Inspection on 07/09/05 for The Croft

This inspection was carried out on 7th September 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

The Croft 31/10/08

The Croft 29/02/08

The Croft 14/05/07

The Croft 12/10/06

The Croft 10/05/05

The Croft 07/10/04

The Croft 01/07/04

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

CARE HOME ADULTS 18-65 The Croft The Croft Buckland Road Reigate Heath, Surrey RH2 9JP Lead Inspector Pat Collins Unannounced Wednesday 7 September 2005, 13:30am 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. The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Croft (The) Address The Croft, Buckland Road, Reigate Heath, Surrey, RH2 9JP 01737 246964 01737 246964 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) Heddmara Limited Michele Anne Waddington CRH 22 Category(ies) of LD Learning disability, 16 registration, with number LD(E) Learning dis - over 65, 6 of places The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age range of those accommodated within the category LD will be 18-64 Years. The age range for those accommodated within the category LD(E) will be 65 years and over. Date of last inspection 10 May 2005 Brief Description of the Service: The Croft is a care home registered for provision of personal care for up to 22 adults with learning difficulties including six places for service users over the age of 65 years. The Croft is a large detached three storey house set in its own large grounds located convenient for shops and all community facilities in Reigate town. Communal accommodation comprises of two large, comfortable sitting rooms, dining room and kitchen arranged on the ground floor. Bedroom accommodation is on all three floors with platform lift access. Car parking facilities are available, shared with a day centre operating under seperate management arrangements. Service provision includes mini - bus transport. The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the home’s second inspection for the year 2005/2006. It was undertaken by one inspector and was unannounced which meant staff and resident’s were unaware it was to take place. The inspection began at 13.00hrs and concluded at 18.15 hrs. The inspection process included discussions with individual residents, the home manager, deputy manager, the home’s care consultant and one of the home’s team coordinator who has a dual role and is responsible for catering. The inspection included a partial tour of the premises, observation of activities and examination of some records. The inspection report refers to the people who live at The Croft as ‘residents’ in accordance with the wishes of individuals interviewed at the time of the last inspection. The inspector would like to take this opportunity of thanking the residents for their courtesy and cooperation at the time of the inspection; also the manager, staff and the home’s care consultant. What the service does well: The home’s operation was evidently based on strong value principles that gave due recognition to residents’ rights and choices. Staff promoted independence and social inclusion as far as possible within current constraint of staffing levels and shortage of drivers for the mini-bus. Staff were observed to respect residents’ privacy. Individual residents had been issued keys for their bedrooms. Staff were seen to knock on bedroom doors and wait to be invited in. The staff were striving hard to provide a homely, stimulating environment. The areas of the home viewed were clean and tidy and bedrooms were personalised. There was evidence of staff commitment to meeting residents’ interests and aspirations where practicable. An individualised and varied programme of activities was evident. Residents had opportunities for forming friendships outside the home at various day social / educational day placements. Key workers ensured all residents had weekly access to shops for personal shopping. Two residents returned from a supported shopping trip at the time of the inspection. They had enjoyed the experience and had lunch in a local café. Residents informed the inspector of how much they had enjoyed recent holidays, abroad and in this country, earlier this year. Also various day The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 6 excursions since the last inspection. There were many photographs displayed throughout the home to which residents referred when discussing their activities and leisure experiences. A resident was pleased to show the inspector a video made of his recent flight in a helicopter. This was organised by staff to meet his special interests. There was evidence of a considered approach to communicating with residents. This included residents’ meetings, a key worker system, use of signing and symbols, speech and gestures; also other means of communication were routinely used, demonstrating staff’s knowledge of the individual needs and abilities of residents. A variety of relevant information was accessible to residents’ in suitable formats around the home and in their bedrooms, in pictorial and widget symbol formats. Systems were in place for involving residents in menu planning. An action plan had been developed for increasing residents’ involvement within individual capabilities in the day-to-day domestic routines of the home. What has improved since the last inspection? What they could do better: The need to upgrade other bathroom and toilet facilities has been brought forward from the last report. It was noted that this was under review. Low water pressure in some bathrooms was a long-standing problem which was The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 7 stated to have been investigated in the past and could not be remedied. Staff confirmed this did not present significant operational difficulties and that they worked round this problem. An action plan for fitting radiator covers to radiators was being