Inspection on 05/04/06 for Parkcare Homes (No 2) Ltd (Devonshire Road)

This inspection was carried out on 5th April 2006.

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 no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkcare Homes (No 2) Ltd... 18/09/07

Parkcare Homes (No 2) Ltd... 01/12/05

Parkcare Homes (No 2) Ltd... 04/05/05

Parkcare Homes (No 2) Ltd... 11/01/05

Parkcare Homes (No 2) Ltd... 21/05/04

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

CARE HOME ADULTS 18-65 Parkcare Homes (No 2) Ltd (Devonshire Road) 43 Devonshire Road London N13 4QU Lead Inspector Wendy Heal Unannounced Inspection 5th April 2006 10:30 Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 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 Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 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. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parkcare Homes (No 2) Ltd (Devonshire Road) Address 43 Devonshire Road London N13 4QU 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) 020 8882 4702 020 8882 4702 devonshire.road@craegmoor.co.uk Craegmoor Homes Ltd Mr Brian Hughes Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2005 Brief Description of the Service: Devonshire Road is a home for six young adults with a learning disability. The home was first registered in October 1991. Parkcare Homes Limited, which is a subsidiary of Craegmoor Healthcare Limited, manages the home. Whilst the home is registered for six young adults, one of the bedrooms could be shared but currently is occupied by one resident. At the time of the inspection there were five residents living at the home. The home is a terraced house located a short walk from the shops at Palmers Green. There is one bedroom on the ground floor and four bedrooms on the first floor. There is a bathroom and separate shower room on the first floor. There is a small garden at the rear of the house. The staff team consists of a manager, deputy manager and a team of care staff. The residents’ access local community facilities and the home has a people carrier vehicle to support these activities. The homes fees range from eight hundred and sixty-seven pounds to one thousand one hundred and thirty nine pounds. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took approximately 5 hours. The manager Brian Hughes and his deputy manager assisted the inspector throughout the day. The inspector undertook a tour of the building spoke with all service users and the staff team. The inspector gained further information by an inspection of the documentation kept in the home, including care plans and health and safety documentation. The inspector would like to thank the service users present during the inspection, the manager staff and service users for their openness and participation. What the service does well: What has improved since the last inspection? Environmental tasks have been completed and the bathroom has been updated. One service user said, “The new bathroom and shower were much better.” The kitchen has been painted. The back door to the kitchen has been replaced. The utility room flooring has been replaced and is in the process of being repainted, a new tumble dryer has been obtained. The hole in the wall of the service users bedroom has been repaired. The cracks on the right hand side of the street door have been repaired. The information obtained from the quality assurance review has been complied into a report. The recommendations outlined by UK Fire in their latest risk assessment had been completed. These were all requirements made at the last inspection, which have all been met. The certificate to confirm that the boiler Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 6 meets the required standard was provided. This was requirement at the last inspection, which has now been met. an immediate At the last inspection two good practice recommendations were made one was in relation to service user meetings being expanded to include additional areas of interest to ensure that service users increase their involvement in the home, the other was in relation to the staff rota and showing full staff names and recording staff shift times, both of these recommendations were met. 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. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 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 Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 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): 1,2,3,5, Service users are given the information they need to make an informed choice about whether the service is suitable for them and their needs. The service is good at assessing individual service users aspirations and needs. Service users have an individual contract of terms and conditions. EVIDENCE: Since the previous inspection there have been no new admissions to the home. The inspector looked at the statement of purpose, which has been updated but needs to be signed by the relevant parties. The manager has agreed to send a signed copy of this to the inspector. The service has a service user guide. The homes service user agreement clearly specifies the terms and conditions of the home including details of the notice period. Service users care plans are being reviewed on a regular basis. Service user files contained assessment information that is being reviewed regularly. The manager and staff interviewed had a good under standing of individual service users needs and could talk in detail in relation to their role. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 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;7,8,9,10 This service is good at assisting service users to make decisions about their daily lives. This service is good at supporting service users to take risks to develop an independent lifestyle. The service is good at maintaining service user confidentiality as service user information is handled and kept appropriately. EVIDENCE: The service users files were inspected. The service users care plans had their identified key worker written on them. The plans were based on their individual current and changing needs. The care plans of service users evaluate aspects of living in the home e.g. medical needs, protection from financial abuse, personal care, increased independence skills and privacy. The inspector was able to observe that the care plans and risk assessments were being followed. On the day of the inspection, the inspector ate lunch with the service users and staff on shift. One service user who is at risk of choking was appropriately assisted throughout the meal in line with the written guidance. One service user has been assisted to obtain a mobile phone to maintain active family contact with her children and grandchildren and discussed these arrangements Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 10 enthusiastically with the inspector she stated, ”Everything is good the staff help in any way they can.” Care planning had taken place for service users but the minutes had not been received. A requirement is made that these minutes are obtained and the decisions of these meetings are incorporated into each service users plan. Service user meetings have been expanded to broaden the topics discussed. This was a good practice recommendation made at the last inspection, which has now been met. On the day of the inspection service users demonstrated that they make decisions and choices about their daily lives. One service user ate lunch and made her way independently to college to attend her pottery class, she informed the inspector that she was going to have an exhibition of her work soon and took the inspector to her bedroom to show her the examples of her latest work, which is displayed in the bedroom, lounge and office. A number of service users had gone shopping to buy the food they wanted to eat that day. Staff were observed supporting service users in an appropriate manner and staff and service users were heard sharing jokes throughout the day. Service users information is handled appropriately a password is used to access the information stored on computer. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 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): 11,12,13,14,15,16,17, Service users are supported to develop their individual skills within the home. However all service users are not being supported to broaden the activities they participate in within the community. Service users are part of the local community and are encouraged to take part in age peer and culturally appropriate activities. The service is good at assisting service users to maintain their family relationships, which enriches their daily lives. Service users are supported to choose healthy nutritious meals. EVIDENCE: At Devonshire Road service users are supported to develop their independent living skills. On the day of the inspection, one service user attended college to undertake classes in relation to life skills. This service user explained that she attends college for two and a half days per week. Another service user attends music pottery and cookery. Two service users are due to attend a resource centre on Thursday’s to take part in music therapy sessions. One service user would benefit from having access to and the company of other Jewish service users. The manager is currently researching this. The service must increase its Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 12 efforts in relation to this and a good practice recommendation has been made. One service user chooses to spend her time developing her domestic skills and accessing local community facilities. Devonshire Road has its own vehicle to assist with community activities and transport to college. The inspector spoke with service users both individually in privacy and in social group situations. Service users described how they are supported to help with domestic tasks e.g. completing their laundry, preparing snacks. Service users who have relatives maintain contact with them by telephone and service users go home at weekends. Service users privacy is respected and examples of these were, staff were observed knocking on service users bedroom doors before their rooms were being entered. Service users have access to their own key in relation to their bedroom. On the day of the inspection one service user was already at college and her bedroom door was locked, the inspector was given the opportunity to see this room but declined on this occasion. At Devonshire Road service users enjoy varied wholesome balanced meals of their choice. On the day of the inspection service users had gone shopping to obtain the necessary groceries as identified on the plan of activities. The kitchen was clean and tidy and food was stored appropriately and within sell by date. Fridge and freezer temperatures had been recorded daily and were found to be in order. Service users benefit from a mixed staff team who bring a range of different ideas to the home in terms of food preparation this means that service users have access to different types of food than they may otherwise experience. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21, There is good support provided to service users to access healthcare appointments. The process for ordering medication needs to be more effectively managed to promote the good health of service users. The wishes of service users in the event of their death are well recorded. EVIDENCE: The record of healthcare appointments for each service user was inspected. These showed they are being supported to receive their individual healthcare checks. Service users attend a community facility to have their hair done and nails professionally manicured. The medication and administration records were inspected. The medication had been signed for on the MAR sheet. The medication cabinet was inspected. Extra medication above what was required was found to be stored in the medication cabinet. A requirement has been made in relation to returning the medication to the pharmacist. There was a record in relation to those staff that could administer medication, including an example of their signature. Staff had received medication training to ensure that service users are protected by the homes medication procedures. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 14 Service users were appropriately dressed at the time of the inspection. The service users files included a record of the service users wishes in the event of their death. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 15 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, Service users can be confident that their views are listened to and acted upon since the recording of complaints and action taken is adequate. Service users are protected by trained staff who have a good understanding of how to protect service users from abuse neglect and self-harm. EVIDENCE: At the time of the unannounced inspection the inspector looked at the complaints file and found no new complaints had been made since the previous inspection. The staff at Devonshire Road had attended adult abuse and vulnerable adults training and are knowledgeable with regard to reporting procedures. Service users finances and recording procedures were inspected and found to be in good order. Devonshire Road had recently had an internal audit with very positive findings. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Improvements in the environment have been made which ensures the home is comfortable and homely for service users. Service users bedrooms suit their needs and lifestyles and promote their independence. The service is good at ensuring service users are provided with their own identified bathroom or shower to ensure they have sufficient privacy. The home was clean and hygienic throughout. EVIDENCE: Devonshire Road is a terraced house and is in keeping with the surrounding premises. The location of the home provides good access to local amenities including shops, parks and public transport. Each service user has their own personal bedroom and on the day of the unannounced inspection they were found to be appropriately furnished including service users personal items. There is a bathroom and separate shower room on the first floor. The bathroom has been updated, this was a Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 17 requirement made at the last inspection, which has now been met. The shower room was being updated at the time of the previous inspection and this work has now been completed. There is a small lounge, dining room and kitchen on the first floor. The manager has informed the inspector that the lounge is on the planned schedule for redecoration. The kitchen has been redecorated this was a requirement made at the previous inspection which