Inspection on 11/07/06 for Wardley Street

This inspection was carried out on 11th 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 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wardley Street 05/06/07

Wardley Street 07/09/05

Wardley Street 24/05/05

Wardley Street 25/01/05

Wardley Street 31/08/04

Wardley Street 24/02/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Wardley Street 2 Wardley Street London SW18 4LU Lead Inspector Sharon Newman Unannounced Inspection 11th July 2006 10:00 Wardley Street DS0000010236.V298821.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 Wardley Street DS0000010236.V298821.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. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wardley Street Address 2 Wardley Street London SW18 4LU 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) 020 8875 1293 /1336 www.odyssey-csft.org Odyssey Care Solutions for Today Ms Comfort Bonti Care Home 7 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (2), Physical disability (2), of places Physical disability over 65 years of age (0) Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2005 Brief Description of the Service: The home is located in Wandsworth, in a small cul-de-sac off the main road from Wandsworth to Tooting. It is situated across the main road from a day service run by The London Borough of Wandsworth, close to local shops, post office, public transport, pubs, and other amenities. Thames Housing Association owns the building and Odyssey Care Solutions for Today, a charitable organisation manage the home. It is registered to provide care for up to seven service users with learning disabilities. The home is a purpose-built three-storey building. There is no passenger lift. All bedrooms are single including two of which are wheelchair accessible and these are on the ground floor, both with en-suite facilities. The home has an open plan lounge/dining room and a patio garden to the rear. Fees range from between £755.82 per to 957.20 per week. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 11th July 2006 and was conducted by one regulation inspector. There are currently six residents living at the home. The registered manager was on duty on the day of inspection. Two staff members were spoken to and both stated they enjoyed working at the home. Three residents seen on the day of inspection indicated they were happy. Surveys were left at the home for residents, relatives and health professionals to complete. One survey was returned from a relative and one from a health professional prior to completion of this report. Both were positive and indicated they were happy with the care provided by the home. Documentation sampled during the inspection included care plans, staffing information, medication records and health and safety information. A tour was also taken of the premises. Staff on duty were helpful, open and welcoming throughout the inspection visit. What the service does well: Residents seen at the time of inspection indicated that they enjoyed living at the home. Staff have a good rapport with the residents and a good knowledge of their individual needs. Residents’ needs, likes and dislikes are well known by staff and their independence and choice is respected and promoted at this home. The manager provides good support for staff and helps to promote a relaxed atmosphere. Staff commented that she supports them to undertake further training. There is a varied programme of activities and residents are encouraged to take part in local community work projects and attend local day centres. There are very good community links some of which are provided by the Community Assist Team (CAT). The members of this team visit the home and work with residents in the community setting helping them to become more independent. On the day of the inspection a member of the CAT team took one resident to the shops in the morning and another resident out in the afternoon. Both residents were seen to enjoy this experience and to look forward to these outings. Resident’s choice was seen to be respected about whether they wished to go out and what they would like to eat. Wardley Street DS0000010236.V298821.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. Wardley Street DS0000010236.V298821.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 Wardley Street DS0000010236.V298821.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): 2, 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Assessments need to be in place and do not all contain sufficient detail to ensure detailed care plans can be drawn up and residents’ needs met. EVIDENCE: The manager said she is currently updating the Service Users Guide and Statement of Purpose to reflect staff changes. Two of the resident’s files were looked at, one contained a completed life skills assessment and the other was incomplete. Many sections had not been completed and no original assessment from the local authority was available. All residents must have full and detailed assessments in place to ensure that an appropriate care plan can be drawn up and their needs met. There was no evidence of up-to-date reviews of care with a social worker for either resident. The manager has implemented monthly reviews with each resident and their key worker. Whilst this is a positive step, all service users should be formally reviewed at least annually to ensure that any change in needs is addressed. Although contracts were in place, the residents’ key worker had signed two of these; a further contract was signed by a resident. All contracts must be signed by the residents themselves, and/or a relative/advocate. These should be in a format that the residents can more easily understand using pictures or Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 9 symbols where necessary. This will help ensure they are more aware of the terms and conditions of the home. Residents seen on the day of inspection were observed to be happy and to be treated with kindness and respect. Staff on duty were aware of individual residents needs, likes and dislikes. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 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 the following standard(s): 6, 7, 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Residents’ choice is respected and they are supported by staff to participate in community activities. The care plans still need to be more user-friendly and information needs to be archived which would make the information more accessible and be of benefit to staff and service users. Residents are supported to take risks and maintain their independence. EVIDENCE: Staff reported that they have started archiving material from the care plans to help make them more user-friendly. This process needs to continue, as there is still a large amount of out-of-date documentation such as risk assessments in the files which can be confusing. The key worker system helps ensure continuity of care for residents. A key worker for one of the residents had a very good knowledge of them and their preferred daily routines, likes and dislikes. They discussed how they have implemented a new care plan for this residents particular health needs and that this has been drawn up after consultation with health professionals Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 11 including the GP and dietician. This care plan was seen to be in place and was detailed and up-to-date. The resident was spoken to and is aware of the actions they need to take to help them achieve their goals. Staff were seen to help encourage them in this area. Up-to-date risk assessments were in place for areas such as inappropriate/challenging behaviours and going out alone. Resident’s independence is encouraged and one individual who enjoys going out alone has a detailed risk assessment in place for this activity. This demonstrates what practical steps are to be taken when the resident goes out. The manager reported that she tries to enable residents to exercise their choice in the running of the home by holding monthly meetings with each of them and their key worker. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Links with the community are good which helps to support and enrich resident’s social and educational opportunities. The home provides a good environment for residents to develop their social skills. Staff continue to encourage and support them to be as independent as possible. EVIDENCE: Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 13 Activities enjoyed by residents include: going to the pub, cinema, walks, to local cafes and shopping. There is a television, music centre and video for the use of residents in the lounge/dining area. Many of the residents attend local day centres during the week, most attend daily from Monday to Friday, whilst some prefer to attend for three days a week. All residents have their own weekly programme of activities in place. One said that they were going to the shop with their one-to-one worker to buy comics and then watch the television as they were having a ‘day off from going to the day centre.’ Another resident was very excited about going to the Baked Bean Theatre club which they enjoy going to each week. The manager said that the staff were arranging a birthday party for one of the residents at the end of the month. Residents were observed to be appropriately dressed and clean. A resident was seen to rise in the morning at a time of their choosing and then have breakfast. They then chose what they wanted to have for breakfast and said they liked it ‘very much.’ Staff reported that some residents can make their own breakfast, others are supported to do so and others prefer not to make it themselves and this is respected. Residents are offered a choice of meals throughout the week and are involved in the planning of the menus. There is a rota for each resident to be involved in setting and clearing tables if they wish to do so. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 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 the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The health and emotional needs of residents are well met and there is evidence of multi-disciplinary working with health and social care professionals. EVIDENCE: Evidence was seen of input and correspondence from hospitals, health and social care professionals in the files seen. A staff member reported that when a resident needs support with personal care this is carried out in a supportive and dignified manner. There is a medication policy in place in the home and the medication cupboard was locked securely at the time of inspection. A staff signature list is also in place. Photographs of the residents were seen to be attached to the medication administration records (MAR) to allow easy identification for staff. The allergies section in the MAR sheets had been fully completed for all residents. No omissions of signatures were seen in the MAR sheets indicating medication is given as prescribed. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 15 Staff reported that they have now received medication training and that this was provided by an outside agency approved by their organisation. This training helps to ensure the safety of the residents. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 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 the following standard(s): 22, 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Policies and procedures are in place to protect residents from abuse and harm. Staff continue to promote an open and approachable atmosphere at this home. However, a lack of training in abuse awareness and protection of vulnerable adults issues could place residents at risk. EVIDENCE: A complaints policy is in place at the home and is also available in pictorial format to help the residents to understand how they can make a complaint or raise an issue at the home. Staff said there have been no formal complaints recorded at the home since the last inspection visit. The home follows the London Borough of Wandsworth’s adult protection procedures and there is an organisational abuse policy in place. Not all of the staff have had formal up-to-date training in abuse awareness and the protection of vulnerable adults. All staff must undertake this training to ensure that they are aware of the issues involved and also for the protection of the residents. The manager said she will look into this, and it was discussed with her that training in this area could be provided by the London Borough of Wandsworth. The manager discussed how important the issue of abuse awareness was to her and that any abusive behaviour would never be tolerated at the home. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 17 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The standard of the environment within this home is good and the lounge area is light, well decorated and spacious, providing service users with an attractive and homely place to live. However, attention needs to be paid to maintenance and the overall standard of the décor could be improved. The home is clean and hygienic. EVIDENCE: This home is a purpose built facility for those with learning disabilities. It has a large kitchen and clean, spacious and bright lounge/diner. The furniture is solid and attractive and the room has been well decorated. The pictures on the walls, cushions and bookcase create a homely feel. There is a small garden to the rear of the garden and this contains some new, attractive garden furniture consisting of a table, chairs and garden umbrella. Staff reported that these had been purchased for the home in memory of a former resident. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 18 Some items of broken/unused equipment and furniture were observed to be stored in the garden. These items need to be removed as they could present a hazard to residents. This was discussed with the manager at the time of inspection who reported that this was being addressed. Some areas within the home including the hallways require redecoration, as there are many areas of scuffed and marked paintwork. A toilet seat in a first floor bathroom needs to be replaced as, although regularly cleaned, it has become stained. There are also some broken items of equipment including a computer and stand on the top floor landing which need to be removed. Two bedrooms seen looked bright and clean and the residents had personalised them to their taste. The home does not have a lift, however, the bedrooms on the ground floor have been adapted for those service users who may require easier access and/or the use of a wheelchair. The home was clean and hygienic and free from any offensive odours. The manager reported that she has requested for a professional cleaning company to come and give the home a thorough clean. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 19 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, 35, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Staff remain committed to delivering good standards of care and supporting residents to meet their goals. Staff are well supported by the manager and the standard of care also remains good. However as reported previously, improvements can be made regarding training to ensure all staff have up-todate knowledge in mandatory areas such as moving and handling, first aid and food hygiene. EVIDENCE: Two staff members were spoken to and both said they were happy working at the home. They both reported that the numbers of staff on duty have increased and they felt this had contributed to a raised staff morale. One of them commented that there are very low levels of staff sickness now. They both stressed the importance of continuity of care for the residents and ensuring they were looked after by staff that they know and who they have built up a relationship with. Staff were seen to have a very good rapport with the residents and to interact with them in a kind manner. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 20 The manager reported that a new staff member has started at the home since the last inspection visit. It is recognised that most of the staff records are kept at head office, however, there were no details at the home to indicate that a criminal record check, two satisfactory references, or other pre-employment checks had taken place. A record to prove that all necessary checks have been obtained must be kept at the home. Staff one-to-one supervision is taking place regularly to help ensure that staff have the support and direction they need to carry out their roles. A supervision log is in place to indicate when staff have had supervision and records of these sessions are kept in a locked cabinet at the home. Staff reported that they receive regular supervision and that they feel well supported at the home. Two staff members commented that the training within the organisation was good. As stated in the previous inspection report whilst it is acknowledged that some staff training in mandatory areas is taking place, evidence could not be seen that all staff are up-to-date in mandatory areas including moving and handling, first aid and food hygiene. A training log for all members of staff would be useful and would help to demonstrate what training courses staff have attended. Two staff members spoken to commented that the relationships between the staff were good and they all worked well together as a team. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 21 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, 42, 43 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home is appropriately managed and the manager is experienced. The manager continues to provide good leadership to staff. Health and safety issues including the water temperatures need to be addressed to ensure the safety of the residents. EVIDENCE: The manager is experienced and reported that she is completing the NVQ Level 4 course at present. She was observed to have a very good rapport with the residents. A staff member reported that she ‘is very supportive’ and that she provided them with help to ensure that they finished a course they were undertaking. Another staff member said she was ‘a very good manager’ and that she did thoughtful things for the staff which made them feel appreciated. The manager said that a quality assurance programme to seek the views of residents and their relatives had been put into place by the organisation. She Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 22 said that she tries to obtain the views of the residents through their monthly meetings with her and their key-worker. Although hot water temperatures are tested weekly, some bath temperatures remain higher than is recommended. One bath temperature was found to be 46.3 degrees centigrade and another was 47.1 degrees centigrade. Temperatures must not rise above 43 degrees centigrade to ensure the safety of the residents. The portable appliance testing certificate was not available and the gas safety certificate was out-of-date. These checks must be carried out and up-to-date certificates obtained. Other records relating to health and safety such as first aid box checks and legionella were in order. The Commission for Social Care Inspection (CSCI) had not received notification of a resident’s death or of some incidents relating to the welfare of the residents. Information in one residents’ file indicated that they had absconded and later been found. All incidents affecting the health and welfare of the residents’ must be reported to the CSCI. There were no soap dispensers available in the toilets or bathrooms to provide adequate hand washing facilities. The manager reported that some residents were emptying them or putting their contents in the bath and they were removed to prevent this practice. However, adequate hand washing facilities must be in place to promote good hygiene practice and to prevent the spread of infection. The manager said that she was trying to address this issue. The CSCI has also not received recent copies of the Registered Providers monthly audit visits to the home. These must be forwarded to the CSCI. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 23 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 X 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 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 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 2 Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 24 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 YA5 Regulation 5 Requirement The Registered Person must ensure that signed contracts/terms and conditions are in place for all service users The Registered Persons must ensure that files are archived and remove any inappropriate documentation. (Previous timescale of 01/11/05 not met) The Registered Persons must ensure that all staff are trained in recognising and reporting abuse. The Registered Persons must ensure that all maintenance issues outlined in Standard 24 of this report are addressed. The Registered Person must ensure that there is information available at the home to demonstrate that staff files contain all the necessary checks and documentation. The Registered Persons should ensure that staff training is upto-date. Refresher training must be provided for staff as required with regard to Moving and Handling, First Aid and Food DS0000010236.V298821.R01.S.doc Timescale for action 01/08/06 2. YA6 15 (1) (2) 01/08/06 3. YA23 13 (4) 01/08/06 4. YA24 23(2)(b) & (d) 19 Sch. 2 01/09/06 5. YA34 01/08/06 6. YA35 18 (1) 01/09/06 Wardley Street Version 5.2 Page 25 7. YA42 13 (4) 8. YA42 13 (4) 9. 10. YA42 YA42 13 (4) 13 (4) 37 11. YA42 13 (4) 12. YA43 26 Hygiene. (Previous timescale of 01/11/05 not met) The Registered Persons must ensure that hot water temperatures do not rise above 43 degrees centigrade. This is particularly with regard to service users safety and full body immersion. (Previous timescale of 01/10/05 not met) The Registered Persons should ensure that Portable Appliance Testing is up-to-date. (Previous timescale of 01/10/05 not met). The Registered Persons must ensure that an up-to-date gas safety certificate is obtained. The Registered Persons must ensure that all deaths and incidents which affect the well being of the service users are reported to the CSCI. The Registered Person must ensure that there are appropriate hand washing facilities in all toilets and bathrooms. The Registered Persons must ensure that copies of their reports from their monthly visits to the home are forwarded to the CSCI. 11/07/06 01/08/06 01/08/06 11/07/06 01/08/06 01/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations It is recommended that the care planning system in place be reviewed to ensure that it is an effective working DS0000010236.V298821.R01.S.doc Version 5.2 Page 26 Wardley Street document for staff to use in conjunction with the service user. Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Wardley Street DS0000010236.V298821.R01.S.doc Version 5.2 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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