Inspection on 08/06/05 for York Road (14a)

This inspection was carried out on 8th June 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

York Road (14a) 09/03/09

York Road (14a) 26/07/07

York Road (14a) 12/02/07

York Road (14a) 13/11/06

York Road (14a) 15/12/05

York Road (14a) 13/01/05

York Road (14a) 27/04/04

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 York Road (14a) 14a York Road Sutton Surrey SM2 6HG Lead Inspector Deborah Yapicioz Announced 8 June 2005 09:30 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. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service York Road (14a) Address 14a York Road, Sutton, Surrey, SM2 6HG 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) 020 8643 9612 Royal Mencap Society Mr Mohammad Iqbal Sohawon Care Home 6 Category(ies) of Learning disability (6) registration, with number of places G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13/01/05 Brief Description of the Service: 14A York Road is a purpose built facility situated in a mainly residential street, between Sutton and Cheam. The home is close to local transport and facilities.Threshold Housing and Support owns the building although the residential unit is managed and staffed by Mencap. The home provides care to six service users who have learning disabilities, autism and challenging behaviour. There are six single bedrooms, a lounge, dining room, kitchen and laundry. There are ample bathrooms and toilets situated through out the home. The home also has a large garden to the rear of the property. There is also ample parking to the front of the house. The home has its own transport in the form of a people carrier. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home was inspected under the National Minimum Standards Care Homes for Younger Adults. The inspection took place over one day. Methods of inspection included a tour of the premises, observation of contact between staff and service users, staff and discussion with the registered manager. Comment cards were returned to the Commission for Social Care Inspection as feedback from service users and relatives. Records examined included Person Centred Plans, risk assessments, complaints, staffing records, training records, Criminal Records Bureau Checks, menus and service user meeting minutes. Outstanding Requirements from the previous inspection were also discussed with the registered manager. Overall the inspection confirmed that the home continues to provide a good level of care for the service users who live there, however the general décor and condition of the home is not up to standard. What the service does well: What has improved since the last inspection? Since the last inspection the home has consulted the service users on their wishes concerning death and dying so that the suitable arrangements can be made which comply with the service users religious beliefs and their cultural heritage. A record of their particular wishes is kept on their file. The home manager has recently purchased a light system that is linked to the door of one of the service users with a hearing loss. When a staff member wants to enter his room, the doorbell is linked to a light that lets the service user know there is someone at the door. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 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 G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 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) 1,2,3,4,5 The home provides good information and introduction opportunities for prospective service users and their families to make an informed choice about moving to the home. Each of the service users is issued with an individual contract setting out the terms and conditions of the placement, which safeguards the interests of both parties. EVIDENCE: The home has a statement of purpose and service user guide, which are regularly reviewed to ensure information about the home is up to date. Service users are only admitted to the home once a full assessment of their needs is completed. The home manager explained that any prospective service user would have a gradual introduction to the home with a series of short visits and overnight stays. The time frame would be flexible depending on the service user. Although the home has had no new service users since the last inspection, the service users files looked at during the inspection all contained in depth assessments completed by care managers before the service users moved into the home. The organisation also has a pre-assessment format. Information from both these assessments are used for the service users initial Person Centred Plan. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 9 Each of the service users at 14A York Road has a personal contract. The contract specifies: rooms to be occupied terms and conditions of notice including period of notice, personal support, facilities and services provided. It also includes fees charged and what they cover, the rights and responsibilities of both parties, temporary absences and who is liable if there is a breech of contract. The contract details the arrangements for reviewing needs and progress and updating the service user plan. