Inspection on 29/11/05 for New Dawn

This inspection was carried out on 29th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

New Dawn 27/10/08

New Dawn 31/10/07

New Dawn 02/10/06

New Dawn 09/05/05

New Dawn 18/01/05

New Dawn 10/05/04

Similar services:

Coopers Mill Ltd

Pocklington House

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

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

CARE HOME ADULTS 18-65 New Dawn Dog Lane Horsford Norwich Norfolk NR10 3DH Lead Inspector Mrs Dorothy Binns Announced Inspection 29th November 2005 09:30 New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service New Dawn Address Dog Lane Horsford Norwich Norfolk NR10 3DH 01603 891533 01603 890840 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) Care Management Group Limited Mrs Patricia Rolfe Care Home 20 Category(ies) of Learning disability (20), Physical disability (20), registration, with number Sensory impairment (20) of places New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Twenty (20) people with a Learning Disability who may also have a Physical Disabilty and/or a Sensory Impairment may be accommodated. The total number should not exceed 20. 9th May 2005 Date of last inspection Brief Description of the Service: New Dawn is a care home providing personal care and accommodation for 20 Younger Adults with severe learning difficulties. A skill centre is located adjacent to the home and is attended by most service users. The home is owned by Care Management Group, whose head office is located in Wimbledon, London. The home is located in the village of Horsford, approximately 8 miles from Norwich. Local facilities, including shops, pubs and a post office are located within the village. The home is a single storey building with purpose built extensions. There are 14 single and 3 shared bedrooms. Communal spaces are spacious and light. Level access is available to the enclosed gardens and recreation area. Ample parking space is available to the front of the building. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine announced inspection of the Home. Discussions were held with the manager and deputy regional manager about the requirements of the last inspection and about how the home was progressing. Records and policies were examined and a tour was made of the building. The service users have severe learning difficulties so it was not possible to talk to them but they were observed in their activities about the home. Four staff were interviewed in private. In addition, surveys were sent out from the Commission to the relatives of the service users and twelve returned their forms. Those views have been incorporated into the report. The manager is new in this home and not yet registered. An application is expected soon from the organisation. What the service does well: What has improved since the last inspection? A new service users guide has been prepared and is now in use and will be helpful to anyone considering admission to the home. A hazard in the conservatory has been sorted out and some radiator covers have been put in to prevent burning. Some new staff have been recruited though several have also left. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Service users are given very helpful information about the home to help them make a choice. A full and detailed assessment of each service user’s needs is made to make sure they can be supported in the home. EVIDENCE: It was a requirement of the last inspection that the home prepare a service users guide for distribution to prospective service users and their advocates. This is now in place giving a comprehensive guide to the home. Symbols help to explain the text making it easier for service users. The guide was seen in the entrance of the home and in each service user’s room. Three care plans were chosen at random for examination. Each contained a full assessment of each service user covering all areas of their needs and abilities and included medical and behavioural problems. They also highlighted recreational activities and skills. All this information led on to a plan of care for the service user. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9 The service users can be reassured that their assessed needs and personal goals are well reflected in their care plans and clear to staff who have to act upon them. Service users have their money looked after by the home as they need assistance. This is correctly looked after except that they receive no interest on their deposits. Service users are supported to be as independent as possible and to participate in outside activities. To do this staff weigh up the risks and have strategies to support the service users. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 10 EVIDENCE: The full assessment of the service users previously mentioned informed the care plans. Each file had detailed care plans setting out where the service user needed assistance and how they might be communicated with or understood. Detailed instructions were given to staff about any interventions and how one might offer choices to the service user. The plan also outlined the activities of the service users, their routines and any protocols on meals or outings which were needed to best assist the service user. They were reviewed monthly to ensure they were still appropriate and reviews with other agencies such as social services were apparent. Staff wrote daily reports on their progress. These were very good documents giving staff a lot of helpful information in order to provide a high standard of care to the service users. None of the service users are able to look after their own finances and if