Inspection on 02/03/06 for 127 Longdon Road

This inspection was carried out on 2nd March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 28 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

127 Longdon Road 22/10/07

127 Longdon Road 12/01/07

127 Longdon Road 12/01/06

127 Longdon Road 09/03/05

127 Longdon Road 11/08/04

127 Longdon Road 10/03/04

127 Longdon Road 17/10/72

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 127 Longdon Road 127 Longdon Road Knowle Solihull West Midlands B93 9HY Lead Inspector Julie Preston Announced Inspection 2nd March 2006 12:30 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 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 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 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. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 127 Longdon Road Address 127 Longdon Road Knowle Solihull West Midlands B93 9HY 01564 775979 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) Sunny Mount (Knowle) Limited Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th January 2006 Brief Description of the Service: 127 Longdon Rd is a 5 bedroom, semi-detached house owned by the organisation responsible for the provision of care and support to the people living there. The Home is situated approximately ¾ mile from the centre of Knowle. The house is domestic in scale but has been extended and adapted to meet the needs of the residents. Accommodation and support is currently provided for 4 people with learning disabilities. All the people living there have their own single bedrooms and there is a room for one member of staff, providing sleep-in night time cover. Downstairs there is an open plan lounge / dining area and additional dining facilities in a fairly spacious kitchen. One resident’s accommodation is also situated on the ground floor level. There is a ramp to facilitate access to the front of the house. However, the house is not adapted to the needs of people who use a wheelchair. With the exception of one individual’s accommodation, people living in this house need to be able to manage stairs. There is a private garden situated to the rear of the property. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over five hours and included discussion with service users about their experience of living in the home, examination of records that relate to their care and safety, a tour of the premises and observation of the way staff work with service users. Some policies and procedures were looked at as well as service users financial records. This report should be read in conjunction with the report made following the visit of 12th January 2006. What the service does well: What has improved since the last inspection? What they could do better: Care plans and risk assessments need to be reviewed so that staff have good information upon which to meet service users needs. Service users have no opportunity to shop for their own toiletries, which are bought in bulk. There are not enough staff to enable service users to do the things they enjoy during the evenings. Adult protection procedures are poor and place service users at risk of harm. There are some infection control risks that have not been addressed by the home to safeguard the well being of service users. Service users health and safety is not always adequately promoted and protected. The home has no system of quality assurance. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 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 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 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 home does not have a system to fully assess people prior to them moving in to ensure that the home can meet their needs. EVIDENCE: At the previous inspection, requirements were made to ensure that a procedure was developed for the assessment of potential service users who may be admitted to the home. The inspector observed an assessment document which formed part of the draft policies and procedures for the home, however this referred to assessment for people with mental ill health, which is not relevant to the purpose of the care home. The requirement from the last inspection is therefore repeated. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 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, 9 Care plans and risk assessments are in need of review to ensure they accurately reflect service users needs and that known hazards are minimised. Service users have opportunities to make choices about their lives. EVIDENCE: The registered manager stated that he has developed a new care-planning format, which is due to be implemented. It was anticipated that this format would provide a clearer and more comprehensive method of assessing and recording service users needs. In existing care plans sampled there remained some historical information, which it is recommended be archived. Some language used to describe service users needs was vague. For example references were made to providing “support” and “assistance” with no further detail to explain what this meant. One plan described a service user as sometimes “fabricating stories” which could influence staff to disregard issues raised by the service user and may affect his confidence to disclose information to the staff team. This remains the same as at the last inspection. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 10 Daily records were observed to be unsigned in some instances and it was not possible for the inspector to determine who had made the record. Risk assessments were sampled and seen to be in need of review. One assessment described a service user as needing the support of a wheeled frame to mobilise, however this was inaccurate information. Another risk assessment stated that an individual needed “support” with washing, dressing and bathing but did not indicate how risks should be minimised and the nature of support required. Financial records were sampled and noted to be better organised than at the last inspection, with numbered receipts that matched individual expenditure. Requirements made at the previous inspection to investigate cash withdrawals that had not been entered onto individual records, had been met. From discussion with service users it was evident that they are encouraged to make choices and decisions about their lives. Service users described choosing their meals, where and with whom to spend their time and how they spent their money. A policy has been implemented so that the home contributes to the cost of service users taking meals in the community, which was a requirement of the last inspection. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 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, 17 Poor staffing levels have an impact on service users taking part in activities they enjoy during the evenings. Service users have opportunities to see their friends and relatives. Service users enjoy their meals and are assisted to take part in cooking and food shopping. In the main, the home’s routines promote service users independence. EVIDENCE: Service users attend either day centres or work placements during each weekday. The inspector spoke to all service users who confirmed that they enjoyed their day opportunities; one person in particular said that he liked the responsibility of travelling unsupported to his workplace. Examination of service users daily records showed that a range of community based activities had been provided such as pub meals, shopping, walks and trips to the cinema. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 12 The home’s rota was observed and showed that only one member of staff is on duty between 4pm until 7am the following morning. This has an impact on service users being able to go out in the evenings unless the group go out as a whole. It was noted from daily records that few evening activities are provided. Two service users said they would like to go out more in the evenings and at weekends. Two service users confirmed that they have a key to the front door of the home. No service users have bedroom door keys and this must be addressed in consultation with service users. The home has a visitor’s policy which the registered manager stated was made available to service users and their families. Service users daily records showed that they receive visitors and go out to local clubs to see their friends. Food supplies were examined and found to be plentiful and varied, with a range of fresh produce. Service users told the inspector that they shop for food and have a choice of what they eat. Service users were observed to assist staff in the preparation of the evening meal and in making their own hot drinks. No records of food consumed are maintained within the home and it is a requirement of this inspection that this be implemented. The appearance of the dining room has been improved by the removal of office equipment and furniture. All service users commented that they enjoy the food at the home. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 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 A lack of information in personal care plans may lead to service users needs not being met. In the main, service users health care needs are met. EVIDENCE: Personal care plans were sampled and found to be in need of development. One plan described a person’s occasional incontinence. There was no information to clarify how to respond to this need and how to ensure that infection controls would be implemented. Service users do not purchase their own toiletries, which are bought in bulk. This remains the same as at the last inspection. However, service users had clearly been supported with their personal care on the date of inspection and daily records sampled showed that service users shop for their own clothing and use local facilities to get their haircut. It was pleasing to note some improvement to the way in which service users health care needs are recorded. Within the records sampled it was evident that service users had visited health care professionals on a regular basis. At the last inspection it was noted that a service user had not seen his dentist for a year. This had been addressed by the home. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 14 One care plan referred to a service user needing to visit a clinic in accordance with his health care needs. There were no records to evidence that this had taken place. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 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, 23 There are arrangements in place for service users to make complaints. The procedures for reporting allegations or suspicion of abuse are not robust and place service users at risk of harm. EVIDENCE: Service users told the inspector that they would speak to staff or relatives in the event they wished to make a complaint. The home’s complaints procedure is displayed in the entrance hall and is presented by use of plain language and pictures. There have been no complaints about the home in the last twelve months. From observation of service users daily records it was evident that an event, which may have required referral under adult protection procedures, had not taken place. The CSCI had not been advised of this incident. Service users risk assessments and care plans had not been reviewed as a result of this incident and there was no evidence that a strategy had been agreed to protect service users at risk of harm from each other. One record described a service user as displaying “inappropriate sexual behaviour” but did not explain what this meant or whether there were risks to other service users. Immediate requirements were made that staff be briefed with regard to their role in reporting allegations or suspicion of abuse. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 16 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): 30 There are some infection control risks that have not been addressed by the home to safeguard the well being of service users. EVIDENCE: Requirements made at the last inspection to repair the panelling in a service user’s bedroom had been met. The registered manager confirmed that he was awaiting quotes for the cost of redecorating the lounge. The home was warm and clean on the date of inspection. The registered manager advised that paper towels and liquid soap dispensers had been ordered and were due to be installed in communal bathrooms. Some shared bars of soap and towels were observed which must be removed to reduce the risk of the spread of infection. The home’s laundry room is situated off the kitchen, therefore soiled linen is carried through areas where food is stored, prepared and eaten. There has been no risk assessment of this practice and immediate requirements were made that this be addressed. The Team Leader stated that training in infection control was due for all staff. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35 The number of staff employed at the home is not sufficient to meet service users needs. Some staff require training to assist them to meet service users needs more effectively. EVIDENCE: The home’s rota showed that a total of three staff are employed, one of whom is due to leave at the end of March 2006 and another works only twenty two hours a week. This leaves the home without sufficient staff to provide care to service users and it is a requirement of this inspection that the CSCI is advised of the arrangements to recruit new staff to cover this shortfall. Those staff on duty at this inspection were observed to work with service users in a manner considered to be friendly and respectful. Service users said that staff were “kind”, “lovely ladies” and “very helpful”. This report has identified that one member of staff works alone between the hours of 4pm and 7am the following day. There is no policy for lone working, which is required to ensure that service users health and safety is maintained during these times and that staff can receive assistance in the event of an emergency. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 18 The registered manager advised that a rolling programme of mandatory training is in place. Staff records sampled showed that some had received training in Basic Food Hygiene, Moving and Handling and First Aid within the last twelve months. Training in adult protection is outstanding for all staff. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 19 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, 42 Management of the home is improving for the benefit of the people who live there. Quality assurance that seeks service users views on the self monitoring, review and development of the home are not in place. Service users health and safety is not always adequately promoted and protected. EVIDENCE: Since the last inspection a Team Leader has been appointed who works part time at the home. The Team Leader has completed her NVQ Level III in care and has worked with adults with a learning disability in a senior role for a number of years. The registered manager confirmed that he provides supervision and support to the Team Leader. Due to the impending departure of an established member of staff it will be necessary for the registered manager to provide suitable management time for the induction of new staff. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 20 This inspection has identified some improvement to the management of the home since the last inspection. The home does not have a system of quality assurance and visits to the home by the registered provider do not take place on a regular basis. Fire safety records were examined which showed that the fire alarm system had been tested and serviced on a regular basis. Staff records sampled showed that some staff have not received training in fire safety, first aid and health and safety. A glass door leading from the kitchen to the laundry room had not been fitted with safety film, which presents a risk to people within the home. A ground floor bedroom fire door was noted to have a hole in it, which affects the viability of the door. Some events that affect the well being and safety of service users had not been reported to the CSCI. Advice was given during the inspection of the need for this to take place. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 21 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 2 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 1 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 1 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 X X 2 X 1 X X 2 X 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA2 Regulation 14(1-2) Requirement The registered manager must develop a written procedure to assess the needs of potential service users prior to them moving to the home to ensure that the home can meet their assessed needs. Each service user must have a written plan of care that describes how their needs in respect of health and welfare are to be met. The plan must be subject to regular review. Risk assessments must clearly identify the controls in place to manage known hazards, be subject to regular review and reflect service users assessed needs. The registered manager must review staffing levels within the home to ensure that service users needs are met at all times. Service users must be consulted about their preferences to undertake activities in the evenings and sufficient staffing levels provided to enable them to do DS0000004533.V281670.R01.S.doc Timescale for action 21/04/06 2 YA6 15(1-2) 21/04/06 3 YA9 13(4)(b,c) 21/04/06 4 YA33YA13 18(1)(a) 12(1)(a,b) 21/04/06 5 YA13 16(2)(m) 18(1)(a) 21/04/06 127 Longdon Road Version 5.1 Page 23 so. 6 YA16 12(4)(a) Service users must be offered a key to their bedroom doors. In the event that this is not appropriate, the reasons must be clearly stated within the service user’s individual care plan. A record of food consumed must be maintained for all service users. The personal care plan for the service user who experiences incontinence must be reviewed to describe how staff should respond to this need and must include the arrangements for infection control. Service users must be offered the opportunity to purchase their own toiletries from their personal allowances. The home must demonstrate that the person needing to attend a clinic due to his physical care needs has access to this facility. Records must be maintained. Staff must receive training in adult protection. The registered manager must ensure that staff are aware of the home’s adult protection procedures. The registered manager must ensure that there are agreed strategies in place to protect service users at harm from each other. Any event that affects the well being of service users must be reported to the CSCI without undue delay. The care plan for the service user described as demonstrating inappropriate DS0000004533.V281670.R01.S.doc 21/04/06 7 8 YA17 YA18 17(2) Sch 4(13) 15(1-2) 13(3) 21/04/06 21/04/06 9 YA18 12(2) 21/04/06 10 YA19 13(1)b 17(1)a Sch3(3)m 21/04/06 11 12 YA35YA23 YA23 13(6) 18(1)(a,c)(i) 13(6) 01/05/06 09/03/06 13 YA23 13(6) 15(1-2) 13(4)(c) 37(1-2) 21/04/06 14 YA42YA23 02/03/06 15 YA23 13(6) 15(1-2) 09/03/06 127 Longdon Road Version 5.1 Page 24 16 17 YA30 YA30 13(3) 13(3) 18 YA33 18(1)(a) 19 20 YA33 YA37 13(4)(c) 12(1)(a) 12(1)(a) 21 YA39 24(1-3) 22 YA39 26(1-5) 23 24 YA42 YA42 18(1)(a,c)(i) 23(4)d 13(4)(a-c) 25 YA42 23(4)(c)(i) sexual behaviour must be reviewed to include information about the nature of the behaviour and how staff must respond to this to protect other service users. The practice of using communal soap and towels must cease. A risk assessment must be conducted with regard to the practice of transporting soiled linen to the laundry room via the kitchen and practice must reflect the outcome of the assessment. The CSCI must be advised of the arrangements to employ new staff to cover the shortfall when established staff leave the home. The home must produce and implement a lone workers policy. The CSCI must be advised of the arrangements to manage the home during the induction of new staff. The registered provider must establish a system for the review of the quality of care provided at the home. The registered provider must ensure that visits to the home are conducted in accordance with this regulation. Staff must receive training in fire safety, first aid and health and safety. The glass door between the kitchen and laundry room must be fitted with safety film/glass. The fire door in the ground floor bedroom must be repaired and made safe. 09/03/06 09/03/06 21/04/06 09/03/06 21/04/06 01/05/06 21/04/06 01/05/06 09/03/06 09/03/06 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA6 YA6 Good Practice Recommendations The home should consider archiving information contained in service users care plans, which is no longer relevant to their needs. Daily records should be signed to enable the reader to determine who has made the entry. 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 127 Longdon Road DS0000004533.V281670.R01.S.doc Version 5.1 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. 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!