Inspection on 30/08/05 for 116 Ashurst Road

This inspection was carried out on 30th August 2005.

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 no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

116 Ashurst Road 16/02/09

116 Ashurst Road 02/05/06

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 Willow Care Homes Ltd 116 Ashurst Road Finchley London N12 9AN Lead Inspector Anthony Lewis Announced 30 August 2005 at 09.00 am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Willow Care Homes Ltd Address 116 Ashurst Road, Finchley, London N12 9AB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0208 492 0363 0208 492 0363 Paul Clancy Paul Clancy PC Care Home 4 beds Category(ies) of LD Learning Disability 18-65 years registration, with number of places Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection N/A Brief Description of the Service: 116 Ashurst Road is an extended detached home registered for 4 adults aged 18 - 65 with learning difficulties, who may have some additional health needs. The home is situated close to shopping areas of North Finchley and Friern Barnet with easy access to buses and tubes and links to central London. The home was opened in May 2005 and is owned and operated by Willow Care Homes Limited. The home consists of four bedrooms, each with their own ensuite facilities. There is a bathroom on the ground floor. Each bedroom is decorated to the individual taste of the resident. There is a staff room on the first floor, with an en-suite toilet. There is a well equipped laundry room. The office is to the ground floor. There is a communal lounge, dining room, laundry room and large kitchen. To the front exterior of the home, there is off street parking for several vehicles. To the rear of the home is a large well kept garden. The Statement of Purpose states that the aim is to provide a service for adults with learning difficulties who may have some additional health or behaviour needs and may have relatively high levels of dependency. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection for Willow Care Home, which was announced and took place on Tuesday 30th August 2005 at 9am and was completed at 4.20pm. The registered manager was available throughout the inspection process and was very helpful and accommodating. To gather evidence for this inspection, an extensive tour of the home was conducted with the registered manager. The four residents and three members of the staff team were spoken to individually and in private. Evidence was also gathered from the pre-inspection questionnaire, four service users comment cards, one care manager/placements officer comment card, one relative/visitors comment card and one general practitioners comment card. A number of records, files and documents were also viewed. What the service does well: What has improved since the last inspection? What they could do better: Residents must be involved in drawing up their own care plans. In the event of a resident becoming terminally ill and dying, their wishes must be recorded to ensure that their funeral arrangements are handled sensitively. When risks to the health and safety of residents have been identified, there must be appropriate risk assessments put in place to reduce or eliminate the risk. Colour coded mops must be used to reduce the risk of cross contamination and infectious diseases from spreading. Medication training of staff must be carried out by a person deemed competent or qualified to carry out such training. Any person carrying out portable appliances testing (PAT) must be deemed competent or qualified to do so to ensure the safety of people in the home. Requirements are made in the relevant section of this report in relation to the above matters. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 6 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. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4 and 5. Prospective residents to the home are confident that the information that they are provided with, will assist them in making an informed choice as to whether the home will be able to meet their individual needs. EVIDENCE: The statement of purpose and service users guide are comprehensive and provide clear information. Each resident’s file contained a copy of the statement of purpose and service user guide. In addition, each resident is given a copy of the homes “Statement of Services”, which contains information on the home’s aims and objectives and fees charged. The home has a referral and admissions policy, which contains information on the prospective resident being admitted to the home and what they can expect from the home. Each resident has an assessment of their needs carried out by the home and the information recorded in their file. Residents who may have physical disabilities are provided with a ground floor bathroom, which is wheelchair accessible. Two of the residents are Jewish. However, neither of them are followers of their Jewish religion or customs. Both have information recorded in their care plan reiterating that they do not follow their religion. However, one resident’s care plan states that she would like to be reminded of Jewish religious festivals. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 9 The registered manager was able to describe the homes admissions procedure. He stated that prospective residents are able to visit and have overnight stays at the home if necessary. The home does not accept unplanned admissions. A General Practitioner wrote in a comment card that the residents seem happy and well cared for. Another comment card from a relative stated that his relative living in the home, has never been happier. Residents are provided with a contract setting out fees, accommodation and information regarding how their needs will be met by the staff team and the support that will be provided. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 and 10. Residents are confident that their individual needs and choices will be met by the staff team, however, the staff team are not ensuring that residents are consulted in all aspects of their lives. EVIDENCE: Each resident’s file was seen. There was clear information relating to the individual needs of the particular resident. Their care plans are generated from their assessment. However, there was no evidence that residents are involved in drawing up their care plan. A requirement is made in relation to this. Resident’s files contained a “client support guideline”, which includes details on what support residents need regarding communication, leisure, medication and personal care. The last resident’s meeting minutes dated 28th August 2005, contained information regarding discussions on activities that residents wish to do, what foods they would like in the home, where they would like to go for their holiday and the forthcoming inspection. A comment card from a General Practitioner stated that residents are happy and confident enough to make their wishes known in relation to health care checks. