Inspection on 11/01/06 for Penn House

This inspection was carried out on 11th January 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Penn House 02/12/09

Penn House 11/12/08

Penn House 19/12/07

Penn House 20/12/06

Penn House 19/10/05

Penn House 09/11/04

Penn House 01/03/04

Penn House 01/03/04

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

CARE HOME ADULTS 18-65 Penn House The National Society For Epilepsy Chesham Lane Chalfont St Peter Gerrards Cross Bucks SL9 ORJ Lead Inspector Barbara Mulligan Unannounced Inspection 11th January 2006 10:15 DS0000023006.V276999.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 DS0000023006.V276999.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. DS0000023006.V276999.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Penn House Address 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) The National Society For Epilepsy Chesham Lane Chalfont St Peter Gerrards Cross Bucks SL9 ORJ 01494 601435 Penn@epilepsynse.org.uk The National Society for Epilepsy Mrs Kaye Bailey Care Home 22 Category(ies) of Physical disability (22) registration, with number of places DS0000023006.V276999.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Provision of respite care for service users. Date of last inspection 19th October 2005 Brief Description of the Service: The National Society for Epilepsy is an independent registered charity that is administered by a Board of Governors who oversee the running of the Chalfont Society. The centre is located on a large rural site on the edge of the village of Chalfont St Peter. It consists of residential houses, a supported living project, a number of workshops and sites for daytime activities, an assessment unit which is an NHS provision, and additional services including a chapel, a restaurant, central kitchens and laundry, a small shop run by service users, administrative buildings and staff accommodation. Penn House is one of the residential houses and provides twenty-four hour residential care for up to twenty-two adults. The home is divided into five ‘flats’ and is situated centrally on the site. Attractive, open, grassy areas surround the house. It has no private garden of its own but there is a small area at the front with benches and tubs of flowers. There is access to public transport and this is used by service users living in the home. DS0000023006.V276999.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 11th January 2006 at 10.15am on a Tuesday morning. The visit consisted of discussions with the registered manager and deputy manager. Records, policies and procedures were also examined. The inspection officer was Barbara Mulligan. What the service does well: What has improved since the last inspection? What they could do better: The Statement of Purpose and Service Users Guide is in the process of being reviewed and updated. This was not available for inspection purposes and the inspector request a copy is sent to the commission when completed. There are five care staff who have not yet commenced any form of POVA training and this needs to be completed as soon as possible. Evidence of employment checks were not available in the home for all newly appointed staff. This was because they are kept in a locked filing cabinet and the key was not in the home. This was also the case for servicing certificates for gas, electric and Legionella. The registered manager is required to ensure DS0000023006.V276999.R01.S.doc Version 5.1 Page 6 that all relevant documentation required for inspection purposes are accessible at all times. Following a visit by the Environmental Health Department it was recommended that a new fitted kitchen is installed. This was also identified at the previous unannounced inspection and will be a requirement of this report. Testing of fire alarms is not carried out on a weekly basis and ia a requirement of the report. 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. DS0000023006.V276999.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 DS0000023006.V276999.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, 4 and 5 The Statement of Purpose and Service Users Guide are in the process of being reviewed and updated as necessary. Service users needs are thoroughly assessed prior to admission ensuring that staff are prepared for admission and have a clear understanding of the service users requirements. The opportunity to visit the home prior to admission is an integral part of the admission process, which means that service users are orientated to the environment and have met and are familiar with staff and other service users beforehand. All service users have a written, individual service contract ensuring that there is an understanding of the homes terms and conditions. EVIDENCE: The homes Statement of Purpose and Service Users Guide were not available for inspection purposes. The registered manager stated that they are in the process of being reviewed and updated. The inspector requests a copy to be sent to the Commission when these are completed. It is the responsibility of the Manager or the Deputy to undertake the initial assessment of potential service users to the home. DS0000023006.V276999.R01.S.doc Version 5.1 Page 9 Service users are invited to the home for an assessment of needs. This can vary from a few days to a month. The assessment tool used is the National Society for Epilepsy’s own assessment tool. This was found to be comprehensive and covered all areas detailed in Standard 2. In addition to this there is a new assessment tool that is used with service users already known to the home. All specialised services offered are accessed through health care professionals on site. Specialist services include physiotherapy, psychology, dental and chiropody services and a nurse/medical unit. A random selection of staff files were looked at, and there was evidence that staff training was appropriate to deliver the services and care required of the home. The inspector observed specialist equipment in place which included an adapted bath and grab rails. Trial visits are individual to each service user. These can range from a few days to a month. Following the trial visit the potential service user will have a review. If this is successful and the service user is offered a placement; on condition of agreed funding and a contract with the placing authority; a contract/statement of terms and conditions is signed when the service users moves in the home. DS0000023006.V276999.