developed. Work was stated to be imminently due to commence to provide a ramped terraced at the front of the premises. Also to enclose the garden and even the garden surface. There was stated to be plans for the imminent redecoration of the kitchen and for fitting additional shelving in the kitchen. Whilst recognising the hard work of the team to meet the individual holistic needs of residents it was evident that staffing levels were a constraint to fully meeting individual needs. This was fully discussed with the manager and requirement made for increase in staffing levels to meet minimum levels for the numbers and dependency levels of residents. A secondary factor inhibiting staff from engaging residents in a wider range of community social and leisure activities was a shortage of drivers permitted to drive the mini bus. The manager was actively exploring options for alternative transport facilities though likely to be restricted for use of named residents. The manager acknowledged the need for work to take place for streamlining care plans and care documentation. This will ensure information reflecting needs and personal goals can be referenced. The manager stated she was working on this currently but that it was a time intensive task. The manager also recognised the need to reflect in all relevant care plans, one to one staff interventions based on assessed needs. Also to be clear in care documents and shift planning records / other records, how these needs were being met. 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 Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 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 standard(s) These standards were not inspected on this occasion having been inspected at the time of the last inspection on 10th and 26th May 2005. EVIDENCE: The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 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 standard(s) 6 and 8 Care plans existed and work was in progress for their development and for the care planning process to be more inclusive. Evidence gathered gave confidence that the individual needs and wishes of residents were recognised by staff though staffing levels were at times a constraint to fully meeting needs. Residents were involved in some aspects of the running of their home and staff were working towards maximising involvement within individual capabilities. EVIDENCE: Care plans were discussed with the manager who confirmed work in progress for streamlining the same. This is a time intensive activity however and progress will be inevitably gradual. Each resident had a care plan in place at the time of the last inspection and it was stated by the manager that this was unchanged. It was evidenced that substantial time and effort was being invested into planning the future implementation of a person centred approach to care planning. This was viewed as a positive development. This work is also labour - intensive involving further staff training, agreement on formats and consultation with residents and relevant stakeholders. It was excellent to observe the pictorial format care plan that was being developed for a resident. The aim of this was to improve that individuals The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 11 understanding of his care plan and to ensure the process was inclusive. It was the intention to produce pictorial care plans in the future for the small number of residents liable to benefit from their use. Work was in progress for further engaging residents in life skills and day - to day domestic activities and the running of their home. Information available evidenced current staffing levels were not sufficient to enable staff to implement the changes necessary to routines and practices, though progress in this area was acknowledged. Evidence logs were being developed and visual cues implemented as aids for reminding residents of their individual task allocation responsibilities. The inspector was informed that staffing constraints frequently inhibited involving residents in shopping for food supplies. On occasions when they had been given this opportunity it was reported by staff to have had positive benefits for residents. It built on their self –esteem and offered a combined educational and social occasion for those involved. The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 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 standard(s) 11, 13, 14 and 17 Opportunities for personal development and to take part in appropriate activities in the home and in the community though evident need to be increased and further developed. Residents enjoyed the food served at home and were offered a varied diet. EVIDENCE: Relationships between staff and residents were observed to be warm and friendly and the approach to residents was age appropriate. Staff offered support and encouragement to residents, enabling them to make decisions and choices in their daily lives. Residents had a weekly timetable of activities. Individuals attended day placements during the week where they had opportunity to form friendships outside of the home. Staff were observed taking interest in what residents had to say about what they had done at their respective day centres. Two residents returned from a supported shopping trip and staff and other residents were interested in their purchases. Residents continued to have some one to one time each week with key workers used to The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 13 go out shopping, for social and emotional support and participating in leisure activities. Whilst the evening meal was being prepared a group of residents enjoyed an interactive, lively, music session facilitated by two members of staff. This was observed to be socially stimulating and fun. Other residents were meanwhile relaxing in another lounge, watching a favourite DVD film. Observations