Inspection on 25/06/07 for Weka House

This inspection was carried out on 25th June 2007.

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

Weka House 08/06/06

Weka House 04/01/06

Weka House 30/08/05

Weka House 11/09/04

Weka House 06/05/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Weka House 4 Elsden Road London N17 6RY Lead Inspector Jackie Izzard Key Unannounced Inspection 25 June 2007 09:00 Weka House DS0000010794.V333372.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 Weka House DS0000010794.V333372.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. Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Weka House Address 4 Elsden Road London N17 6RY 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 8808 8428 020 8808 3748 akwahouseltd@aol.com Mr Alexio Kadira Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2006 Brief Description of the Service: Weka House is a care home located in a residential area of Tottenham, near Bruce Grove and near a park. It is registered to provide a service for up to four people with a mental disorder. Mr Alexio Kadira is the proprietor and has been the registered manager of the home. Mr Kadira has a similar care home close to this home. He has recently opened another home for which he is registered to be the manager. There is a manager employed for Weka House. The home is an ordinary terraced house, on a domestic scale and fits in well with the surrounding area. Each resident has a single bedroom and one of these has en suite facilities. The communal facilities in the home include a bathroom with a shower, two toilets, a lounge, a dining area, a kitchen and a rear garden. Information about the home including service users’ guide and the CSCI inspection reports are available from the home by contacting the providers. The weekly fees of the home range between £750.00 to £1450.00 per week. Currently there are four men living at Weka House. Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 25 June 2007 and was unannounced. The inspector had the opportunity to meet with the manager, meet two care staff and inspect a variety of records. Residents and staff files were inspected along with a selection of other records and procedures. A tour of the communal areas and garden was also conducted. The inspector did not meet any of the residents who remained in their bedrooms throughout the inspection. The inspector was able to assess the quality of service provided to the residents through inspection of relevant records and discussion with the home manager. What the service does well: What has improved since the last inspection? What they could do better: Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 6 Seven requirements are made in this inspection report. These are actions that the provider must carry out in order to improve the service provided to residents, comply with the Care Homes Regulations 2001 and the National Minimum Standards for care homes for adults. The requirements are to ensure the manager applies for registration by the CSCI and applies to undertake relevant training for this post, to replace some cooking utensils, remove some pipes, eradicate an insect infestation, keep food records and supervise all staff who work in the home. The requirement to apply for a manager to be registered is made for the third time. Failure to comply may result in further action being taken against the registered provider for operating a care home without a registered manager. One recommendation is made. Recommendations are seen as good practice advice. The recommendation is to consider registering the home for men only as it would not be appropriate for women to live there with current residents. 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 summary of this inspection report can be made available in other formats on request. Weka House DS0000010794.V333372.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 Weka House DS0000010794.V333372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People can be assured that their needs will be assessed before they move into this home. EVIDENCE: In order to assess this area, the inspector looked at the file of a person who has moved into the home within the last year. It was evident from the file that the persons needs had been assessed by the placing authority and that the home had carried out their own assessment to see whether they could meet the persons needs. The assessment addressed all relevant areas. The home’s own assessment format is basic but the manager was able to show how he intends to improve the quality of the assessment process. A second file was inspected to see if there was a satisfactory assessment undertaken before the person moved in. This had been undertaken. Weka House DS0000010794.V333372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at this home are supported to take risks as part of an independent lifestyle, but at the same time are supervised and monitored if they pose a risk to other people. Their needs are recorded in their individual care plan which is reviewed on a regular basis and updated if their needs change. EVIDENCE: In order to assess this area, the inspector examined the files of two of the current residents, including their care plans and risk assessments. Both these residents had an assessment of their needs and a risk assessment which detailed their individual risks, for example illicit drug use and violence. Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 10 There was a written plan of care for both residents and these plans had been reviewed on a regular basis, every three to four months. Daily records are being kept on residents’ progress and well being and these include comments on their daily activities and current mental health. Records showed that residents are encouraged to take responsible risks and to be as independent as possible, for example making their own meals with a minimum support. At the same time, staff take action to minimise known risks. One resident is not allowed out of the home without one-to-one supervision by staff as there is an assessed risk to members of the public if he were to go out unaccompanied. Weka House DS0000010794.V333372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17, People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Although residents are not using local services and leisure activities available to them, the home is attempting to encourage people to take up these opportunities. Residents enjoy relationships with their families. EVIDENCE: None of the four residents are using local day services, social clubs, sheltered employment opportunities or education facilities on any regular basis. The manager said that one person is not able to attend local day centres and clubs because of assessed risk. The manager explained that this person had been supported to visit centres but that the centres had not accepted him. Another resident was said to avoid engaging with staff at the home and outside professionals. Records on this person confirmed that this was the case. This makes it difficult to encourage him to use available services and opportunities. Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 12 Three of the four residents are able to go out independently and do so on a regular basis. One person goes out twice a week by public transport. The manager told the inspector that one resident has a hobby and recently went to visit a local centre. The home proprietor employs an activities organiser for his homes. The home keeps an activity book for each resident which details any activities that they have taken part in. These books were inspected. In the last month the activity organiser has visited the home once a week and has been out to the local park with one resident and visited another resident in hospital. One resident has one-to-one staffing in the home and goes out regularly with a member of staff to his local pub for lunch and for walks in the local park. The lifestyle of residents was discussed with the manager and the inspector considered that the manager and staff at the home were trying to encourage residents to find leisure activities and use available local services but progress is slow due to the complex needs of the residents. An annual trip to the coast for a day along with other local homes is organised. The manager said that other local mental health homes also get together for a meal in a restaurant at Christmas which the Weka House residents can go to if they wish. All four of the residents in the home have contact with family members and two receive regular visits from relatives. The manager said that relatives are encouraged to visit and that the manager and staff offer them support as well. The home is not keeping records of food despite a previous requirement made to do so at the last inspection in June 2006. It was therefore not possible to assess whether people are provided with a satisfactory standard of food. The home provides the food and receipts of the weekly shopping are not kept on the premises so the inspector was unable to look at the types of food being purchased. One person needs support to cook and the other three are able to cook independently. The requirement to provide proper records of food is restated. Weka House DS0000010794.V333372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 People who use the service experience good outcomes in this area. This judgment has been made to using available evidence including a visit to the service. People living at this home receive support with personal care when needed and are protected by the homes procedures for dealing with medication. Their mental health is monitored and they are given appropriate support by staff and other specialist services. EVIDENCE: In order to assess the standards the inspector looked at the relevant records and discussed the issues of physical and mental health care and medication with the manager. The inspector also looked at the healthcare records of two residents in detail. The pre-inspection questionnaire completed by the manager reported that one resident requires support from staff with washing/bathing and the other three residents are independent with their personal care. Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 14 All four residents have mental health problems and one has a visual impairment and another physical health problems. The health records showed that residents health needs were known and addressed. All residents see their GP when needed and are encouraged by the home to visit their GP every three months for a health check. At present, only one is willing to do this but the manager said all residents will visit their GP if they feel unwell. Records showed that one person sees a dentist on a regular basis. The manager said that the others are encouraged to but the decision as to whether or not to access dental care is their own. Medication is delivered to the home on a weekly basis by the local pharmacists and is prepared in blister packs. The inspector looked at medication records and saw that these were of a good standard. One person has recently become self medicating which is very positive and his progress is being monitored by staff. Staff support the others with taking their prescribed medication. Use of illicit drugs is an area of concern at this home for two residents. This was discussed with the manager at the inspection. Neither is receiving drugs counselling or other drugs services and are unable to access to dual diagnosis services due to a denial of use of illicit drugs. Staff monitor the mental health of the residents on a daily basis and record this monitoring. All residents have an allocated psychiatrist although one