Inspection on 15/06/06 for Wick Road ( 302, Flat 1 & 2)

This inspection was carried out on 15th June 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wick Road ( 302, Flat 1 & 2) 02/07/07

Wick Road ( 302, Flat 1 & 2) 30/12/05

Wick Road ( 302, Flat 1 & 2) 18/08/05

Wick Road ( 302, Flat 1 & 2) 16/12/04

Wick Road ( 302, Flat 1 & 2) 19/08/04

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 Wick Road ( 302, Flat 1 & 2) 302 Wick Road Hackney London E9 5DQ Lead Inspector Robert Sobotka Key Unannounced Inspection 15th June 2006 10:10 Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.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 Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.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. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wick Road ( 302, Flat 1 & 2) Address 302 Wick Road Hackney London E9 5DQ 020 8986 4958 020 8502 3543 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) www.heritagecare.co.uk Heritage Care Mrs Teresa Okeke Care Home 8 Category(ies) of Learning disability (8), Physical disability (8), registration, with number Sensory impairment (8) of places Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th December 2005 Brief Description of the Service: The Wick Road project was registered in February 2003. The care home provides personal care, support and accommodation for maximum of eight service users who have learning disabilities, physical disabilities and/or sensory impairment and are between the ages of 18 and 65 years old. The project is jointly commissioned venture, via Hackney Primary Care Trust, Heritage Care, North East London Advocacy Project and the Peabody Trust. All current service users were transferred from another residential establishment, managed by NHS. Staff from the former NHS home have also transferred and now work at Wick Road. The purpose built accommodation, is a three storey building based at a very busy intersection in the Victoria Park area of the London Borough of Hackney. The project occupies the first two floors of the building. The third floor is unregistered space designed for supported living, managed separately from the Wick Road Project. The building has an operating lift and the home is fully accessible to wheelchair users. The home overlooks Victoria Park and has a garden space and a car park to the rear of the building. Local bus services run along the main road, local shops and amenities are short distance away by vehicle. The project owns a van, which is wheelchair accessible. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.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 over one day and was unannounced. It included speaking to the staff working in the home, spending some time with the service users. The inspector also conducted a tour on the premises and viewed various records. He also spoke to one of the relatives visiting the home, as well as the organisation’s Chief Executive on the day of this unannounced inspection. The aim of this visit was to check the home’s progress towards full compliance with the legislation. What the service does well: What has improved since the last inspection? The home has made a considerable progress in addressing previous requirements and recommendations. Since the last inspection, staffing levels have been reviewed and an additional member of staff now works during daytime. This has also resulted in service users being offered a wider range of activities and allowed staff to provide more flexible personal to those living in the home. The home has got a new responsible person, who has been registered with the Commission. The registered manager was also able to demonstrate that a good progress has been made to bring all care plans up-to-date. Documentation such as care plans and risk assessments were now being singed and dated by their author, as required during the last inspection visit. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 6 All food was being appropriately stored and labelled when opened to prevent food poisoning. Service users’ weight is now being recorded and monitored, as required during previous inspection visit. All medication administered to the service users was being appropriately signed for. Duty rosters were maintained. The recommendation that menus are made available to the service users in pictorial form has also been met. 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 Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 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 the following standard(s): 3, 5. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home appeared to meet the needs of the service users, however further progress was required to ensure that all service users’ needs are included in their care plans. Service users’ contracts required to be signed by the service users’ representatives/relatives. EVIDENCE: There have been no new admissions to the home since it was opened. Standards relating to assessments and admission procedures could not therefore be assessed, however files viewed showed that all service users who are currently living in the home have been appropriately assessed and they visited the home prior to moving there. The needs of those accommodated in the home appeared to be met. Staffing levels have been reviewed since the last inspection and there was an additional member of staff on duty during daytime. This means that those living in the home were able being offered a wider range of activities and more flexible personal care. Staff spoken to during this inspection, stated that they felt increasing staffing levels resulted in the service user’s needs being appropriately met. Although the registered manager was able to demonstrate that staff have put a lot of work into updating individual care plans, care plans files were not fully Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 10 completed and implemented. In order to meet this standard fully, the registered manager must demonstrate that all care plans are kept up-to-date and have been reviewed on regular basis and that staff enable and support service users to achieve goals identified in each care plan. The requirement that the responsible person ensures that individual service user contracts are signed by all relevant parties remains unmet and has therefore been repeated. It must be met without any further delay. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 11 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, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further work is required to ensure that service users care plans are brought up-to-date and reviewed on regular basis. Further work was required to ensure that all appropriate risk assessments are in place. EVIDENCE: During the course of this inspection, 4 individual care plan files were viewed. Although the requirement carried forward from the previous inspections for care plans to be reviewed on regular basis remains outstanding, the registered manager was able to demonstrate that care plans were in the final stages of being updated. It was also noted that the newly designed care plans were very thorough and designed in semi-pictorial form. Standard relating to the care planning process still remains party met and the requirement has therefore been repeated. Service users are encouraged and supported to take part in service users’ meetings, which are facilitated by the local advocacy service for people with learning disabilities. It was noted that service users living in the home were Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 12 unable to contribute to the development and review of policies and procedures, due to their disabilities. The majority of risk assessments were in place, however the inspector identified that further work was required to draw up risk assessments for those service users who were using cot sides. The registered manager must ensure that risk assessments are drawn up for those service users who use cot sides. Confidentiality was maintained. Staff shared information with the inspector on a need-to-know basis and all confidential files were safely locked away when not in use. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 13 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): 11, 12, 13, 14, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements have been made to ensure that service users are offered a wide range of activities both indoor and outdoor. Service users enjoyed food served in the home, however recording of fridge/freezer temperatures required improvement. EVIDENCE: There has been a great improvement in ensuring that service users are offered a wider range of activities both indoor and outdoor. As a result of increasing staffing levels, service users get more opportunities to go out and enjoy leisure activities with appropriate staff support. Those working in the home have also confirmed that following the review of staffing levels, their workloads have become more manageable. On the day of this inspection, all of the service users were out either at the day centres or out in the community. Service users are supported and encouraged to attend places of worship. Some people also attend local day centres. Outings to clubs, pubs, cinemas etc are also organised. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 14 Visitors are also welcome in the home. On the day of this unannounced visit, the inspector spoke to one of the service user’s relatives. She said that there has been a considerable improvement in the home and she was satisfied with the way staff working in the home were looking after her relative. Visitors book was maintained. The inspector was invited to share lunch with two of the service users. Staff supported both service users with feeding. The atmosphere was relaxed and unhurried. Food was attractively presented and nutritious. Record of food offered to service users was maintained. Since the last inspection, the home has also introduced a pictorial menu for the service users. There were adequate food supplies in the home and all food products were appropriately stored. Staff did not always record fridge/freezer temperatures. The registered manager must ensure that fridge/freezer temperatures are monitored and recorded on a daily basis. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 15 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 this service. The home was appropriately meeting personal and healthcare needs of the service users. Medication systems were appropriately managed. EVIDENCE: All service users living in the home required assistance and support with personal care. Each serviced user has a night care plan, which covered issues of personal care in great detail. Service users’ dignity and privacy was respected. Following the review of staffing levels, service users are now being offered more flexible personal care. Each service user had a health action plan as part of their care plan, which identified any healthcare needs of each service user and highlighted involvement of a number of healthcare professionals, such as occupational therapists, physiotherapists, GP’s, and speech and language therapists. The home does not provide nursing. It was required during the last inspection that the service users’ weight is monitored on a regular basis. Documentation viewed during this visit showed that each service user’s weight was now being monitored on a regular basis. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 16 Appropriate medication systems were in place. All medication was securely locked. All medication administered to service users was now being appropriately recorded. Medication stocks were checked and found correct. Records of medication brought into the care home and disposed of was maintained. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 17 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 good. This judgement has been made using available evidence including a visit to this service. Appropriate complaints system was in place. Service users are protected from abuse, neglect and self-harm, however the service users’ financial affairs must be resolved to allow those who lived in the home to have access to their own finances. EVIDENCE: The home had a comprehensive complaints policy in place, which was well written and contained details of the Commission for Social Care Inspection. The document was also available in other languages and Braille. It was noted that the service users currently living in the home may not be able to raise complaints directly, due to the level of their disabilities. New advocate has now been appointed to the home, whose role it would be to act on behalf of service users and raise any complaints on their behalf. There have been no complaints made to the home since the last inspection. The home also had a compliments book and three about compliments about the home were noted in the book. Appropriate records of incidents/accidents were maintained and these were being monitored by the home manager. Staff working in the home have attended adult protection training. The requirement in relation to the service users not being able to access their own finances remains unresolved and must be addressed as a matter of urgency. This is a repeated requirement and must be met without delay. The inspector checked a random selection of service users finances (cash held in the home and records of spending) and these were found to be appropriately recorded. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those living at Wick Road benefit from adequate and suitable environment, however some areas of the building required redecoration. EVIDENCE: Wick Road is located in a purpose built building and is suitable for its stated purpose and aims. The home is wheelchair accessible and has an operating lift. The project occupies the ground floor and first floor of the building. The premises were generally well maintained, however some parts of the building (especially communal lounges and kitchens) required repainting, due to some fumes getting into the building from the busy road outside. This is a repeated requirement. The inspector carried out a tour of the premises. He viewed all communal areas and the majority of bedrooms. Bedrooms were personalised and reflected interests and cultural identity of the service users. The home has six WC’s, four bathrooms and five showering facilities. All areas were spacious and clean. Specialist equipment was installed (such as Arjo baths, power chairs, tracking hoists and changing benches), to meet the Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 19 assessed needs of the service users. In addition grabrails were installed throughout the house. The home had 3 mobile hoists, which service users can use in the home and when they are going on holidays. All bedrooms contain power beds. The home was found to be generally clean and hygienic, however as previously stated some communal areas required repainting. Appropriate arrangements for disposal of clinical waste were in place. Laundry facilities were clean and well maintained. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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, 33, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by well-trained staff team. Appropriate staffing levels were in place. Recruitment practices required minor improvement. EVIDENCE: As mentioned in previous parts of this report, the organisation has reviewed staffing levels in the home and as a result there was an additional member of staff on duty during daytime shifts. In addition, the home has now got a deputy manager in place and additional care staff have been employed in the home. Staff spoken to during this inspection stated that the current staffing levels were satisfactory to meet the needs of the service user accommodated in the home. Members of staff were observed to work in a professional and courteous manner and treated service users with dignity and respect. Staff training records showed that Heritage Care provide a wide range of courses to its staff. The majority of care staff working in the home have obtained their NVQ qualifications. New staff working in the home receive induction in line with the Learning Disability Awards Framework. A random selection of staff personnel files was viewed during this inspection visit. Files viewed contained information requested by law, however copies of Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 21 Criminal Records Bureau checks were not kept on individual files. It is required that copies of Criminal Records Bureau checks are available for inspection and can be destroyed once they have been seen by the Inspector. The inspector was informed that the CRB disclosures are destroyed once received by the organisation, and were subsequently not available for inspection. It was noted however that unique disclosure numbers of checks undertaken on the staff have been kept by the organisation. It is also recommended that the Criminal Records Bureau checks be undertaken every 3 years. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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, 38, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by a competent manager, who has made considerable progress to ensure that the service users are met, however further improvements are required to ensure that all of the National Minimum Standards are met. EVIDENCE: The home is managed by a competent manager, who has been registered with the Commission as fit to manage the home for people with learning disabilities. She has an appropriate management qualification and at the time of this inspection was in the final stages of obtaining her NVQ Level 4 in Care. The registered manager was able to demonstrate her knowledge of relevant regulations and the assessed needs of the service users accommodated in the home. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 23 Staff spoken to, as well as one of the relatives visiting the home, gave the inspector positive comments about the manager’s leadership skills. Appropriate quality assurance systems were in place. Visits from the responsible person were now taking place and copies from his visits were sent to the Commission on regular basis, as required by law. The new responsible individual has now been registered with the Commission and the new registration certificate has been issued to the home. The majority of health and safety checks were in place, however as previously mentioned, monitoring and recording of fridge/freezer temperatures requires improvement. The home was appropriately insured for its purpose. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 x 3 2 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 3 3 x x 2 x Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? YES 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 YA6 Regulation 15(2)(6) Requirement The responsible person must ensure that all care plans are reviewed on regular basis and any action identified within care plans are reviewed on regular basis and any action identified within care plan is carried out. (Previous timescales of 01/03/05, 15/10/05 and 15/02/06 were not met.) It is required that the responsible person ensures that the individual service user contracts are signed by all relevant parties. (Previous timescales of 01/11/05 and 01/03/06 were not met.) The responsible person must ensure that the service users financial affairs are resolved and that they have access to their own finances. (Previous timescales of 15/11/05 and 01/03/06 were not met.) The manager must obtain NVQ Level 4 in Care Qualification. (Previous timescale of 31/12/05 was not met.) The registered manager must ensure that all parts of the home DS0000039313.V298142.R01.S.doc Timescale for action 01/08/06 2. YA5 17 01/09/06 3. YA23 20 01/09/06 4. YA37 9(2)(b)(i) 01/10/06 5. YA24 23(2)(d) 01/10/06 Wick Road ( 302, Flat 1 & 2) Version 5.2 Page 26 6. YA9 13(4)(c) 7. YA17 23(2)(c), 16(2)(i) 7, 9, 19 Sch 2 8. YA34 are reasonably decorated. (Previous timescale of 01/03/06 was not met.) The registered manager must ensure that risk assessments are drawn up for those service users who use cot sides. The registered manager must ensure that fridge/freezer temperatures are monitored and recorded on a daily basis. It is required that copies of Criminal Records Bureau checks are available for inspection and can be destroyed once they have been seen by the Inspector. 15/07/06 01/07/06 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 YA34 Good Practice Recommendations It is also recommended that the Criminal Records Bureau checks be undertaken every 3 years. Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Wick Road ( 302, Flat 1 & 2) DS0000039313.V298142.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. 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!