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The care planning system is not clear and consistent and does not provide staff with the information they need to meet the service users needs. EVIDENCE: Care plans are lacking essential plans of care regarding mobility, personal hygiene needs, health care needs, religious needs and social needs. A requirement was made following the previous unannounced inspection that all care plans are completed to include treatment and rehabilitation, describing the services and facilities to be provided by the home, and how these services will meet current and changing needs and aspirations and achieve goals. The timescale for this is 28th February 2006. DS0000023006.V276999.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 and 17 Care planning documentation demonstrates that service users have opportunities for personal development and independence training. Service users are able to access a wide range of amenities which meet their social, leisure and spiritual needs. Service users engage in appropriate activities inside and outside of the home, allowing individuals to pursue their own interests and hobbies. Links with the local community are good which support and enrich service users social and educational opportunities. Staff support service users to maintain family links and friendships inside and outside the home. Service users rights are respected and the daily routines of the home promote individual choice and freedom of movement. The dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. DS0000023006.V276999.R01.S.doc Version 5.1 Page 12 EVIDENCE: DS0000023006.V276999.R01.S.doc Version 5.1 Page 13 Several service users attend the local college where they undertake training in social skills, community participation and social development courses. Service users have opportunities to maintain and develop social, emotional, communication and independent living skills through training carried out with the homes staff and day services staff. Service users are supported to continue with activities engaged in prior to entering the home. On site there is a sheltered workshop called CAPS where service users are offered employment opportunities. There is also a printing workshop, computer courses and an Internet Café which is available to service users if they wish to access them. Benefits are paid into a safe keeping account and service users do not go to the post office to cash their own benefits. Service users access local pubs, shops, the cinema and local restaurants. On the day of the inspection many service users were out attending places of work. The manager stated that staff give verbal information to service users regarding facilities and activities in the local community and notice boards are in place in each flat. Day services on site offer trips out every day to libraries, supermarkets and shops and the home provides supported trips as well. The National Society for Epilepsy has a pool of transport and the home can access this. Service users also access taxis and one service user has accessed dial a ride. The home encourages service users to vote. All service users are registered to vote but not many take advantage of this. Televisions, videos and music centres were observed around the home and in service users own rooms. All service users choose to enjoy an annual holiday. Family and friends of service users are welcomed into the home. The home operates an open house policy and there are no restrictions on visiting. Service users can see visitors in the privacy of their own rooms or there is a quiet room available. The inspector was told that service users families attend barbecues and parties and are always invited to reviews with the agreement of the service user. Staff were observed knocking on bedroom, toilet and bathroom doors to ensure privacy of the service users. Service users have a key to their own bedrooms and flats if they wish. Locks can be over ridden from outside by the staff. Mail is delivered to the home and then distributed to the service users. If they require help to read or understand their mail then the staff will support them. Care staff were observed interacting with service users and this was done with respect and in a manner that is appropriate to service users. The service users have access to the home and the garden. The garden was observed to have an extensive array of flowers and pots that the service users have completed, with the support of the staff. The garden is open and does not include a private area for service users to sit. DS0000023006.V276999.R01.S.doc Version 5.1 Page 14 All meals come from a central kitchen on site. Staff support service users to read through the available menu and to make a choice of meal. Meal times are unrushed and relaxed. Meals are offered three times a day and the home also offers drinks and snacks throughout the day in accordance with needs of the service users. Service users take part in shopping for food for the home. Individuals can take their meals in their rooms or the lounge if they wish. The nutritional needs of the service users are assessed and regularly reviewed and there is evidence of this in the care plans. DS0000023006.V276999.R01.S.doc Version 5.1 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 and 21. Service users’ needs are outlined within their