Inspection on 27/07/07 for 162 Wellington Hill West

This inspection was carried out on 27th July 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

162 Wellington Hill West 05/09/06

162 Wellington Hill West 03/10/05

162 Wellington Hill West 09/05/05

162 Wellington Hill West 16/11/04

162 Wellington Hill West 07/04/04

Similar services:

Radfords

Honeybourne House

32 Beaumont Way

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

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

CARE HOME ADULTS 18-65 Wellington Hill West, 162 Henleaze Bristol BS9 4QP Lead Inspector Sarah Webb Key Unannounced Inspection 27th July 2007 09:00 Wellington Hill West, 162 DS0000026646.V341428.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 Wellington Hill West, 162 DS0000026646.V341428.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. Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wellington Hill West, 162 Address Henleaze Bristol BS9 4QP 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) 0117 9859918 0117 9699000 www.brandontrust.org The Brandon Trust Mrs Louise Helena Westlake Care Home 5 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1) of places Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate persons aged 45 years and over. Date of last inspection 5th September 2006 Brief Description of the Service: 162 Wellington Hill West is operated by the Brandon Trust and is registered with the Commission for Social Care Inspection (CSCI). The manager is Ms Louise Westlake. The home provides care to 5 residents aged 45 years and over in the learning disability category. The categories of registration are: Learning Disability (LD) 4, Learning Disability over 65 years (LD(E)) 1. The residents have lived at the home for many years and the Trust have taken the decision to extend and adapt the property to better suit the aging residents’ needs. Residents have complex communication difficulties. Wellington Hill West, 162 DS0000026646.V341428.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 Unannounced Inspection that took place over one day. The inspector met all of the people using the service and 2 of the care team. The Manager was unavailable on the day of the visit; the Commission has been previously informed of changes to the management arrangements in place. The manager has reduced her hours at the home and is also managing another home in the organisation. Although the manager was unavailable on the day of this visit, she had completed an Annual Quality Assurance Assessment prior which was received by the Commission. This helped to provide relevant information regarding all aspects of the home’s management. As part of the inspection process records were viewed including those in relation to care and support plans, risk management, the administration of medication, and staff training. A tour of the home was undertaken and interaction between staff and the people using the service was also observed. As part of the inspection process surveys were received by relatives and with a Health Care professional. Comments were positive in the care and support offered to people living at Wellington Hill West. Completed surveys were also received from people using the service. People had been supported to complete the surveys from external staff to the home. What the service does well: People are supported through individual and person centred care planning and staff are provided with comprehensive information in order to meet peoples assessed needs. The home has good links with local health and social care professionals asking for advice when needed. Staff have a good knowledge and awareness of peoples needs that helps to contribute to their wellbeing and treat people with dignity and respect. People are listened to and staff give people time to communicate individually. Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 6 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 be made available in other formats on request. Wellington Hill West, 162 DS0000026646.V341428.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 Wellington Hill West, 162 DS0000026646.V341428.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, & 5 Quality in this outcome area is good. People who use services have suitable information to make a decision on whether to move to the home and can be assured that the home will meet their assessed and changing care needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People have clear and accessible information provided to help them to make a choice on whether to move to the home. This included an updated Statement of Purpose and Service User Guide and a contract of care. The Service user guide helps people to understand information through a pictorial and symbolised format. ‘Place to live agreements’, or contracts, are also provided in a pictorial format explaining peoples stay, terms and conditions of living at the home. There have been no new people admitted to the home; the 5 people living at the home are an established group and have lived together for many years. Assessments had been completed prior to people being admitted to the home by funding authorities. Care plans had relevant information for staff to follow so that peoples’ needs are met consistently. Staff review peoples’ care regularly so that any changes to individuals health and welfare can be monitored. Wellington Hill West, 162 DS0000026646.V341428.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, & 9. Quality in this outcome area is good. Peoples social and emotional needs are clearly identified in care plans that contain up to date guidance to help staff to meet these needs. Some healthcare information is not so well documented but staff demonstrate a good awareness of these issues, and treat people with great respect. People are supported to take risks to enable them to live an independent a lifestyle as possible; there are some areas of risk assessing that need to be improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It is evident that the home practices a person centred philosophy that conveys how people want to be supported with aspects of their life and helps to inform staff about peoples likes, dislikes and aspirations. This practice is also supported through staff being trained in this area. Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 10 Care plans looked at included information as to how people are supported with their emotional and social needs. Although staff demonstrated a good knowledge of how to support an individual with their specific healthcare needs, their care plan needs to be updated with recent and relevant guidance. Personal profiles helped to explain how people make themselves understood and their involvement in the running of the home. Personal plans showed that both peoples’ preferences, essential and important things in peoples’ lives are respected. Care planning is monitored through monthly summaries of peoples’ activities, health and welfare. Daily records are kept of activities people attend, individuals’ general well being, and other areas of identified need and support. People have limited communication and need support in how to communicate and express their views. Staff spoken with explained key words some people used and identified their understanding of how individuals communicated. Staff were observed in their interaction with people and it was evident that their approach was respectful in how they supported individuals allowing them time to express themselves; people were relaxed and comfortable in their company. The home has begun the use of pictorial information; one person has a book with photographs that help them recognise and understand different aspects of their life. Although the home has made a start in this area, a communication strategy would help to expand the practice of pictorial formats when communicating with people. This has also been identified through the Annual Quality Assurance Assessment that was received prior to this visit. People are supported to take risks safely in their daily lives by staff. Detailed written risk assessments linked to care plans demonstrate actions are taken to minimise risks so that people can live an independent and fulfilling life taking part in varied activities. However there are two areas of an individual’s needs that must be risk assessed in relation to their health and finances. Wellington Hill West, 162 DS0000026646.V341428.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, & 17 Quality in this outcome area is good. Although people are supported to take part in appropriate activities in their local community, opportunities would be improved with suitable transport. Contact with families is well maintained and peoples rights and responsibilities are respected by staff. People are offered a varied and healthy diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Timetables indicated peoples differing weekly activities. People are supported through varied hours by day care support to access external activities on 1:1 basis. Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 12 Since the last inspection there have been management changes to ‘Choices for Learning’ who provide the day service to people. One survey returned by an individual stated that ‘Day care programme changes are made without my involvement’ and another expressed their ‘Day care support is ending and I am unhappy’. The 3 other surveys returned indicated that the people were happy with their life at the home and support from staff. A staff member spoken to said there had been some issues that had arisen recently, but that a meeting is planned to discuss all areas so that a satisfactory outcome can be achieved. The Annual Quality Assurance Assessment returned also identified that communication had broken down between the day services and the home and needed to be addressed. It was evident that staff try to support people with their chosen activities such as shopping and going to church, but there are occasions when people may not be able to go out due to staffing levels. The home has no accessible vehicle in helping people access their lifestyle. A recommendation has not been met for the home to secure a vehicle for the use of people with disabilities. It is evident that this is an ongoing issue; however a staff member said that the shared use of a suitable vehicle with another home was being investigated. This would improve the opportunities for people to go out into the community and trips. Currently, people use taxis in accessing external activities. The home has good relationships with families and people are supported with maintaining contact. Surveys received from relatives identified that communication from the home was good and that they are well informed of any changes. House meetings take place where staff help to involve people in making choices including menus and decoration of home. People’s rights are respected and responsibilities recognised in their daily lives. Two staff were observed in their interaction with people and it was evident that their approach was respectful in how they supported individuals; people were relaxed and comfortable in their company. The home offers 4 weekly running menus. Menu plans seen indicated that people are offered varied and healthy options. The home has a pictorial food shopping list that helps to involve people. Information sent through the Annual Quality Assurance Assessment identified that the home could improve involving people more in menu planning through use of pictures. Wellington Hill West, 162 DS0000026646.V341428.