Inspection on 15/02/06 for 79 Slade Road

This inspection was carried out on 15th February 2006.

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

The inspector 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 16 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

79 Slade Road 22/01/09

79 Slade Road 24/01/08

79 Slade Road 02/12/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Slade Road, 79 Erdington Birmingham West Midlands B23 7PN Lead Inspector Alison Ridge Unannounced Inspection 15th February 2006 15:00 Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Slade Road, 79 Address Erdington Birmingham West Midlands B23 7PN 0121 326 7152 0121 326 7152 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) Caretech Community Service Limited Mr Paul Doughty Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Residents must be aged under 65 years. Date of last inspection 12th May 2005 Brief Description of the Service: 79 Slade Road is a care home, registered to provide care and support to four people with a Learning Disability. At the present time the home accommodates four men, who also have some behaviours that challenge. The home is staffed 24 hours a day; overnight staff provision is a sleep in. The home has four single bedrooms. Three are on the first floor, and service users require full mobility to access this area of the home. There is also a bathroom and staff office/sleep in room on the first floor. On the ground floor is a communal lounge, dining room, kitchen, WC, and laundry area. The home has one ground floor bedroom, also fitted with an ensuite. The home is located in Erdington, Birmingham and is located close to local facilities and is conveniently sited for access to public transport. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this visit over the afternoon and early evening of one day. The visit was unannounced. During the visit the inspector was pleased to meet with all four of the men who live in the home, the staff on duty and the service manager. Records about care, the rota, and some health and safety records were assessed. This inspection was very focussed on the way the home supports the men on a day-to-day basis with activities, staying in touch with people important to them, meals, and ensuring their health needs are well met. It is suggested that this report be read alongside the report of the visit undertaken in May 2005. The inspector extends her thanks to everyone who assisted with this inspection. What the service does well: 79 Slade Road is an adapted domestic property. From the outside it is not distinguishable as a care home, which enables people to live as any other citizen within the community. The men were very relaxed within the home, and felt comfortable to do as they wished. The home has a registered manager, and some of the staff have worked with the men for a long time. This means the men are supported by people they know, and who have got to know them over time. The food available was very plentiful, and it included lots of fresh products. The staff and service users cook a lot of meals from scratch, and limited use is made of processed products. The men all have a single room, and these contained the items important to each person. When asked, the men said good things about Slade Road were being able to do colouring and art work, most of the staff, Paul the manager, and most of the time the food. The staff have tried to include the people in the home in the running of the home, and have made opportunities to talk to the men about the running of the home and their experiences. The Environmental Health Team visited the home and said the way food is stored and prepared is very good. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 6 The health and safety of service users, staff and visitors is well protected by regular testing of fire, electrical and gas appliances and hot water. The provider undertakes monthly visits to the home. They write a report about this, which shows they look seriously at the running of the home. What has improved since the last inspection? What they could do better: The décor of the home needs attention. The colour schemes and wear and tear on the environment means this home is in need of updating and improvement. The provider has told CSCI there are plans to address this. The care and support for one person with Diabetes, epilepsy and difficult to manage behaviour needs to get better. The plans and support offered needs to be reviewed. The behaviour of one of the people accommodated has an impact on the other men living in the home. Records about how staff are to manage this, and observation during the visit did not show this an area of care the staff are well meeting. It is required this be reviewed. Opportunity to undertake activities in the evenings and at weekends needs to increase. The way in which the commode pan is washed needs to be reviewed. CSCI don’t think a young, mobile person should have to use a commode, and also have concerns about it being cleaned in a bathroom. This area needs to be reviewed. At both this inspection and the last inspection the bedding in some the rooms was dirty. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 7 This is unacceptable, and was brought to the attention of senior staff at the time of the visit. Staff on duty must support service users to ensure their rooms, furniture and bedding is kept clean. 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. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 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 Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): X These standards were not assessed. EVIDENCE: The home has a stable service user group. There are no residential vacancies and no new service users have been admitted since the last inspection. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Care documents are personalised and detailed, but need to provide explicit information on how care needs are to be addressed. Service users are encouraged to play an active role in the running of the home. Risk assessments are available, but these need to be personalised to the risks faced and posed by each specific service user. EVIDENCE: The plans of two service users were assessed. Since the last inspection these have been subject to significant development, on the new providers paper work. All the information assessed was personal to the service user, and had been written to reflect their individual needs. The inspector identified staff need to go on to describe how the identified care needs will be met in greater detail. For one of the service users tracked it is known that he wishes to move on to more independent living. The plan of support did not address this area at all. The staff have commenced, ”Talk time” with service users which is a way of consulting with them about life in the home, and their lifestyle and goals. The records of this to date had identified some interesting ideas. The area manager Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 11 explained when fully operational staff will go on to develop activity plans, or support plans from this as is required. To date this work is yet to commence, and it was not evident how staff had supported service to achieve or progress towards many of the goals listed. Service users were observed to be encouraged to play an active part in the running of the home. Service users were encouraged to participate in the preparation of drinks, the evening meal and household tasks. The risk assessments for service users were found to require further development to reflect the specific needs of the service users assessed. Examples of a generic risk assessment for going out of the home, that did not underpin that the service user went out without staff support was given as an example of the work still required. All records in the home were securely stored, and the interactions between staff and service users were mindful of confidentiality. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12,13, 14, 15, 17 Service users have opportunity to stay in touch with their family and friends. A range of good quality food is served; this must be reviewed to ensure it meets the service users needs. Opportunities to undertake leisure and development are provided. These need to increase, particularly at evenings and weekends. EVIDENCE: The records of activities were assessed for two service users, and the inspector spoke with the men where possible about the opportunities available to them. It was positive to see that the service users had been supported with consistency to attend courses at local colleges. These were reported to remain popular. The records and discussions showed that opportunities to undertake leisure had been provided. This had included lunch out, using public transport, accessing local amenities such as shops and cinemas and attending a club. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 13 It was positive these opportunities had been provided, but when assessed over the month the opportunities to undertake community based activities at the weekend, and in the evenings continues to require development. Discussion with service users confirmed they are supported and encouraged to maintain contact with people that are important to them. The food available in the home was plentiful, and included a wide range of fresh products. The record of food eaten showed that some service users were regularly having two substantial cooked meals each day. This is of concern where the service user is also identified as needing to manage their weight. It was required that this be reviewed, and that the portion size of the meals offered be adjusted if this remains the service users preference. The evening meal on the day of inspection was freshly prepared, and looked and smelt nice. The meal didn’t include any salad, vegetables or fruit. Discussions with staff and service users identified that food was one of the good things about living at 79 Slade Road. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 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 Service users are all encouraged and supported to undertake personal care to a high standard. Plans of care detailing the support required and each person’s preferences continue to require development. Routine healthcare needs are met, and records of appointments are maintained. Specific needs including epilepsy, diabetes and behaviour need to be better planned, evaluated, and met in practice. EVIDENCE: The inspector was pleased to meet all four of the men accommodated. They all appeared well dressed, and it was evident they had been supported if required to undertake personal care. The plans of care regarding meeting personal hygiene require work to inform staff of how the need is to be met, and the type of support required. The routine healthcare needs of the two men tracked appeared to have been well met, with opportunities for screening by the dentist, optician, chiropodist and GP being provided. The more plans to underpin the specific needs of the men were seen to require further work. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 15 In one file no plan of care in the event of a service user having a seizure was available. The person has complex behavioural needs and no plan to underpin this was available. Staff had undertaken daily recording of the behaviours, but it was not evident that the information collected had been evaluated and used to inform or direct and care practice or support strategies. Another of the service users tracked was described as having mental health needs. A plan detailing these, the support or monitoring required, and any indicators of a change in well-being is required. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 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 A robust procedure is in place to address complaints. Service users pose a physical and psychological threat to each other, and effective risk assessments and strategies to address this are not in place. The adult protection procedure requires amendment to ensure allegations of abuse are dealt with as required. EVIDENCE: The complaints procedure has been assessed in other Care tech homes. It is robust and would ensure any concerns raised are investigated thoroughly. The Adult Protection policy During the inspection one service user was repeatedly verbally abusive to other service users accommodated. In another service users file an entry stating, “Was verbally abusive to peers” was observed. No risk assessment of the risks service users pose to each other, or strategy to underpin the support required to keep people safe was available. The Adult Protection policy did not make clear that the reader’s primary responsibility was to make the service user safe, and to contact social care and health. The policy made no reference to the local multi-agency guidelines. It has been required that this be reviewed in light of these observations. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 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, 30 The environment at 79 Slade Road is domestic and homely. Attention is required to the décor, furnishings and cleanliness to ensure the comfort and safety of service users. EVIDENCE: 79 Slade Road is an adapted domestic property, and so provides accommodation on a homely scale. It was positive that the home had been fitted with new window coverings, and a new lounge suite since the last inspection. While no concerns were raised regarding the structure of the home, the décor and fittings in the communal areas of the home, and some bedrooms were identified as requiring attention. The provider has generated a plan to address this, and for some of the work the timescale has now passed. It has been required that this be reviewed, and new timescales set. The communal lounge television was reported to be faulty, resulting in a poor picture and very limited choice of channels being available. It is required this be rectified. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 18 The inspector was pleased to see three of the four service users bedrooms. These all contained items that were of importance to the service user accommodated, and were personalised. The bedding in one of the rooms sampled was heavily soiled with faeces. Action to address this was undertaken at the time of inspection. In another room a used commode pan was discovered. The inspector raised concern that this had not been emptied and cleaned but also at the suitability of such provision for a younger adult with full mobility. The home has no hygienic means of cleaning a commode, and the current arrangements involve rinsing the pan in the bathroom. This has previously been raised as an issue, and the home must again review this, and find suitable means of supporting the service user with toileting, and for effective hygienic cleansing of the commode. The tour of the premises identified that further attention to cleaning was required. Spills, and general debris was evident on the floor around the home. The Environmental Health team inspected the home in December 2005, and very positive report regards kitchen cleanliness was received. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 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): 33 The number of staff provided enables service users to undertake planned activities during the week, but is not adequate to facilitate activities out of the home in the evening or weekend. Staff support service users in a friendly and positive way. EVIDENCE: The rota showed the staff team is generally stable; with vacant shifts being covered by the homes own staff or a small core of agency staff. The inspector observed only positive interactions between service users and staff. A happy atmosphere was evident in the home throughout the visit. The rota is generally covered by two staff, but increases to three to enable planned activities such as college to go ahead. On the rota sampled only two staff were provided each evening and all day at weekends, which would not be enough to support people out of the home on activities. Records of training were not assessed but it was reported that all staff had been on mandatory training to include food hygiene, fire safety, adult protection, and some service users specific training to include epilepsy, and challenging behaviour. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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, 41, 42 The leadership of the home is stable and focussed towards achieving positive outcomes for the people accommodated. The health and safety of service users, staff and visitors is generally well protected by routine servicing and testing of appliances. EVIDENCE: The inspector has seen steady improvement and development in the service offered at 79 Slade Road over recent inspections. The manager was not present at the time of inspection, but feedback regarding his leadership of the home was positive from both staff and service users. The manager has some further work to address the transition of care documents from one care provider to another, to ensure the safety of the people accommodated, and to work on increasing opportunities for leisure and development both in the home and community. There was a valid certificate of insurance and CSCI registration available in the home. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 21 The provider undertakes monthly visits to the home, under regulation 26. These are detailed visits, and are forwarded to the CSCI. The in house checks undertaken by staff of the fire alarm, emergency lighting, fridge/freezer temperature and hot water delivery were all available and up to date. Servicing of electrical and gas appliances had been undertaken as is required. Fire alarm service The lounge door was held open with a small table. It is required that if this is required to remain open, a suitable devise, linked to the fire alarm system be provided. Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 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 1 ENVIRONMENT Standard No Score 24 2 25 3 26 2 27 2 28 2 29 X 30 1 STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 3 2 3 LIFESTYLES Standard No Score 11 3 12 2 13 2 14 2 15 3 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 1 X X 2 X X X 3 1 X Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 5(1) Requirement Timescale for action 01/06/06 2. YA5 17(1)(a) Sch 2 Unmet from the previous inspection. The service users guide must be in a format that meets the needs of service users. The name of the provider and their qualifications must be included in the service users guide. The actual qualifications of the staff must be included in the service users guide. 01/06/06 Unmet from the previous inspection. The service users contract must detail: - A copy of the Service Users plan - Arrangements for reviewing the needs and progress - Elements of the Care Management Plan provided outside the home Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 24 3. YA6 12(1)(2) 4. YA6 12(1)(a) 5. YA12 16(2)(m-n) 6. YA16 12(2-3)(4a) 7. YA19 12(1)(a) Unmet from the previous inspection. Goal setting for service users must clearly show: who has set the goals, how they were agreed upon, who is responsible for meeting them, how it will be identified if they are met, when the goal was set, or who the goal is intended for? Unmet from the previous inspection. Care documents must reflect service users current needs and detail how they are to be met. Unmet from the previous inspection. A choice of leisure and learning opportunities in the community and in the home must be made available for service users to partake in on a daily basis. Activities must also be provided at weekends and evenings. Delivery of activities must be audited and shortfalls in staffing, transport or finance for example fed back to the head office to ensure service development in these areas. Unmet from the previous inspection. The home must be run and staffed in such a way as not to impact on service users liberty to leave the building or undertake an activity of their choice. Unmet from the previous inspection. Evidence that incident recording has been analysed, and contributed to the review and development of care plans and staff practice must be available. 01/05/06 01/05/06 01/05/06 01/05/06 01/04/06 Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 25 8. YA19 12(1)(a) 15 9. YA20 13(2) 10. YA23 13(6) 11. YA23 13(6) 12. YA24 23(2)(b) 13. YA27 23(2)(d) 14. YA30 23(2)(d) Unmet from the previous inspection. Accurate care documents that underpin service users care needs (To include, diabetes, difficult to manage behaviour and epilepsy)must be provided. Not assessed at this inspection. The PRN protocol relating to medication used for behaviour management must refer the reader to the service users behaviour guidelines Unmet from the previous inspection. The registered person must ensure that service users accommodated are protected from harm, and risk of harm. The adult protection policy must be reviewed and developed to ensure staff are instructed to make the service user safe, and to contact social care and health. The policy must make reference to local multi-agency guidance. Unmet from the previous inspection. Lino on the dining room floor must be securely fitted. Unmet from the previous inspection. The bathroom must be upgraded. Unmet from the previous inspection. The home must be kept clean throughout. Clean bedding must be provided on service users beds. 01/04/06 01/04/06 01/04/06 01/05/06 01/05/06 01/05/06 01/05/06 Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 26 15. YA42 13(4)(b-c) 16. YA42 23(4)(c) Unmet from the previous inspection. Storage of records on a high shelf above the radiator in the sleep in room must be reviewed and safe storage found. A magnetic door closure must be fitted to the lounge door if it is required this door be held open. 01/05/06 01/04/06 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 Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Slade Road, 79 DS0000065020.V283848.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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