individual plans, ensuring that the manner in which they are supported and cared for by staff is appropriate and promotes their preferences. The physical, emotional and health care needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. The systems for the administration of medication are well managed protecting service users and ensuring their medication needs are met. There are good policies/procedures in place to ensure that the ageing, illness and death of a service user will be handled with respect and as the individual would wish. EVIDENCE: DS0000023006.V276999.R01.S.doc Version 5.1 Page 16 Moving and Handling assessments are in place for service users. Service users are able to retire to bed and rise whenever they chose to do so. Other activities are flexible, although it can be difficult to arrange mealtimes around service users activities due to the fact that the meals arrive from a central kitchen. The home operates a key-worker system. Service users are given support to choose their own clothes, hairstyles and make up. Key-workers will take service users to shop for their own clothes and other personal items. There is evidence of services users likes and dislikes and preferences, contacts with advocates, family, friends and relevant professionals outside of the home. Personal Care needs of service users are recorded in care plans. There are adapted baths and grab rails around the home. There is a psychologist on site who can be accessed to monitor the mental health needs of service users. Service users are supported and facilitated to manage their own healthcare where practicable. Service users at Penn House are registered with a G.P. who is community based, but has a clinic at The National Society for Epilepsy on a weekly basis. Service users undertake two yearly dental screening. The manager stated that all service users have an annual optical health check. Hearing checks are accessed via the service users G.P. and a hearing specialist visited the home to assess and service hearing aids. Visits to the home from healthcare professionals take place in the service users bedrooms. Staff provide support to service users needing to attend outpatient and other appointments. A teaching programme for the self-administration of medication is practised in the home and service users are on different levels of the programme. There are consent forms for medication and risk assessments are in place. Medication is received by the home monthly, from the pharmacy on site. Returns are completed by senior staff and records looked at demonstrated that these are completed accurately. Each service user has a purple chart for anti epileptic medication and a green chart for other prescribed medications. All charts observed contained a photograph of each service user for identification purposes. All medicines are stored appropriately. The manager stated that the home do not handle controlled medication. Staff undertake training in the administration of medication. Training includes medication awareness and medication management. The pharmacist and the clinical tutor supply training. Following training, staff are required to complete twelve supervised medication rounds in a period of three months. Then each individual is assessed using a National Society for Epilepsy drug assessment, and this includes a written exercise. DS0000023006.V276999.R01.S.doc Version 5.1 Page 17 The manager stated that a qualified nurse gives medication, such as rectal Diazepam, from the nursing unit. The inspector looked at the policy for medication. This had recently been updated; June 2003, and was found to be detailed and comprehensive. The manager was aware of the need to retain for seven days the medication of a service user who has died. At the time of the inspection a service user in the home had recently and unexpectedly passed away. The registered manager stated that there is a bereavement counsellor on site and this is available for both service users and care staff if it is required. The inspector was informed that a policy regarding Care of the Dying had been developed, however the inspector did not observe this during the inspection. The registered manager stated that the home would be supported to enable service users to receive treatment and care to die in the home if that was their wish and unless there was a medical reason for an alternative setting. DS0000023006.V276999.R01.S.doc Version 5.1 Page 18 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): 23. Staff have a good knowledge and understanding of Adult Protection issues which protect service users from abuse. However, several newly appointed care workers need to undertake POVA training as soon as possible. EVIDENCE: There are policies and procedures in for the Protection of Vulnerable Adults, and this includes definitions of abuse and how to deal with allegations made against staff and strangers. Policies were observed regarding whistle blowing and challenging behaviour and/or aggression in the workplace. Staff training includes an annual training session regarding Abuse Awareness and this is mandatory for all staff. However, there remains five newly appointed care workers who have not yet received their POVA training. This will be a requirement of the report. Care workers receive training regarding aggression and challenging behaviour. At the time of the inspection there had been no allegations of abuse. The homes policies and procedures regarding service users money and financial affairs ensures service users have access to their money, valuables and safe storage of valuables. Valuables are stored in the homes safe but service users tend to keep their valuables in their own rooms, which are lockable and all service users have their own keys. The registered manager is aware of POVA register and stated that she would submit staff members for inclusion if it should be necessary. DS0000023006.V276999.R01.S.doc