Inspection on 04/12/06 for Ridgewood Drive (1)

This inspection was carried out on 4th December 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ridgewood Drive (1) 29/10/07

Ridgewood Drive (1) 14/12/05

Ridgewood Drive (1) 30/08/05

Ridgewood Drive (1) 10/11/04

Ridgewood Drive (1) 03/08/04

Ridgewood Drive (1) 19/02/04

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Thorndene

Insight - Eastchurch

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33 St John`s Church Road

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

CARE HOME ADULTS 18-65 Ridgewood Drive (1) 1 Ridgewood Drive Old Bisley Road Frimley Surrey GU16 5QE Lead Inspector Suzanne Magnier Key Unannounced Inspection 4th December 2006 10:00 Ridgewood Drive (1) DS0000013440.V297285.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 Ridgewood Drive (1) DS0000013440.V297285.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. Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgewood Drive (1) Address 1 Ridgewood Drive Old Bisley Road Frimley Surrey GU16 5QE 01276 62668 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) www.new-support.org.uk New Support Options Limited Ms Regina Meakings Care Home 5 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1), Physical disability (4), of places Physical disability over 65 years of age (1) Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Of the 5 residents accommodated, up to 4 may fall within the category PD in addition to the category LD Of the 5 residents accommodated, up to 1 may fall within the category PD(E) in addition to the category LD(E) For those residents within the category LD or PD, the age range will be 31-64 Years. For those residents within categories LD(E) and PD(E) the age range will be 65 Years and over. 14th December 2005 Date of last inspection Brief Description of the Service: 1 Ridgewood Drive is a purpose built, detached bungalow set in a private residential area, located in Frimley, close to the town of Camberley. The home is owned and managed by New Support Options Limited and provides accommodation and care for up to five people with learning disabilities and/or physical disabilities. All areas of the home are easily accessible and the doors and hallways are wide enough for wheelchair access. Communal areas are arranged and furnished in a comfortable, homely way and there are ample toilet and bathing facilities. All bedrooms are single occupancy and of a good size, and all have a wash basin. No rooms have en-suite facilities. There is a garden to the rear of the property that is fully accessible to the service users and parking for several cars to the front of the building. The home has its own vehicle for accessing activities in the local community, trips out and attending day centres. The current weekly fees are £1209.88£1341.77 Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced site visit took place over 3 hours. The registered manager was not available at the site visit and the staff on duty represented the service. For the purpose of the report the staff advised the inspector that the people who live in the home are referred to as ‘supported people’. The home is currently supporting five people who have complex needs, some of whom do not use formal speech to communicate. Due to the complexity of the lifestyles and needs for the people supported the inspector observed staff interaction with the people being supported noting communication through tone, eye contact, support interactions and other body language. The focus of the inspection was to meet with the supported people and staff. In addition person centred plans care plans, risk assessments, health and safety records, medication procedures, several policies were sampled and a full tour of the premises undertaken. The inspector wishes to thank the people being supported and staff for their cooperation during the inspection. What the service does well: What has improved since the last inspection? The home has continued to develop the person centred plans to promote peoples lifestyle, meaningful occupations and preferences. Areas of the home have been decorated and new furniture purchased. Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ridgewood Drive (1) DS0000013440.V297285.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 Ridgewood Drive (1) DS0000013440.V297285.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Supported people have sufficient information to make an informed choice if they would like to live in the home. EVIDENCE: The home has recently updated the Statement of Purpose and the Service Users Guide. The documents have been developed with the use of pictures and words and each supported person has a copy. The inspector sampled supported peoples contracts which were clear in detailing the terms and conditions of residency in the home. Documented evidence was available in supported peoples files regarding changes in the fees in order to keep the person and their representatives informed. Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has maintained robust care planning and risk assessments. The documents were current and well recorded to ensure the supported people’s wellbeing, choice and independence in their lives. Supported people were involved in the running of their home and their rights to confidentiality promoted. EVIDENCE: The inspector sampled two supported peoples individual plans, which included clear demonstrations that people are encouraged by staff to make decisions about their lives and their preferred lifestyles. The person centred plans also included documented guidance in order to assist staff in getting to know the supported person, their likes, dislikes and their preferred lifestyle and daily routines. Examples included morning routines illustrated through pictures, support plans including use of the toilet, bedtime routines, floor exercises, spending time out of the wheelchair, preferred ways Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 10 to take medication, safety in the mini bus, maintaining oral hygiene, support with eating and drinking and support with daily writing. Some supported persons care plans also included photographs of family and friends and holiday snaps. One supported person told the inspector that they were happy and liked their bed as it was comfortable. Support plans had all been recently reviewed and updated. During the site visit the inspector observed that staff actively supported people for example with breakfasts, doing the laundry, doing their activities or being on their own listening to music. It was noted that staff informed and consulted with the supported people on what was happening in the home, who was coming and going for example the presence of the inspector, one person was attending a health appointment and the homes vehicle needed to be taken to the garage. The aroma therapist visited the home during the inspection and discreetly attended to a supported person in the privacy of their room. The home has individual documented risk assessments in order to ensure the safety and well being of the supported person. The assessments included safety in the sun, safety in mini bus, medication, specialised treatment when needed, safety whilst lying on the floor and using the bath. Behavioural support charts (ABC) were also available to document supported peoples communication through behaviours, which may test the service and may assist staff in understanding what particular behaviours and sounds meant as a form of communication. The home has a confidentiality policy and the inspector observed that all files were stored in a numbered system and all the supported peoples files and related documentation were individually stored in their own files, which were kept in the homes office. Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home promotes and maintains supported people’s involvement in their community. People are supported to develop and maintain friendships and be involved in the running of the home and improving daily living skills. The available choice of food provided was of a good standard. EVIDENCE: On arrival at the site visit one supported person was having their breakfast with a staff member. The atmosphere in the home was calm and relaxing and the supported people were introduced to the inspector. Whilst sampling the supported peoples care plans the inspector noted that the individuals aspirations and goals were recorded and included trips to the library, museum, the sensory garden at Harrods and to see the Christmas lights. The goals had been updated in September 2006. Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 12 One supported person enjoyed a one to one session with a staff member, singing and playing the organ and also talking about a variety of cars in their collection. The inspector observed good interactions by staff that demonstrated active listening skills and speaking with supported people in a way in which suited their communication abilities. Staff support several people to attend weekly hydrotherapy sessions and guidelines were noted in the supported peoples files to instruct staff how to support the person in the water. Visits to the local library, art venture, an advocacy group, swimming and an evening to a social event have all increased the supported peoples awareness and inclusion in their local community. Other activities that have taken place include a barge trip along the canal in Guildford, visits to a motor show and a holiday to Devon and Bognor Regis. Several supported people have also been to London to have bus rides, see the lights, visits to the theatre and go shopping. Indoor activities and skills for daily living are also encouraged and include room cleaning ,cooking, baking, laundry, choosing the menu, taking part in board games, music playing, exercises, pampering sessions like hand massages and foot spas. The inspector was advised that one supported person would be visiting their family over the Christmas period. The person centred plans also included the supported persons likes and dislikes for example likes cars, playing the keyboard, massage, eating out and going places, going to discos, watching films, exercises, going out in the mini I bus, having holidays. Also included were dislikes for example loud bangs, not wearing a jumper, not having boots on and telling people to be quiet. The home has a snoozelum room, which was well decorated and had a variety of sensory equipment. Supported peoples daily living skills were promoted and documented in their personal files for example cleaning their bedrooms, making their beds, helping with cookery and dusting. A member of staff prepared the midday meal and a supported person who assisted in peeling the potatoes for the home made vegetable soup. The inspector was advised that the home offers flexible meal times in order that residents can choose when they want to eat. The midday meal was served to supported people with appropriate crockery and cutlery, which promoted their independence and staff were available for one to one support and shared the mealtime with the supported people. The home had adequate supplies of fresh fruit, cereals and vegetables and well-stocked fridges and freezers. The inspector noted that a picture menu was Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 13 available in the home and on several kitchen cabinet doors pictures had been put on the doors to help people know what was in the cupboards. Ridgewood Drive (1) DS0000013440.V297285.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has consistent recording and documentation to evidence that supported people attend health care appointments. The homes medication procedures are robust to ensure the safety and wellbeing of the supported people and staff. The home is active in seeking the views of supported people and their representatives regarding their final affairs. EVIDENCE: The person centred plans demonstrated that the home supports each person in an individual way and takes into account their wishes, feelings and needs to their routines of daily living. Each file sampled contained individual guidelines of care and support that included personal information, communication and behaviour profiles, care support guidelines, sensory abilities, financial support, funeral arrangements, leisure activities, meaningful occupation, specialist health care profiles and support and access to specialist health care appointments. Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 15 The home has a monitored dosage system (MDS) in place and all medication was stored in locked cabinet in office. All medication administration charts were appropriately signed and contained a photograph of the supported person. Records of stocktaking of medications received into and returned/destroyed were well recorded. Witness sheets to confirm administration of medication were well documented. Records indicated that all staff have undertaken medication training. Ridgewood Drive (1) DS0000013440.V297285.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a robust complaints procedure to demonstrate that complaints will be acted upon and a Safeguarding Adults (Adult Protection) policy and procedure in order that supported people are adequately protected by the same policy and procedure. EVIDENCE: The home has a complaints policy and procedure and a complaints log. The procedure is clear and contains pictures, which could assist people in understanding how to complain. The home has not received any complaints since the previous inspection. All but one comment card stated that they were aware of the homes complaints procedures. The home has been subject to one safeguarding vulnerable adults referral under the Surrey Multi Agency policies and procedures, which has been satisfactorily concluded. Ridgewood Drive (1) DS0000013440.V297285.