocate to help those service users who do not have family involved in their care. Staff expressed some concern about plans to assess this home for a move towards supported housing. Staff were not sure of the legal rights of service users currently as service users have a document called Terms and Conditions in place which does not tell service user if the hold a licence agreement or an assured tenancy at the home. (See Requirement 4) The Commission would expect full consultation with service users and their families should the move to supported housing be considered and staff were not sure if this has started. (See Requirement 5) There was a previous requirement that the registered person must ensure areas of risk assessed as high, trigger a more detailed assessment to determine actions that will minimise risk to the service user. One service user has recently begun to show aggressive behaviour and the registered manager said that he has brought in a psychologist to gain further insight into why this may be happening. In the interim the risk assessment must be changed and a plan put in place so that staff know how to work with the behaviour. (See Requirement 6) Mount Adon Park DS0000060229.V306794.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 at least once during a 12 month period. 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. Service users have their own weekly programmes that usually allow them to go out and do the things that they want to do. Service users choose their own food and join in with cooking as much as they are able. Menus are varied and service users are offered information and choices to make their diets more healthy and nutritious. EVIDENCE: Service users have their own weekly programmes of activities and are supported to go out in the evenings and at the weekend. Service users choose their own food both while shopping and on the day they eat. There are menus in place for the main meals, which showed that a variety of options are available through the week. Service users are supported to try and eat more healthy alternatives. Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 14 Mount Adon Park DS0000060229.V306794.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 at least once during a 12 month period. 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. All service users’ health care needs are met by staff or by being supported to attend regular appointments with local GPs and clinics. Staff support service users in different ways to help them manage their personal and health care. Medication is generally managed and administered effectively and service users are protected by staff holding an understanding of what the medication is and what effects it may have. EVIDENCE: Files showed that service users’ health needs are monitored and visits to GPs or clinic are regularly made. Staff talked through in detail all the health care needs of service users and showed a full knowledge of how they could support service users to meet those needs. One service user’s needs are currently increasing and staff are closely monitoring them and bringing in external specialists as needed. Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 16 Service users get help with personal care as they need it. The medication records and stocks were checked and the inspector found that systems are operated effectively and no problems were found. Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has procedure in place that would mean that complaints are investigated and taken seriously even though no complaints have been made for a long time. The home is not doing enough to monitor the less formal day-to-day concerns of service users and their families in order to make sure that action is taken to improve things for service users in the ways they want. Generally service users are protected by the organisation’s procedures round protection of vulnerable adults and staff being aware of their responsibilities although more training in this area is needed. EVIDENCE: There were previous requirements that the registered person must ensure that there is a complaints policy for the home and that there is a whistle blowing policy accessible to staff. The inspector knew that these policies exist as she inspect other homes that this organisation runs but the registered manager did not know where they were. (See Requirement 7) While the registered manager said he would record formal complaints, the home does not currently record day-to-day concerns voiced by service users or their families. This means that there is no system for tracking ongoing issues that may not be seen as formal written complaints but are still comments on the service. (See Requirement 8) Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 18 Not all staff have attended recent training around protection of vulnerable adults. (See Requirement 9) The manager and staff talked about how they had been considering the restraint policy and although one service user is now presenting challenging behaviour staff have not attended training around this. (See Requirement 10) Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is large enough but some areas have not been decorated for a while and are now starting to look a little tatty. Service user rooms are large enough and have been decorated as they choose. The home is clean and hygienic. EVIDENCE: Some areas of the home have not been decorated for a while and are now becoming tatty, particularly the bathrooms, the kitchen ceiling and the lounge wallpaper. (See Requirement 11) On the day of the inspection the home was clean and hygienic. Mount Adon Park DS0000060229.V306794.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 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. There are some staff vacancies for several months and it so it is difficult to assess if there are enough staff at the home to met service users’ needs. Staff are trained and qualified as required which means that service users are being offered support from people who know what to do. Staff have not had their work and training needs assessed this year which means that they may not know if they are doing everything they need to be or if there are areas where their performance can be improved. EVIDENCE: There was a previous requirement that the registered person must ensure that staff have job descriptions for their posts. The registered manager said this has been worked on but has not yet been finalised. (See Requirement 12) There was a previous requirement that the registered person must ensure that the needs of the home in terms of care staff hours and managerial hours are assessed to ensure that there is sufficient staffing. A copy of this assessment Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 21 was to be sent to the Southwark office of the CSCI. The registered manager has just completed an audit of staffing for the organisation with a view to deciding if this home could manage with one member of staff at particular times of the week. (See Requirement 13) As at the last inspection, staff and the manager talked about how difficult it has been while there have been two staff vacancies, particularly because there has been no senior worker so the manager has had no support with the management part of the work. (See Requirement 14) The organisation keeps staff recruitment records at head office. In order to carry on keeping the records at head office and the inspector will be assessing the organisation’s recruitment and personnel records at the head office at some point later in the year. In order to continue keeping records at head office the homes must now keep the Commission’s recruitment checklist in the home so that these can be inspected by the Commission when they choose. These had been completed. All staff receive induction and foundation within the Learning Disability Award Framework when they start employment and then begin the NVQ Level 2 or 3 in Care. Staff do not yet have individual training and development plans drawn up following an annual appraisal. These plans have not been brought together into an overall annual training and development plan for the home. (See Requirement 15) Mount Adon Park DS0000060229.V306794.