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, & 20 Quality in this outcome area is good. People who use the services are supported with their healthcare; their personal needs are monitored well and there are satisfactory medication systems ensuring their safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All people require personal support and personal health plans provided comprehensive information identifying how staff support individuals with their physical care needs. However as previously recorded in Standard 6, although a staff member was knowledgeable about this persons specific needs, their care plan needs to be updated with specific healthcare needs and how they should be supported. Support plans also include how staff should encourage people to maintain their skills, abilities and independence respecting their privacy and dignity. Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 14 Healthcare records identified that individuals’ physical and mental healthcare needs are being met through regular reviews of their medication and people have annual Ok Healthcare checks; support from appropriate professionals from the Community Learning Disability Team also help to ensure their care needs are well met. Health records also included information that demonstrated individuals access GP, dentist, chiropodist, and optician. The home has an in house manual handling policy. People’s mobility is monitored through manual handling risk assessments and the home provides appropriate equipment in supporting people with their physical needs. People have access to specialist services and involve them in getting advice for specialist equipment or when peoples need change and an assessment is needed. A mobile hoist was seen and staff explained this is used to help if people fall. Other specialist equipment used to support people includes a bed with pressure relieving mattress, and wheelchairs. The medication administration sheets were examined and a sample balance of ‘as and when’ medication checked. There was a discrepancy regarding the recording of one medication and was corrected at the time of checking by case tracking the persons healthcare notes. Staff have completed ‘medicines’ training through National Vocational Qualification level 3 and the manager delivers training in the administration of medication. Wellington Hill West, 162 DS0000026646.V341428.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. People who use the services are supported to express their concerns; there are procedures and processes in place to respond to complaints; people are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an organisational complaints policy and procedure to follow in the event that a complaint is made. A pictorial complaints procedure was seen in peoples care files; this helps people understand the process. There have been no recorded complaints since the last inspection. Due to most of the people having communication difficulties, staff need to be aware of when people are unhappy; those staff spoken with demonstrated their knowledge and gave examples of how people expressed themselves. All staff attended Protection of vulnerable adults training. There are appropriate policies and procedures through The Brandon Trust to ensure the protection of vulnerable adults. Training records evidenced that all staff have received training in the protection of vulnerable adults. Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 16 Care records identified that the home has written strategies for the management of aggressive behaviour and if people were to challenge the service. There was clear instruction for staff to follow and a member of staff gave examples of how situations were resolved. The returned Annual Quality Assurance Assessment identified that the incidents of distressed behaviour has decreased and that this is due to consistency of approaches and the individual person centred care planning. The home supports all people with their finances and there were suitable financial procedures to ensure the protection of peoples’ finances. All but one person had a risk assessment in place relating to protecting their finances. A cheque was being held in safe keeping for an individual but needs to be paid into their account. Wellington Hill West, 162 DS0000026646.V341428.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28, 29 & 30 Quality in this outcome area is adequate. Although people who use services benefit from a clean and homely environment there are some areas that are in need of maintenance to help ensure the safety of people. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was undertaken with all areas of the home seen. All individuals’ bedrooms were personalised and well decorated. The lounge provides a homely environment for people to relax, watch television and listen to music. The kitchen/diner offers space for people to have their meals comfortably. Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 18 The home has previously had difficulties with the ground floor bathroom chairlift being repaired. This was not repaired for a period of 6 weeks in which an individual was unable to access the bath. The home needs to ensure the Commission is informed through a Regulation 37 notification of any such incidents and arrangements in place to meet peoples needs. It was evident that the same bathroom’s shower facility was not draining effectively. Staff are having to put towels down so as to stop water from travelling through the bathroom. There has also been a recent accident when an individual had a fall in this area. Arrangements must be made to ensure water drains away efficiently in this area so that people can shower in safety. The property is wheelchair accessible and has appropriate equipment to support those with mobility needs. There is an external lift built into the rear garden patio for accessibility. This was not seen in operation. The home’s cleanliness was of a good standard. Wellington Hill West, 162 DS0000026646.V341428.