Inspection on 30/01/08 for The Orchards

This is the latest available inspection report for this service, carried out on 30th January 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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

CARE HOME ADULTS 18-65 The Orchard 49 Three Bridges Road Three Bridges Crawley West Sussex RH10 1JJ Lead Inspector Nigel Thompson Unannounced Inspection 30th January 2008 10:00 The Orchard DS0000066065.V355753.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 The Orchard DS0000066065.V355753.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. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Orchard Address 49 Three Bridges Road Three Bridges Crawley West Sussex RH10 1JJ 01293 619465 01293 619465 theorchard@evesleighcaregroup.co.uk springmeadow@ilg.co.uk ILG Ltd 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) Mr Alex Cullum Care Home 4 Category(ies) of Learning disability (0) registration, with number of places The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability - (LD) The maximum number of service users to be accommodated is 4. Date of last inspection 10th May 2006 Brief Description of the Service: The Orchard (formerly known as The Laurels) is a care home registered to accommodate up to four service users with learning disabilities. The Registered Provider is Independent Living Group (ILG) and the Registered Manager is Mr Alex Cullum. The home is a semi-detached property, situated close to Crawley town centre, and therefore has access to all community facilities and is within easy reach of local rail and bus stations. Accommodation is provided over two floors. Each service user has his own bedroom - two with en-suite facilities. On the ground floor there is a spacious lounge, a well-appointed kitchen and dining area and a large conservatory. In addition the home has a secluded garden with lawn and patio area to the rear of the property. Information about the service, including the Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The current range of fees, as of 30 January December 2008, is from £1,039 to £1,909 per week. Additional charges are made for personal items, such as toiletries, chiropody, hairdressing, activities, transport and holidays. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection took place over four hours in January 2008. It found that all the key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was satisfactory. There have been significant changes, regarding the ownership of the service since the previous inspection. The registered provider at that time was Evesleigh Care Homes. They were superseded by ILIACE, which soon afterwards was itself taken over, in April 2007, by the Independent Living Group (ILG). The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. Service users observed and spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were four service users living at the home, however three were at college or involved in other external day care activities. The inspection process involved a tour of the premises, observation of working practices, examination of records and documentation and discussion with one service user, two members of staff and the registered manager. The focus of the inspection was on the quality of life for people who live at the home. What the service does well: The relaxed, very homely and welcoming environment at Oak House has evolved over many years and reflects the commitment within the staff team and the open and inclusive management style. Service users are encouraged, enabled and supported to make decisions about their lives. They are involved and regularly consulted on many aspects of daily living, including menu planning and activities. It is evident that service users at the home benefit from having a competent and experienced manager and a dedicated staff team, who are clearly The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 6 committed to providing a consistent and high quality level of care. Staff work closely with service users and have developed a sound understanding of their individual care and support needs. What has improved since the last inspection? 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. The summary of this inspection report can The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective service users know that the home is able to meet their individual care and support needs. EVIDENCE: An admission policy made available for inspection contained details of the assessment procedure, undertaken to identify an individual’s care and support needs. Importantly, the policy also stated that ‘input from the appropriate Home Manager is necessary to ensure compatibility’. This was discussed with the manager who confirmed that, although there has been nobody admitted to the home since 2003, should the situation arise, he would be directly involved in the entire assessment and decision making process. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 10 Comprehensive information relating to the service is made available to all prospective service users, their relatives and associated care managers. Relevant documentation including an updated ‘Statement of Purpose’ and ‘Service User Guide’ was examined and found to be satisfactory. Both documents, including the complaints procedure have also been produced in a ‘user friendly’ illustrated format. The manager confirmed that, prior to moving into the home, a prospective service user would be invited to visit the home to look around and get a feel for the place. During these visits the individual would also have the opportunity to meet with members of staff and existing service users. On moving in, a three month trial period is provided to establish whether the individual’s assessed needs are able to be met and decide on their suitability for the home and their compatibility with existing service users. In contracts that were examined it was evident that individual agreements had been signed and dated by the service user themselves or a relative or representative on their behalf, the manager and the service manager. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users’ care plans enable staff to meet assessed needs in a structured and consistent manner and individual plans, including risk assessments reflect changing support needs. Systems for consultation and participation remain effective and service users are treated with respect and encouraged and enabled to make decisions about their day-to-day living. EVIDENCE: Comprehensive care plans, ‘Essential lifestyle Plans’ have been developed for each service user. Written in the first person, the plans were found to contain useful information including: ‘Who I am’; ‘Daily Routine’; ‘Ways in which I communicate my feelings’; ‘Who is in my life’ and ‘Likes and dislikes’. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 12 Plans that were examined also contained personal risk assessments and details of the individual’s physical, psychological and emotional support needs and were found to be accurate, up to date and generally well maintained. Care plan reviews are recorded in the ‘Service user monthly report’ and plans are amended as necessary to reflect any identified changing needs or circumstances. The report is evidently developed from the regular ‘Key worker / service user supervisions session and contains a summary of the previous month and any agreed actions for the following month. It is recommended that the ‘Key worker / service user supervision’ recording form be signed by both parties, to acknowledge understanding and confirm agreement. Where appropriate, a service user’s relative or representative continues to be directly involved in annual and interim reviews. However following discussion with the manager, it is recommended that the recording format be amended to include details of who was present at the review. It is also recommended that the record be signed by the service user – or their representative – as well as the manager and key worker. Independence and individuality continues to be encouraged and promoted within the home and is reflected in the personalising of service users’ rooms, the choice of bedclothes and colour schemes and individual preferences for occupational and leisure activities. Staff, spoken with during the inspection, confirmed that service users are encouraged, enabled and supported to make decisions regarding many aspects of their daily living, including menu planning, what clothes they wear and how they spend their day. The manager emphasised the importance of staff developing close and consistent working relationships with individual service users. Effective interaction and consultation, including regular service user meetings, takes place constantly throughout the home. This was evident through discussion with a service user and from direct observation of him being supported in a professional, sensitive and respectful manner. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Service users benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: The recreational and leisure interests of service users are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 14 A weekly activities programme, including college and workshops, has been developed and implemented for each service user and is clearly displayed in the main dining area. Community participation remains a focus in the home and service users are evidently enabled and supported to visit the cinema, theatre, shops and other local amenities. Menus examined were found to be varied and balanced and are evidently based on service users’ identified likes and preferences. An alternative to the main meal is always available. A service user, observed during the inspection preparing his lunch with assistance from staff, expressed satisfaction with the standard and variety of meals provided: ‘I like the food here. I like pasta sauce and pizza – but I don’t like curry!’ The manager confirmed that, where appropriate, family links are encouraged and supported, however individual contact with relatives remains variable. Visiting to the home is largely unrestricted and service users’ relatives and friends are made welcome at any reasonable time. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Staff have developed close and positive relationships with service users and demonstrate an awareness and sound understanding of their individual care and support needs. Service users are protected by improved, clear and comprehensive policies and procedures in place for the control and safe administration of medication. EVIDENCE: In accordance with their personal care plan, service users are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. Documentary evidence was in place to demonstrate that the health and emotional care needs of service users continue to be met within the home. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 16 All service users are registered with local GPs and have access to other health care professionals, including district nurses, physiotherapists and dentists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Policies and procedures relating to the control, storage, administration and recording of medication are in place and have evidently been reviewed and improved, as required, since the previous inspection. All staff responsible for administering medication have received training and are individually assessed and authorised to do so. This was supported through discussions with staff and evidenced by training records examined. The manager confirmed that, following risk assessments, no service user currently self-administers their own medication. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The home’s complaints procedure ensures that service users, staff and visitors feel able to express any concerns, confident that they will be listened to and acted upon. Service users are protected, through updated policies and procedures relating to abuse and safeguarding vulnerable adults. EVIDENCE: A clear, simple and concise complaints procedure is in place. The manager confirmed that close working relationships and effective communication and consultation within the home hopefully provides adequate opportunities for any concerns to be raised and discussed before they become complaints. Service users and members of staff confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. It was noted that there have been no concerns or complaints recorded by the home since the last inspection. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 18 The home has produced detailed policies and procedures, relating to adult protection and abuse, including a whistle blowing policy. These documents are evidently to be revised shortly in accordance with the recently implemented multi agency guidelines for the safeguarding of vulnerable adults. The manager confirmed that all care staff have undertaken appropriate training regarding abuse and will be receiving further updated training relating to the new policy and procedures. This was supported through discussions with members of staff during the inspection and evidenced on the training matrix and through individual training records. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for it’s stated purpose. Service users benefit from pleasant accommodation that is comfortable, generally well maintained and decorated to a satisfactory standard. EVIDENCE: During my ‘guided tour’ of the premises it was evident that the generally well maintained décor and good quality furniture and furnishings continue to provide a comfortable, pleasant and very homely environment for service users. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 20 However, as discussed with the manager, because of the overall high standard of the decoration within the home, two rooms in particular stood out as being in need of attention. One service user’s room appeared neglected with a badly stained carpet and walls and a radiator in need of repainting. The ceiling of the first floor bathroom had a hole in, where a recessed light fitting had been removed. It was also noted that the shower in the room was not working properly and service users consequently had no choice with their personal washing arrangements: ‘I can’t have a shower, it’s not working. I have to have a bath’. Although the appearance of radiators on the ground floor have been enhanced by wooden covers, for some reason – unknown to the manager - this is not the case upstairs. The manager confirmed that independence and individuality continue to be promoted within the home and, as previously documented, this is evident from the personalising of service users’ rooms, reflecting individual preference and interests. A service user, spoken with during the inspection, confirmed that he had been consulted with and directly involved in designing the room of his choice: ‘I chose the colours in here and I chose the duvet cover and everything. I like my room and I’m very happy here’. Infection control policies and procedures are in place and clearly adhered to. Service users, with staff support as necessary, are evidently responsible for keeping bedrooms clean and tidy and doing their laundry, as part of their weekly activities programme. On the day of the inspection, levels of cleanliness and hygiene throughout the home were found to be generally satisfactory. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from there always being sufficient trained and competent staff on duty to meet their assessed needs. Robust staff recruitment policies, procedures and documentation help to ensure the protection of service users. EVIDENCE: Care staff at The Orchard are evidently deployed in sufficient numbers to meet the assessed care and support needs of service users. The manager confirmed that staffing levels within the home (currently a minimum of two at all times) are maintained and regularly monitored to ensure that current individual needs can continue to be met in a consistent manner. This was further evidenced by the current rota, viewed during the inspection, that details which staff are on duty at any given time and includes their designation. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 22 Service users and members of staff, spoken with during the inspection, confirmed that staffing levels within the home are adequate to meet all identified support needs. In addition to the comprehensive induction programme undertaken by all newly appointed staff, the manager confirmed that appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and supported by training records examined. It was also noted that over 50 of staff within the home have achieved NVQ level 2, or above, in care. In accordance with company policy, the manager confirmed that formal and appropriately recorded supervision is provided for all care staff on a regular basis. This was evidenced by supervision records examined and through discussion with staff, spoken with during the inspection, who acknowledged the benefits of effective supervision and confirmed feeling supported and valued by the manager: ‘I really landed on my feet here – it’s brilliant. The manager and senior are so helpful and supportive’. The manager is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from a competent management structure. They are protected by satisfactory health and safety procedures and their best interests are safeguarded by effective quality monitoring systems. EVIDENCE: The experienced and competent manager has worked at the home for four years and has been in his current position since January 2007. He holds the NVQ level 4 in Health and Social Care and is hoping to complete the Registered Manager’s Award (RMA) within the next few months. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 24 A welcome development to the quality monitoring systems within the home is the recently implemented ‘Monthly quality audit.’ The audits, which are carried out by the manager or senior support worker, currently consist of: ‘Medication’; ‘Kitchen, food and hygiene’ and ‘The Home’. The manager confirmed that satisfaction questionnaires have been sent out recently to service users’ relatives and care managers. Although there has so far been a limited response to the survey, some positive comments have been received: ‘I wish I was staying there!’ Service users’ money is held securely and all financial transactions are appropriately recorded. The health, safety and welfare of service users and staff evidently remain of paramount importance within the home. The manager confirmed that training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 25 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 3 2 3 3 3 4 3 5 3 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 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 26 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. 2. Refer to Standard YA6 YA6 Good Practice Recommendations It is recommended that the ‘Key worker / service user supervision’ recording form be signed by both parties, to acknowledge understanding and confirm agreement. It is recommended that the care plan review record be amended to include details of who was present at the review. The record should also be signed by the service user themselves – or a representative. It is recommended that the identified bedroom and bathroom be redecorated, the carpet be replaced in the bedroom and the shower repaired. It is recommended that the radiators on the first floor be covered. 3. 4. YA24 YA24 The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South East Region The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Orchard DS0000066065.V355753.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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