Version 5.1 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): These standards were not assessed during this inspection. EVIDENCE: DS0000023006.V276999.R01.S.doc Version 5.1 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): 32 and 35. Service users benefit from well informed staff, ensuring that their care and support needs are appropriately and effectively met. Service users benefit from a staff team who are appropriately trained to ensure that service users are cared for by skilled staff at all times. EVIDENCE: The registered manager felt that staff have the skills and experience necessary for the tasks they are expected to do. Staff are accessible to, approachable by, and comfortable with service users. They are able to communicate with the service users at the home in an appropriate manner and this was observed during the visit. New staff undertake an induction to the home and the organisation. This covers areas such as understanding physical and verbal aggression and selfharm, cultural and religious needs and the role of the multi-disciplinary team. Further training by staff includes First Aid, Basic Food Hygiene, Moving and Handling and Fire Awareness. Progress is being made with NVQ training. The inspector requested to look at evidence of staff recruitment checks but these were not available for inspection as the key to the filing cabinet was not in the home. DS0000023006.V276999.R01.S.doc Version 5.1 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): 39, 42 and 43. The home do not regularly review aspects of its performance through a programme of self-review and consultations, which include seeking the views of, service users, staff and relatives. There are systems within the home that are used to ensure that service users health, safety and welfare are protected and promoted. However, relevant documentation of servicing certificates were not available for inspection. The overall management of the home ensures the effectiveness, financial viability and accountability of the home. EVIDENCE: DS0000023006.V276999.R01.S.doc Version 5.1 Page 22 The home has not undertaken any service user surveys during the last twelve months. During discussion with the registered manager and deputy manager it was apparent that the home have no system in place to obtain the views of family, friends and advocates and of stakeholders in the community. This will be a requirement of the report. There is evidence that moving and handling techniques and training are carried out in the home, and staff mandatory training for this is up to date. Records were looked at regarding fire safety. Certificates were seen for the servicing of fire safety equipment that was last undertaken on 16/06/05. The home holds two annual fire drills and evacuation. There was documentation that fire exits and the fire alarm panel are checked on a daily basis. Fire alarm testing has not been carried out weekly and is a requirement of the report. The inspector looked at the homes fire risk assessment and this was found to be satisfactory. At the time of the inspection there was one qualified first aider in the home. The manager informed the inspector that all care staff have undertaken their basic food hygiene certificate. Certificates for the servicing of gas appliances, PAT testing, hard wiring and Legionella were not available for inspection purposes. The inspector requests that copies of these are sent to the Commission. There is evidence that water temperatures are recorded on a daily basis. The inspector observed that all hazardous substances are stored appropriately and the COSHH sheets are up to date and accurate. There are health and Safety posters in place around the home. The home has an accident and incident book, and this is well documented and legible. Following a recent inspection by the Environmental Health Dept it was identified that the main kitchen area requires a new fitted kitchen. This was also identified at the previous unannounced inspection and will be a requirement of this report. The inspector observed insurance certificates on display in the home. DS0000023006.V276999.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 2 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 x STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X X X 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 3 3 3 3 X x 2 X x 2 3 DS0000023006.V276999.R01.S.doc Version 5.1 Page 24 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 1 Regulation 6 Requirement The registered manager is required to ensure that the Statement of Purpose and Service Users Guide is updated and a copy of both document are sent to the Commission. The registered manager is required to ensure that all newly appointed care staff receive POVA training The registered manager is required to ensure that records of staff recruitment checks are available in the home, for inspection purposes at all times. The registered manager is required to ensure that there is an effective quality assurance system in place to measure success in achieving the aims and objectives of the home. The registered provider is required to ensure the home receive a new fitted kitchen and worktops in the main kitchen area. The registered manager is required to ensure that copies of Gas, Electric and Legionella servicing certificates are sent to DS0000023006.V276999.R01.S.doc Timescale for action 28/02/06 2 23 13 30/03/06 3 34 17 schedule 2 12 31/01/06 4 39 30/05/06 54 42 23 30/06/06 5 42 23 28/02/06 Version 5.1 Page 25 the Commission. 6 42 23 The registered manager is required to ensure that the testing of the fire alarm is carried out on a weekly basis. 30/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000023006.V276999.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 DS0000023006.V276999.R01.S.doc Version 5.1 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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