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Inspection on 02/06/05 for The Poplars

Also see our care home review for The Poplars for more information

This inspection was carried out on 2nd June 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

It was pleasing to see at the onset of the inspection residents being consulted about there personal likes and dislikes. An open door policy exists where residents can speak with staff routinely. There was a happy ethos that created a relaxed approach to the life of residents. Staff involved residents in daily living skills with support when needed. Residents said they liked living at the Poplars as it was very friendly and staff was always there to lend a hand when needed. Some of the residents will remain at the Poplars as this is their choice. Interaction was positive between staff and residents.

What has improved since the last inspection?

The records pertaining to residents had improved since the last Inspection. There are some improvements still to be made, however these were more of a recording issue. Since the last inspection the external appearance of the Home has been decorated to a satisfactory standard. All residents have completed their Person Centre Planning Meetings. Further progress will be assessed at the next inspection. All staff have completed training in First Aid. The ethos in the home has improved since the last inspection as residents now know what the future holds for them in respect of the re development of the poplars. The enthusiasm of the residents was pleasing to see.

What the care home could do better:

Information pertaining to residents and staff must be accurate. Training records must show what training has been completed. It is not acceptable that records pertaining to training are not available. It is imperative that experienced and qualified staff is on duty at all times. All staff must receive and have evidence that all mandatory training has been completed. There were letters available to indicate training had been offered, but no letter of confirmation or certificates to show staff had attended. It was very difficult to complete an accurate audit. Improvements must be made in the recording of information where a follow-up is required for .any medical treatment. The acting Manager must review the individual Service Users Statements to ensure the needs of residents are adequately met. Information that is not relevant must be removed or indicated as resolved. The views of residents must show how they are monitored and reviewed. Activities that are offered and available to residents must be recorded.