confirmed some opportunities available for residents to learn and use practical life skills and for their personal development. An action plan was being worked on and timetables planned for further involving residents, within individual capabilities, in domestic and other housekeeping tasks. It was evident that staffing levels were a constraint to engaging residents fully in the range of community activities available; also shortages of drivers for the mini bus in the evenings and at weekends. It was positive however to note opportunities for residents to go on holiday and enjoy various day excursions this summer. The home had recently been inspected by the Environmental Health Department. The cook reported that requirements at the time of that inspection had been since met. These included provision of a new fridge and freezer and fly screens in the kitchen. Arrangements for menu planning involved a group of residents who selected meals using pictorial aids. The cook, who has a dual role and is also one of two team coordinators, confirmed guidance to residents to ensure balanced and varied menu planning. Discussions with the cook established effort made to encourage healthy eating options. Systems were in place for monitoring weights, though stated that competing demands on staff’s time sometimes led to weight monitoring being overlooked. The cook stated that residents who did not actively engage in choosing menus had opportunity to express their wishes and opinions about the meals at the monthly residents meetings. The cook sometimes attended these and if not present would receive feedback. There was also a list of food preferences and of dietary needs in the kitchen. A personal approach to meeting residents’ food preferences and dietary needs was very evident. This was due to the in - depth knowledge that the cook had of each residents likes and dislikes gained over 14 years of employment at the home. Menus were available in a widget symbol format and prominently displayed in the dining room. Discussed was importance of ensuring accurate records of meals were maintained. The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 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 standard(s) Standards not inspected on this occasion. Standards 18, 19 and 21 were inspected on 10th and 26th May 2005. EVIDENCE: Primary health care professionals were stated to be supportive. At the outset of the inspection a meeting was taking place at the home between the staff team and the community nurse. Discussions with management and staff confirmed levels of dependency remained unchanged from the time of the last inspection. The home’s ageing population and health related problems of individual residents warranted additional care hours available to ensure needs were fully met. The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 15 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) These standards were not inspected. Standard 23 was inspected on 10th and 26th May 2005. EVIDENCE: The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.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 and 27 The home provides a reasonable level of accommodation that is homely and comfortable. Though some bathroom accommodation required refurbishment recent investment in a wet room had substantially enhanced the home’s provision of bathing facilities. EVIDENCE: The location of the home was considered suitable for its stated purpose; the home is accessible, safe and had been recently upgraded and refurbished. The new extension was ready for registration and occupation and afforded additional single bedroom accommodation within the home’s existing numbers. Areas of the home inspected were clean and tidy. It was excellent to observe that since the last inspection the ground floor shower room had been refurbished and a wet room provided. This had substantially enhanced the home’s facilities, enabling needs to be met and facilitating safe moving and handling practices. The need for a programme of upgrading other bathrooms, ensuring adequacy of ventilation and suitable floor covering was discussed. The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 17 The manager confirmed plans to meet with residents who shared bedrooms to offer the option of a single bedroom accommodation to most, acknowledging the home will still have one shared bedroom. Observations suggested the need to review the adequacy of office facilities. Whilst it clearly beneficial for an office to be located on the ground floor for operational and security reasons it is recommended that if at all possible a second office be provided. This will enhance current facilities, affording a more ergonomic environment for lengthy administrative work, improve confidentiality, and offer privacy and less disruption for meetings. The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 18 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) 33 Staffing levels were not adequate to meet the increased dependency of residents. Staff were prepared to work flexibly however to meet needs as and when necessary. Observations revealed staff to be well motivated and committed to supporting residents to achieve maximum independence and to lead fulfilled lives. EVIDENCE: Since the last inspection management had clarified with all placement agencies all additional contractual support hours. On receipt of this information a review of staffing hours had been carried out based on current needs assessments, using the Residential Forum staffing tool. The outcome identified the need for an increase in staffing levels. The staffing levels required during the working day are a minimum of eight support workers for peak periods during the waking day and seven support workers during the day at all other times, excluding the home manager whose hours are supernumerary. Night staffing levels of two waking staff and one