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is registered manager in post who is competent and fit to be in charge. The home finds out what service users and their families think of the service and put in place plans to make things better. me Generally service users are protected by staff operating the health and safety procedures. The fire safety systems are not currently regularly checked and the electrical systems may not be checked regularly enough. EVIDENCE: The registered manager is undertaking the Level 4 NVQ Registered Managers Award and holds a nursing qualification so does not need to undertake the Level 4 in care. Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 23 There was a previous requirement that the registered person must ensure that there is a quality monitoring system and annual development plan. There is an annual plan in place for the home and the organisation is starting to use PQASSO, an external quality assurance tool for smaller organisations. This has not yet begun to be operated at this home but the organisation has set some targets to start achieving certain levels for the forthcoming year. There was a previous requirement that the registered person must ensure that policies and procedures are updated with input from stakeholders. The registered manager was not certain what this requirement meant and this was the first time this inspector had visited this home. This inspector would expect that procedures are in place so that service users and staff can comment on relevant policies and guidelines that are in place for the home. However given that this standard was not assessed during this inspection, this issue will be looked at again at the next inspection. On the tour of the building the inspector noted some fire doors being propped open. The registered manager said that a fire authority inspector had authorised this but the report of that visit was not available. (See Requirement 16) Most of the health and safety checks and documentation were in place but the last year’s portable electrical equipment certificate was not available and some equipment did not have current stickers on them showing they had been tested. The five yearly test of the whole electrical system was not in the health and safety file. The weekly tests of the fire system were not available. (See Requirements 17 & 18) Mount Adon Park DS0000060229.V306794.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 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 2 32 3 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 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 25 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 YA1 Regulation 5 Requirement The Registered Individuals must ensure that the Service User Guide must be drawn up in a format that can be understood by more people from the service user groups for which the home is registered i.e. learning disabilities. The Registered Manager must ensure that the organisation’s Communication Passport or some other more useful tool, is completed to describe service users’ lives and assist with achieving their goals. The Registered Manager must ensure that all support guidelines are dated and reviewed at least annually and as needs change. The Registered Individuals must ensure that legal advice is sought for service users so that they and their families are clear about whether they hold a licence agreement or assured tenancy at the home and what rights they then have. The Registered Individuals DS0000060229.V306794.R01.S.doc Timescale for action 31/12/06 2. YA6 15 30/11/06 3. YA6 15 30/09/06 4. YA7 12 (2) 30/09/06 5. YA7 12 (2) 30/09/06 Page 26 Mount Adon Park Version 5.2 6. YA9 13(4)(b)(c) 7. YA22 YA23 13 (6) & 22 8. YA22 22 9. YA23 13 (6) 10. YA23 YA35 13 (6) & 18 (1) (c) (i) 11. YA24 23 (2) (d) must ensure that service users and their families are fully informed and consulted about the proposed move towards making this home a supported housing unit. The Registered Manager must ensure areas of risk assessed as high, trigger a more detailed assessment to determine actions that will minimise risk to the service user and these plans are reviewed when the needs change. Previous requirement: Unmet timescale 30/04/06 The Registered Manager must ensure that all staff are aware of the organisation’s complaints, whistle blowing and protection of vulnerable adults procedures. The Registered Manager must ensure that all comments and concerns made from service users, their families and other stakeholders are recorded along with any action taken to address the issues and these are audited regularly to monitor patterns of concern about the service. The Registered Manager must verify if all staff have attended adult abuse training and send the evidence to the Commission. Any staff who have not attended this training must do so. The Registered Individuals must ensure that all staff attend training in preventing and managing challenging behaviour. The Registered Individuals must ensure that all areas of the home are well decorated, particularly the bathrooms, the DS0000060229.V306794.R01.S.doc 31/08/06 30/09/06 30/09/06 30/11/06 30/11/06 31/12/06 Mount Adon Park Version 5.2 Page 27 kitchen ceiling and the lounge. 12. YA31 Sch 4 (6)(e) The registered person must ensure that staff have job descriptions for their posts. Previous requirement: Unmet timescale 30/06/06 The Registered Individuals must ensure that the needs of the home in terms of care staff hours and managerial hours are assessed to ensure that there is sufficient staffing. A copy of this assessment to be sent to the Southwark office of the CSCI. Previous requirement: Unmet timescale 30/06/06 The Registered Individuals must ensure that staff are recruited to the vacant posts in the home. The Registered Individuals must ensure that all staff have an individual training and development plan that are then brought together to form an annual training and development plan for the home The Registered Manager must ensure that the fire authority inspection report that authorises fire doors to be propped open is sent through to the Commission. The Registered Manager must ensure that the weekly fire tests take place as planned and records of these are maintained in the home. The Registered Individuals must ensure that all portable electrical equipment is tested annually or when it is brought into the home and that the electrical system in the home is tested every five years. Documentation showing these DS0000060229.V306794.R01.S.doc 31/10/06 13. YA33 18 (1) (a) 30/09/06 14. YA33 18 (1) (a) 31/10/06 15. YA35 18 (1) (c) (i) 31/10/06 16. YA42 13 (4) (a) & (c & 23 (4) (c) 30/09/06 17. YA42 23 (4) (c) 31/08/06 18. YA42 13 (4) (a) & (c) 31/08/06 Mount Adon Park Version 5.2 Page 28 tests must be available in the home. 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 YA1 Good Practice Recommendations The Registered Individuals should begin work on establishing exactly how each service users’ fees break down and put these in their service user guide. (This will become a legal requirement on 01/09/06 for current service users and 01/10/06 for new service users). Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Mount Adon Park DS0000060229.V306794.R01.S.doc Version 5.2 Page 30 - 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!