CARE HOME ADULTS 18-65
Priory Road 9 Priory Road Nether Edge Sheffield S7 1LW Lead Inspector
Paula Loxley Unannounced 8th July 2005 10:00-14:20 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 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 Stationary 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. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Priory Road Address 9 Priory Road Nether Edge Sheffield S7 1LW 0114 2813183 0114 2813183 None Sheffield Alcohol Advisory Service Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Stuart Hawkshaw PC - Care home only 6 Category(ies) of A - Alcohol dependent past/present registration, with number of places Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 1 March 2005 Brief Description of the Service: The Sheffield Alcohol Advisory Service at Priory Road project is a residential home with facilities to care for up to six men and women with alcohol related problems. Priory Road is a large detached house located in an attractive residential area of the city, situated close to local amenities and public transport. The home has one double and four single bedrooms and all rooms were individually furnished and arranged according to the personal preferences of each service user. There is a large garden to the rear of the home with a pond, attractive pavings, garden ornaments and seating provided. One to one support and group counselling is provided by the staff of the home, with the aim of reshaping lifestyles and routines to enable service users to learn to enjoy life without drink.. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place from 10:00 am to 2:20 pm. As part of the inspection process the inspector spoke to five service users and the registered manager, who was the sole member of staff on duty within the home on the day. A number of records were examined and several areas of the building were inspected. The inspector would like to thank service users and the manager for their openness and for their commitment to the inspection process. The inspector was pleased to note that service users spoke positively of the ongoing support provided by the staff. Observations confirmed that service users were extremely comfortable and at ease in the company of the manager whom they said was approachable, supportive and sensitive to their needs and feelings. What the service does well:
The home is welcoming, homely and has a relaxed atmosphere. Service users appeared comfortable sharing their views regarding the quality of the service provided. They said staff were always supportive and could empathise with each individual’s situation. They were aware from the time of their admission to the home, and throughout their stay, that they had to take responsibility for their own lives a day at a time. Any anxieties and concerns were discussed in detail with staff as service users were encouraged and supported to develop coping mechanisms and to identify situations and environments that could deflect them from achieving a future without dependence on alcohol. Individual and group counselling sessions were valued by service users who confirmed that this gave them the opportunity to set themselves daily goals, which when achieved, increased their confidence and self esteem. Service users said they were comfortable and happy with their rooms that they could organise and decorate as they wished. Everyone shares the responsibility for household tasks and daily routines and although some service users said they were tidier than others everyone seemed happy with the arrangements. Any changes or alterations to the home had been discussed and a group contract had been agreed with service users. Service users confirmed that staff gave priority to the personal and health care needs of each person. Service users spoke positively of the support and encouragement given by staff with this aspect of their care. Specialist advice and support had been sought when required and links had been developed with several other agencies for example housing, health, education and employment. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 6 Visitors to the home were actively encouraged and service users were supported to maintain and develop links with their families and friends. The manager and staff were committed to the further development of the service. Discussions with service users and observations of their interaction with the manager confirmed that the home is very well managed and staffed. Service users said that the on-going support provided once they had left the home reduced their anxieties regarding moving out and living independently. Several service users that had now left the home continued to visit on a regular basis and this had developed into a positive support network for many individuals. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office.
Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3 and 4. A detailed service user guide and statement of purpose had been produced. Minor additions were required to the statement of purpose to ensure that service users had the necessary information regarding the support provided by the home. Service users individual needs had been fully assessed prior to their admission to the home. Admissions had been planned in detail once the home had determined that they could meet the individual’s needs. Service users were able to have an informal introductory visit at the home prior to their admission to ensure that they were fully aware of the terms and conditions of their stay. EVIDENCE: The service user guide and statement of purpose were available within the home for service users and staff. These clearly detailed the services and facilities provided by the home. Service users said that they were pleased that they had been provided with much of this information prior to their admission as it ensured that they were clear about the role of staff and the house rules regarding their commitment to sobriety whilst they stayed at the home. Details relating to the “floating” support worker employed by the home needed including in the statement of purpose and information relating to complaints was in need of updating. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 9 Service users confirmed that detailed full needs assessments had been completed prior to their admission. Two service users said that this process had been given priority by a social worker from the homeless team who had ensured that their referral was processed quickly. Discussions with other service users confirmed that full needs assessments had been completed by social workers from the substance misuse team however they were concerned that these referrals often took several months to be processed. A respite care service was not provided although ex residents could visit on a Tuesday for ongoing support. Service users said their informal visit to the home prior to their admission provided them with the opportunity to meet with staff and existing service users. They said this was positive because it ensured that they were clear about the house rules, the group contract agreed by all service users, and the requirement to take responsibility for their own lives and sobriety. They confirmed that all information had been shared with them clearly to ensure that they fully understood the implications of staying and receiving the residential support at the home for a maximum of one year. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 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 standard(s) 8, 9 and 10. Service users were provided with informal and formal opportunities to participate in the day-to-day running of the home. They were encouraged and supported with risk taking whilst also developing and maintaining their independence. Service users were aware that information relating to them was retained by the home and issues relating to confidentiality had been discussed regularly with staff and service users. Policies relating to this were available. EVIDENCE: Service user meetings had been held on a regular basis and minutes of these meetings were available within the home. Those checked confirmed that service users had discussed issues relating to the house, general arrangements and appointments and suggestions regarding meetings and counselling sessions. A group contract, agreed by all service users, detailed each service users responsibilities for household tasks, visitors, health and safety, security and basic rules around respect for each other. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 11 Service users said that they met together on a daily basis and that they also had daily meetings with staff for a ‘feelings’ meeting and to focus on each individual’s goals for the day. Service users spoken to confirmed that they found these sessions extremely valuable and supportive as they provided them with regular opportunities to look at their own self awareness and that of others that they shared the house with. Service users said that staff were able to empathise with them whilst ensuring that they developed coping mechanisms for living independently in the community without drink. Individual risks had been assessed and recorded for each individual and service users were encouraged to do an ‘emotional check’ before they entered a new situation. Service users said staff were available, both within the home and at external social events, to offer the appropriate support and encouragement. Discussions with the manager confirmed that each individuals situation and coping mechanisms had been reviewed and reassessed on a regular basis. Service users knew that they had a care plan and that they could contribute to this and have access to it when they wished. They confirmed that issues relating to confidentiality were discussed at the time of their admission and documents seen within the home confirmed that it had been regularly discussed in individual and group sessions with service users. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 12 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 standard(s) 13, 14 and 15. Service users were encouraged to develop and maintain links with the local community. Service users had access to a range of leisure activities based on their individual choices and preferences. Service users had been supported with maintaining and developing contact with their family and friends. EVIDENCE: Service users confirmed that staff were extremely supportive and always encouraged them to become integrated into the local community, when they felt able to do this and with the appropriate staff support provided. Each service user had discussed their community links and activities with staff on a regular basis as part of their on-going development and rehabilitation. Service users clearly confirmed that staff supported them with discovering how to enjoy social situations and activities without alcohol. The group counselling sessions attended by all service users, further supported with this, as real life situations and dilemmas were discussed. Service users said they could choose how they wished to spend their leisure time and generally this was based on the personal preferences of each individual as their confidence and self esteem developed.
Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 13 Service users confirmed that they had regular contact with their family and friends and that they were able to visit them at the home if they wished. Two service users said they visited their family or partner regularly and all visits had been planned and staff were aware of the arrangements. Service users and the manager confirmed that staff had actively supported with these contacts when this had been needed. One service user said she was delighted that she now had regular contact with her children as this was helping her to look positively towards her future and had helped other professionals to view her more favourably in her relationships with her family. Service users said they valued the friendships that they had forged during their stay at the home and they recognised the importance of the support that they could give to each other, both currently and in the future, as they all developed their own coping mechanisms. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 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 standard(s) 18 and 19. Service users received individual personal support that promoted their independence and privacy and was flexible and sensitive to their needs and current situation. The healthcare needs of each service user had been assessed at the time of their admission and as part of the regularly reviewing process. Appropriate action had been taken to ensure that each service users needs had been met and staff had supported with this as required. Policies and procedures were in place to closely monitor the health of each service user. EVIDENCE: Service users confirmed that they had discussed with the manager and staff any support that they may require with their personal care. Service users were encouraged to take responsibility for their own personal appearance and hygiene, to develop their independence and take control over their own life. Any specialist support or advice had been accessed when required and staff had effectively supported with the initial referrals or consultation if the service user wanted this. Service users said they could discuss any anxieties they had about their health in the daily group or their individual counselling sessions. Discussions with the manager and records examined, confirmed that service users healthcare needs had been regularly assessed to ensure that each person received the appropriate medical care and support. The home had the appropriate procedures in place to ensure that each service users physical and emotional health needs were identified and addressed.
Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 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 standard(s) 22. The homes complaints procedure was clear, contained the required information and was accessible to service users and any visitors to the home. Service users were aware that they could complain. The complaints record did not include a log of complaints made and therefore all of the information was not available as required. EVIDENCE: Service users confirmed that they had been provided with a copy of the complaints procedure at the time of their admission to the home. They said they were encouraged by the manager and staff to raise any issues or concerns that they may have about the service provided by the home. They said that all of the staff were approachable and that if they did have any complaints they knew they would be dealt with sensitively and given priority. The manager confirmed that the home had received one complaint since the last inspection. Discussions with the manager, and documentation checked, confirmed that the complaint had been investigated. The responsible individual for the service had taken the appropriate action within the required timescales. The complaints log did not contain information relating to this complaint. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 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 standard(s) 24, 27, 28 and 30. All areas seen were homely, comfortable and fresh smelling. Some areas of the rear garden were untidy and a section of the fencing was in need of repair. Several areas were in need of redecoration. Bathrooms had the appropriate locks fitted to ensure the privacy of service users and a shower was fitted over the bath. Discussions with the manager confirmed that that the safety of service users with mobility problems, could not be ensured when accessing the shower. Service users had access to communal areas that were homely and included domestic style furniture and fittings. Most areas of the home checked were clean however the kitchen and several appliances were in need of cleaning to prevent infection and to promote the health and safety of service users. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 17 EVIDENCE: Since the last inspection bathrooms had been redecorated and the manager confirmed that service users had been included in the decisions regarding colour schemes. The manager confirmed that he had submitted a request for the installation of a walk in shower for the large main bathroom. Service users said that they liked to use the large rear garden whenever the weather permitted and one area of the garden was particularly attractive with a large pond, water features, paving, seating and garden ornaments. Part of the fencing leading to the rear garden had broken panels and several areas of the side patio were in need of weeding and tidying. Service users said that they were comfortable at the home and that they could choose where they wished to spend their time. The communal areas were used for meetings and group counselling sessions and service users had access to a computer in the main dining room. The hallways and kitchen were in need of redecoration. The kitchen required a thorough clean and appliances including two fridges were dirty and contained rotting food and food that had not been covered appropriately. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 32. Staff had a clearly defined job description and service users were aware of the roles and responsibilities of staff including the manager and the floating support worker. Service users were extremely well supported by staff that had a wide range of abilities, knowledge, skills and experience. EVIDENCE: Three staff, including the manager, are employed at the home and they had been provided with a copy of their job description which had been retained on file. Service users were informed of the level of staff support that they would receive at the time of their admission. They confirmed that they had developed positive relationships with all of the staff who were extremely supportive and approachable and always sensitive to their needs, feelings or particular anxieties. The manager confirmed that staff had contacted the relevant professionals or specialists when this had been required for individual service users and positive relationships had been developed with a range of support networks. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 19 Service users spoke positively of the support provided by the “floating” support worker whose primary role was to support service users once they had left the home to live independently in the local community. Help and advice with housing, employment and benefit agencies had also been provided and service users said this level of support was invaluable as part of their rehabilitation process. The manager confirmed that the floating support worker had recently completed NVQ level 3 training in care and the deputy was hoping to complete NVQ level 4 training in care and management by the end of 2005. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 41 and 42. Service users benefited from a well managed home. The majority of records checked were well ordered. Not all of the required records were available for inspection and therefore the rights and best interests of service users could not be fully promoted. Staff had completed some statutory training since the last inspection. Risk assessments had not been completed for all risks identified by the inspector and not all equipment had been serviced as required. As a consequence of this the health, safety and welfare of service users and their visitors could not be fully ensured. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 21 EVIDENCE: The registered manager has a wealth of experience of working with people with alcohol related problems and was clearly committed to maintaining and further developing the quality of the service provided to service users. He confirmed that he hoped to complete NVQ level 4 training in management and care by the end of 2005. He confirmed that he was clear of his roles and responsibilities and that he was well supported by his external line manager. The manager said that monthly regulation 26 reports had been completed however these were not available within the home for staff and service users and a copy had not been forwarded to CSCI as required. A selection of records were checked and most of the required information could be easily accessed. The records of fire training were long out of date and did not contain all of the information. Weekly tests of the fire alarm had not been recently conducted. Discussions with the manager and the training records checked confirmed that staff had completed refresher training on first aid since the last inspection. The manager said refresher training on food hygiene was planned for staff later in the year. The inspector checked the homes written risk assessments and was concerned that there were several omissions including smoking, storage of medication and cleaning substances, the pond and cellar steps. Discussions with the manager confirmed that he was aware that these risk assessments were required especially as the home now had several children visiting their parents that were resident at the home. COSHH risk assessments had been completed however these were not easily accessible for service users. Not all of the action points raised by an external health and safety audit completed in August 2004 had been addressed. Records confirmed that most of the equipment had been checked and serviced as required however portable electrical appliances had not been serviced since August 2003. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 4 3 x Standard No 22 23
ENVIRONMENT Score 2 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score x x 4 4 3
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 2 x x 3 3 x 2 Standard No 11 12 13 14 15 16 17 x x 4 4 4 x x Standard No 31 32 33 34 35 36 Score 3 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Priory Road Score 4 4 x x Standard No 37 38 39 40 41 42 43 Score 2 x x x 2 2 x J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4 Requirement The statement of purpose must be updated to ensure that it includes all of the required information. The complaints record must include a log of all complaints and must include details of the action taken/outcome. The garden fence must be repaired. The weeds and rubbish must be removed from the rear garden. The kitchen and the hallways must be redecorated. The kitchen, including all appliances, must be kept clean. All food must be stored appropriately to prevent infection. Monthly regulation 26 reports must be available within the home for staff and service users. A copy of this report must be forwarded each month to CSCI. The records of fire training must indicate if it was a fire instruction or a drill. They must include the time of the instruction/drill, the names of those present and the outcome/action taken. All staff must complete fire
J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Timescale for action 30/09/05 2. YA22 17 31/08/05 3. 4. 5. 6. 7. 8. YA24 YA24 YA24 YA24 YA24 YA41 23 23 23 23 13 17 31/10/05 31/08/05 31/10/05 31/08/05 15/08/05 31/08/05 9. YA41 17 31/08/05 Priory Road Version 1.40 Page 24 10. YA42 23 11. 12. 13. YA42 YA42 YA42 13 13 17 14. YA42 23 instruction training at least twice per year and records of this must be maintained. Fire drills must be conducted twice a year and records of this must be maintained.(Previous requirement outstanding since 30/04/05) Weekly tests of the fire alarm system must be conducted. Records of this must be maintained. Written risk assessments must be completed. Staff and service users must be aware of these. The action points raised by the health and safety audit must be addressed. COSHH risk assessments must be available for service users to ensure that the necessary precautionary measures are complied with. Portable electrical appliances must be checked annually. 15/08/05 30/09/05 30/09/05 30/09/05 30/09/05 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 YA25 YA27 YA37 Good Practice Recommendations Double bedrooms should be phased out unless two service users currently living there choose to continue sharing. A walk in shower should be installed at the home. The registered manager must hold qualifications at NVQ level 4 in management and care by the end of 2005. Priory Road J55 S3003 Priory Road V236850 8.7.05 UI Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield, S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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