Inspection on 19/12/06 for Stanningley Road

This inspection was carried out on 19th 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stanningley Road 19/01/06

Stanningley Road 19/09/05

Stanningley Road 13/01/05

Stanningley Road 01/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Stanningley Road 59 Stanningley Road Armley Leeds West Yorkshire LS12 3NW Lead Inspector Dawn Navesey Key Unannounced Inspection 19th December 2006 10:00 Stanningley Road DS0000001508.V324601.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 Stanningley Road DS0000001508.V324601.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. Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanningley Road Address 59 Stanningley Road Armley Leeds West Yorkshire LS12 3NW 0113 2311237 0113 2311237 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) TACT UK Ltd Mrs Lynn Christine Shenton Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th January 2006 Brief Description of the Service: Stanningley Road is a care home registered to provide care and accommodation for up to seven people who have a learning disability. Nursing care is not provided but the local healthcare team offers good support to the service users and staff. The home is a large detached property located in a residential area close to the Armley area of Leeds. It is within walking distance of the local supermarkets, banks, shops, pubs, cafes and a post office. Service users use these facilities on a regular basis. The home has a car that is used by service users for appointments, activities and college. Public transport links to the city centre are easily accessed. The house is set back from the road with boundary walls making the garden areas safe. Access to the home is from a quiet road behind the house. There are three floors with bedrooms being situated on all of them. The top floor has been converted into a flat for one service user. The current charge at the home is £793-42 per week. Additional charges are made for reflexology, toiletries, magazines, newspapers and transport. Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk One inspector between 10am and 4pm carried out this unannounced inspection. The purpose of this inspection was to make sure the home was providing a good standard of care for the people living there. The people who live at the home prefer the term service user; therefore this will be used throughout the report. The methods used at this inspection included looking at care records, observing working practices and talking with service users and staff. Information gained from a pre-inspection questionnaire and the home’s service history records were also used. Before the visit, comment cards were sent out to service users, relatives and visiting professionals to the home. Two of these have been returned and this information has also been used in the preparation of this report. There were no visitors to the home on the day of the visit. Feedback was given to the manager at the end of the visit. Thank you to everyone for the pre-inspection information, returned comment cards and for the hospitality and assistance on the day of the visit. Requirements and recommendations made during this visit can be found at the end of the report. Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The service user guide has now been updated regarding the section on the CSCI. Progress has been made in the setting up of the social enterprise business, which, may lead to paid employment for some of the service users. Some service users have had the opportunity to take part in person centred planning and have set future goals from this. Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Stanningley Road DS0000001508.V324601.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 Stanningley Road DS0000001508.V324601.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): 1, 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose and Service User Guide give good information about the way of life at the home and the standard of support and facilities it can provide. Service users are assessed to make sure their needs can be met by the home. Service users do not have updated contracts and therefore are not aware of the additional charges made by the home. EVIDENCE: The Statement Of Purpose and Service User Guide have been produced in an easy read format, using large print and photographs. These are both kept on display in the entrance hall of the home where service users, families and visitors can have access to them. Each service user also has their own copy, which has been made personal to them, and includes the current charges for the cost of the place at the home. Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 10 Service users have a contract with the organisation. The contracts do not have all costs listed in them. Service users are now contributing to petrol for the home’s vehicle. There was no evidence of any agreement having been made to this arrangement. It is not listed in the contracts. Service users’ needs have been assessed to make sure the home could meet their needs. There were no dates on many of the assessments making it difficult to decide if the information was current or out of date. One service user said, “I like living here, I wouldn’t change anything.” Another service user said he was “happy” and gave a “thumbs up” sign to living at the home. Stanningley Road DS0000001508.V324601.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, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments provide clear detailed instruction on how service users’ needs are to be met. Service users are involved in the day to day running of the home. EVIDENCE: Service users’ care plans are detailed and give specific instruction to staff on care and support needs. It is pleasing to see that the care plans are very individual; person centred and make sure the service users’ dignity is maintained. Staff have a good knowledge of service users’ needs. They were able to accurately describe the care they give and talk about the detail of how service users like to be supported in their daily routines. Staff said they had received training in care planning, risk assessment and person centred planning. Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 12 All care plans had been regularly evaluated and reviewed, with changes being made as needed. Formal reviews of service users’ needs had taken place. These involved the service user, their family if they wished, staff and other professionals involved in their lives. Some service users had also taken part in some person centred planning and had some goals to work towards from this. All the care plans were linked to risk assessments. Staff and the manager have a good attitude to risk taking. Service users’ safety and rights are maintained while independence is encouraged. Risk assessments were up to date and reviewed. It would be good practice for service users to sign their care plans and risk assessments. This would show their involvement in drawing them up. Staff showed a good awareness of the care plans and risk assessments. One staff member explained how staff became familiar with these during their induction. Another staff member said they had found the care plans useful, especially the level of detail provided. The manager completes the care plans with input from staff. All care plans and risk assessments are discussed and agreed with staff at team meetings. This makes sure that everyone is aware of all the service users’ needs. Service users have a regular meeting. Topics at the meeting include any forthcoming events or parties, food choices, likes and dislikes, shopping, activities and holidays. Service users are encouraged to voice their opinions. Service users were also offered choices throughout the day, for example, what to do, where to go and what to eat. They were also encouraged to take responsibility such as opening the front door to visitors and washing up in the kitchen. Stanningley Road DS0000001508.V324601.