Inspection on 22/08/05 for Talgarth Road

This inspection was carried out on 22nd August 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Talgarth Road 01/12/09

Talgarth Road 05/11/07

Talgarth Road 19/06/06

Talgarth Road 28/02/06

Talgarth Road 21/02/05

Talgarth Road 15/06/04

Talgarth Road 22/03/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 TALGARTH ROAD (41/43) 41/43 Talgarth Road West Kensington LONDON W14 9DD Lead Inspector Tony Lawrence Unannounced 22 August 2005 09:30 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 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 Stationary 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. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Talgarth Road (41/43) Address 41/43 Talgarth Road, West Kensington, London W14 9DD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 7603 8607 Hestia Housing Lyris Ofosu Care Home 10 Category(ies) of Mnetal disorder, excluding learning disability or registration, with number dementia (10) of places TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21 February 2005 Brief Description of the Service: Talgarth Road is a registered care home providing personal care and accommodation for up to ten people with mental health support needs. At the time of this inspection, 4 men and 6 women were living in the home and there were no vacancies. The home is managed by Hestia Housing and Support and the building is owned by the Shepherds Bush Housing Association. The home is situated in the West Kensington area with access to local amenities and good transport links. Each service user has his/her own bedroom and shared use of lounges, kitchen, bathrooms and toilets. There is a large garden. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Monday 22nd August 2005 from 09:30 – 15:30. The Inspector spoke with service users, the manager and staff and checked selected care records. The Inspector also saw all communal parts of the home. The care of three service users was tracked by talking with them and staff on duty during the day. The standard of accommodation is satisfactory and service users are well cared for and supported. Three requirements and five recommendations made at the last inspection have been met. 7 service users, 2 visitors and 2 professionals returned confidential questionnaires. Their comments are included in this report. What the service does well: What has improved since the last inspection? 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. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 7 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 standard(s) 2 and 5. The home has clear admission policies and procedures that are known to service users. EVIDENCE: The home has a clear Statement of Purpose and Service Users’ Guide that accurately describe the services and support offered to people, living in Talgarth Road. Three care plan files reviewed during this inspection included a care needs assessment, completed by a social worker or a senior member of staff from Talgarth Road. The assessment detailed the care needs of service users and how these could be met in the home. If a person’s needs cannot be met appropriately they are supported to find alternative accommodation. In addition to the care needs assessments, service users’ care plan files also include health and social care reports from other professionals. Each of the three files contains a Licence Agreement signed by the service user and the home’s Manager. This details the services and support provided and outlines the service user’s rights and responsibilities. The Inspector spoke with three service users and staff in the home. All three service users said that they had visited the home before moving in. One person said that this had been helpful, enabling them to meet other service users and staff and see the room that they would move into. Another service user told the Inspector that they feel it is important for existing service users to meet potential new residents, as ‘the home is not suitable for everyone’. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 8 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 standard(s) 6, 7, 8 and 9. Each service user has a clear care plan that details the support they receive. Service users are fully involved in planning their care, ensuring agreed goals are meaningful. EVIDENCE: The Inspector reviewed the care plans of three people living in the home. Each person has a Care Programme Approach (CPA) care plan. This is agreed by the multi-disciplinary team responsible for their care and includes all aspects of the person’s life, including residential care. The CPA care plans for all three people are up to date and service users and staff from the home are fully involved in their review. Each person living in the home has a key worker who is responsible for writing progress reports for CPA review meetings. The Inspector saw that these reports are well-written and clearly detail progress in meeting goals agreed with individual service users. The home’s own care plan focuses on the support that is provided at Talgarth Road. The three care plans checked by the Inspector had been reviewed in April, May and June 2005. Each plan includes agreed goals and progress that has been made in achieving these since the last review. The goals aim to maintain and develop the service user’s independence and cover a wide range of areas, including mental and physical health, medication, finances, activities, TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 9 relationships, personal care and daily living skills. Each plan also considers the service user’s views on moving on from the home and their potential to do so. The Inspector felt that many of the goals were realistic and achievable. Service users said that they are involved in setting the goals and time scales for meeting these. One plan also included the service user’s written views on the care planning process. Service users who spoke with the Inspector were aware of their own care plan goals. Staff were aware of the goals included in each person’s care plan and the support that is needed by each person. The Inspector felt that the home has clear care planning policies and procedures and these are well implemented by staff. Plans are clear and service users are fully involved in their development and review. The last inspection report included a recommendation that service users should be more involved in the day to day running of the home. Since that inspection, service users and staff have developed a programme that enables individuals to take responsibility for household tasks. As well as involving services users in the running of the home, the programme also enables individuals to earn extra money for jobs they complete. The home’s Manager also told the Inspector that four service users were involved in recent interviews for new staff. The service user interview panel asked each applicant three questions and the views of the panel were considered when making a decision whether or not to appoint each person. Standards of risk management in the home are good. Two of the three care plan files reviewed by the Inspector included a risk management plan. These covered smoking / fire safety, exploitation, self-neglect and violence. The plans include clear guidance for staff on how potential risks to service users can be minimised. A separate risk assessment has also been completed for a service user who manages his own medication. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 10 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 standard(s) 12, 13, 15, 16 and 17. Service users are supported to take part in a range of appropriate activities. Service users’ dietary needs are well catered for. EVIDENCE: The three care plans reviewed by the Inspector included the service users’ views on activities they enjoy. Staff demonstrated a good knowledge of local services and facilities, including specialist day services and employment projects for people with a mental illness. One service user recently started a painting, decorating and carpentry course and he told the Inspector that this was going well, although he has only attended one session so far. The home has space and facilities to enable service users to take part in activities in the home. The home has a TV lounge and a separate quiet room, where service users can read, listen to music or use the computer. Service users also told the Inspector that they spend time in their rooms if they want privacy. One care plan included goals to improve a service user’s fitness and this has involved supporting the person to join a local gym. Two care plans also included goals to support the service users to join local churches and staff confirmed this has been achieved for one person. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 11 Details of service users’ relatives and friends are included in their care plans, together with arrangements for maintaining and promoting contact. As well as activities outside the home, staff at Talgarth Road run regular groups. Separate groups for male and female service users have been set up and these are used to discuss issues including health care, personal safety, diet and activities. Two service users told the Inspector they attend groups regularly and find these useful. A weekly house meeting is held and staff said that all ten people living in the home usually take part. The meetings are chaired by a service user and minutes are taken. The meetings are used to discuss the weekly menu, health and safety issues, complaints, activities and outings. Two service users told the Inspector that they find the residents’ meetings useful. Service users are encouraged to become involved in planning the weekly menu and a rota has been developed to ensure individuals are given the opportunity to help staff prepare meals. The menu is displayed on the service users’ notice board in the main hallway and in the kitchen. The inspector felt the menu is varied and nutritious. The menu also shows that a vegetarian option is always available. Service users said that they could eat their meals in the lounge, dining room or their rooms. The dining room is adequately equipped. There is also a small kitchenette where service users can prepare hot or cold drinks and snacks, outside meal times. Two relatives returned confidential questionnaires. Both people said they are welcomed when they visit. One person said they are kept informed of important matters affecting their relative; the other person said this does not happen. Both people said that they feel there are always enough staff on duty and they are satisfied with the overall care provided. Neither person has ever made a complaint about care in the home. One person added ‘when my (relative) visits me they do not appear to have changed their clothes or shaved, but I guess staff try and encourage them. Also the key worker responsible for their overall welfare seems to change quite frequently’. In confidential questionnaires, four service users said they liked living in the home. One person said they did not like living in the home and two people said they liked it ‘sometimes’. Six people said staff treat them well and respect their privacy. One person said staff treat them well and respect their privacy ‘sometimes’. Five people said they like the food provided in the home. Two people said they like the food ‘sometimes’. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 12 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 standard(s) 18, 19 and 20. The health care needs of service users are well met, with evidence of good multi-disciplinary working. EVIDENCE: The physical and mental health care needs of service users were well assessed and recorded in the care plans reviewed by the Inspector. Care plans include details of the most recent appointments with the service user’s GP, dentist, chiropodist and other health care professionals. The three people whose care was tracked are all subject to the Care Programme Approach (CPA). A multidisciplinary team of health and social care professionals is responsible for monitoring the care and support the person receives, ensuring that their care needs are met. The three care plans show that there is excellent joint working with social workers, psychiatrists and Community Psychiatric Nurses. CPA review meetings are held regularly and these include consideration of the person’s mental and physical health. CPA reviews were up to date for the three people reviewed during this inspection and the Inspector saw copies of review meeting minutes on each of the three care plan files. The home uses the Boots Monitored Dosage System (MDS) for the management of all prescribed medication. The Inspector checked the medication records for nine service users. Records were well maintained and up to date. No errors were seen. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 13 Two care managers / placements officers who have visited the home in the past 12 months returned confidential questionnaires. Both said that staff have a clear understanding of service users’ needs and care plans are in place for each client. Both said there is always a senior member of staff on duty and the home notifies them of significant events affecting their clients. Both said that they are satisfied with the overall care provided and neither person has ever dealt with a complaint about the home. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 14 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 standard(s) 22 and 23. Service users are cared for safely, their views are sought and acted upon. There is a need to ensure that local adult protection procedures are followed consistently. EVIDENCE: The Inspector reviewed the home’s records of incidents, accidents and complaints and spoke to service users and staff. The Manager also confirmed that service users’ relatives had been sent copies of the home’s complaints procedure, a requirement made at the last inspection. The complaints record is well maintained and includes details of the outcomes of investigations, a recommendation made at the last inspection. Service users told the Inspector that they knew how to raise concerns about any aspect of their care. The Inspector also saw a copy of the home’s complaints procedure on each of the three care plans reviewed during this visit. The complaints record included an allegation from a service user that money has been taken from their savings account. The Inspector discussed this with the home’s Manager who said that, at the request of Hestia’s Group Manager, an investigation has been carried out by the home’s Deputy Manager. This matter should have been dealt with under the local authority’s adult protection procedures and should have been reported to the Commission. Managers in Hestia must ensure that they follow the adult protection procedures consistently. The home’s Manager must also ensure that the Commission is informed of significant events affecting service users, for example, if a service user is missing from the home. Five of the seven service users who returned questionnaires said they did not want to be more involved in running the home. All seven people said they felt safe in the home. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 15 TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 16 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 standard(s) 24, 27, 28 and 30. The standard of accommodation is satisfactory, providing service users with a comfortable place to live. EVIDENCE: 41-43 Talgarth Road comprises two large, inter-connected houses close to the transport links of West Kensington. Despite its location, between a very busy main road and the railway line, noise in the house is minimal thanks to fitted double-glazing. Each service user has a single room. Lounges, bathrooms, toilets, the kitchen / dining room, laundry room and garden are shared. The Inspector saw all communal parts of the home during this visit. Lounges are adequately furnished but there is a need for some redecoration works. The Manager confirmed that cyclical decoration is due to take place later this year and this will include communal areas. There is a sufficient number of bathrooms, showers and toilets. All parts of the home seen during this visit were clean and tidy. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 and 35. The home is well staffed to meet service users’ care needs. Five staff were appointed following a recent recruitment campaign. The home will be fully staffed when all new staff are in post, ensuring service users receive consistent care. EVIDENCE: During this inspection the home was well staffed to meet the care needs of service users. The Manager was on duty from 08:00 – 16:00 with a Senior Project Worker and 2 Project Workers on duty in the morning. The Deputy Manager was working from 13:30 – 21:00 and a Project Worker from 13:30 – 12:00. There is a designated shift leader for the morning and afternoon shifts and a written shift plan is produced to ensure that all necessary tasks are completed and service users are supported appropriately. Staff who spoke with the Inspector were clear about their roles and responsibilities and those of other staff and managers in the home. Five new staff have recently been appointed and service users were involved in their recruitment. The Manager confirmed that she is completing her NVQ Level 4 Registered Manager Award and her NVQ Assessor’s training. The Deputy Manager should complete his Registered Manager’s Award and Assessor’s training in 2006. One Senior Project Worker is due to start his NVQ Level 3 training in September 2005. One Project Worker has NVQ Level 3 and one of the newly appointed staff also has this qualification. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 18 The Manager confirmed that new staff will have the opportunity to complete their NVQ training once the have successfully completed their induction. Although the home will not meet the requirement for 50 qualified staff by 2005, this should be achieved during 2006. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 41 and 42. Service users are consulted about the running of the home and good record keeping practices demonstrate appropriate care and support are provided. EVIDENCE: Three people living in the home told the Inspector that they felt involved in making decisions about their care and in the running of the home. All three people said that they had regular meetings with their key worker where they could discuss any issues they were concerned about. Two people also mentioned regular residents’ meetings and one said that these meetings can be used to sort out disagreements and influence the way the home operates. Staff also told the Inspector that quality assurance meetings are held regularly. Checking records showed that meetings were held in February, April and June 2005. The meetings involve service users and staff and an agenda is prepared in advance to agree issues that will be discussed. During this visit the Inspector reviewed a selection of care records kept in the home. Three service users’ care plans, medication records, complaints, TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 20 accident and incident reports were reviewed. The Inspector felt that standards of record keeping in the home are good and records are well maintained. In particular the standards of care planning and recording are excellent. Health and safety records checked included fridge and freezer temperatures, hot water temperatures and fire safety records. A health and safety audit was completed in May 2005 and Legionella tests were carried out in October 2004. The Inspector felt that health and safety records are well maintained. Two health and safety issues were noted that need to be resolved immediately. There is a need to ensure that opening restrictors are fitted on windows above the ground floor to minimise the risk of accidents to service users. The home’s hot water system should also be checked to ensure that water is delivered at safe temperatures. TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 TALGARTH ROAD (41/43) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 2 x G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 22 No 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. 2. Standard 23 23 Regulation 13 37 Requirement The local authoritys adult protection procedures must be followed consistently. The Commission must be informed of any significant issue affecting the welfare of service users. Opening restrictors must be fitted on windows above the ground floor. The hot water system must be checked to ensure water is delivered at safe temperatures. Timescale for action 31 October 2005 31 October 2005 Immediate 22 August 2005 Immediate 22 August 2005 3. 4. 42 42 23 23 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 Good Practice Recommendations TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Hammersmith Local Office 11th Floor, West Wing 26/28 Hammersmith Grove London W6 7SE 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 TALGARTH ROAD (41/43) G60-G09 S19148 TALGARTH ROAD UIV245470 220805 STAGE 4.doc Version 1.40 Page 24 - 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. 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