CARE HOME ADULTS 18-65 The Poplars 889 Chester Road Erdington Birmingham B24 0BS Lead Inspector Susan Scully Unannounced 2nd June 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 Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Poplars Address 889 Chester Road Erdington Birmingham B24 0BS 0121 373 0288 0121 386 2460 N/A Social Care & Health 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) Vacant Care Home 12 Category(ies) of Younger Adults, Learning Disability registration, with number of places The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home is registered to accommodate 9 adults under the age of 65 who are in need of long-term personal care for reasons of learning disability. 2. Currently residing people who are over 65 may continue to be accommodated provided their needs can be met appropriately. 3. The minimum staffing levels for 12 service users on weekdays when day care is off site: 7.00am - 9.00am 3 care assistants, 1 of whom is designated shift leader 9.00am - 4.00pm 3 care assistants, 1 of whom is designated shift leader 4.00pm - 10.00pm 4 care assistants, 1 of whom is designated shift leader 10.00pm - 7.00am 2 care assistants (both awake) At weekends and period without off-site day care: 7.00am - 10.00pm 4 care assistants 10.00pm - 7.00am - 2 care assistants (both awake) 4. Window frames that are in poor condition must be repaired or replaced by end of September 2004. 5. Double-glazing and/or additional heating must be installed in the conservatory in house 837 to ensure temperature is maintained at 21oC by end April 2004. 6. By end September 2004 plans are agreed with the NCSC with stated timescales for the future re-provision of this service to ensure standards commensurate with fitness for purpose for the needs of the client group. Reprovision to be completed by 1st April 2005. Date of last inspection 12 January 2005 The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 5 Brief Description of the Service: The Poplars is a local Authority home offering care for up to 12 adults with a learning disability. Accommodation is arranged in three houses. The poplars has its own olarge frontage and rear gardens and is in an established residential area of Birmingham. The houses blend in well with other houses in the area. There are a number of local bus routes, local shops, and a railway station near by. The home is well located to access Erdington and Sutton Coldfield. The home has a total of five lounges/quiet rooms. The main dining room is large and most residents use this room for their meals. The bedrooms at the home vary in size, but are all single rooms. The home has six bathrooms and seven toilets . The main house does not have a toilet located on the ground floor. Access between the three houses is through a series of hallways and staircases and is not ideal. The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. On the day of the visit all residents were at home. Throughout the day the Inspector had the opportunity to speak with residents who appeared enthusiastic about the re developments that was taking place at the Poplars. Person centre planning was taking place with a view to accommodating those that wished to, to move into accommodation in the local community. This varied from residents sharing, to those wishing to have their own flats with supported living arrangement being made. The Home was clean and fresh with a happy ethos. The Inspector would like to thank residents and staff who assisted with the findings of this inspection. What the service does well: What has improved since the last inspection? The records pertaining to residents had improved since the last Inspection. There are some improvements still to be made, however these were more of a recording issue. Since the last inspection the external appearance of the Home has been decorated to a satisfactory standard. All residents have completed their Person Centre Planning Meetings. Further progress will be assessed at the next inspection. All staff have completed training in First Aid. The ethos in the home has improved since the last inspection as residents now know what the future holds for them in respect of the re development of the poplars. The enthusiasm of the residents was pleasing to see. The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 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 Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 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) 1,2,5 Residents are informed on a daily basis of the changes to the Home and any information that affects them personally. Residents did not have a written contract of terms and condition of residency. EVIDENCE: There has been no new admission to the Home since the last inspection. The Acting Manager said there is no intension to admit any new residents in the foreseeable future. All residents are completing Personal Centre Planning to establish what accommodation if any, they would like when the Poplars is re developed. The acting manager said there are six residents who wish to remain at the Poplars. Other residents have identified accommodation in the local community with supported living. The Acting Manager said that it might be possible for the popular to become a smaller group home with the resident who wish to remain. As there have been no residents admitted to the home since the last inspection the assessment of needs prior to admission was not assessed. Two residents said they were moving into the community and were looking forward to the move. Both residents were enthusiastic. One resident said it would be nice to have his own flat, and two residents were looking forward to sharing accommodation. Individual contracts were not available at the time of the visit. The Acting Manager said these were still under review. The Poplars E54 S33636 The Poplars V231161 020605 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) 6,9 Not all care plans and documents pertaining to residents were accurate. Daily records/ISS did not show how the objective and goals of residents were met. There was inconsistency in recording information on the ISS and Daily records EVIDENCE: Three residents care plans were sampled, all three had ISS (Individual Service Users Statements) that gave objectives and goals the residents wanted to achieve. Along side this document there is a working tool to see if these