chooses not to engage with any services. Three residents have a community mental health nurse with whom they meet with on a regular basis and all four residents have a written crisis plan which states clearly what action is to be taken if their mental health deteriorates. One resident was admitted to hospital for a period of time this year and records show that the home worked well with this person and took appropriate action when needed. There was also evidence in residents’ files that specialist health services have been accessed by two residents. Weka House DS0000010794.V333372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a clear complaints procedure and appropriate procedures to protect residents from abuse, neglect and self harm. EVIDENCE: The home operates a satisfactory complaints procedure and there have been no complaints made about the home in the last 12 months. They have been no adult protection investigations about residents either. The home has an adult protection procedure to guide staff on what to do should they have suspicions of or receive a disclosure of abuse. Staff have received training in adult abuse during the past 12 months. Some staff have also received training in managing challenging behaviour and mental health awareness. It is planned that they will be future training in managing challenging behaviour, conflict resolution and breakaway techniques. These training courses should benefit residents in that staff should be able to better cope with crisis situations in the home. Each resident has a crisis plan regarding their mental health as described in the previous section of this report. The financial arrangements also protect residents as the manager does not act as an appointee for handling the financial affairs of any residents. The Pre inspection questionnaire completed by the manager reported that three Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 16 residents handle their own financial affairs completely and two receive support from either their placing authority or relative. None of the residents are subject to power of attorney or guardianship. Records are kept of the management of personal allowances. Weka House DS0000010794.V333372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a homely environment with satisfactory facilities. EVIDENCE: Weka house is located in a residential street in North Tottenham. The home is located with easy access to a local park, shops, pubs and other amenities. The inspector looked at all the communal rooms in the house plus the garden. Bedrooms were not inspected on this occasion as the four residents remained in bed throughout the inspection. There are four single bedrooms, one of which has ensuite facilities. The manager reported that three residents have a television in their bedrooms. There is a television and music system provided in the communal lounge which some residents use. The inspector was told that most residents prefer to stay in their own rooms. Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 18 The general standard of cleanliness in the home was adequate. The garden contained some old pipes and a requirement is made to remove these. The inspector noted that some of the home saucepans were scratched and worn and needed to be replaced. There was an infestation of insects which the manager said had been reported to a pest control officer. A requirement is made that the infestatation is brought under control without delay. None of the residents need any special equipment within the home. Weka House DS0000010794.V333372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 People who use the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported by staff who have been properly recruited and who are receiving training relevant to their job. Further benefits will result from all staff being supervised in relation to the specific needs of the residents in this home. EVIDENCE: In order to assess these standards, the inspector looked at staff rota records, discussed staffing issues with the manager, looked at the staff training schedule for 2007/8, talked to one staff member and examined the files of two other staff members. At night there is one person awake on duty and this person is able to call a manager if support is needed. The manager said that there are no problems at night time in the home. During the day the rota shows that there are always two staff on duty and when the manager is on duty there are three. One resident has one to one staffing throughout the day and is not allowed to leave the home without a staff escort. The manager and other managers from the Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 20 organisation are on call outside of office hours and the inspector was informed that they are 15 minutes away so can attend the home quickly in the event of any emergency. Examination of two staff files showed a good recruitment practice where staff have a criminal records bureau disclosure and two written references before commencing employment. Their files also showed evidence of their identity and of a job interview being carried out. Both staff were receiving supervision on a two monthly basis which was positive but one staff member was receiving this supervision from the manager at another home where he also works. A requirement is made that the manager of Weka House supervises this worker regarding his work at this home. Staff have been provided with training in a variety of areas relevant to their work with people with mental health problems. The training records of two staff were examined in detail. One had attended training in first aid, medication, moving and handling, security, health and safety, infection control, protection from abuse, safety and food hygiene. This person had completed NVQ level 3. The other staff member had attended training in the protection of