Care Home: 63 Junction Road

Similar services:

• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Aston Court Nursing Home
• Polesworth Group 70 Long Street
• Breme
• Ravenhurst
• Polesworth Group 64 Long Street

What the care home does well This home provides a domestic style of accommodation for five persons who have a learning disability (with or without an additional physical disability) in a local residential community. What has improved since the last inspection? The shower referred to in the one requirement of the last report has now had the water connected to it, and is fully operational to the benefit of the resident for whom it was installed. Another resident has been provided with a low level double bed as a means of meeting the needs that had become apparent as part of her changing physical situation. New blinds has been fitted to the lounge dining room and one of the bedrooms. There is new flooring in the kitchen, and that room has also been redecorated as has the lounge, and three of the bedrooms. Covers have now been fitted to all the radiators. What the care home could do better: There will be no requirements as a result of this inspection, and the only recommendation will be that potentially combustible material is stored in an appropriate container, and preferably not in the house itself. CARE HOME ADULTS 18-65 63 Junction Road Leek Staffordshire ST13 5QN Lead Inspector Mr Berwyn Babb Key Unannounced Inspection 3 October 2006 09:00 63 Junction Road DS0000004964.V312423.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 63 Junction Road DS0000004964.V312423.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. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 63 Junction Road Address Leek Staffordshire ST13 5QN 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) 01538 382542 Choices Housing Association Limited Mrs Sandra Aileen Perkin Care Home 5 Category(ies) of Learning disability (5), Physical disability (2) registration, with number of places 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 LD - 2 may be PD Date of last inspection 15th February 2006 Brief Description of the Service: 63 Junction Road is a well-maintained domestic style detached residence, which fits unobtrusively into the surrounding suburban setting on the outskirts of Leek. The home is registered to provide care for five people with medium dependency needs and who have learning disabilities requiring 24-hour care. Accommodation is provided on two floors. The first floor is accessed by a main stairway. On the ground floor there are two bedrooms, two day-rooms and the kitchen/diner, and there are three further bedrooms on the first floor. Three of the bedrooms have ensuite facilities including showers, and the bathroom is equipped with both bath and a separate power shower operating over the bath. There are five toilets situated throughout the house. The service is operated by Choices Housing Association, a non-profit organisation who provide care and other services throughout Staffordshire and Stoke-on-Trent. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection for the 2006 2007 period, and was carried out on the morning of Friday the third of October 2006. The trainee deputy manager Mrs Clare Poole was on duty together with two other carers. Four people were resident in the home, the fifth person being away in hospital undergoing treatment involved in the reduction of her long-term medication. One resident was going out to do some household shopping with a member of staff, and the other three remained in the home. The inspector was not able to communicate with any of the current residents except through the most basic medium of hand and facial gestures. Staff told him that they had built up knowledge of what various body language symbols indicated, and some of this had been committed to a type of lexionary page in the individual personalised care plans of the residents. All the core standards identified where inspected, and the only area of concern found, which will be reflected in a recommendation, was a quantity of potentially combustible material in the upstairs store room. In all other areas the inspector was satisfied with the standard of the service being provided. Members of staff and residents co-operated as fully as they were able with this inspection, making it a very positive experience which reflected well on the running of this home. All records requested where freely and immediately made available, and the dynamic observed between staff and residents indicated a valuing of the privacy, dignity, and personhood, of the people living in it. What the service does well: What has improved since the last inspection? The shower referred to in the one requirement of the last report has now had the water connected to it, and is fully operational to the benefit of the resident for whom it was installed. Another resident has been provided with a low level double bed as a means of meeting the needs that had become apparent as part of her changing physical situation. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 6 New blinds has been fitted to the lounge dining room and one of the bedrooms. There is new flooring in the kitchen, and that room has also been redecorated as has the lounge, and three of the bedrooms. Covers have now been fitted to all the radiators. 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. