Inspection on 19/05/05 for The Gables, Burnham-on-Sea

This inspection was carried out on 19th May 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 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

The Gables, Burnham-on-Sea 15/10/08

The Gables, Burnham-on-Sea 16/10/07

The Gables, Burnham-on-Sea 13/07/06

The Gables, Burnham-on-Sea 11/10/05

The Gables, Burnham-on-Sea 15/12/04

The Gables, Burnham-on-Sea 09/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Gables Grove Road Burnham-on-Sea Somerset TA8 2HF Lead Inspector Jane Poole Unannounced 19 May 2005 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 Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Gables Address Grove Road, Burnham-on-Sea, TA8 2HF 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) 01278 782943 01278 782943 Craegmoor Group Limited Personal Care Home only 10 Category(ies) of Learning Disability (10) registration, with number of places The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: To accomodate one named person over the age of 65, as stated in the letter from Craegmoor dated 29 September, 2004. Date of last inspection 15 December, 2004 Brief Description of the Service: The Gables is registered with the Commission for Social Care Inspection to accommodate up to ten people under the age of 65 who have a learning disability. (There is a condition on the homes registration which allows them to accommodate one named person over the age of 65 ) The home is a large detached property within walking distance of the sea front and all the amenities of Burnham on Sea. Service user accommodation is arranged over two floors and all bedrooms are for single occupancy. One room has en suite facilities and communal washing and toilet facilities are shared by other service users. The registered provider is R.J. Homes, which is owned by the Craegmoor Group Ltd. There is no registered manager at the home, and this has been the case for over 6 months. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over a six and a half hour period. The inspector was made welcome in the home and was able to meet with service users, talk with staff and management and tour the building. The inspector was also able to access records and observe care practices in the home. At the time of this inspection there were nine people living at the home. Many service users were unable to verbally communicate with the inspector and some were unable to express their opinions. All service users appeared comfortable in their surroundings and interacted well with staff. What the service does well: What has improved since the last inspection? A deputy manager has been appointed since the last inspection, there are now clear lines of accountability in the home. Staff stated that some responsibilities are now being delegated which made them feel valued. Service users are now much more involved in the choice of food. Service users meet weekly to discuss the menu for the following week and two service users assist staff to purchase food and provisions. Staff stated that the training opportunities in the home have improved and some staff have attended lectures on Autism held in Bristol. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 6 Since the last inspection there has been a marked improvement in the quality of the care plans. Care plans seen covered a wide variety of needs including; personal care, consent to treatment, interaction, medication, anger/ anxiety, road safety and challenging behaviour. All areas covered were comprehensive and personal to the individual. Staff at the home have worked hard to raise the standard of care plans and they are now a very usable document. Any restrictions on choice are now clearly highlighted in plans of care. 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 Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 7 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 Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 8 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) 1 & 5. The service user guide is not written in a format, which is easily understandable to the service user group. Terms and conditions of residency are not clear to service users. EVIDENCE: The fees at the home are dependant upon the assessed needs of the service users, they range from £677.00 to £2800.00 per week. There is a service user guide in the front of each service users care plan. This guide was not seen to be available anywhere else in the home. The service user guide is not written in a language that is accessible to all service users. Staff stated that they had discussed the service user guide with individuals. Each person has a contract of Terms and Conditions in their care plan. Those seen by the inspector were not signed or dated and many staff stated that they were unsure what was included in the base contract fee. Whilst the inspector appreciates that some service users may not be able to understand the full implications of the contract, the home should make a user friendly document available to service users and/or their representatives. No new service users have moved to the home since the last inspection therefore many standards in this section have not been assessed on this occasion. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 9 The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 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, 7, 9 & 10. Care plans in the home are comprehensive and reflective of the individuals’ needs. There is a clear rationale for any restrictions on choice. EVIDENCE: The inspector looked at two care plans. Since the last inspection there has been a marked improvement in the quality of the care plans. There was a full assessment in each file and from this a care plan had been created. Care plans seen covered a wide variety of needs including; personal care, consent to treatment, interaction, medication, anger/ anxiety, road safety, restrictions on choices and challenging behaviour. All areas covered were comprehensive and personal to the individual. Staff at the home have worked hard to raise the standard of care plans and they are now a very usable document. The care plans outline any restrictions on choices and those seen had been discussed with, and signed by, the service user. Each care plan seen contained risk assessments that were appropriate to the individual. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 11 One service user has responsibility for their personal finances Craegmoor is responsible for the finances of other people living at the home. Craegmoor has a nationwide system for administering personal finance and staff stated that service users are able to easily access their own monies. All personal records were appropriately stored and staff were aware of issues of confidentiality. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 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, 12, 13, 14, 15 &16. Service users are able to take an active part in the day to day running of the home. They undertake household tasks in line with their abilities and interests. The meals in the home are based on the choices and needs of service users. Service users are able to take part in a wide range of leisure activities. EVIDENCE: Service users are encouraged to take an active part in the day to day running of the home. There is a life skills rota that covers household tasks such as hovering, dusting and laundry. Service users now assist with household shopping on a weekly basis and are assisted to carry out their own personal shopping. Staff stated that this gave people greater choice about food coming into the house and was enabling some service users to have a better understanding of money. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 13 Service users meet weekly to discuss the home’s menu for the coming week. Special diets are provided where appropriate and staff have received training in respect of nutrition. Each person living at the home has a weekly or daily activity plan. This document uses photographs and symbols to enable people to choose activities and to know what is happening. The home has two vehicles and staff stated that most service users enjoy going out and using local facilities. There is a resource room in the home and a college tutor takes a session once a week with service users. One person attends college outside the home. The inspector observed that staff encouraged people to occupy their time with rewarding activities. On the day of the inspection some service users went out with staff, some spent time listening to music and interacting with staff and some people were drawing. One service user told the inspector that they enjoyed gardening and was able to show off the vegetables that they had planted in the garden. Visitors are welcome at the home at all reasonable times with the agreement of service users. The home assists one person to visit a family member on a regular basis. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 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) 18, 19, 20 &21 Service users are assisted with personal care in a way that respects their privacy and dignity. Service users have access to a range of healthcare professionals. The facilities are not appropriate to the needs of service users who have mobility problems. The home must ensure that they are able to meet the current service users’ needs in ways that promote independence. EVIDENCE: Care plans seen gave detailed information about the level of support that each individual requires to maintain personal hygiene. One bedroom has an en suite and, with the exception of one, all others have wash hand basins. There are adequate communal bathrooms for service user. There are no communal shower facilities and staff felt that some service users would be able to have greater independence if the home had a level access shower. All personal care is carried out in private and the inspector noted that staff spoke respectfully to, and about, service users. Personal belongings for some service users, such as toiletries and clothes are not kept in their bedrooms. Although the reasons for this is clearly documented in care plans the home should look at ways that these can be more easily available to service users and staff assisting with personal care. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 15 Everyone living at the home is registered with a GP and other healthcare professionals such as dentists, opticians, psychologists and audiologists in line with their personal needs. Records are kept of all medical appointments. Currently no one living at the home administers their own medication. Only senior staff, who have received relevant training, administer medication. The inspector viewed the Medication Administration Records and found them to be well maintained and correctly signed. The management in the home is aware that as the service users grow older their needs may change. The need for aids and adaptations to the home should be kept under review to ensure that people have the opportunity to maintain their physical independence. There have been no deaths at the home for many years but the management have recently purchased a training pack on caring for some one who is dying and this will be shared with staff in the future. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 &23 Staff are aware of issues of abuse and there are policies and procedures in place to minimise risks to service users. The complaints procedure has not been made available in an appropriate format. EVIDENCE: The home has policies on recognising and reporting abuse and on whistle blowing. Staff spoken to were aware of the many forms of abuse and of the ability to take serious concerns outside the home. Many staff have had in depth training on abuse issues as part of their NVQ training. The home uses physical restraint with some service users and care plans clearly document how this will be used with individuals. Staff spoken to stated that they now rarely use physical restraint as they are becoming more in tune with service users and are able to use diversional methods of intervention before situations, that may in the past have required restraint, arise. Staff recruitment files viewed showed that a thorough recruitment process is followed to minimise the risk of abuse. The home has a complaints procedure, which is displayed in the hallway. Like the service user guide this has not been made available in a format that would be easily understood by the current service user group. The service user meetings are an opportunity for service users to air their views and share any concerns. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 17 One complaint has been received since the last inspection and the home’s area manager is currently investigating this. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 18 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, 25, 27, 28, 29. The home is located in a good position to access community facilities. The environment is poor, although it does not pose a threat to the health and safety of service users, neither does it create a comfortable, homely environment. EVIDENCE: The Gables is a two storey building set within walking distance of the town centre and the sea front. The inspector was able to tour the premises and view communal areas and a sample of service user bedrooms. There are 5 bedrooms on the ground floor and a further 5 on the 1st floor. The home is fitted with a passenger lift but this is not in use. To the front of the house there is a pleasant garden area where service users spend time and grow vegetables. There is a small courtyard area at the back of the house. The ground in the courtyard is uneven and this area is not used by service users. One service user stated that they would like to see this outside space up graded. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 19 Communal areas on the ground floor consist of a large lounge, a dining room and a small quiet lounge. Since the last inspection the furniture in the main lounge has been replaced with large comfortable leather sofas. The small quiet lounge has been adapted from a bedroom and since the last inspection the sink has been removed from this room. On the first floor there is a resource room, which is used by service users to undertake activities such as art and craft and games. All communal areas would benefit from redecoration and further investment in furnishings to create a homely environment. The staff have worked hard to personalise bedrooms but again many are in need of new furnishings. The chest of drawers in one service users bedroom was completely broken on the day of the inspection and needs to be replaced without delay. One bedroom has en suite facilities and all other service users share communal bathrooms. There are four communal bathrooms, two on each floor. The inspector and manager discussed the environment at length. There are plans to redecorate and refurnish many areas of the home. The manager stated that the bathrooms will be up dated in the near future. At present there are no communal shower facilities and many staff felt that some service users, who are beginning to have mobility difficulties, would benefit from a level access shower. This should be considered when the bathrooms are up graded. There are no environmental adaptations to assist people with mobility difficulties and again this needs to be considered as areas in the home are up graded. On the day of the inspection all areas seen by the inspector were reasonably clean and fresh. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 20 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, 32, 33, 34 & 36. The home has a dedicated and competent staff team. Staffing levels in the home during the day are appropriate to the needs of the service users. The night staffing levels must be reviewed. EVIDENCE: The inspector was able to talk with staff in communal areas and in private. Time was also spent observing care practices in the home. Staff spoken to were very positive and enthusiastic about the jobs that they did. All spoke with respect and warmth about the service users who lived at the home. Staff stated that training opportunities had improved at the home and all those spoken to were undertaking NVQ training. There have been many changes at the home and the inspector was impressed by the way in which staff appeared to be embracing the change and seeing positive outcomes for service users. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 21 All staff have clear job descriptions. Staffing levels in the home during the day reflect the high dependency levels of the service users. Staffing levels between 8am and 8pm are a senior support worker and 6 support workers. The manager and deputy manager’s hours are in addition to this. At night the staffing drops dramatically to one person sleeping in and one waking night staff. Some staff spoken to felt that this was inadequate given the needs of the service users and the layout of the environment. All staff spoken to stated that they received formal supervision on a regular basis. The manager supervises the seniors and they supervise the support workers. Appropriate training has been undertaken to carry out this role and staff spoken to felt that supervision and appraisals were beneficial to their roles and career development. New staff have been employed since the last inspection and the inspector sampled the recruitment files of two new staff. Both contained all items required to safeguard service users and demonstrated a robust recruitment procedure. The inspector observed care practices in the home and noted that staff interacted well with service users. They demonstrated excellent skills at diverting potential challenging behaviour and remained calm and consistent in their approach. Interactions observed were friendly and respectful. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 22 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) 37, 38, 39, 40, 41 &42. Although the home’s manager has not yet applied to be registered with the Commission for Social Care Inspection, the home is being effectively managed. The management structure in the home creates an open and inclusive atmosphere. Communication in the home is good with systems in place for staff and service users to air their views. EVIDENCE: The manager of the home is Mathew Tamplin. He has been in post for over 6 months but at the time of this inspection had not applied to the Commission for Social Care Inspection to be registered. This has been discussed and assurances were given that an application would be made within the next few days. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 23 Since the last inspection a deputy has been appointed and this gives a clear management structure to the home. Staff spoken to stated that the home’s management had an open door policy and that they felt comfortable to approach the managers with any concerns or suggestions. Staff felt that their ideas were listened to and acted upon where appropriate. Staff also stated that the new manager had begun to delegate some tasks in the home and that this resulted in them feeling more valued and fulfilled in their roles. Staff described communication as excellent. There are regular staff meetings and the inspector was able to view the minutes of these meeting. Minutes showed that a wide variety of issues were discussed. In addition to staff meetings the home holds regular service user meetings, which are used to share ideas and also as a form of quality assurance. Minutes from these meetings showed that the meetings were well attended and gave an opportunity for service users to give feedback to staff about things that they liked and disliked in the home. In addition to this the manager stated that questionnaires had recently been sent out to service users and their families to gain views on the home. The home has comprehensive policies and procedures, which are available to all staff. All records required by the inspector were issued and all appeared well maintained and up to date. Appropriate steps have been taken to ensure the health, safety and welfare of service users. A fire system is fitted throughout the home this is tested weekly by staff and quarterly by outside contractors. Staff receive training in fire safety during their induction and receive regular up dates. Currently records of fire training are not kept in the fire log, but maintained with other staff training records. It is recommended that all training relating to fire safety is recorded in the fire log. Al accidents in the home are appropriately recorded. Appropriate insurance is in place and the certificate displayed in the home. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 24 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 1 x x x 1 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 x 3 2 3 x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 2 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Gables Score 2 3 3 3 Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 3 x D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 25 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 1&5 Regulation 5(1) Requirement The home must ensure that the Service user guide is made available to all service users and/or their representatives in a format that is appropriate to the service users. The guide must contain all items listed in regulation 5 Care Homes Regulations 2001. The home must ensure that they are able to meet the current service users’ needs in ways that promote independence. Aids and adaptations must be put in place where appropriate. The home must compile an action plan, with time scales, to state how the environment will be up graded. Broken furniture in bedrooms must be replaced. The home must review the levels of night staff to ensure that they meet the needs of the service users. The home must apply to register a manager with the Commission for Social Care Inspection. Timescale for action 31/07/05 2. 18, 21 & 29 23 (2)[n] 30/09/05 3. 24 23(2)[b] 31/07/05 4. 5. 25 33 16[c] 18 (1)[a] 30/06/05 31/07/05 6. 37 8 (1) [a][b] 27/05/05 The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 18 24 42 Good Practice Recommendations All personal belongings should be kept in service users bedrooms. The home should upgrade the courtyard area for use by service users. Records of staff fire safety training should be kept in the fire log. The Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier Taunton TA1 4AL 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 Gables D53 - D02 S15983 The Gables V222322 310505 Stage 4.doc Version 1.30 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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