vulnerable adults, mental health awareness, medication, misuse of drugs, alcohol dependency, antipsychotics and side-effects,. One support worker was promoted from the role of maintenance person and did not have previous experience in this kind of work. However the inspector saw that this person was being provided with the relevant training to undertake this new role. Staff training schedule for 2007/8 was appropriate for this type of home. Weka House DS0000010794.V333372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 People use the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents at this home can be assured that the home is making good progress with quality assurance and health and safety matters. They would benefit further from the home being run by a manager who has been registered by the CSCI. EVIDENCE: At the last inspection of Weka house on 8 June 2006 a requirement was made is that an application for registration is submitted to the CSCI for the manager of the home by 31 August 2006. This timescale had been restated as the timescale of 31 March 2006 had not been met. It is therefore of concern that the manager of the home has still not applied for registration. This matter was Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 22 discussed with the manager who agreed that he would do so as a matter of urgency by 9 July 2007. A requirement is made to this effect. The manager has not yet started NVQ level 4 management training but said he intends to do so in September 2007. The home is currently registered for men and women and this was discussed with the manager. The inspector recommended that the manager and registered person discussed whether the home should be registered for men only given the needs of the particular men within the home at this time and the inappropriateness of placing a woman in this home. The manager has a good understanding of regulation 37 of the Care Homes Regulations 2001 and has reported relevant events to CSCI since the last inspection. Sadly, one resident died in the last year. Another had a recent hospital admission. The home has developed a business plan for the period between April 2007 and March 2008 and there is an annual development plan for the home for this same period. The home does not hold house meetings in order to seek residents views as in the past residents have refused to attend such meetings. The manager said that all consultation takes place on an individual basis. There was evidence of quality assurance taking place within the home. Records were inspected and the inspector noted that the fire alarm is tested on a weekly basis. There is a fire risk assessment in place and the home is in the process of acting on the improvements identified within the fire risk assessment. Dates have been set by the manager and registered person to complete these actions and inspector saw that they are progressing well with improving fire safety. The last environmental health officer visit was in January 2007 and the home has acted upon the recommendations within this report. Staff have been provided with training in food hygiene and other health and safety topics such as emergency first aid and fire safety. The pre-inspection questionnaire reported that the fire equipment was last inspected on 8 February 2007 and the most recent fire drill was 19 February 2007. A gas engineer undertook the annual inspection of the boiler on 4 January 2007. The electrical wiring certificate from the home was issued in 2005 and is therefore not yet due for another inspection. Fire extinguishers are due to be serviced again in July 2007. An infestation of insects is mentioned under section 30 in this report. Weka House DS0000010794.V333372.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 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 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 x 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 X 3 X X 3 x Weka House DS0000010794.V333372.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 YA37 Regulation 9(1)(2) Requirement The registered person must ensure that a manager is appointed to run the home and that an application for registration is submitted to the CSCI by this individual. This requirement is restated. (Timescale of 31/03/06 and 31/08/06 not met.) The registered person must provide, in adequate quantities, suitable, wholesome and nutritious food which is varied and properly prepared and available at such time as may reasonably be required by service users. The registered person must keep an accurate record of the food provided. This requirement has been amended and restated. Previous timescale of 15/07/06not met. Timescale for action 09/07/07 2. YA17 16(2)(f) 17(2) 31/07/07 Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 25 3. YA24 13(4)(a) 4. 5. YA24 YA30 23(2)(c) 23(5) 6. YA36 18(2) 7. YA37 9(2)(i) The registered person must ensure pipes are removed from the garden as these could constitute a hazard. The registered person must replace damaged or worn cooking utensils. The registered persons must ensure the insect infestation is controlled and eradicated by professionals. The registered person must ensure that all staff who work in this home receive professional supervision from the manager of this home or from the registered person. The registered person must ensure that the manager begins the relevant NVQ 4 management training. 31/07/07 31/07/07 09/07/07 31/08/07 31/12/07 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 YA42 Good Practice Recommendations The registered person should consider registering this home for men only and inform the CSCI of his decision. Weka House DS0000010794.V333372.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Weka House DS0000010794.V333372.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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!