goal and objective were met. Numbers indicated this. For example activities such as travelling would be indicated as number (1), or personal care no (2). The care staff would then write these members on the ISS working tool as being met or not met. On further inspection the number did not correspond with the goals and objective. The corresponding number if met is the written on the ISS working tool. On the daily records they gave no indications that the objective had been completed. For example one care plan showed that a need had been met, this was travailing, yet when the Acting Manager and the inspector examined the daily records these show no indication that this had been accomplished, it showed the resident had stayed in that day and watched TV. The Acting Manager said she would discuss these finding with the staff. Risk assessment are completed and updated regularly. However the fire Risk The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 11 assessments did not contain information pertaining to the Fire Safety Officers visit and the requirements made. The Poplars E54 S33636 The Poplars V231161 020605 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) 13,17 Records do not show all the activities available to residents. nutritional diet is provided. EVIDENCE: Residents take part in daily activities at the day centre they attend, such as daily living skills, going out on trips, and by mixing with the local community. Most residents attend a day centre 5 days a week. At present residents are busy with Person Centre Planning. There was not an activity programme for residents at the weekend, so the Inspector was not able to fully examine this standard. The acting Manager said that all residents do some activities at weekends however this was not recorded. The Acting Manager said she would complete an activity programme for all residents to show what type of activity is available and who participated. Two residents said the food was pretty good and felt they could have what they wanted. The records pertaining to food eaten and menus appeared to offer a balanced diet. One resident said he did not always have what was on the menu and could have a choice if he wanted. In general residents were happy with what was offered and available to them. Residents also had the choice of eating out or having an alternative to the planned menu. The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 13 A balanced and 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 Residents are supported to attend all Healthcare appointments when required. Following an appointment information is not adequately recorded in detail to give the reader sufficient information. EVIDENCE: Residents are supported to attend all healthcare appointments when required. Following an appointment information is not adequately recorded in detail to give the reader sufficient information. Residents have access to GPs, Opticians, Dentist, and other Healthcare Professionals. Records were available to show when staff supported residents on these visits. One entry in a care plan showed that the resident had a blood test, however the Acting manager did not know what this appointment was for. The resident had received a letter stating the results would be sent to the home. On further inspection this letter had been filed with no recording in daily records stating it had been received and no further action was to be taken. In one care plan an entry said to make an appointment for the resident to see the Nurse, no information of why the appointment was required was recorded. The Acting Manager and staff said that all Healthcare appointment are met and support is given when required, however they do agree that information following an appointment must be recorded in more detail. The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Residents views and concerns are taken seriously and action taken. All staff have not received training in Adult Protection and Managing Challenging Behaviour. EVIDENCE: A complaints procedure is available to all residents that give details of whom to complaint to and the time scale for response. The Acting Manager said this procedure was being reviewed. Residents said they were aware of the complaints procedure and felt staff would listen to any concerns they had. Two staff files were sampled information contained in these files indicated that staff had completed training in Adult Protection. The Acting Manager said not all staff had attended training in Adult Protection and Managing Challenging Behaviour, but had been put forward for this training. The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 15 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) 30 Residents are made comfortable, with their own personal passions, and the Home is clean and fresh with procedures in place to prevent the spread of infection. EVIDENCE: The Poplars is set in three houses, all three were clean and fresh. Decoration had been completed to the external front of the building. A tour of the building was not completed at this visit. Records pertaining to clinical waste were up to date. Procedures were in place to prevent the spread of infection such as maintaining fridge and freezer temperatures, procedures for soiled linen and adequate laundry facilities. One resident said his bedroom was comfortable and he was able to have his own personal things around him, he could have friends to visit him, and he could also go to his bedroom when he wanted to be alone. The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 16 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) 32 35 Training records and competences of staff is not adequately recorded to confirm all mandatory training has been completed. EVIDENCE: There has been four member of staff leave the Poplars since the last inspection The acting manager said this was due to staff wishing to develop there careers. Staff training records was sampled. There were no completed training record for any one member of staff. In staff files letters that had been sent to staff inviting them to attend training events was available. However no further record to indicate that staff had attended training was seen. The Acting manager said that there was no audit completed. One member of staff had three letters inviting him for the same training, one letter for the day of the inspection, yet this