Inspection on 11/01/06 for 198 Rossendale Road

This inspection was carried out on 11th January 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

198 Rossendale Road 19/04/07

198 Rossendale Road 25/07/06

198 Rossendale Road 05/07/05

198 Rossendale Road 01/12/04

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

CARE HOME ADULTS 18-65 198 Rossendale Road 198 Rossendale Road Burnley Lancashire BB11 5DE Lead Inspector Mrs Marie Dickinson Unannounced Inspection 10:30 11th & 16 January 2006 th 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 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 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 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. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 198 Rossendale Road Address 198 Rossendale Road Burnley Lancashire BB11 5DE 01282 425668 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) Voyage Limited Mark James Bunce Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13), Physical disability (13), Sensory of places impairment (13) 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission. The staffing levels in the home must at all times consist of a minimum of 1 staff member to 2 service users during the day, on average, and 1 waking watch and 1 sleep in staff member at night. With no more than 10 people sharing a staff group. The home is registered for a maximum of 13 service users to include: Up to 13 service users in the category of MD (Mental Disorder, excluding disability or dementia) Up to 13 service users in the category of PD (Physical Disability) Up to 13 service users in the category of SI (Sensory Impairment) Date of last inspection 5th July 2005 3. Brief Description of the Service: 198 Rossendale Road is registered with the Commission for Social Care Inspection to provide personal care and accommodation for thirteen people. The home is operated specifically as a specialist provision for adults who have an acquired brain injury. Voyage Limited, which is part of Paragon Healthcare Group, owns and operates the home. Accommodation offered is in thirteen large specially adapted single occupancy bedrooms. All rooms are en suite, and some include a small kitchen and dining area. There are several spacious lounges and dining and kitchen facilities. Specialist modern bathing facilities are also provided. The upper floor can be accessed by a passenger lift. Staff support is based on individual needs of service users living at the home. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on 11th & 16th January 2006. It is the second statutory inspection carried out this year. During the inspection, time was spent talking to the people who live at the home and manager and staff on duty. Information was obtained from staff records, care records and policies and procedures. A tour of the premises was also carried out. Areas that needed to improve from the previous inspection were looked at for progress made. The home was assessed against the National Minimum Standards for Younger Adults. Not all standards were assessed and this report should be read with the inspection report dated 5th July 2005 for the reader to have a complete overview of the home. What the service does well: Care had been taken to make sure people coming to live at the home were able to say how they expected their care to be provided. The manager had completed written directives on behalf of service users explaining this. Information to keep people safe was recorded such as risk assessments. Activities were varied and service users said these were personal to them. They had the opportunity to make decisions about their lives. They said staff helped them and took into account their wishes. They learned new skills such as cooking. Service users were helped to keep contact with relatives and friends. The overall provision of specialist equipment and the facilities in the home was of a high standard. Service users were protected by correct recruitment procedures .Sufficient staff were employed for service users to receive individual personal care. Service users were pleased with how staff treated them; they ‘liked their carers’. Staff said they received training. They had regular supervision. Teamwork was promoted and staff said they enjoyed their work. There was a general confidence expressed in the manager and the way the home was managed. The home was described as ‘very well run’. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: To make sure people know about the facilities and services, a statement of purpose and service user guide for the home must be made available. People must be given terms and conditions of their residence. The option of a seven-day holiday should be organised as part of the basic contract price. To make sure service users know what is expected of them living in the home, the homes policies and procedures must be given to them. In addition to this rules on smoking, alcohol and drugs should be included in agreed ‘homes rules’. The written guidance for complaints should be more accessible for service users, and the use of a freepost service should include an envelope provided for the postcard The outdoor garden areas requires upgrading. For service users in wheelchairs, or those who physically cannot gain access their bedroom independently, an automatic door opener must be fitted. To maintain a high standard of hygiene throughout the home, additional support must be given to the care staff team in domestic responsibilities. Voyage Limited must make sure they are satisfied staff employed in the home are mentally and physically fit for the type of work involved. Staff meetings must be regular, giving staff opportunity to influence the service and to be kept informed of any changes. To make sure the home is managed properly Voyage must arrange monthlyunannounced inspections by a senior representative that is not linked to pre arranged manager supervision. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 7 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. