Inspection on 23/07/07 for Richford Gate, 52

This inspection was carried out on 23rd July 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Richford Gate, 52 28/04/08

Richford Gate, 52 09/05/06

Richford Gate, 52 03/11/05

Richford Gate, 52 01/04/05

Richford Gate, 52 20/01/05

Richford Gate, 52 07/07/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Richford Gate, 52 52 Richford Gate Richford Street Hammersmith London W6 7HZ Lead Inspector Sheila Lycholit Unannounced Inspection 23rd July 2007 9:50 Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richford Gate, 52 Address 52 Richford Gate Richford Street Hammersmith London W6 7HZ 020 8749 0307 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) info@yarrowhousing.org.uk Yarrow Housing Ms Judy Miller Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2006 and 25th September 2006 Brief Description of the Service: 52-53 Richford Gate is a registered care home providing support and accommodation for eight men and women with a learning disability. The service is provided by Yarrow Housing, a ‘not for profit’ organisation, in a building owned by Kensington Housing Trust. The home, which is comprised of two separate flats, is well located, close to facilities in the local community and the shops and transport links of Shepherds Bush and Hammersmith. The home provides accommodation on two floors and is not accessible to people with mobility difficulties. Each service user has a single room. The accommodation does not have its own garden. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit took place on Monday 23rd July 2007 from 9.50AM until 3.20PM. There were 5 people living at the home, with 3 vacant places. A number of prospective residents were being considered for the vacancies. Since the last inspection, one new resident had moved to 52 Richford Gate, one resident had moved on to more independent accommodation and one had returned to live with his family. The Deputy Manager was on duty with one Support Worker and the Domestic Assistant. The Manager who was working an evening shift and sleeping-in came in early to meet with the Inspector. A regular bank worker came on duty at 2PM for the late shift. Four residents were present for some of the time during the visit. One resident was returning later in the day, having stayed overnight with his family. Each of the residents returned a survey form prior to the inspection. The Inspector spoke with the most recent resident in private and met with 3 other residents during the visit. The Manager had completed an annual quality assurance assessment (AQAA). The Inspector met with the Manager and Deputy Manager and spoke with the bank member of staff. The Deputy Manager showed the Inspector around the building. Fees for the service vary and are negotiated individually between Yarrow Housing and the commissioners, the London Borough of Hammersmith and Fulham. What the service does well: What has improved since the last inspection? Although the team has been operating with a reduced number of staff, a number of improvements were seen at this inspection. Residents’ records and PCPs are in good order and show joint working with the Learning Disability Team. Staff are increasingly using multi-media to improve communication for residents. Steps have been taken to ensure that staff complete mandatory training, including refresher training, on time. The training programme has Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 6 been re-established giving staff access to a range of accredited training. Staff and residents’ meetings are written up in detail. The speed of repairs has improved. Staff chase up any delays that occur. The appearance of the accommodation is much improved – the carpets have been professionally cleaned; a new dining room table and chairs purchase; a sofa and armchairs recovered. Communal rooms and areas were tidier, with equipment and supplies put away. 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. The summary of this inspection report can be made available in other formats on request. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 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 Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Information about the service is of a very good standard, provided in an accessible format that is regularly updated and includes individual terms and conditions. A recent admission to the service was hurried and did not follow Yarrow Housing’s own guidance. EVIDENCE: Yarrow Housing produces very clear, accessible documents for users of its services. Up to date service users’ guides for 52 Richford Gate were seen on the two individual files looked at during the visit. Files also contained signed contracts for the service with Yarrow, including fees and charges and a tenancy agreement with Kensington Housing Trust. The file of the newest resident and discussion with him established that his move to Richford Gate had been undertaken with some haste and he had not been given an opportunity to visit the service or to carefully consider the move beforehand. Nor had staff had the opportunity to undertake a full assessment or to consult with existing residents. Fortunately the placement has been successful. The new resident confirmed that he likes living at Richmond Gate , though he sees it as a transitional move before going on to more independent accommodation. A number of the other residents knew him from attending the same day services and he has become a popular member of the house. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 9 Assessments for other residents are regularly undertaken with colleagues from the multi-professional Learning Disability Team. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service provides individualised care and support for residents, who have varying needs. The independence of residents is well supported, including their involvement in the running of the home. EVIDENCE: The individual files and PCPs of 2 residents were looked at. Both were in good order, containing up to date support plans, records of recent assessments and reviews and risk assessments. Support guidelines are written in the first person and detail how the resident wishes to be assisted. The support guidelines seen were well written and demonstrated that staff have a detailed understanding of residents’ needs and individual preferences. Staff have developed more detailed PCPs using photos, as well as text, which set out residents short and longer–term goals. Files contain a copy of a signed record of residents’ preferences regarding the gender of carers. Monthly summaries relate to the objectives set out in PCPs and provided a good overview of progress and of any issues or concerns. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 11 Residents meetings take place regularly and are typed up by staff using some signs and symbols. The notes of the most recent meeting on 10th July 2007 showed that residents had discussed outings and visits to take place over the summer while their adult education classes were closed. Menus are discussed and agreed at each meeting. Risk assessments are comprehensive and are regularly reviewed. Staff support residents to take risks as part of preparation for more independent living. One resident who previously could not travel without staff escorting him, has been travelling independently to college following travel training. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff show a strong commitment to supporting people to take part in a wide range of community activities and to establish and maintain relationships with friends and families. The use of fresh fruit and vegetables has improved considerably, though staff still have difficulty in encouraging some people to eat a wider range of freshly prepared food. EVIDENCE: Records show that staff work with the multi professional Learning Disability Team to support residents, for example with expressing feelings appropriately, managing behaviour and developing communication skills. The behaviour of one resident, which was causing disruption in the home and involved incidents of verbal and racist abuse, has improved considerably, with the support of staff and intervention of the Psychologist. He no longer needs medication to reduce his agitation. However his behaviour continues to have an impact on other residents. One resident told the Inspector that she was unhappy about having Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 13 to keep her cupboards in the kitchen locked. Staff confirm that they are trying to minimise the impact of restrictions on other residents. On the day of the inspection 4 of the 5 residents were initially at home, as a number of adult education classes that they normally attend were closed for the summer. A programme of trips and outings had been arranged for July and August, which had been agreed at the previous residents’ meeting. The Gate day service, which is located in the same block of flats, was remaining open and 1 service user attended a literacy session during the inspection. One resident was supported by a member of staff to go out to choose a mobile phone. Records, photos and discussion with the Deputy Manager confirm that residents are supported to maintain and establish relationships with families and friends. The close friend of one resident was visiting during the inspection. Individual holidays are arranged for residents that reflect their interests. During the inspection in June last year, one resident was in Madrid to see Real Madrid play and he was excited about the prospect of going to Barcelona this year. Staff were using the experience of travel to widen his understanding of cultural and linguistic diversity. Residents are involved in choosing menus, which are agreed at residents’ meetings. The fridges in both flats were clean and in good order and contained a range of salad vegetables. Bowls of fruit were available in each flat. Although some progress has been made in encouraging residents to eat healthily, further steps need to be taken to widen the choices that are made. For example, the menus show that a takeaway on one day is followed by pie and chips, also bought-in, on the next day. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents receive individual support in line with their needs and wishes. The health care of residents, some of whom have underlying health problems, is given a high priority. EVIDENCE: As discussed under standard 6 above, well written support guidelines are available on individual files. Support needed varies between individuals, with some needing assistance and others requiring prompting. No current resident requires help that involves moving or handling. Residents were observed to be appropriately dressed, in clean clothes. Records show that staff ensure that residents receive regular health checks and accompany residents to hospital appointments. Referrals are made for psychiatric and psychological assessment as necessary. One resident manages her own medication, which she has been undertaking for a number of years. In view of the complexity of her medication regime, staff continue to monitor her medication. MARS sheets seen were fully completed, including medication given as required. The administration of Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 15 medication has improved and although 2 medication errors have occurred since the last inspection, these have been detected promptly. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Yarrow Housing has a comprehensive complaints procedure produced in an accessible format. Incidents are recorded in detail and action taken to prevent a reoccurrence. EVIDENCE: Yarrow Housing’s complaints procedure is set out in the Service User’s guide in an accessible format. In the feedback surveys, all residents confirmed that they knew how to make a complaint. Notes of residents’ meetings show that staff try to elicit concerns from residents so that a solution can be found. Copies of completed feedback forms were also found on the 2 individual files looked at, which seek residents’ views about the service. Two complaints have been received since the last inspection: one from a resident about a maintenance issue that has been rectified and one relating to an incident at a college. The latter incident was investigated by the Manager and the member of staff given advice about managing any repetition of the incident in a different manner. Incidents are recorded in detail, with action taken and where appropriate copies are forwarded to CSCI. Training records show that staff have received training in safeguarding adults. No safeguarding adults referrals have been made in the past 12 months. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 24, 25, 26, 27, 28 and 30 While not ideal, as there is no garden outdoor space or storage for large items, the flats are well located for local services and are part of an ordinary housing development. The appearance of the accommodation has improved considerably since the last inspection. EVIDENCE: The accommodation is arranged over 2 adjacent flats, each with it’s own facilities. There is a shared laundry room. The flats are on the first floor of a housing association development and are accessible by a lift. One resident has some difficulties with mobility and occupies a bedroom on the lower floor of the flats, where there is also an accessible shower and lavatories. Staff have taken steps to improve the appearance of the accommodation, which was clean and tidy at this unannounced visit. Carpets have been professionally cleaned; the sofa and chair in one sitting room has been re-covered and a new dining room table and chairs have been purchased. Re-decoration is planned to take place later in the summer. One resident commented on how much she liked the new Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 18 dining room table. The