member of staff was on duty. Certificates were on file to show Staff had attended first aid. The Acting Manager said that most staff had attended training in Challenging Behaviour and Adult Protection, however records were not available to confirm this. Staff must complete training in Manual Handling, Adult Protection, Food Hygiene, and Fire Safety, NVQ level 2 or above that forms part of LDAf. All staff must complete all mandatory training and an audit to confirm attendance must be completed. Recruitment records where sampled for one member of staff due to commence employment at the Poplars. The Acting The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 17 manager had ensured the relevant checks had been completed. Other staff files were not assessed. The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,40,42 Improvement are needed in the recording of information to ensure residents welfare, health and safety, views are promoted and maintained. EVIDENCE: The minutes of meetings must show when ideas are raised whether they have been completed, if not why not. This will enable residents to see that their ideas and suggestions are being taken seriously and maintain a quality assurance that the views of residents are being listened to. Policies and procedure were not fully assessed those that were adequate. These include accidents, regulation 37,and infection control. Since the last inspection the Fire Safety Officer had completed a visit. The report said a smoke detector was required in house 889, the acting manager said that the organisations Health and Safety Officer had visited the home and said this was not required. There was no information to show any communication with the Fire Officer and the Organization Health Safety officer The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 19 as how they came to this decision. The fire risk assessment did not include this information. Information must be available when a requirement had been made and not completed by the home. Fire drills were completed on a regular basis. The names of those who participated were not recorded. Health and Safety Checks are completed monthly such as the testing of all water outlets, however these show temperatures of below 39c. The acting manager said this was due to the temperatures being recorded after residents had showered or baths. The acting manager will look at completing these at a different time so to give an accurate reading, if temperatures are still below action must be taken. The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 20 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 3 2 x x 2 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x x 2 x x x 3 Standard No 31 32 33 34 35 36 Score x 2 x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Poplars Score 3 2 x x Standard No 37 38 39 40 41 42 43 Score x x 2 2 2 2 x E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 21 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 2 Regulation 14(1)(a,b, c) Requirement Timescale for action 1/7/05 2. 5 3. 4. 6 12 5. 6. 13 9 7. 8. 19 23 A complete needs assessment must be completed for all residents prior to admission. Previous time scale 1/3/05. This standard not fully assessed. 5(1)( c) All residents must have a contract, terms and conditions of residence that includes all information as detailed under standard 5 and regulation 5. Previous time scale 1/3/05 Non Compliance. 14(2) All ISS/Care Plans must be (a,b) updated to reflect the changing 13(4) (c ) needs of residents. 2(1)(a) All residents timetables/daily planners must be updated regularly to ensure they reflect the changing needs of residents. Compliance not assessed. 14(2)(a,b) All residents activities the residents participate in at weekends must be recorded. 1394) (c ) Risk assessments must show changes or requirements made by the Fire Safety Officer if no action has been taken. Information must be recorded in sufficient detail to enable staff to take the appropriate action. 18(1)(c ) The Registered person must E54 S33636 The Poplars V231161 020605 Stage 4.doc 1/7/05 1/7/05 1/7/05 1/7/05 1/7/05 1/7/05 1/7/05 Page 22 The Poplars Version 1.30 17(2)(b)) 9. 27 10. 32&35 11. 12. 32&35 36 13. 39 14. 40 15. 41 16. 42 17. 42 18. 42 ensure staff receive appropriate training to the work they perform. Training must be provided to all staff in Adult Protecion and Challenging behaviour. Previous time scale 1/3/05 Non Compliance. 23(2)(d) Bathrooms and toilets must be redecorated to make them less institutional in appearance. Compliance not assessed. 18(1) (c ) Staff must complete Training in &17(2) Manual Handling, Fire Safety, (b) Food Hygiene, NVQ level 2 or above. 17(2) (b) Adequate audits must be & 18(1)(c) completed for staff training. 18(2) All staff that are employed at the Poplars must be appropriately supervised at least six times per year and a record of this retained. Compliance not assessed. Records must be available to show how the residents views and suggestions are being monitored. 17(2) (b) Policy and Procedures for the & 13(6) protection of residents must be available at all times. Previous time scale 1/3/05 Compliance not fully assessed. 13(4)(c) All records in respect of &14(2) residents must be complete, (a) (b) accurate, signed and dated in sufficient detail. Previous time scale 1/3/05 Non Compliance. 13(4) (c ) The fire risk assessment must contain information pertaining to the Fire Safety Officers Visit and what action to requirements were not taken and why. 13(4) (c ) All water outlets must be checked for temperature control and action taken where temperatures fall below 43C 13(4) (c ) Fire drills must show who &23(4)(c ) participated. E54 S33636 The Poplars V231161 020605 Stage 4.doc 1/7/05 1/7/05 1/7/05 1/7/05 1/7/05 1/7/05 1/7/05 1/7/05 1/7/05 1/7/05 Page 23 The Poplars Version 1.30 19. 42 13(4)(c ) &23(5) Requirements made by the Fire Safety Officer must be completed. 1/7/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations The Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Birmingham & Solihull Local Office 1st Floor, Ladywood House 45-46 Stephenson Street Birmingham, B2 4UZ 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 Poplars E54 S33636 The Poplars V231161 020605 Stage 4.doc Version 1.30 Page 25 - 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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