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25,26,27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was viewed as clean and bright throughout. Supported peoples rooms reflected individuality. Communal areas, including bathrooms in the home were spacious and met the current needs of the individuals. EVIDENCE: The home has had new flooring in the lounge area, new curtains and nets, a settee in lounge and new dining room table and chairs. The bedrooms viewed by the inspector were clean well decorated and reflected each person’s lifestyle and personality through their belongings, ornaments and décor. The inspector sampled a furniture plan, which indicated that a supported person had some part in choosing their bedroom furniture and furnishings. Several people had profiling beds, which assist them in their posture and mobility whilst in bed and also promotes safe moving and handling for staff. The bathrooms/toilets remain spacious and include overhead hoists and specialised baths to assist people in a comfortable and safe way. The bathroom Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 18 and toilet facilities were observed as meeting the current needs of the supported people. Records evidenced that service checks had been maintained on all specialist equipment throughout the home. The lounge area of the home was well decorated and included soft furnishings, and leisure items. The home has wide corridors and is purpose built to assist people who use wheelchairs The home continues to be clean and hygienic throughout. It was noted that the external guttering was in need of clearing and the staff member on duty advised that this had been reported to the landlords. Ridgewood Drive (1) DS0000013440.V297285.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a robust system for the induction, training development and recruitment of staff to ensure that supported peoples needs are met appropriately and safely. EVIDENCE: The inspector sampled the staff files on the 1st September 2006 at the New Support Options local area office in Aldershot. New Support Options undertake the initial advertising of the vacancy and two senior managers undertake the short-listing process, which includes the registered manager. New Support Options have recruitment and selection policy, which incorporates equal opportunities and the inspector, sampled three staff files all of which complied with the current legislation regarding information and documentation in respect of persons working in the care home. All staff have job descriptions and employment contracts in order that they are clear about their roles and responsibilities. The inspector was advised that staff applicants are invited to visit the care home in order that both parties can meet and the supported people have an opportunity to express their views about the prospective member of staff. Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 20 The home have recently recruited new staff, and have thirteen full time staff, and a staffing bank system. All staff members are link workers and have allocated responsibilities within the home. During the site visit staff demonstrated competency and were well organised in the absence of the registered manager. They each spoke about the philosophy of the home and promotion of supported peoples rights. The staffing levels in the home appeared adequate to meet the current needs of the supported people. All but one comment card stated that the home has sufficient staffing levels. Staff training records were in place. The training records did not give a clear indication of the attendance of staff and following the site visit the inspector contacted the registered manager to seek clarification. Information received following the inspection detailed that all staff had received statutory training and where there were some voids staff had been booked to attend the training. The inspector was advised that New Support Options would be implementing a database in order that staff training records could be more accessible. Ridgewood Drive (1) DS0000013440.V297285.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall management of the home is robust, supported people and their representative’s views and opinions are considered and service users safety and welfare is well managed. EVIDENCE: The registered manager was on annual leave and the inspection was conducted with care staff. The management of the home was effective and efficient and the staff spoke highly of the manager’s approach and inclusion of staff in the home. It was evident that all staff on duty had a robust understanding of the needs and abilities of the supported people and had a good working knowledge of the running of the home in the absence of the manager. Records in the homes office were well organised, available and up to date, this Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 22 assisted staff to conduct the inspection more easily in the absence of the manager. The service promotes inclusion by the supported people and has a quality assurance document of the South Regional Quality Assurance ‘growing together-making a difference’. The document has set out areas of priority actions from April 2006 to March 2007 in response to the evolution project undertaken by New Support Options in order to consult and make meaningful differences to the lives of the supported people. The plan was noted as simple to read and has set clear goals related to supported people and service quality, diversity, finance, staff, growth and development and communications. The inspector sampled a workbook, which had been completed by a staff member with a supported person and indicated that the person would like another woman to live in the house and liked living with the people in the house. The home has a health and safety policy and procedure in place, which was displayed in the home to promote staff awareness and promotion of a safe environment. Accident and incident records demonstrated that appropriate supportive action was taken following any incidents affecting the supported people. Fire evacuation, drills and practices had been undertaken and the inspector noted that individual fire evacuation plans were in place for supported people. Health and safety checks had been conducted to include first aid boxes and measuring and recording water temperatures throughout the home, which were noted to be within safe ranges. Ridgewood Drive (1) DS0000013440.V297285.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 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X X 2 X Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 YA42 Regulation 23.(4) (a)(i) Requirement The registered person must take adequate precautions against the risk of fire, including the provision of suitable fire equipment and for containing and extinguishing fire. The fire door, which is not closing properly, must receive attention. Timescale for action 04/12/06 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 Ridgewood Drive (1) DS0000013440.V297285.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Ridgewood Drive (1) DS0000013440.V297285.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. 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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