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9,10 The service users have comprehensive individual care plans with detailed information on their needs and personal goals. Individual care plans include consultation with service users and are regularly updated by the key-worker to reflect current needs and ensure service users wishes are represented. The home operates a risk management strategy thus enabling the service users to participate in activities in the home and in the community with appropriate support. The home has implemented a financial procedure to safeguard service users from any possibility of financial abuse. EVIDENCE: G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 11 The service users all have individual plans known as “Life Plans”, that is a record of their aims and goals as well as their achievements. The plans are based on person centred planning principles. The home manager stated that “Men cap” is working towards a format that is more accessible for service users The plans follow on from the initial assessments completed by the service users care manager. The home has a key worker system. Part of the key worker role is to advocate for the service user and involve them in the decision making process of the home. The key worker also reviews the Life plan every three months. The three monthly review leads into the service users annual review. Annual reviews have either taken place or are planned for each of the service users. The home manager is appointee for all the service users at the home, in the absence of any other suitable person. It is essential that records of all financial transactions are kept and regularly audited by people not working at the home. To ensure the service users best interests are protected, the staff team record all financial transactions on the service users financial information sheet. The service manager for the home then checks the financial records during routine visits to the home. Records are kept for five years. The home operates a risk management system and individual assessments are on service users files. Risk assessments include using public transport, bathing and using knives etc. The home has a confidentiality policy and procedure. There is also a confidentiality clause in the Statement of purpose. Service users are informed that they have the right to access personal information held about them by the home if they wish. Confidentiality is also covered at the staff team induction. Personal files on staff and service users are kept in an office. A requirement was made at a previous inspection that the service users records should be placed in a lockable facility such as a filing cabinet. This requirement is still outstanding and must be actioned. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15,16,17 The service users at the home are offered the opportunity to engage in age appropriate activities with an emphasis on using community based facilities. The service users have a varied programme of social activities organised by the staff team to reflect service users individual interests. The daily routines and house rules promote residents’ rights and encourage independence. The home has an open visitors policy to ensure friendships and family links are maintained. Dietary needs are catered for with meals that are nutritionally well balanced, nicely presented, and clearly based on the service users food and drink preferences, providing them with daily variation and healthy eating options. EVIDENCE: G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 13 The service users attend various day centres including Hallmead, The Orchard Hill further education unit, The Watercress unit at the Jan Malinoski Centre, The Cheam Centre and the generate centre in Wandsworth. Each of the service users also has a home based day when they would do their household and individual chores. The home encourages the use of community facilities. The home has its own transport in the form of a “Previa” and the service users regularly go bowling, to the cinema, and out on day trips. They also use the local shops and cafes. The service users can also use public transport to access the shops and other facilities in Sutton. The service users have a varied programme of social activities organised by the staff team in consultation with service users. 14A York Road is next to another residential unit and have some shared social events although they function independently of each other. The service users are on the electoral register and can vote if they wish to. The home manager explained that each of the service users has an individual holiday and they are in the process of planning where they are going this year. The home is keen to maintain the service users family links. Visitors are welcomed and the service users families are invited to their reviews. There is an open visitors policy and the home just ask that visitors phone to ensure their family member is going to be in before they visit. Friends are also welcome to visit and one service user has some childhood friends who visit regularly. The home has a key worker system and it is part of their role to keep parents and carers informed of their progress. Visitors can be seen in any of the homes communal areas as well as the service users bedrooms. The manager stated that the staff team are mindful of respecting the service user privacy and dignity and always knock on the service users bedroom doors before entering. The menu reflects the likes and dislikes of the service users. The menus for the home are agreed on a weekly basis. Each of the service users is encouraged to choose the main meal for one day of the week from a recipe book, which has been put into a symbol format. Alternatives to the main meal are provided. Men cap provide guidance for healthy eating and the home also has input from a dietician. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 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) 18,19,20,21 Personal care is carried out in a way that residents prefer so that dignity and choice are maintained. Residents’ physical and emotional health needs are detailed in personal plans to offer consist care in this area. Residents’ medication is well managed to ensure good health. Service users have been consulted on their personal and cultural preferences in relation to illness, death and dying, thus ensuring their individual wishes are respected. EVIDENCE: The service users need varying degrees of assistance with their personal care. The level of support a service user needs would be detailed at their review and recorded in their personal file. All service users are registered with a local General Practitioner and have access to community health facilities such as opticians, chiropodist and dentists as required. The staff team keep a record of any medical appointments attended on the service users files. The home has a policy and procedure in place for the receipt, recording, storage, handling, administration and disposal of medication. The home uses a blister pack system, which is kept securely in a locked metal box within a locked cabinet. Records examined showed that all medicines administered are recorded on Medicine Administration Record Sheets, which were up to date at the time of G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 15 the announced inspection. It is the homes policy that two signatures are required on the Medicine Administration Record Sheets. The staff team receive training in the administration of medication as part of their induction. A local pharmacist visits the home regularly. The home has a returned medication procedure in place, which is signed by the pharmacist and the staff member. Since the last inspection the home has consulted the service users on their wishes concerning death and dying so that the suitable arrangements can be made which comply with the service users religious beliefs and their cultural heritage. A record of their particular wishes is kept on their file. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 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) 22,23 There is complaints policy and procedure, which facilitates good access to the complaints system for the residents, their family or their representatives and ensure their concerns will be dealt with sensitively. The home has the appropriate policies in place to ensure the protection of vulnerable service users EVIDENCE: The complaints procedure was clear and contained all of the elements required to meet standard 22 including a minimum response time of less than 28 days. The home has had one complaint since the last announced inspection, which was appropriately investigated and resolved. The home has a copy of the local authority Adult Protection Policy on site. New staff members receive Vulnerable Adults training soon after their induction. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 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, 26,27,28,29,30 The home is a modern purpose house on a housing complex that is showing signs of “wear and tear” in all the communal areas. A programme of maintenance and redecoration should be implemented to ensure the service users are living in a clean, comfortable environment. The lighting in some of the homes communal area is not efficient and needs to be investigated to ensure a homely, bright environment for the service users. Service user’s bedrooms provide privacy and reflect individual interests and preferences. EVIDENCE: 14A York Road is a purpose built bungalow for service users with challenging behaviour and autism. It is situated next to another residential home in a quite residential area. The home is registered to cater for service users with learning disabilities and challenging behaviours and is suitable for its stated purpose. There is a lounge and dining room on the ground floor. It was noted at the previous unannounced inspection in January 2005 that many of the communal areas of the home are looking shabby and are in need of redecoration. A requirement was made that the home manager must compile a programme of redecoration for the home, which should include the communal areas on the G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 18 ground floor (lounge, dining room and hallways). This should include time scales for completion. This requirement has still not been met. The lighting in the communal dining area is provided by a number of circular lights. On the day of the inspection several of the lights were not working. The home manager explained that there has been an ongoing difficulty with the lighting in the communal areas. The registered provider must investigate the source of the problem and replace the bulbs. There are some “homely” touches through out the house, bearing in mind the tolerance levels of the service users. There is a pleasant garden at the rear of the home. Bedrooms viewed provided sufficient and suitable furniture. There are appropriate laundry facilities. Systems are in place for controlling the spread of infection. This includes staff training in this area. The home has one toilet on the ground floor plus an ensuite bathroom to one service users bedroom. The flooring in the ensuite bathroom is stained and needs to be replaced. There is also a bathroom with toilet, a shower and a separate toilet on the first floor. The bathrooms and toilets are located close to the service users bedrooms and other communal areas. The extractor/ventilation unit is not working in the upstairs bathroom, which creates a musty, damp smell. The source of the problem needs to be investigated and corrected. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 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) 31,32,33,34,35,36 The staff team at the home have a range of skills and abilities, which enable them to meet the needs of the service users living at the home. The residents are beginning to see the benefits of a stable staff team and the continuity of approach this generates. Although the homes recruitment policy includes a Criminal Records Check not all Criminal Records Check have been received which could compromise the safety of the homes service users. EVIDENCE: The job descriptions held at the home clearly states what is expected of its employees in terms of their roles and responsibilities and the values that should underpin their conduct. There has been an improvement in staff retention since the last inspection, which has enabled the home to build on staff training and create a more consistent approach to the care provided. Regular staff meetings are held which has an open agenda. The home staffing rotes examined confirmed that there are three members of staff on duty during the day. There are two members of staff are on duty at night, one person who does a sleep in and one waking. The home manager informed the inspector that Men cap South London has a bank of “relief” workers when permanent members of staff are not available. The staff team at the home receive regular supervision from the home manager there are also plans for the deputy manager to take on some staff supervisions. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 20 All staff members now have Criminal Records Checks as part of the recruitment and selection policy. The home manager explained that the home has recently changed their system for getting Criminal Records Checks. He has had to reapply for the Criminal Records Check for one staff member, as there were some administrative difficulties with the first check. The home manager is following this up with the Criminal Records bureau. The home has a rolling programme of staff training in place including issues such induction training, fire safety, adult protection and autism. The staff team are familiar with the standards set by the Men cap code of conduct and the home has copies of the General Social Care Council code of conduct. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 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) 37,38,39,40,41,42,43 The management style is transparent and open with clear lines of accountability, which is aimed at ensuring the well being of the service users. In the main health and safety arrangements are adequate to ensure potential risks to service users health and safety are so far as reasonably possible identified and minimised. EVIDENCE: G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 22 The manager has worked for Men cap since March 1994 and has held a management position for the last two and a half years. He holds a Certificate in Management Studies and has enrolled on a National Vocational Qualification level four course beginning in September 2005. The home has a health and safety policy in place. Environmental risk assessments are in place. A first aid box and a fire blanket are situated in the kitchen. There are fire extinguishers throughout the house. Coloured chopping boards and knives were seen in the kitchen. Health and safety law posters issued by the health and safety executive were on display. New staff members at the home complete health and safety training as part of their induction. Medication training by Boots is also part of the induction. The home needs to complete regular fire drills in keeping with the company’s policy. The service users and their parents had been informed of the Inspection and the Commission for Social Care Inspection has received several comments cards. A poster advising of the inspection was placed in a communal area. The home has regular staff meetings. The home has a key worker system and service users have access to an advocate. The families of the service users are invited to reviews and their views are sought about the running of the home. The home has self-monitoring systems in place such as an annual service review and regulation 26 visits. The home also has a contractual review with the London Borough of Sutton. G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 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 3 3 x 3 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 3 2 2 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 3 2 3 G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 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 34 Regulation 17.-(2) Sch 4.6 Requirement The registered person must ensure that records of all persons employed at the home are kept in the home and include copies of everyone’s birth certificates, passport, and two written references obtained in respect of them. The registered person must ensure confidential information held in respect of service users and staff are appropriately stored in a secure place that remains locked at all times while they are not in use. Carried over from previous inspectio. The home manager should ensure the kitchen including the ceiling is redecorated.Carried over from previous inspection The home manager must ensure that regular fire drills are carried out. The home manager must compile a programme of redecoration for the home which should include communal areas on the ground floor (lounge , dining room and hallways) Time scales for completion should be included.Carried over from Timescale for action 08/06/05 2. 10 17.-(1)(b) 08/06/05 3. 24 23.-(2)(d) 30/09/05 4. 5. 42 24 23.-(4)(e) 23.-(2)(d) 08/06/05 30/09/05 G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 25 previous inspection. 6. 24 23.-(2)(d) The home manager must replace the bulbs in the circular ceiling lights in the dining room and investigate the reason why they have a short lifespan. The home manager must arrange for the broken ventilator/extractor in the first floor bathroom to be repaired or replaced. 08/06/05 7. 27 23.-(2)(d) 8/06/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor, Grosvenor House 125 High Street, Croydon CR0 9XP 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 G53-G53 S07149 YorkRoad14a V189138 080605 Stage 4.doc Version 1.30 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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