ventilation in hot weather remains unresolved, though with the cool and wet summer it had not been a recent problem. The Deputy Manager confirmed that improvements to ventilation were still being considered, though no date had been agreed for the work to start. Residents in one flat tend to leave the front door open when it becomes hot, which is potentially risky. It is recommended that a solution be found, for example by fitting a security chain, or a buzzer to alert staff that the door is open. Residents have single bedrooms that are personalised to reflect their interests. There are sufficient bathrooms and lavatories, though all would benefit from refurbishment. Minor repairs are carried out more promptly than previously, usually by Yarrow’s handyman. Some problems remain where the Housing Association is responsible for repairs, though there were no major problems at the time of the inspection. The flats, including kitchens, bathrooms and the laundry, were clean and tidy. The laundry, which also acts as a storage area for large items, is well equipped. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The staff team, although reduced in size, work effectively together to support residents. A comprehensive training programme has been re-established and staff benefit from regular supervision and team meetings, which are very well recorded. EVIDENCE: The staff complement has been capped at 6 posts plus additional hours for one resident, while vacancies remain at the project. There is one member of staff on maternity leave and one on unpaid leave. The remaining staff consist of the Manager, 2 Deputy Managers and a Support Worker. Regular staff who know the residents are employed from Yarrow’s bank. One member of staff sleeps in each night, using a bed in the small office. Staff are recruited by project Managers and Yarrow’s HR team who carryout all recruitment checks. Confirmation of CRB checks was seen for all current staff. New staff follow the Skills for Care induction format, as well as the projects own local induction. The training record of the most recently appointed member of staff showed that he had completed all mandatory training and was ready to have his Skills for Care workbook signed off. A date for his probation period review meeting had been arranged. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 20 The regular bank worker at the service confirmed that she had received an induction to Richford Gate and that she had access to training. She had also received confirmation that she was being enrolled on NVQ2. Records show that all staff have completed health and safety training, including refresher training. Yarrow provides comprehensive training for staff, which is set out in the annual training programme, a copy of which was available at the home. In addition to in-house training, records show that staff attend external conferences and workshops. One Deputy Manager has completed the RMA, the other Deputy is undertaking NVQ4. Staff meetings take place monthly and are written up in detail, giving any staff who are unable to attend information about the discussion and action agreed. Supervision records for 2 staff were looked at. These showed that staff receive supervision monthly, with detailed notes of the sessions made available. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42 and 43 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is an experienced senior staff team, who know the residents well and who are involved in all aspects of their support. A number of steps are taken to ascertain residents’ views of the service and to involve them in Yarrow Housing’s wider development. Records, including health and safety records, are well maintained. Yarrow Housing must ensure that visits on behalf of the provider are undertaken regularly, by appropriate members of staff and are recorded. EVIDENCE: The Manager is completing the RMA after some delays. The Manager and Deputy Managers know the residents well and are involved in supporting them on a day to day basis. Records show that residents’ views are regularly sought through day to day interaction, at residents’ meetings and by means of questionnaires. An invitation to residents to attend a meeting to discuss Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 22 changes in the structure of Yarrow Housing, in an accessible format, was seen on the notice board. Residents are encouraged to attend the monthly forum, which takes place next door at The Gate. None of the residents is able to manage money without support. Staff keep a record of all transactions made on residents behalf and residents’ finances are checked every 3 months by Yarrow’s finance staff. Health and safety records are in good order. A detailed health and safety check took place on 1st July this year, with action required noted. Records show that fire drills take place at least 4 times a year. The fire alarm is checked weekly at different points. The fire risk assessment was reviewed on 29th November 2006. All current staff have received training in fire safety in the last 6 months. All COSHH assessments were updated in February this year. The hot water is checked monthly at all outlets. Visits on behalf of the provider are not taking place as required under regulation 26. Three reports for 2007 were on file and one report from a member of the finance team relating to residents’ financial records. The visitors’ book shows that senior staff from Yarrow Housing have visited the project on many occasions this year but without completing a report that covers the areas referred to in regulation 26. Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 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 4 2 3 3 3 4 2 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 2 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X 3 3 2 Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA4 Regulation 14 Requirement Timescale for action 31/08/07 2 3 YA24 YA43 23 26 Prospective residents must have an opportunity to visit the home and sufficient time must be given for an assessment and for the resident and staff to plan an agreed transition. Plans for improving ventilation 31/10/07 must be implemented. 31/08/07 Monthly visits on behalf of the provider must take place, with reports available. This was a requirement following the random inspection on 25th September 2006. 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 Refer to Standard YA17 YA24 Good Practice Recommendations Further steps to encourage healthy eating should be considered. A risk assessment should be undertaken regarding the security of one of the front doors, which residents tend to leave open to improve ventilation. DS0000019146.V342415.R01.S.doc Version 5.2 Page 25 Richford Gate, 52 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Richford Gate, 52 DS0000019146.V342415.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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