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): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users lead interesting lives and have the opportunity to be involved in a variety of activities. Service users receive a nutritious diet. EVIDENCE: Service users are involved in various activities each week. This ranges from day centres, an activity and leisure service, night classes, art courses, meals out, shopping and walks. The manager is also developing a social enterprise with some of the service users. It is hoped that this will lead to paid employment for them. Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 14 Service users are encouraged to meet up with old friends and to keep in contact with their families. Staff work flexibly to make sure this happens. Staff said that service users are known in the local community and use all local facilities such as shops, parks and pubs. Some service users attend a local church. The vicar from the church also visits the home. One service user said he always had plenty to do. During the visit, all service users went out for some part of the day. The manager was making sure this happened by directing staff and making suggestions of what they could do. The service users’ care plans contain some information on their likes, dislikes and activity preferences. This information could be enhanced with more detail and suggestions for activities. This may help staff to be more spontaneous where activity is concerned. Staff were seen to support people with courtesy and thought for their dignity. Staff said it was important to make sure service users are as independent as possible. They said they are encouraged to get involved in household tasks and to make drinks and snacks for themselves. One service user has her own flat within the home and prepares all her own meals with some staff support. There was plenty of social interaction between the staff and service users. The atmosphere was relaxed and there was lots of laughter throughout the day. Menus appear to be well balanced and nutritious. Each service user takes a turn in picking the menu for the day. However, if a service user wants something different to what is on the menu, this can be done. A good variety of food is available and staff make sure there is a good selection of fresh produce available. A service user who needs a blended diet is presented with meals that look attractive and appetising. A service user who is overweight is encouraged to lose weight with a healthy eating plan. Stanningley Road DS0000001508.V324601.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported properly with their personal care needs. Health care support is provided in a way that meets service users’ individual needs. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Staff supported service users with their personal care needs in private and with dignity. The level of detail in care plans on how personal care and health related tasks are to be carried out makes sure that service users’ needs are fully met. Staff had good knowledge of their likes, dislikes and preferences. The care plans also had details of any health professionals that service users see. These included, GP, speech and language therapist, dentist, specialist Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 16 nurse, psychologist and chiropodist. Records are kept of any health appointments and their outcome. Staff always accompany service users on their appointments. Some service users have specialist health needs. These include epilepsy and mental health needs. Staff have not received any training on mental health issues. However, the staff team receive support from an outreach nursing service and appear to have all guidelines and care plans in place to support the service user. The manager agreed she would look into some mental health awareness training in the near future. The home uses a monitored dosage pre-packed system for medicines. All staff take responsibility for the administration of medication and have been trained to do so. There are good ordering and checking systems in place, with a clear audit trail for any unused medication returned to the pharmacy. The medication administration record (MAR) sheets were checked and showed no errors in administration. However, handwritten entries on the MAR sheets had not been checked and countersigned by two people. This practice could lead to errors in administration of medication. Stanningley Road DS0000001508.V324601.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users or their representative’s concerns are listened to and acted upon. Service users are protected from abuse by the home’s policies and procedures on adult protection. EVIDENCE: The home has a complaints procedure displayed in the entrance to the home. This has been produced in an easy words and pictorial format to make it more accessible to all. A relative who returned a comment card said they knew how to complain but had never had to make a complaint. Any complaints the home has received have been dealt with properly. Staff have received training on the protection of vulnerable adults. They were able to say what action they would take if they suspected abuse or had an allegation of abuse made to them. They were also able to describe the different types of abuse. The organisation has a detailed policy on the protection of vulnerable adults. Good records are kept of service users’ finances and their monies are kept safe. Proper handovers of the monies takes place at each shift change and the Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 18 manager regularly checks the finance records and receipts. Good systems have been put in place to give service users independence skills with their money while at the same time protecting the safety of it. Stanningley Road DS0000001508.V324601.