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 11 Residents have their own individual risk assessments. However, on looking through the home’s incident file, there was no risk assessment in place regarding an occasion when a resident was using her en-suite shower, without pulling the shower blind, which resulted in part of her bedroom and the ground floor of the home becoming waterlogged. When spoken to, the registered manager stated that this has happened on more than one occasion. A requirement is made in relation to this. The home has an access to personal information policy. All records, especially confidential information, are stored in lockable draws in the office. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17. The staff team are ensuring that the resident’s individual lifestyles are being meet through careful assessment of their needs and individual choices. The staff team are also supporting residents to be as independent as possible. EVIDENCE: The home has information on Makaton training and the registered manager stated that one resident has an understanding of Makaton. Two residents spoken to said that they help around the house. One said that she helps with the cooking and cleaning. One resident has bought his own goldfish, which are kept in the lounge in a small fish tank. His care plan contained information regarding feeding the gold fish and cleaning of the tank. The registered manager stated that the residents and staff have a good relationship with the surrounding neighbours. One resident said that he goes out most days to the local shop to buy his daily paper and other bits. The registered manager also stated that residents are supported to vote in local Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 13 elections and produced a registration form from the local authority with the names of all of the residents who are eligible to vote. Residents in the home have a variety of individual interests and hobbies and are supported by the staff. One resident said that he likes painting and was observed in the lounge merrily painting, whilst watching the television. Another resident said that he enjoys “Dr Who” on television. In his bedroom was a model of a Dr Who “Darlek”. Two residents were spoken to individually and in private. Both said that they are having a relationship with each other. The registered manager stated that staff are supporting the two residents where necessary. Throughout the inspection, staff were observed respecting residents rights and privacy. Staff were indirectly observed knocking on residents’ bedroom doors before entering and interacting with them in a professional and respectful manner. The registered manager was observed handing a resident an unopened letter that had arrived for her. Lunch was taken with the residents. Staff were indirectly observed supporting residents when necessary. Residents were unrushed and staff ensured that they sat and ate with the residents. Information from the pre-inspection questionnaire stated that meal times are flexible according to resident’s choice. The menu was seen for the previous three weeks. The meals on the menu were wholesome and nutritious, with a variety of vegetables. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 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 standard(s) 18, 19, 20 and 21. Residents are confident that the staff team can meet and support them with all of their personal and health care needs, although residents are not as confident that staff will take all of their wishes into account. EVIDENCE: Two residents were spoken to about the personal support that they receive from the staff team. One resident said that she is able to go to bed when she wishes and get up when she wishes and that staff sometimes help with her personal care. Two residents’ files contained information on health care appointments and outcomes. Care plans and assessment forms contained information on medical conditions and any medication that the resident is receiving. The registered manager said that no residents administer their own medication. The Medication Administration Record (MAR) sheets for all residents were seen and were filled in correctly. All medication is kept locked in a metal cabinet in the office and the temperature of the cabinet is recorded daily. When asked about medication training, the registered manager stated that he carries out training of staff, however he does not have a certificate or proof to show that he has been deemed competent or qualified to carry out such training. A requirement is made in relation to this. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 15 Although the home has a policy and procedure containing details in the event of a resident dying, there is no record of residents, their relatives or representatives wishes in the event of them becoming terminally ill and dying. A requirement is made in relation to this. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 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 standard(s) 22 and 23. Residents feel protected by the home’s policies and procedures and are confident that the staff team have the necessary training and checks to ensure that they are suitable to work in the home. EVIDENCE: The home has a complaints policy and there is a comprehensive complaints procedure in the home’s statement of purpose, which all residents have a copy of in their file. The home’s complaint book was viewed and seen to contain no complaints. All staff files were seen and all contained their Criminal Records Bureau (CRB) check, which were up to date. All staff spoken to said that they have completed a protection of vulnerable adults course. Copies of certificates were seen on some staff files. When asked, two residents said that if they had any problems or complaints that they would speak to a member of staff. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28, 29 and 30. Residents are happy and comfortable with their environment and the staff team have ensured that residents are provided with all of the homely comforts they need but the staff team are not ensuring that that residents are protected from cross contamination or the spread of infections. EVIDENCE: The home has been designed to ensure that residents live in a homely environment with all modern facilities and equipment to ensure they are made as comfortable and safe as possible. All bedrooms were viewed and all have en-suite facilities. According to the registered manager, all rooms are at least 12 sq metres. All bedrooms are furnished to meet the resident’s individual needs, with pictures of family and friends on the walls along with personal items of interest and adequate furniture and fittings. Each resident has a bedroom with en-suite facilities. There is also a shared toilet and bathroom on the ground floor with a shower fitment on the bath. All bathrooms and toilets are lockable to provide privacy and dignity to all. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 18 All shared spaces in the home are adequate in size for the four residents. The home has a large back garden, which is well kept. Staff are provided with a first floor room for storing their personal belongings. The residents living in the home are all physically mobile. There are however, handrails in the bathrooms and toilet and the bathroom is wheelchair accessible. On touring the home, it was found to be clean with no offensive odours. It was noticed that although the home has colour coded mop buckets, all of the mops were of the same colour, which could lead to cross contamination and potentially spread infections. A requirement is made in relation to this. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 43, 35 and 36 Residents are confident that the staff working in the home have received the required training to enable them to carry out their duties in a competent and professional manner and meet all of their care needs. EVIDENCE: All staff files contained a copy of their job description, which were seen to be appropriate to the duties that they perform. Staff files contained certificates of training appropriate to the work that they are doing. Staff were indirectly observed interacting with residents in a respectful and professional manner. Two members of staff were spoken to and were found to have a good understanding of the residents’ collective needs. Information received from the registered manager indicates that there are at least two staff on duty on the early and late shifts to support the residents. All staff files contained the necessary information to show that the registered providers are recruiting staff according to the home’s equal opportunities policy and to ensure that the residents are being protected. Staff are receiving on going training. Staff files contained certificates to indicate that they are receiving statutory training. The registered manager has received training in adult protection and has a certificate to show that he is Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 20 competent to train others. Information received from the registered manager shows that he has a National Vocational Qualification (NVQ4), one staff has an (NVQ3) and two staff have a (NVQ2). Staff are able to discuss issues as a team at team meetings. The minutes for the last team meeting on 3rd August 2005 were seen and contained information on; dietary requirements for residents, staff roles, resident’s support plan and the forthcoming inspection. Staff files seen also contained a record of their supervision. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 42 and 43. Residents are confident that the home is being well managed and that their best interests are being taken seriously by on going assessments of the quality of service provided. However, there is a potential risk to residents due to unqualified electrical safety checks. EVIDENCE: The registered manager stated that he has a National Vocational Qualification (NVQ) in management and has managerial experience since 1995 and is receiving ongoing training. Throughout the inspection the registered manager was directly and indirectly observed interacting with residents and staff in a confident and professional manner. He demonstrated a good understanding of the needs of the residents and the roles of the staff. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 22 The registered manager stated that the home has its own quality assurance monitoring system, which will be used on a regular basis to ensure the continual development of the service, involving residents, their family and other stakeholders. The statement of purpose contains information on the “service monitoring”, which states that there will be monthly “proprietor” visits to the home. All policies and procedures are stored in the office and are available, according to the registered manager, for all staff to read when they have the time. The registered manager stated that residents can also see files if they so wish, except staff files. The registered manager stated that residents are able to view their own file, with staff support if they wish. The home also has an access to confidential information policy. All confidential information is kept in the office, which is locked when not in use. The registered manager has access to all files and the senior support worker has limited access. Documents and certificates for the safety and welfare of residents, staff and visitors were viewed and were up to date. The home has a fire procedure manual. Fire safety tests are carried out regularly and all tests were seen to be up to date. The London Fire and Emergency Planning Authority (LFEPA), inspected the home on 4th March 2005, no requirements were made. The registered manager stated that one of the directors of the home purchased a Portable Appliance Testing (PAT) equipment and will be carrying out the home’s (PAT). It was discussed that if the director is to carry out such test, that he must be deemed competent or qualified. A requirement is made in relations to this. The home’s insurance certificate was on view on the office wall. The registered manager stated that of the three directors, one is a qualified accountant and will have responsibility for the financial accounts of the home. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Willow Care Homes Ltd Score 3 3 2 2 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 24 No 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 YA6 Regulation 15 (1) Requirement The registered providers must ensure that residents are involved in drawing up their care plan. The registered persons must ensure that appropriate action is taken regarding identified risks and all risks are recorded. The registered persons must ensure that medication training of staff is carried out by a person deemed competent or qualified to carry out such training. The registered persons must ensure that residents wishes in the event of their death are obtained and recorded. The registered persons must ensure that colour coded mops are used to reduce or prevent the risk of cross contamination or infections. The registered persons must ensure that Portable Appliances Testing (PAT), is carried out by a person deemed competent or qualified to carry out such testing. Timescale for action 16/12/05 2. YA9 13 (4) (c) 16/09/05 3. YA20 13 (2), 18 (1) (c) (i) 16/12/05 4. YA21 12 (3) 16/12/05 5. YA30 16 (2) (j) 16/09/05 6. YA42 13 (4) (a), (c), 23 (c) 16/09/05 7. Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA 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 Willow Care Homes Ltd G59 S62932 Willow Care Homes V238441 30.08.05 Stage 4.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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