the relatives are unable to help, the home administers their money. Money is held centrally on their behalf and available cash is held in separate purses for each service user. Two of these were checked at random and were found to be correct against the record. The home also receives the benefits on behalf of the service users and bank accounts for individual service users show their personal and disability allowance going into the bank every month. The transfer of money from the bank to the purse is less clear and there is a gap in the record keeping. Staff report that this is because this is done centrally. They also have to ask for more money to be made available for the service user as the money in the purse is kept to a certain amount. This application for funds can take some days and is not an immediate service even though the money belongs to the service users. This procedure should be reviewed. Two different service users do not have their own bank accounts and it is accepted that it is becoming increasingly difficult to open an account on behalf of another person. The organisation has therefore used a communal company account. This would be acceptable provided that the service users received interest on their money but this is not the case even though the service users have over £2000 deposited. This has to be remedied. The service users have severe learning difficulties and need physical and emotional care. Several are unable to walk. Epilepsy is common. The home however is committed to assisting the service users to participate as much as they are able in outside activities and as a result any risk attached to any activity is weighed up and actions taken. These were seen on all three files examined. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14,15,16 and 17 Service users are given a lot of stimulation and opportunities for outings with staff seeing this as part of their work and not an extra. Contact with family is encouraged and service users are assisted to stay in touch with their families. Service users rights are respected with staff very committed to ensuring that they were cared for with dignity and comfort. Service users are offered a healthy diet and staff help them to enjoy their meals. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 12 EVIDENCE: Service users are not able enough to do work placements or go to college. Three attend an adult training centre several days a week and the home has a daycentre in the grounds which is staffed separately. Service users enjoy activities there on a planned basis with several out of the home every day. Six service users were there on the day of the inspection and were seen at their activities with two staff supervising them. There is also a sensory room there where the service users can relax. Service users are also supported to enjoy interests they like and swimming and riding are regular activities. Spontaneous outings in the home’s minibuses take place. On the day of the inspection four service users were taken out for a pub lunch. Staff confirmed that those who are not at a day centre are always involved in some activity or outing and this is built into the week’s plans. One new staff said how impressed she was with the opportunities given to service users and the emphasis on normality. Service users are also offered a holiday each year with the home providing £150 for each person. Several service users have two holidays. Staff also confirmed that key workers ensured that service users had enough clothes or were able to buy things they wanted and made shopping trips with them. Overall there is a good emphasis given to stimulation and access to normal activities. Service users are encouraged to stay in touch with their families who are welcomed in the Home. Some service users visit their families regularly or stay overnight. Staff will use the home transport to take some service users home for an outing. Twelve relatives replying to the Commission’s survey all said they felt welcome to visit at any time and could see their relative in private. They all said they were satisfied with the care and some of the comments were “very pleased with the level of care” and “I cannot thank the staff enough for all the help and care they give” and “I feel the staff do all they can to improve the quality of life of (relative)”. This was a good response from relatives and is an endorsement of the work done by the Home. All four staff interviewed confirmed that they were very aware of privacy and dignity issues and gave examples where they had ensured these rights were in place. Service users who are able can move around as they wish and stay in their rooms as they wish. Most do depend on staff attention and they have to gauge what the service user would want. Staff impressed with their knowledge however and it was clear that they wanted the best for the service users. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 13 The menus were available for inspection with the home using a four week rotating menu. This offered a choice at all meals and looked nutritious and varied. The cook confirmed that only fresh vegetables were used and all food was freshly made. Home made cakes were also seen in the kitchen. Some service users have liquidised meals and staff confirmed that each part of the meal was liquidised separately to make it look appetising. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20 Service users’ health care needs are well met with good staff monitoring and outside community health care accessible to the service users. Service users require help with their medication and are protected by the home’s policies and records on dealing with medication. EVIDENCE: The service users have both learning and physical disabilities and several need specialist help. Two service users have peg feeds and several have mobility difficulties including some who are unable to move without help and need help with posture and skincare. Epilepsy is also common and staff have received training to assist with that. This is updated annually. Healthcare is therefore very important. From the care records seen, there was evidence of visits to the GP, community nurse involvement, visits to dentists and opticians and chiropodists. Seizures and weight were also monitored by staff and there were protocols in place for rectal diazepam. Care is taken with the peg feeds and the manager said that they have a direct line to the hospital if the peg is blocked. The dietician is regularly involved. Some service users are regularly turned as they cannot move themselves. Four health care professionals in the community, surveyed for their views, were all satisfied with the overall care and had received no complaints about the home. Overall healthcare is given a high priority in this home. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 15 All service users have help with their medication. How this is delivered was examined and the record checked. Medication is received from the pharmacist for a 28 day period with most supplied in a blister pack. Staff sign the record when they give out the medication. Two records were checked and found to be completed satisfactorily. There are no controlled drugs. Records were also kept of stock control. Some service users with epilepsy require rectal diazepam and the protocols for using this are written out by the GP. Only trained staff administer this. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Service users can be confident that they will be listened to and assisted to have their views known. EVIDENCE: The complaints procedure was seen and it contained the address of the Commission. The procedure is shown in pictures to make it easier for service users. There was no record of any complaint received and none have reached the commission. The service users have severe learning difficulties and are not able to articulate easily their views. The philosophy of the home however and the values staff adhere to in terms of enabling as much as possible the choices of the service users, gives confidence that they will speak up and out on a service users behalf and act on their concerns. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,27 and 30 The service users live in a comfortable home with plenty of communal space. Some areas could be improved. Bathrooms are poorly maintained and need immediate upgrading. The home is clean and the laundry facilities are satisfactory. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 18 EVIDENCE: The home is all on one level and the communal areas are wide and open and interlinking. This allows wide spaces and room to move wheelchairs though does not allow as much choice in atmosphere as it might. The dining room is used for table activities. French doors lead to a conservatory with a new wooden floor. A drain cover previously protruding in here has now been levelled. This conservatory looks much better and is now without a trip hazard. However this room is rather empty and functionless and has only temporary heating which needs to be attended to. The main lounge is comfortable and bright though some communal areas would benefit from a coat of paint. Radiators are in the process of being covered to prevent burning though some have not yet been done. Ramps allow access to the garden. All the bedrooms are quite spacious and attractive. Some have bedrails and hoists depending on the need of the service users. Some had covered radiators but others were uncovered and were very hot to the touch. Very few of the bedrooms had armchairs. The bathroom facilities of the Home are disgraceful. One bathroom needs complete refurbishment. The WC seat needs to be changed, the cistern is cracked and the bath is little used because it only has a manual hoist. Another bathroom with a Parker bath has paint peeling off the walls and badly needs to be decorated, old stained lino on the floor and an offensive smell. A further bathroom has a corner bath only usable by mobile service users. The radiator is not covered. The manager reports that this is to be turned into a wet room. The only bathroom being used to any extent is one where there is an electric hoist and where decoration is attractive with tiled walls. Bearing in mind all service users have a daily bath, which is excellent practice, the call for this bathroom is immense. One staff said that you had to provide baths all day including in the afternoon (not a normal time for a bath) because you had to queue up for this one bathroom. The Commission has required improvements in the last two inspection reports giving a deadline of April 2005 and when this was not met, September 2005. This has also not been met despite the Home’s own action plan saying that the bathrooms would be refurbished. This is unfortunately typical of this organisation which frequently fails to meet its obligations on maintaining premises. It remains a requirement to sort the bathrooms out. The Home is free from offensive odours and has good facilities in the laundry, namely two industrial washers and two tumble driers. The Home has no sluice though has procedures for the handling of incontinent laundry. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,34 and 36 Staffing is satisfactory but more staff need to be recruited to enable staff to have proper time off. Recruitment procedures are rigorous making sure that service users are protected. Staff attend individual sessions with their manager where they can discuss their work. This helps to give a better service to the service users. EVIDENCE: The rota for the week of the inspection shows six staff on duty at all times during the day which is considered to be well in excess of the what the Commission may have expected. However the home is commissioned to provide 12 extra hours a day on a one to one basis so needs the extra hours. The main problem with the rota is that there are several gaps on most days when bank staff have to be brought in as there are not enough permanent staff. The manager said there had been a turnover of staff recently but that two new staff were starting next week and a further two applicants were being considered. In the meantime staff are working very long shifts which in this type of work is not desirable. On the day of the inspection four staff were working a 15 hour day. The expectation from the commission is that this will be a temporary situation and that a more stable staff group will be achieved in the near future. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 20 Three staff files were examined to look at recruitment procedures. References, identity checks, medical information and criminal records checks are made. Some discrepancies were explained by the manager and it was recommended that where there were deviations from the policy that some record is kept on the file of the reason. The staff files showed evidence that staff were able to have one to one sessions with their manager to discuss their work on a regular basis. One new staff confirmed she had had one supervision session and felt well supported in her work. The manager confirmed that supervision was now organised with senior staff supervising the support workers and she was supervising the senior staff. Staff also attend staff meetings and are aware of the homes disciplinary and grievance procedures. A handover meeting also takes place when shifts change so staff are kept up to date with how the service users are getting on. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,41 and 42 A new manager is running the home and is competent and studying for her qualification. She has yet to be registered. Records required for regulation are in place and give a framework to the care offered to the service users. Measures are in place to ensure that the health and safety of the service uses and staff are protected. EVIDENCE: A new manager has been appointed in the home following the promotion of the previous manager. The new manager is not yet registered despite requests from the Commission for an application. She is an experienced worker and is currently studying for her NVQ4 in management. More time will be spent on management issues at the next inspection. Most of the records required for regulation were examined at the inspection and found to be satisfactorily maintained. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 22 Full policies and procedures are held on health and safety issues. Risk assessments are carried out on all of the service users for individual safety issues and the building is also assessed. Checks and tests on water temperatures, legionnella, electrical appliances and the boiler were all available. Baths all have a valve to ensure service users are not scolded. The accident book is recorded correctly. In addition staff have training on moving and handling, health and safety, emergency aid, food hygiene and fire prevention. The fire record showed that equipment was checked at the appropriate intervals and staff were instructed and had drills. Overall satisfactory measures were taken to ensure that service users and staff were safe. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 4 x x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 2 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 1 x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 x 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 New Dawn Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x 3 3 x DS0000027338.V260315.R01.S.doc Version 5.0 Page 24 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 YA27 Regulation 23(2)(n) Requirement Timescale for action 31/03/06 2. YA7 20 and 17 Sch 4 no 9 3 YA24 13(4)(c) 4 YA37 8(1) The registered person is required to refurbish bathing and toileting facilities to ensure they meet the needs of the service users, including the fitting of appropriate aids and adaptations. Previous timescales of April and September 2005 not met. Records regarding the finances 28/02/06 of the service users must be clearly documented. Any money deposited in a company bank account has to be able to offer interest to the service users. In view of the fact that very hot 31/01/06 radiators remain in some rooms, the registered person must carry out risk assessments and take action where necessary to prevent the risk of burning. The registered person must 15/01/06 submit an application to register a manager to run the Home. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 25 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. 2 3 Refer to Standard YA42 YA24 YA24 Good Practice Recommendations It is recommended that the progress on the covering of radiators continues. It is recommended that temporary heaters are replaced with permanent fixtures. It is recommended that that there is a programme of redecoration. New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 New Dawn DS0000027338.V260315.R01.S.doc Version 5.0 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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