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The Outcome for This Group of Residents Was Good. This judgment was based upon all available evidence including a visit to the registered facility. Records demonstrated a full and proper assessment of the needs of prospective residents. EVIDENCE: The inspector discussed with the trainee deputy manager the plans to make the statement of purpose more friendly for each individual user, that is, to have a separate plan for each residents based on their own particular best method of understanding. There had been two new admissions in the previous inspection year, and the review of the care plan of one of these demonstrated that a full assessment of their needs and choices had been received, and that this had been regularly and appropriately reviewed by the providers in conjunction with the residents, and their supporters, and those are relevant professionals engaged in their care. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. The outcome for this group of residents was good. This judgment was made using all available evidence including a visit to the registered facility. They had proper care plans, detailed information about their health care, and support to assist them to be as independent as possible. EVIDENCE: The inspector made a very detailed examination of a sample plan which demonstrated to him that a proper detailed assessment had been made and used as a base for overall and individual care planning. He was impressed with the detail of the various modules there in. These included a quick reference 24-hour picture of the assessed needs and choices, as well as a communication planner to assist staff in picking the most appropriate medium to interact with the resident. This was followed by a matrix made up from observation and experience, of clues indicating what is the most likely explanation for various facets of the resident’s behaviour. There were relevant risk assessments that had been reviewed at appropriate intervals, and a space for each member of staff to sign and an acknowledgement of having read the latest review. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 10 Details were given of family and friendship links, and of specialist needs such as diet, moving and handling needs, and the ability and desire to perform tasks associated with normal daily living, such as helping with the dusting, or clearing away the dishes after a meal. The daily contact sheets were in appropriate language, and were of a proper means of sharing relevant information with staff coming on to the later shifts as to the progress and planned activities/interventions for each individual. The Inspector spent some time with one resident who chooses to spend a percentage of each day in his own room watching his videos and TV, and was able to see in the care plan protocols for ensuring that this did not lead to him becoming isolated, or put him at risk from environmental dangers. He had been provided with additional heating in the form of a wall mounted fan heater, as his room was assessed to be the coldest in the house. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, and 17. The outcome for this group of residents was good. This judgment was made using all available evidence including a visit to the registered facility. Staff helped residents to take part in valuing and fulfilling activities, to access the local community, to retain family and friendship links, and have nutritious and enjoyable meals. EVIDENCE: When the inspector arrived at the home one of the residence was preparing to go out with his carer to the local supermarket to purchase some provisions for the house. The trainee deputy care manager was pleased to be able to say that all the current residents of Junction Road had good imput from members of their families, as well as being able to maintain friendships with residents in other homes with whom they shared a common history of being in long term health service institutions. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 12 During the tour of inspection of the facility it was noticeable that staff knocked on doors before entering, and that they would not open the room of one gentleman who was in the shower, until he could be asked if he minded the inspector looking into his room. None of the current residents would benefit from a key from their rooms, and do not have keys to the front door as the risk assessment of them accessing the local community environment means that they are escorted at all times when leaving all returning to the house. In the back garden there was a lawned area where a set of goalposts had been put up, and the gentleman when asked about this by the inspector made indication that this was something that they very much enjoyed, something that was confirmed by both the condition of the lawn, and the notes in their personal diaries. When the inspector arrived in the home breakfast was being eaten by three of the residents, and the fourth member joins them later as he liked to have his daily shower before eating his breakfast. A copy of the current weeks menu was provided, and this showed a good variety of main meals and snack meals being provided, and discussion with staff and reference to the provider dataset showed that the meals were taken at properly staggered intervals throughout the day, and in line with the routines of each individual, as instanced by the gentleman who wanted to wait for breakfast until after he had had his shower. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20. The outcome for this group of residents was good. This judgment was made using all available evidence including a visit to the registered facility. The support of that was provided for them was seen to respect their privacy, dignity and independence, and to include a recognition of their health care needs and appropriately responding to these, including proper procedures and training to ensure that they received the right medication in the right quantity via the right route at the right time. EVIDENCE: Direct observation of the interaction between residents and their carers showed them to be treated with dignity and sensitivity, to be the focal point of any conversation or action, and to have their privacy respected at all times. Records were seen and discussion undertaken about to residents in particular, one of whom was currently in hospital receiving care and treatment aimed at reducing the impact of a learning disability upon her day life, the other of whom had recently had operations to remove the cataracts from both of his eyes. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 14 In the case of the first mentioned resident provision of a low-level double bed had been made as the safest way of responding to changes in her condition and making things more comfortable for her during that time she was sleeping. In the case of the second resident, his reviews showed that his involvement in all aspects of daily living, including trips out of the home, had been magnified out of all proportion by the restoration of his sight. Daily diary notes showed that an appropriate referral had been made to the dietician both in pursuit of healthy weights for two residents, and to help control diabetes for another. There was also evidence of joint working and advice received from the specialist epilepsy nurse, and from the dementia care team. Preparations were being made to identify staff to be sent on a piece of medication and training concerned with the Monitored Dosage Systems of storing and administering medication. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The outcome for this group of residents was seen to be good. This Judgment was based on all the available evidence including the visit to the regulated facility. A formal staff interview determined that there was an awareness of what constituted abuse, who could commit it, and what procedures needed to be followed if it was suspected. The complaints procedure had been produced in formats most likely to inform the residents, and staff were aware of their importance in determining whether anybody had concerns that needed investigating. EVIDENCE: The inspector undertook a formal interview with a member of staff, and discussed with her issues relating to the ability of the current residents of Junction Road to make a complaint, and of the protection of the vulnerable adults in her charge. She was acutely aware of the need of members of staff to observe the residents for any signs of distress and to use a positive bias in intervening to determine whatever it was thought concerning them. The complaints procedure (like many of the other policies and necessary written instruments) have been produced in a form that was specially tailored for each individual to try and make it as accessible to them as possible. When discussing the subject of abuse, she was able immediately to identify that absolutely anybody who had access to the vulnerable residents of Junction Road could prove to be the perpetrator of abuse. She knew that her first duty was to ensure the immediate safety of anybody identified as having been abused, and then to initiate a vulnerable adults procedure by informing or contacting her duty line manager. In discussion she displayed a wide ranging appreciation of things that could be abusive to a resident, including not only 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 16 things that could be done to them, but acts of omission such as not responding to their known or obvious needs. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27,28, 29, and 30. The outcome for this group of residents was good. This judgment was made using all available evidence including the visit to the registered facility. The environment was seen to be safe and comfortable, especially the resident’s bedrooms, with improvements made to the bathroom for the benefit of one resident, and sufficient and well furnished communal spaces, all of which were kept in a good standard of decoration, clean, and odour free. Specialist equipment had been obtained in response to the changing needs of individuals. EVIDENCE: The shower referred to in the requirement of the last report has now been plumbed in and is fully operational. Three of the bedrooms visited were provided with ensuite facilities that included a private shower for the resident of that room. Three of the bedrooms had been decorated since the last inspection, and the program of providing radiators with low surface temperature covers to guard against accidental burning had been completed. New blinds been fitted in the lounge and dining room, and in two of the resident’s bedrooms. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 18 The bedrooms visited were airy and spacious, and reflected the individual interests of the particular resident. The were pictures and posters of favourite personalities, music centres, televisions in all but one of the bedrooms (and that was the resident’s choice according to the trainee deputy care manager), and mementos of places visited on days out and during holidays. In addition to the lounge being furnished to accommodate all the current residents if necessary, there was a comfortably furnished breakaway/quiet area adjacent to the kitchen diner, and this was said to be a favourite haunt of one of the current resident’s. All the toilets, ensuites, and the bathroom where furnished with the appropriate rails to aid stability, and a purpose specialist bed had been provided for one resident whose current regime has included a reduction in medication used to control epileptic seizures. This was both double size, and much lower than the previous bed, to reduce both possibilities of falling out of bed, and any injuries sustained should this happen. The home was clean and tidy throughout, with no malodours being detected, and the inspector was able to review cleaning programs, including provision for the laundering of linen and clothes, designed to ensure that the environment and residents of the house both remained well presented. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35. The outcome for this group of residents was good. This judgment was arrived at using all available evidence including this visit to the registered facility. Records show that staff were experienced and qualified, both in general care, and in particular concerns of those with learning disability, and there was an excellent response to initial and repeat mandatory training. EVIDENCE: The normal pattern of staff cover was as follows: 7:30 a.m. to 3 p.m. three staff (which may include a member of the management), 2:30 p.m. to 10 p.m. two members of staff (which may also include the manager or trainee deputy), 9:45 p.m. to 7:45 a.m. the following morning; one member of staff watchful and waking. There are no current vacancies and two new carers have started since the last inspection. One of these is working 24 hours a week on days, and the other is working 35 hours a week at nights. Records show that both of these people had received induction training, and there were signatures to confirm that they had received various modules. In the formal staff interview it was confirmed to the inspector that supervision both took place regularly, and was a two-way process to which both parties would bring any concerns they wanted discussing. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 20 He was further informed that ad hoc supervision was available at any time, and that the registered care manager operated a supportive, transparent, and open style of running the home, and was felt by her staff to be there for them at all times. There were no separate domestics employed in the home with this work being done as part of the carers duties, in tandem with a resident where they chose or were able to help with this. It was established at all laundry was washed during the daytime, again with help from the rest idents where appropriate, and the ironing was done in the quiet of the night by the watchful waking member of the night staff. The inspector was able to examine a full matrix of staff training both planned and recently received, and in discussion with members of staff confirmed that they had received the items of training listed, and that all but one member of staff had a current emergency first aid certificate. The registered care manager had successfully completed the registered managers award, and the trainee deputy commenced this in September of this year. (She also holds the qualification for undertaking moving and handling training). 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42. The outcome for this group of residents was good. This judgment was reached using all available evidence, including that gathered during this visit to the registered facility. Residents Were Seen to Benefit from a Well-Run Home and to be asked about all things relating to the care in the home. No issues were identified which compromised the health, safety, and welfare of residents, other than the storage of Christmas decorations, and residents were seen to be protected by the actions of staff, and the policies and procedures of the company. EVIDENCE: During an in-depth formal interview with the training deputy manager it was identified that the formal audits of quality undertaken by the company were based on the best practices of the British Institute for Learning Disability, and that they also used that organisations quality of life survey. In addition to these there were monthly visits from a principal officer conforming to regulation 26, and during these visits an audit was undertaken conforming to the various sections in the national minimum standards publication for care homes for adults (18 to 65). 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 22 A full tour of the environment was undertaken including a cursory visual examination of the state of the grounds and exterior of the building, and the only issue identified in relation to the health safety and welfare of those people living in and working at 63 Junction road, was the storage of mixed material in the upstairs store room, including potentially combustible Christmas decorations. A recommendation will be made that these are removed and stored elsewhere in a fireproof container. Fire records were examined, and it was found that training was received at the proper intervals, and that alarms and emergency lighting were tested at the recommended times, and that equipment was examined and serviced by a recognised and competent organisation. It has already been acknowledged that only one member of staff needs freshener training currently in moving and handling, and that all current members of staff are in possession of an emergency first aid certificate. Risk assessments were in place for all safe working practices and any accident or injury is are routinely reported to the Commission for Social Care Inspection. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 3 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA42 Good Practice Recommendations The registered person is recommended to ensure that all potentially combustible materials are removed from the upstairs store room, and placed in an appropriate fire proof container, preferably not within the house. 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 63 Junction Road DS0000004964.V312423.R01.S.doc Version 5.2 Page 26 - 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!