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment in the home is clean, homely, safe and hygienic. Staff’s practices control the spread of infection. EVIDENCE: A tour of the building was carried out, accompanied by a staff member. The home is spacious and well laid out, providing sufficient room for all service users. Service users’ bedrooms have been decorated and furnished to suit them as individuals. The style of the rooms show their interests and personality. The home was clean and fresh smelling throughout. Some rooms seemed a little cold at times. The manager has made sure that extra heaters have been put in these rooms to make sure they keep warm. She also said she would Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 20 contact the housing association who own the property to see if anything could be done to increase the temperature of the radiators. Fixtures and fittings are of good quality and the Manager said that redecoration and renewal was done on a regular basis to keep the standard up. Clinical waste is properly managed and staff wear protective clothing when attending to service users’ personal care needs. Staff have received training in infection control and were able to say what infection control measures are in place. However, there was no soap in the toilets or bathrooms. Staff said this was due to the individual needs of a service user who is at risk from ingesting it. Staff take liquid soap in to the toilets and bathrooms when they go in and service users are prompted to wash their hands in their rooms where they have their own soap. The manager agreed to carry out a risk assessment on this practice to make sure all staff are aware of the control measures in place to ensure proper hand washing hygiene. Stanningley Road DS0000001508.V324601.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, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are competent to meet the needs of service users; they are well supported and supervised. Service users are protected by the home’s recruitment procedures EVIDENCE: There are staff on duty throughout the day and night. There are usually three or four staff on the morning shift and three or four staff on the afternoon shift. At night there are two members of staff sleeping in, who can be called upon in an emergency. The manager has two shifts per week where she is supernumerary and can attend to her management role. A comment card received from a relative said there was always enough staff on duty. Staff have been flexible with the shift start times being adjusted to meet service users’ needs. This is good practice. Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 22 Recruitment is properly managed by the home; interviews are held, references and CRB (Criminal Record Bureau) checks are obtained before staff start work and checks are made to make sure staff are eligible for work. Staff’s training was mostly up to date. Good records are kept of staff’s training and when their updates are due. The manager assesses this every month to make sure training doesn’t get missed. Staff spoke highly of their training and the support they get from the manager. One staff said she felt the excellent training she had received had helped her promotion. The manager is aware of the training updates that are needed and has nominated staff for training courses in the near future. There is an annual training plan provided by the organisation. This is comprehensive and covers all the training needs of the staff. 50 of the staff team have achieved an NVQ (National Vocational Qualification) in level 2 or above. The rest of the staff team are also currently working on their NVQ All staff said they felt they had a good team and the manager was very supportive. Staff said they felt communication and teamwork within the home were great. There were some gaps in the regularity of supervision staff have received. The manager was aware of this and had plans in place to make sure staff receive regular supervision. Stanningley Road DS0000001508.V324601.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, 40 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, the interests of the service users are seen as important to the manager and staff and are safeguarded at all times. EVIDENCE: The home has an experienced manager who has completed her NVQ level 4 and Registered Managers Award. She works alongside staff to make sure of good practice. She also has some administration time to complete her management tasks. The operations manager visits the home on a monthly basis to carry out regulation 26 visits. This involves talking to service users and staff about the Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 24 home. A report of these visits is made showing details of any action to be taken to improve the service. In addition to this, the organisation carries out a quarterly service review, as part of its quality assurance programme. This also includes service users, relatives and staff. Staff carry out weekly or monthly health and safety checks around the home such as fire alarms, emergency lighting, water temperatures and checks on the house vehicle. Maintenance records are well kept. Environmental risk assessments are completed but had not been reviewed for some time. The manager could not locate a current certificate for the electrical wiring in the home. It was therefore unclear if this safety check had been carried out in the last five years. The manager said she would contact the housing association to either get a certificate or make sure the work was done. Water temperatures are checked regularly and shower heads and trays are bleached regularly. The manager has been informed by the housing association that no further tests are required for Legionella compliance. The manager must check this, to make sure all health and safety responsibilities are being met. Accident or incident reports are completed. There is no section for follow up action to be taken after any accident or incident. The manager, however, has a system in place where she can analyse accidents to see if there are patterns, trends or ways of avoiding future accidents. She also has a system in place to make sure the outcome of any accident is followed up within three days. The home has a comprehensive range of policies and procedures in place. Staff are given a list of these when they first start work, along with information on where to find them. The organisation has just started to give all staff their own health and safety handbook which links with the training they provide. Stanningley Road DS0000001508.V324601.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 3 2 X 3 3 4 X 5 2 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 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 4 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 2 X 3 X 3 3 X 2 X Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 26 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 YA5 Regulation 5 Requirement Timescale for action 28/02/07 2 YA20 13 3 YA30 13 4 YA42 23 The organisation must provide each service user with an up to date contract, detailing any additional charges, including petrol costs. The manager must make sure 31/01/07 that handwritten entries on the medication administration records are signed, checked and countersigned as correct. The manager must carry out a 31/01/07 risk assessment on hand washing practice and the location of soap in the home. The manager must make sure 31/03/07 the electrical wiring safety test is up to date and that Legionella water compliance testing is done. Stanningley Road DS0000001508.V324601.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 Refer to Standard YA30 Good Practice Recommendations The manager should contact the housing association that are responsible for the property to see if anything can be done to increase the temperature of the radiators in the home. The manager should consider some further mental health awareness training for all staff. 2 YA35 Stanningley Road DS0000001508.V324601.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Stanningley Road DS0000001508.V324601.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!