sleeping in, on - call, remain unchanged. It was confirmed by the manager that a recruitment initiative had commenced. Also discussed was the recent development of a CRB record though additional information was required to be included in this record. It was positive to note all staff had reapplied for CRB Disclosures to ensure POVA list checks carried out. Further discussion took place on the provision for POVA/First checks to be The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 19 undertaken for newly appointed staff in exceptional circumstances, to meet the needs of the service. This will reduce time taken between interview and staff taking up post. On receipt of formal confirmation from the CRB of a POVA/First check carried out for a new employee the worker may take up post, working under supervision until such time as their CRB Disclosure is obtained. The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 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 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) 38 and 42 The management of the home was considered competent and effective, ensuring adequate direction and leadership to the staff. There was evidence of good team working to the benefit of residents. Overall the management of the home ensured the health and safety and welfare of residents. A programme is required for fitting radiator covers in the home. EVIDENCE: Positive comments were received from relatives and professionals in feedback comment cards at the time of the last inspection. These referred to improvements in the home’s management since the appointment of the current manager. Evidence at the time of the inspection confirmed the registered manager to be suitably qualified, experienced and competent to fulfil her role and responsibilities. The management team was cohesive and good support systems were evident for the manager and all staff. Feedback from a senior staff member suggested a high level of satisfaction within the team generally with improvements in the home’s management and operation. The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 21 Discussions with the management team for part of the inspection involved the management consultant present in the home. Clarification had been sought from the registered persons of her role and remit in respect of the home. Specifically the consultants contracted responsibilities towards staff in the absence of the responsible individual and registered manager when on leave? It was agreed that management must ensure in such circumstances that effective management arrangements were in place. Staff delegated responsibility for managing the home must be conversant with the regulatory framework of the Care Standards Act 2000. It was positive to observe that regular sessions were taking place for management to review this legislation including the Care Homes Regulations 2001 (amended). At the time of the inspection the provider’s request for a change of responsible individual was being processed. Also a variation to the conditions of registration including categories of registration to reflect changes in residents’ needs and age range. Records examined included evidence of recent portable electrical appliance testing. It was positive to note that valves had been fitted to the outstanding hot water outlets to ensure hot water temperatures were safe. An action plan was outstanding for installation of radiator covers, commencing with those assessed to pose the highest risk, together with projected timescales for this work to be carried out. The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 2 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 2 x x x Standard No 11 12 13 14 15 16 17 2 x 3 4 x x 3 Standard No 31 32 33 34 35 36 Score x x 1 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Croft Score x x x x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 2 x H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA 33 Regulation 18(1)(a) Requirement For the registered persons to increase the homes staffing levels to provide minimum staffing levels of 8 support workers during peak periods and 7 support workers at all other times throughout the waking day. Staffing levels on night duty remain 2 waking night staff and 1 sleeping in on - call. For the registered persons to ensure residents have sufficient opportunity within individual capabilities and preferences to participate in life skills and domestic skills activities in the running of their home. For the registered persons to develop an action plan with timescales for fitting radiator covers throughout the home, commencing with areas of highest risk. This information should be forwarded to the Commission by the timescale specified. For the registered persons to assess the suitability of existing bathing facilities and adequacy of ventilation in bathrooms. A programme of replacing floor Timescale for action 19/10/05 2. YA 8, 11, 16 12 (1)(b) 07/12/05 3. YA 24, 42 13(4)(a)( b)(c) 07/10/05 4. YA 24, 27 23(2)(b) 07/10/05 The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 24 5. YA 42 12(1), 13(4), 23(1)(2) (4) covering in these areas requires instituting. Proposals for this work are required by the timescale specified. For the registered persons to ensure completion of work to provide residents with an accessible, safe and secure outside terraced area. 07/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA 42 Good Practice Recommendations It is recommended for the registered persons to carry out a review of office facilities. The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 25 Commission for Social Care Inspection The Wharf, Abbey Mill Business Park, Eashing, Surrey, GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Croft H09 H58 s13619 Croft(The) v243699 010905 stage04.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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