has now been met. The inspector was pleased to see that the manager had replaced the cooker and also renewed the kitchen sink. The home has a small utility room on the ground floor. The flooring has been replaced and the manager said he had obtained the paint so that this room could be painted. This was a requirement made at the last inspection, which has now been met. The home has a small enclosed garden, which has tables and chairs to allow service users to sit outside. The Manager informed the inspector that there are plans to develop a sensory garden which would be very beneficial to service users, the inspector looks forward to seeing how this develops at the next inspection. At the previous inspection the following maintenance tasks were outstanding and requirements were made. One service user had a whole in her bedroom wall. There were cracks on the right hand side of the street door, which needed to be repaired. The kitchen door leading to the garden needed to be replaced. These requirements have been met. At the time of the inspection the home was clean throughout. Service users were found to have the specialist equipment they require to maximise their independence. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 32,33,34,35,36 The organisation has not ensured that qualified staff supports service users. The NVQ training has not been adequately provided to staff to ensure that service users needs can be fully met and staff was adequately supported. Service users are supported and protected by the home’s recruitment policy and procedures. Service users benefit from well-supported and supervised staff. EVIDENCE: The staff rota was inspected. At the previous unannounced inspection the manager was requested as a good practice recommendation to show more clearly staff shift times on the rota with full names including identification of the staff member on call. This requirement has been met. Staff files were inspected. All staff had a Criminal Records Bureau check and two written references. They also had a copy of their terms and conditions. All staff files contained a copy of the staff member’s passport and were appropriate a record to show they had authorisation to stay in the country. Staff have an individual training record. The manager has completed his NVQ4 and Registered Managers Award. The staff members were undertaking their NVQ 2 and 3, however, this has not continued due to the organisation not Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 19 accessing adequate assessors. A requirement has been made in relation to this. The staff supervision records were inspected and staff receive regular supervision, which ensures a professional and consistent approach is undertaken by the staff team and assists the development of service users. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): 37,38,39,41,42,43, Service users benefit from a well run home. The manager provides professional leadership. All appropriate health and safety measures need to be in place to ensure the safety and welfare of service users is maintained. Service users benefit from competent and accountable, management of the service. EVIDENCE: Devonshire Road has a permanent registered manager who has the appropriate skills and experience and provides professional leadership to the service. The quality assurance system has been implemented. Questionnaires have been sent to service users relatives and care professionals on several occasions. The responses have been collated and responded to. This was a requirement made at the previous inspection, which has been met. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 21 The necessary certificates were available to confirm the gas system; water system and fire appliances had been serviced. The record of smoke detectors and fire drills indicates that these were taking place as required. The allocated person had not completed the fire bell tests for the last month. A requirement has been made in relation to this. The inspector saw evidence that a senior member of staff is due to undertake fire marshal training and will then undertake these duties. The company ELC need to undertake outstanding electrical maintenance tasks. A requirement has been made in relation to this. The registration certificate was seen and found to be in order. The documentation in relation to the insurance was seen and was up-to-date. The outstanding work identified in the UK Fire Risk Assessment that required an additional smoke detector in the office/sleep-in room and the additional CO2 extinguisher to be placed in the office, that were requirements made at the last inspection have been met. The certificate to ensure that the boiler meets current standards was supplied to The Commission for Social Care and Inspection, this was an immediate requirement made at the last inspection, which has been met. On the day of the inspection the inspector observed that the materials resulting from some improvements to the home such as the bath and tiles were left outside both the back and front of the home. The manager called the maintance man to remove these items at the inspector’s request, thus preventing an immediate requirement being issued. The organisation must ensure that when maintenance tasks are completed that adequate transportation is available to ensure that all materials are removed from the premises to ensure that the safety to service users and staff is guaranteed. A requirement has been made in relation to this. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 2 3 3 3 3 x 3 2 3 Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 23 NO 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 YA6 Regulation 15(2)(b) Requirement The registered person must ensure that the minutes from the care planning meeting are obtained and actions are incorporated into each service user plan. The registered person must ensure that additional medication is not stored in the medication cabinet, additional medication that is not required must be returned to the pharmacist. The registered person must ensure that staff undertake their NVQ training and evidence of this is sent to The Commission for Social Care Inspection. The registered person must ensure that weekly fire bell tests take place. The registered person must ensure that the outstanding work identified by EIC test and Maintenance is completed and evidence of this is sent to The Commission For Social Care Inspection. The Registered manager must ensure that materials that are DS0000010589.V287742.R01.S.doc Timescale for action 01/06/06 2. YA20 13(2) 30/04/06 3. YA35 18(1)(i) 31/05/06 4. 5. YA42 YA42 13(1)(c) 23(4)(2) 13(4)(a) 26/04/06 15/06/06 6. YA42 13(4)(a) 06/05/06 Parkcare Homes (No 2) Ltd (Devonshire Road) Version 5.1 Page 24 left both in the back garden and in front of the entrance to the home are removed. The organisation must ensure that adequate facilities are in place for the removal of materials at one time, to prevent service users and staffs health and safety being put at risk. 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 14 Good Practice Recommendations The identified service user would benefit from having access to an activity were he could be in the company of other Jewish service users. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V287742.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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