Inspection on 31/07/06 for The Haven

This inspection was carried out on 31st July 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Haven 21/11/05

The Haven 11/07/05

The Haven 30/12/04

The Haven 12/10/04

The Haven 23/03/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 The Haven Radley Road Abingdon Oxfordshire OX14 3PP Lead Inspector Catherine Kane Unannounced Inspection 31st July & 1st August 2006 16:15 The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Haven Address Radley Road Abingdon Oxfordshire OX14 3PP 01235 521801 01235 521801 haroon@caretech-uk.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) CareTech Community Services Limited Julie Firth Care Home 6 Category(ies) of Learning disability (6), Physical disability (2) registration, with number of places The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 6. 21st November 2005 Date of last inspection Brief Description of the Service: The Haven is a home for six adults with learning disabilities and physical disabilities. The home provides 24-hour support for the residents to meet their assessed needs. It is run by CareTech, a large private company that specialises in services to people with learning disabilities, although the actual house itself is owned by a housing association. The home is detached and located in the outskirts of Abingdon, a market town seven miles south of Oxford. The home is domestic in appearance and has a big garden. The residents are helped to use local services and facilities. The fees for this service are £1,056.70 per week. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 4.15pm on Monday, 31 July 2006. She returned to the home on Tuesday, 1 August 2006. The inspector was in the service for a total of seven hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. The registered manager was not on duty at the time of the inspection but the inspector spoke by telephone with a senior manager the next day. She spoke with three members of staff on duty and two other staff supplied by agencies. The inpsector saw staff and residents who were preparing for their evening meal and saw how staff help residents look after and take their medicines. She also looked at residents’ care plans, staff files and other records kept in the home and made a tour of part of the premises. The inspector would like to thank the manager and her staff team for their assistance with the inspection. She also thanks residents, their relatives and all others who shared their experience of this home. What the service does well: The home continued to have a friendly, relaxed atmosphere with positive relationships between residents and staff. Staff had a good understanding of residents’ support needs. Meals provided are good. The home was able to support a resident’s wish to be cared for at home when they were ill. Personal care and healthcare support provided in this home are good. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 6 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. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection The Haven DS0000013091.V305804.R01.S.doc Version 5.2 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 the following standard(s): 1 and 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The admission procedure is good although not tested as there have been no new admissions to the home. EVIDENCE: While some information has been added to the previous information provided to residents, it still does not fully reflect the documentation required to be in the home’s Statement of Purpose and Service User Guide. The registered persons must produce a Statement of Purpose and Service User Guide to include all information required and make these available. There have been no new admissions to this home since it first opened in the early 1990s. At the time of this inspection the home had one vacancy. The inspector and the manager discussed the importance of making sure that the home is the right place, the wishes of all the people who already live in the home are carefully considered and that the staff team have the right skills and systems in place before offering a place to any new resident. Generally, admissions would not be made to the home until a full needs assessment has been undertaken. The home would then be able to confirm that they can meet the needs of the individual through the service they deliver as detailed in the Statement of Purpose. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The care planning system in place to provide staff with the information they need and for assessing risk is adequate. EVIDENCE: All five residents’ care records were viewed during the inspection and in each case the files had all the relevant information. However, the files were heavy, awkward and not easy to read. The home uses a care planning system that promotes the use of charts and task checklists for staff. At the inspection held on 11 July 2005 the manager informed the inspector that the introduction of a more person centred care planning system was imminent; this has not happened. The inspector recommends that introduction of this new person centred system be given priority. The home has a system for identifying and assessing risk for residents during everyday activities. The information in risk assessments seen continued to be vague. While these were seen to have been reviewed, signed and dated by the manager the content and usefulness of the information to reflect the The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 10 particular needs of the residents had not been improved. A risk assessment and general guidelines relating to the use of the large garden trampoline by an individual resident were seen. This had not been undertaken by a person suitably qualified to assess the risk to any individual resident while using this piece of specialist equipment. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Opportunities for people who use this service to take part in a variety of interesting activities are adequate. EVIDENCE: On the day of the inspection the inspector was in the home during the afternoon and evening. She spent this time with all five residents and the staff on duty. The manager’s family and a former member of staff were visiting the home when the inspector arrived. Three residents were able to communicate clearly with the inspector. Two other residents were not able to communicate but with the help of staff and notes seen during the inspection she got an idea about things they like to do. From reading notes kept in residents’ Social Diaries that indicated when and what activities took place it was clear that the choice and opportunity for residents to take part in interesting activities are limited. Most activities listed were in house; these included relaxing and sitting in the garden. During the The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 12 inspector’s visits to the home she saw residents busy drawing, watching television and listening to music. One resident told the inspector “I like to go shopping in Reading.” It was clear that some residents particularly enjoy outings but this does not happen for each resident often. Staff told the inspector that the home’s vehicle has been off the road for three weeks. The manager stated that the new vehicle has been ordered and should arrive the next day. The manager must consult with each resident about their personal interests and must make arrangements that each resident is provided with opportunities to take part in interesting and fulfilling social and leisure activities, in the home and in their local community, taking into account their needs and wishes. Three residents with the help of staff completed questionnaires that were returned to the inspector. These indicated that staff always treat them well. The relative of one resident spoke with the inspector by telephone. They commented that they felt that communication with the home had slightly improved, but there were occasions when the home had not kept them informed about important matters relating to their relative. The inspector was in the home while residents were having their evening meal. Residents are able to choose to eat on their own if they wish. Regular drinks and snacks are available. A varied menu is provided and residents’ special dietary needs are catered for. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of residents are generally well met. EVIDENCE: Essential information needed by staff to be able to provide personal and health care support was included in residents’ files. Staff help residents to look after their own medication and see they get to see their local GP and other community healthcare services when needed. The inspector saw how the home helped residents to access specialist healthcare support when this was needed. This was well recorded by staff in the resident’s notes. Three comment cards were returned from GPs and consultants involved in the healthcare of residents who live in this home. They indicated that they were satisfied with the overall care provided in this home. Residents’ medicines are securely kept in a locked medicines cabinet. The home uses a pharmacist produced medication administration record (MAR). Records were kept of staff assessed as competent to administer residents’ The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 14 medicines. During the inspection two staff members confidently demonstrated how a resident’s medicines are looked after and how residents are helped to take their medicines. The inspector recommends that the home should retain patient information leaflets or up to date information relating to residents’ medicines. The home was able to support a resident with their wish to be cared for at home through their illness. Staff received bereavement training and residents were supported by the manager and her staff team through a difficult and sad time. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear protection from abuse policy and the complaints procedure is good. EVIDENCE: The manager provided the inspector with information on how the organisation was responding to concerns raised by the relative of one resident. This was in line with their complaints policy. The Commission is aware that the home received one further complaint about the home in the last year. This referred to the ongoing issue of future plans of the home and how it will meet the changing needs of residents. Staff have attended specific training on protecting vulnerable people from abuse and about local adult protection procedures in line with the Oxfordshire Multi-agency Codes of Practice. The Commission has received no information relating to adult protection issues in the last year. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 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 the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was tidy and clean at the time of the inspection but still in need of refurbishment and redecoration. EVIDENCE: All areas of the home visited by the inspector were clean and tidy. However, the programme of refurbishment and redecoration required at the inspection held on 21 November 2005 has not been fully implemented. A vacant bedroom has been redecorated. The manager informed the inspector that her husband as a goodwill gesture had done some redecorating work. During the inspection the manager and her husband returned to the home to replace a faulty light fitting in the kitchen, as the landlord’s maintenance service could not. Since the last inspection residents’ bedroom doors have been fitted with locks. However, these locks are not appropriate as they can be deadlocked from the inside. Locks must be replaced with a suitable locking device that will ensure the safety of residents. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 17 The inspector was aware that dialogue between CareTech and the local authority responsible for the funding of this service had begun to address the appropriateness of the current building to meet the needs of residents. The manager did not have details of the outcome of these discussions or of the future plans for the home. The relative of one resident was concerned that there has been no further development in this matter. Failure to resolve the situation to ensure that the needs of all residents are met could lead to the Commission to consider enforcement action. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s recruitment procedures and training for staff to do their jobs well are good. EVIDENCE: During the inspection the inspector spoke with three staff. Staff commented that morale is generally good. One member of staff commented that more staff are needed so that residents can get out more. One member of staff has left and three new staff have been recruited since the last inspection. The recruitment process is thorough. The home keeps a record of training completed by staff; staff spoken with confirmed details of the training they have undertaken. A recently appointed member of staff related what they had covered from the comprehensive induction programme and they were clear about their role. The inspector viewed staff files for three staff sampled at random. These were well organised and contained the necessary documentation. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 19 A senior CSCI manager has undertaken an audit of Criminal Records Bureau (CRB) disclosures made on staff and stored at the CareTech head office. The following recommendations were made. All CRBs with a criminal record should be reviewed by one person who is a senior manager within CareTech. All staff with a CRB showing a criminal record must have a query sheet. The query sheet or other form should provide greater detail as to the evidence, risk assessment and reasons for the decision to appoint or not. As is the case, Protection of Vulnerable Adults (POVA) First should only be used when the risk not to do so is serious for the service users. However, any person appointed under POVA First should be asked to sign that they do not have a criminal record over and above their answers within their application forms. The manager provided details of the range of training opportunities to enable staff to do their job. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It is expected that the registered manager shall undertake further training qualifications at level 4 NVQ in both management and care. Therefore this standard is rated as ‘standard almost met’ and scored 2. The registered manager has the necessary experience to run the home. She is aware of and works to the basic processes set out in the National Minimum Standards. The manager has developed systems that monitor practice and compliance with the home’s plans, policies and procedures. Action taken to respond satisfactorily to requirements from the last inspections has been poor. The home has sound policies and procedures in line with current thinking and practice. Efficient systems are in place to monitor staff adherence to policies and procedures during their practice. The home works to a clear health and The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 21 safety policy and checks take place to ensure the home meets relevant health and safety requirements and legislation. Records kept were generally adequate and are routinely completed. All residents’ records must include a recent photograph. Where issues have been identified these have been acted upon successfully to ensure residents’ care is not compromised. The inspector receives copies of the proprietors’ representative’s monthly visit reports. CareTech has recently undertaken an audit of this home. The manager informed the inspector that the outcome was very positive. At the time of the inspection the audit report was not yet available. CareTech, who run this service, has financial and accounting systems subject to internal and external audits. The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 2 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 2 X 3 X X 3 X The Haven DS0000013091.V305804.R01.S.doc Version 5.2 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 YA1 Regulation 4 Requirement The registered persons must produce a Statement of Purpose in appropriate formats, which include all information specified in Regulation 4. A copy must be sent to CSCI and be made available in the home. (Outstanding requirement which should have been met by 31/09/05) The registered persons must produce a Service User Guide in appropriate formats, which include all information specified in Regulation 5. A copy must be provided to each resident and a copy made available in the home. (Outstanding requirement which should have been met by 31/09/05) The registered persons must ensure that risk assessments relating to individual resident’s use of specialist equipment, including the trampoline, is undertaken by a person suitably qualified to assess the risk to any individual resident DS0000013091.V305804.R01.S.doc Timescale for action 15/11/06 2 YA1 5 15/11/06 3 YA9 13(4) 15/11/06 The Haven Version 5.2 Page 24 4 YA13 5. YA24 6. YA24 7. YA24 while using any piece of specialist equipment. 16(2)(m),(n) The manager must consult with each resident about their personal interests and must make arrangements that each resident is provided with opportunities to take part in interesting and fulfilling social and leisure activities, in the home and in their local community, taking into account their needs and wishes. 13 (4) c The manager and provider must replace the locks on residents’ bedrooms with locks that cannot be deadlocked from the inside, and while this is being done take appropriate action to ensure the safety of residents. (Outstanding requirement which should have been met by 28/02/06) 23 (2) b,d The manager and proprietor must undertake an audit of the premises to clearly identify those areas that require work and redecoration and submit an action plan of the audit to address the issues identified to the Commission. (Outstanding requirement which should have been met by 28/02/06) 23 (2) n The manager and provider must write to the Commission outlining how they plan to address the issue of the building not meeting the needs of current service users on the first floor. (Outstanding requirement which should have been met by 28/02/06) 15/11/06 15/11/06 15/11/06 15/11/06 The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 25 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 YA6 YA20 YA34 Good Practice Recommendations The inspector recommends that introduction of the new person centred system should be given priority. The inspector recommends that the home should retain patient information leaflets or up to date information relating to residents’ medicines. All Criminal Record Bureau (CRB) checks with a criminal record should be reviewed by one person who is a senior manager within CareTech. All staff with a CRB showing a criminal record must have a query sheet. The query sheet or other form should provide greater detail as to the evidence, risk assessment and reasons for the decision to appoint or not. As is the case, Protection of Vulnerable Adults (POVA) First should only be used when the risk not to do so is serious for the service users. However, any person appointed under POVA First should be asked to sign that they do not have a criminal record over and above their answers within their application forms The inspector recommends that the adequacy of heating is included in any audit of the premises, to ensure that it meets the needs of the current service users, some of whom are immobile. (Recommendation made at the previous inspection) 3 YA24 The Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South, Cowley Oxford OX4 2SU 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 Haven DS0000013091.V305804.R01.S.doc Version 5.2 Page 27 - 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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