Inspection on 20/02/07 for RNID

This inspection was carried out on 20th February 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 no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

RNID 02/12/08

RNID 22/02/06

RNID 20/09/05

RNID 27/01/05

RNID 09/09/04

Similar services:

Foxley Lane (121a)

Avenues (The) (Neave Crescent)

Banstead Road South (21)

Rela Goldhill Lodge

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

CARE HOME ADULTS 18-65 RNID 113 Brondesbury Road Kilburn London NW6 6RY Lead Inspector Richard Adkin Key Unannounced Inspection 16th January 2007 10:30 RNID DS0000017431.V325958.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 RNID DS0000017431.V325958.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. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service RNID Address 113 Brondesbury Road Kilburn London NW6 6RY 020 7328 8540 020 8372 8965 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) RNID Anthonia Adamma Oguh Care Home 6 Category(ies) of Sensory impairment (6) registration, with number of places RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users will be male only. Date of last inspection 22nd February 2006 Brief Description of the Service: 113 Brondesbury Road is a care home run by the RNID and provides support and accommodation for six residents who are hearing impaired, some with additional sensory impairments. Family Housing Mosaic owns the property. The staff are also trained to support additional needs that include visual impairment, mental health issues, mild physical disabilities and learning disabilities. The house is located in Kilburn and is close to local shops, tube and bus routes. The house is a modernised semi detached property in a quiet residential area. The accommodation is on three floors with the communal rooms being on the ground floor. There is no wheelchair access. There are six single rooms with bathroom and toilet facilities on each floor. There is a small well-kept garden to the rear of the house with a patio area and barbecue for the residents use. Parking is limited. Residents are funded by the Local Authorities based in London and the Home Counties from where the residents originated. Fees charged are in the range of £772.00 to £811.87 per week. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place mainly over two days during mid January 2007. A further visit took place to look at staff records. The second day of the visit was planned in order that the Inspector could meet with residents with an external interpreter to provide ‘hands on’ and signing to facilitate communication between the Inspector and residents in order to gauge the residents’ experiences of living in the care home. The Inspector had the opportunity to meet residents, the Manager, Deputy Manager and care staff. The Inspector had access to staff records; policies and procedures, care records and made a tour of the premises. The Inspector would like to thank all residents and staff for their contribution to the inspection. What the service does well: What has improved since the last inspection? What they could do better: There is a long-standing requirement that RNID along with the landlords carry out a premises risk assessment. The home needs to further review sleep-in arrangements to ensure that residents are safeguarded during the nights. There was significant staining of the carpet in front of the toilet that needed remedying; this was addressed between the two visits by the purchase of a carpet cleaner; the underlying cause of the staining needs to be addressed. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 6 Staff records were not up to date or complete. This was partly due to the records not being accessible for a considerable period because of a faulty lock where the records were securely stored. A further follow up visit was made to the care home to ensure that the updating of staff records was fully addressed. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 7 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. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 8 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 RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 9 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a Statement of Purpose that clearly sets out the objectives, philosophy and values of the service. The staff team are qualified and experienced to meet the needs of residents. EVIDENCE: There is a stable long-term group of residents at the care home. The last resident to move into the care home was in the year 2000. The Statement of Purpose was reviewed in February 2006 for 113 Brondesbury Road. The Inspector also looked at RNID’s Admission and Referral Policy (April 2003) that ensures that all potential service users have an equal chance of being offered a place where the service meets their needs. There is a great demand for any vacancy that may arise at the care home. The procedure for admission includes introductory visits and stays. The views of other residents are given importance. The Statement of Purpose promotes the General Social Care Council’s values of Privacy, Dignity, Independence, Choice, rights and fulfilment. The Statement of Purpose has a section on admission process, fees and what is included and not included. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 10 Discussion with the Manager demonstrated her awareness and sensitivity should a vacancy arise in supporting a potential new resident; the resident’s needs are well met by the experience, skills and training of the staff group. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 11 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, 9, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that each resident’s plan is reviewed regularly; plans are updated and necessary action taken to respond to any changes. Each resident has a plan that has been agreed with him or her. These plans include risk assessments. EVIDENCE: A requirement that arose at the previous unannounced inspection was that the Manager needed to ensure that key workers keep their key worker sessions up to date. It was also strongly recommended that the key workers review the care files and create a working care plan folder where only current or ongoing information is kept, such as recent reviews, care plans, risk assessments, current medical/health information, health care records, recently monthly summaries etc. These have been reviewed and the current working folder is in place. The Inspector for evidence of implantation of these positive changes RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 12 looked at the files for three residents; evidence was seen of regular key worker sessions’ taking place and this is being recorded. The Inspector looked at the risk assessments of several residents. It was helpful to see copies of risk assessments for residents on their most recent holiday trip to Cornwall. There was a staying out consent form for one resident who is independent and stays out late. The chosen lifestyle of this resident should be given further consideration in a forum like a review to look at the risk assessment concerning potential exploitation. Care plans are reviewed every six months and a yearly statutory review where the placing authority attend. Files looked at by the Inspector were up to date. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 13 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): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a full lifestyle and take part in local appropriate activities. Maintaining independence and enabling residents to make their own decisions about how they wish to live is a key objective for the home. Residents enjoy the food provided and feel their family members are made welcome. EVIDENCE: At the last inspection the activity records needed updating on individual resident’s files, as they did not reflect the actual activities that were being carried out. A sample of these resident’s activities were looked at by the Inspector and were regularly updated and reflected a great range of activities that residents are involved in; in the local community and the wider community. Most RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 14 residents attend a local gym. A number of residents attend day services or local college. One resident experiences considerable support, by attending a local church weekly. Visits by family and friends are recorded in the resident’s current file and these visits are supported and encouraged. Residents spoke positively about the food they received at the care home; as a group they like to have regular times for eating. Lunchtime is usually a sandwich with a cooked meal at teatime. Staff at the care home had good communication skills and contact with residents. Independence is supported and encouraged for the residents. Residents have their own front door and room key. Resident’s rooms display the varied interests that residents have. For instance, one resident regularly attends football matches with a member of staff. On the first day of the inspection some residents were taking part in a photo shoot for publicity material relating to deafness. On the second day a group of residents were attending an IT course. The home has transport that is essential to support the options available. The yearly holidays were considered essential and enjoyable to residents. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is working towards an efficient medication policy, which is supported by procedures and practice guidance. Residents are treated with respect and dignity. Residents receive support with personal care in a sensitive manner. EVIDENCE: On the first day of the unannounced inspection the Pharmacist from Boots was making a visit to finalise the care home moving across to the Boots system and to provide guidance to the management. The Commission made a series of requirements and recommendations from the Pharmacy Inspector around falling short at the last unannounced inspection. The details of requirements arising were as follows. The Medication Policy for the care home needed to include a homely remedies policy. This needed to be agreed and signed by the GP. The policy also needed to be expanded to include the following information; how medicines are managed away from the home, home medication errors are handled and reported and how staff risk assess residents who may wish to fully or partially self medicate. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 16 Finally, all medicines needed to be accurately recorded when administered. If not administered, the correct endorsements must be used. The Inspector looked at the Policy for Administration of Medication (September 2002) and the Policy RNID Brondesbury Road – Medicine Administration (January 2007) produced by the Manager and to be finalised in discussion with the Boots Pharmacist. The latter policy covers all the requirements identified around the need to update the policy; no residents currently self medicate. The GP has endorsed the homely remedies paper (9/1/07). In terms of recommendations from the previous inspection, the following arose. The Pharmacist should be requested to label the actual container in addition to outer packaging. The Manager was advised to request from the GP that all service users are on the same monthly medication cycle. And finally, the home should set in train the checking of prescriptions before sending to the Pharmacist for dispensing. All these areas have once again been progressed in the change of Pharmacist and a change of practice and procedure. Staff are alert, sensitive and engaged with residents to support their emotional and physical needs. The Inspector in the health appointment section of their current file observed this, which were up to date. There is a community Optician (outside clinic) that visits regularly. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 17 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, 23, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is distributed in appropriate formats and explained. The training of staff in the area of protection is regularly arranged by the care home. Reporting mechanisms need to be tightened up. EVIDENCE: It was recommended previously that the home should ensure that the resident who wanted a specific publication is supported to access a copy of this magazine in order to put forward his bid for housing. A system is now in place with either the resident or the resident’s key worker collecting the publication fortnightly from the local library. RNID have produced a BSL Version 2006 DVD Complaints Policy and Procedure for residents, which has been watched by residents. Two residents who have hands on signing if they have concerns can meet with the Manager with a hands on signer. Residents have a copy of a pictorial Service User complaints procedure – widget version. RNID have a printed Complaints Policy (April 2004). One complaint was recorded since the last inspection, one resident saw a member of staff coming out of a resident’s room when no resident was in the room. There is a policy that staff only go into resident’s rooms in pairs. The Manager is undertaking an investigation and the member of staff is currently RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 18 suspended. There is a requirement that the POVA co-ordinator for Brent is informed of this potential POVA episode and CSCI kept up to date on this matter. The Inspector looked at the Accident Record. Five accidents were recorded since the last inspection. Staff had POVA training in September 2005 through RNID. The Manager was in the process of receiving POVA guidelines from the referring authorities for the residents. One resident had been mugged in the West End and had a considerable amount of money stolen. The Social Worker had been informed, but the Commission for Social Care Inspection had not received Regulation 37 notification. Residents that the Inspector met with the input from an interpreter felt safe at the care home. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 28 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The shared areas of the home provide spacious and comfortable communal areas. The home is clean and tidy. EVIDENCE: Several aspects of the home’s environment needed addressing from the previous inspection. The lounge needed to be redecorated and the dining room carpet needs to be replaced with more appropriate washable flooring. This has been undertaken and the living room has been made more homely. The Manager also needed to ensure that the home remains adequately heated in all areas. At the time of the inspection though well ventilated, the home was reasonable warm throughout. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 20 The home was clean and hygienic throughout. However, the carpet on the first floor was badly stained by the door leading into the toilet as a result of spillage in the toilet. This needs to be addressed in terms of managing continence and in replacing the stained carpet with a more appropriate washable surface or keeping the area clean. The Manager advised the Inspector that there was a programme of substantial cleaning of the carpets in the home. Between the two days of the inspection the Manager took action by purchasing a carpet cleaner and sorting out the problem area on the carpet. There was a pattern of delays taking place in response to the need to address repair and maintenance matters that needs to be addressed between RNID and the landlords. The home on the whole was clean, tidy and hygienic during the course of the inspection. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 21 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): 32, 33, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment practice needed addressing. Residents have confidence in the staff that care for them. Staff are trained to meet the complex needs of residents. EVIDENCE: At the previous inspection it was required that the home review sleep-in arrangements to ensure residents are safeguarded during the night. One person sleeps in at night in the office; there is no waking night staff. All residents have a pull cord in their bedrooms, as well as there being pulley cords in the bathrooms, which are linked to be office. Staff described considerable movements of residents during the night and not having much sleep. Sleep-in arrangements should be further reviewed given the complex needs of the resident group. Training was considered advisable for staff on understanding learning disability and challenging behaviour. Staff undertook a two-day training course on RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 22 learning disability and challenging behaviour in October 2006. ‘Care and Responsibility’ training had been set up for two dates, five days in February and five days in March 2007 for the staff group to be divided between the two training sessions. Staff personnel records looked at by the Inspector were incomplete and not satisfactory. As a matter of urgency these records needed to be systematic and comprehensive in order to ensure that residents are protected by the care home’s recruitment practice. The Inspector agreed to meet with the Manager to look at the implementation of these, four weeks after the second day of the inspection. By the third visit the files had been systematically overhauled and organised. The Inspector looked at four sets of personnel records and these were considerably improved. References were not available for one long-term member of staff and this needs addressing. Staff spoken to were experienced and had good communication skills. This included the Administration Officer. Two staff members had a hearing impairment. Staff spoken to were committed to overcoming the isolation that residents could potentially experience because of sensory deprivation. Induction Risk for Care Workers (20/3/04) is most comprehensive and provides clear guidelines and checks. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 23 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, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager and staff group work to continuously improve services and provide an increased quality of life for residents. The service is resident focussed. Records around fire procedures were of a good standard. Residents’ views inform the running of the service. EVIDENCE: A long-standing requirement was that premises risk assessments needed to be carried out. This becomes a recommendation that RNID should address fully RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 24 throughout the care home, as the process of health and safety; risk and benefit assessment took place in December 2006 for the kitchen and the office. The Manager was advised at the last inspection to discuss the action plan from the health and safety audit carried out back in February 2005, with the Service Manager for the organisation. This has occurred and information was forwarded to the Commission for Social Care Inspection. Weekly residents meetings happen in the care home at a regular time and regular day. Two members of staff facilitate these. The main areas of discussion revolve around requests for food for the following week, outing and activity requests and planning for holidays. Minutes are recorded, acted upon and meetings were noted to take place regularly. The staff personnel files were not well organised and these should be put in order. There had been problems for a while accessing staff records for a period because of a broken drawer. This was being repaired on the first day of the inspection. The Manager has started undertaking a Registered Managers Award. The Manager ensures that residents’ views on the home, staff, food and what they would like to do, prior to review is captured. This is in pictorial form. A fire risk assessment took place on 6/10/06 by a member of staff with a lead for fire issues. A weekly test of the fire alarm was seen to take place with a vibrator system. There is a direct link to the Fire Service. The fire alarm test certificate is for August 2006. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 25 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 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 2 29 X 30 x STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X 3 2 X RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 26 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 YA23 Regulation 13(6) Requirement The POVA co-ordinator from Brent must be notified concerning a potential POVA incident. CSCI should be informed of any significant incident affecting residents. The carpet outside of the toilet on the first floor was badly stained and needed cleaning on the occasion of the first visit. The underlying cause of the staining needs to be addressed. The home must review further sleep in arrangements to ensure that residents are safeguarded during the night. Previous timescale of 30/4/06 not met) The home’s recruitment practice in the keeping and storage of staff personnel information must be comprehensive and systematic. The gap of having no references for one member of staff employed for a considerable period should be addressed. Timescale for action 20/02/07 2. 3. YA23 YA28 37 23 01/04/07 01/05/07 4. YA33 18 01/05/07 5. YA34 17 01/04/07 RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 27 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. 4. 5. Refer to Standard YA24 YA24 YA39 YA41 YA42 Good Practice Recommendations One residents’ risk of exploitation should be formally explored. A plan should be in place for addressing prompt response to dealing with repairs and maintenance issues by the landlord. It is recommended that the contents of the inspection report be shared with residents at a residents’ meeting. Staff personnel files should be systematic and organised. The process of health and risk assessments that have been commenced for the premises should be completed. RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 RNID DS0000017431.V325958.R01.S.doc Version 5.2 Page 29 - 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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