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, & 35 Quality in this outcome area is good. People using the service benefit from a competent staff team who have appropriate skills and training so that individuals needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A staff member spoken identified their role and responsibilities and gave examples of how they supported people with their differing needs including aspects of healthcare and social support. They indicated that when staff first start work at the home they shadow other staff to help them understand their duties. Part of the Trusts induction process also provides staff with a weeks training at their headquarters covering policies and procedures, philosophy of the organisation and statutory training. Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 20 The manager is a National Vocational Qualification assessor for staff. Three staff have achieved this qualification at a level 3. This has ensured that 80 of the team are now qualified. The home’s Annual Quality Assurance Assessment received identified how the home intends to further increase staffs’ qualification. The rota identified that there are 2 staff on duty at all times whilst there is one staff member who carries out sleeping in duties. At the time of this visit, there were 3 fulltime care staff working at the home; the home has been using bank staff on a regular basis to cover a staff vacancy, maternity leave and staff sickness. Staff said that the home try to ensure that regular bank staff are used to ensure there is consistency; specific bank workers files contained information in helping them understand peoples needs and how they should be supported. Training records identified that staff have attended relevant training courses so that they can support people with their individual needs. Some of the training received covers areas such as dementia awareness, epilepsy, and peoples needs in getting older and palliative care. Staff have also attended training in diversity. Staffing records were not looked at as these are kept at Brandon Trust headquarters and are examined periodically. Staff confirmed that Criminal Record Bureau (CRB) checks were sought in respect of them prior to employment. Wellington Hill West, 162 DS0000026646.V341428.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, & 42 Quality in this outcome area is good. People who use the service benefit from a well run home with systems in place that help to safeguard and protect the health and safety of those living and working at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes manager was unavailable on the day of the visit. The Commission has previously been informed there is a temporary change to the management arrangements of the home for a period of 3 months. Mrs Westlake’s working hours have been reduced to 15 hours so that she can also support another home within the organisation. Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 22 The manager has worked at the home for 4 years and has the Registered Managers Award. She has also attended training in performance management, supervision, and coaching skills. The returned Annual Quality Assurance Assessment identified that the home has an annual quality assurance audit that feeds into the annual action plan and identifies areas of both success and improvements. The home is also visited on a monthly basis to monitor the overall running of the home with these records sent to the Commission. Staff have attended statutory training including first aid, manual handling and food hygiene. Generic risk assessments were in place covering all aspects of the homes health and safety. The fire logbook record showed that fire equipment checks are carried out regularly, but there were still some areas of required fire drills that need to be carried out for a staff member. Staff have attended fire training. It was also noted that refrigerator thermometer needs to be replaced so that temperature records can be kept. Wellington Hill West, 162 DS0000026646.V341428.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 3 2 3 3 3 4 X 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 X 26 3 27 2 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 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 3 X 3 X X 3 X Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 24 NA Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA9 Regulation 12(a) Requirement Timescale for action 30/08/07 2. 3. YA24 YA27 37 23 Risk assessments must be completed for individual who needs support with their finances and a specific area of their health to help keep them safe. The home must inform the 28/07/07 Commission of any incidents relating to peoples well being. Arrange for water drainage to 30/08/07 operate effectively so that people can shower safely. 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. 2. Refer to Standard YA6 YA6 YA13 Good Practice Recommendations Update an individuals care plan to include how they are supported with a change in their healthcare. Set out a communication strategy and further expand on the practice of pictorial information to help communicate with people. It is strongly recommended that the home secure a vehicle for the use of people with disabilities. DS0000026646.V341428.R01.S.doc Version 5.2 Page 25 Wellington Hill West, 162 3. 4. YA23 YA42 A cheque must be paid into an individual’s account ensuring all financial transactions are kept up to date. Purchase refrigerator thermometer to ensure correct records are kept Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Regional Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AP 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 Wellington Hill West, 162 DS0000026646.V341428.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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