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 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 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Prospective service users do not have sufficient information on the facilities and care they can expect to receive at the home. A statement of purpose and service user guide that includes terms and conditions of residence must be made available. Service users were not given a contract from Voyage specific to their needs. People living at the home have the benefit of specialist care. Proper assessments are carried out and visits and short stays offered. EVIDENCE: A revised statement of purpose and service user guide specific to 198 Rossendale Road remains in draft, awaiting final adjustments before being made available for people making enquiries about the home. Information was available about the service in the organisations production of ‘Voyage’ homes and services. New service users admitted to the home had the benefit of care management assessment of needs. Information needed to provide the right care was recorded in detail. Service users also benefited from the homes own assessment. From these assessments an individual plan of care was written and agreed with everyone concerned. The completed assessments also showed how the views of the person were included and used as part of recording their care needs. Good communication is an important part of service users assessment. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 10 The management had visited service users before they were admitted to the home. This was part of a procedure that is carried out for everyone. And it helps everyone involved in planning care to consider what the person wants, if the home is right, the staffing levels are enough and what the other service users living at the home think. People living at 198 Rossendale Road have the benefit of specific specialist care for people with an acquired brain injury. All staff employed work directly with other professionals in health care. Before anyone is admitted, they can spend time in the home on visits. They can look at the facilities, meet with staff and other people who live there. If they decide to move into the home, a short stay of three months is offered. After this time everyone meets together to discuss if living at the home is satisfactory and the care given is suitable. Service users were not given a contract with the terms and conditions of residence from Voyage Ltd. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Service users benefited from specialist assessments to ensure that all their needs was considered. Being involved in writing their own care plans meant they could have personal goals that staff knew about and helped them achieve safely. To help service users to be better involved in all aspects of life in the home, information such as policies and procedures should be given to them. Service users knew information written in care plans was kept confidential. EVIDENCE: Information taken from the service user assessments was used to write care plans. Specialist evaluations, for example speech and language, physical disability and psychiatric, helped make sure these areas of need had the correct support. Service users benefited from being involved in their own care plans. This included a written directive by the manager on behalf of the service user giving clear instructions for staff as to the type and amount of support they required. The standard of these directives was good. A member of staff referred to as a key worker was assigned to help service users in special programmes. In 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 12 addition to this all the staff working in the home read each service users care plan. To enable service users to make meaningful decisions about their lives, guidance and support from independent advocacy services was given. Support in money management was documented and reviewed. Whilst service users had the benefit of one to one discussions with staff, the home should make available, up to date information on for example policies and procedures. Risk taking was evident as being part of everyday life. This was recorded properly. Risk analysis showed service users were involved in decisions on how to manage risks that affected them. Good practice was observed in confidentiality of information held in the home. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Service users living in the home were given opportunities to live a fulfilling lifestyle that included social activities and learning new skills for personal development. Staff followed clear instructions from service users how they wished to be treated. Service users were helped to keep in touch with their families and friends who visited and were made welcome Service users were provided with a nutritious and varied diet. EVIDENCE: Service users were given opportunities for personal development. Care programmes showed how additional help had been commissioned to help service users with complex multiple disabilities. There was evidence staff went out with service users as part of their care. This was at any time suitable for the service user. Service users had weekly planners of activities they followed. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 14 Service users said they had different interests. Plans were being made to create outdoor gardening areas. Service user interest in gardening seen during the previous inspection had continued. Service users enjoyed taking part in creative activities. As part of the basic contract price, service users should have the option of a minimum seven-day holiday outside the home they help to choose. Relatives and friends were made welcome to the home. Service users rights were respected in their daily lives with good practice in this area continuing. Service users said they had made it clear what staff should and should not do, and how they wanted staff to speak to them. This information was recorded in their care notes. All service users spoken to were pleased with how the staff respected these wishes. Menus showed service users were offered variety and choice. Part of learning life skills for individuals involved planning meals, preparing snacks and drinks. Records showed how budgeting skills, shopping, preparation and cooking were managed. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 The quality of recording individual preferred routines, likes and dislikes allowed service users to experience personal care in a dignified manner. Service users said staff always considered their privacy. Technical aids were provided to assist service users. Medication was managed correctly. EVIDENCE: Service users routine was special to them. Personal care was given according to their wishes. This was recorded in care plans. Every person in the home had technical aids they needed to assist in personal care such as overhead tracking from bedroom to en suite shower. Staff were trained in operating this equipment. Staff confirmed they were involved with other professional people involved in service users care. This included healthcare and part of the staff role was to help the service users attend medical appointments. The individual records outlining preferred routines, likes and dislikes was of a high standard. Medication was managed correctly. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 16 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Service users felt their interests were protected. They were confident in the manager to deal with complaints properly. However the complaints procedure remains incomplete and unsatisfactory. EVIDENCE: The complaints procedure had not been updated following the last inspection. The current written procedure is not satisfactory to use being written in too much detail. The print is small and the telephone numbers provided for Voyage were not local or free phone. In addition to this there is no reference to advocacy services. The intention that service users can independently contact head office via a post card is good, however this should be modified to include a prepaid envelope making sure service users confidentiality is not breached. Service users in the home were confident they could talk to the manager and staff regarding any concern they had and aware they had the right to make a complaint should the need occur. They said the manager listened to them. Abuse procedures had been discussed with staff and included as part of their training. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,29,30 The home is designed and fitted with appropriate aids for most service users to live as independently as possible. Door openers are required for some service users. Standards of hygiene were not satisfactory in communal areas. Bathing and laundry facilities were suitable to the needs of the service users. The outdoor area would benefit being upgraded. EVIDENCE: Despite the overall provision of specialist equipment for physical disability being to a high standard, all service users needs are not met. Some service users in wheelchairs were dependent on staff to hold open their doors for them. There were areas in the home that required high hygiene maintenance. This included toilets and dining area. Routine cleaning programmes should show how these areas are to be managed properly. Flagging around the home should be made even and garden areas developed. The manager said this would be part of a planned refurbishment of the home. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 19 An outdoor drain was blocked and required attention. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 20 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): 32,33,34,35,36 Recruitment procedures must include health declarations from employees. Service users benefited from one to one care by trained staff. For residents to benefit satisfactory standards of hygiene in communal areas a domestic should be employed. EVIDENCE: The home was fully staffed during the inspection. The current level of staffing was linked to the needs of the service users who benefited from one to one care. To maintain satisfactory hygiene standards a domestic assistant should be employed for this purpose The service users were very happy with the staff in the home. Staff files showed how recruitment procedures had been carried out. The application form completed by seven new employees had no declaration signed to say the person employed was mentally or physically fit for the position they held. References had been applied for and Criminal Record Bureaux (CRB) and Protection of Vulnerable Adults (POVA) check had been obtained prior to staff working in the home. Pre written references must not be accepted alone. Applicants are required to spend time with service users during the interview process. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 21 All staff had attended basic induction training including specialist training for acquired brain injury. Staff enjoyed their work and the training provided. They were given regular supervision. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 22 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): 37,38,39,40,41,42,43 The manager for the home is registered with the Commission. Staff and service users had confidence in the manager and his leadership skills. Senior representatives of Voyage must carry out monthly-unannounced visits and comply with requirements made by the Commission. Policies and procedures must be brought up to date and available for service users. The health, safety and welfare of service users was given priority in day to day management. EVIDENCE: The manager appointed is registered with the Commission. He is currently training for the Registered Managers Award. Staff and service users continue to express confidence in his leadership and in his management style. Service users said they spoke to him individually and he was involved in their care. ‘They were able to talk to him easily; he ‘always listened to them’. Staff said they had regular meetings, and had the opportunity to discuss work issues with him. He was also supportive with 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 23 training. To improve on staff meetings these should be regular and have a full agenda including issues raised by staff. It is a requirement for a representative of Voyage to visit the home unannounced once a month and interview service users and staff, look around the home and check records. Whilst the Commission have received reports approximately two monthly, these visits are planned and part of the managers supervision. Confidential records were locked away. Service users must have the benefit of up to date relevant policies and procedure. The views of the service users are considered important. The health, safety and welfare of service users are a shared responsibility between Voyage and the manager. Insurance cover was in place and the manager said sufficient funding was available for maintenance. The manager makes sure a weekly check on the environment safety is carried out. The company arranges for any safety issues are dealt with. Training in health and safety is also provided for staff to help them at work. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 1 3 3 3 2 Standard No 22 23 Score 2 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 2 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 2 X X 3 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 2 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 198 Rossendale Road Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 2 3 2 DS0000060125.V271548.R01.S.doc Version 5.0 Page 25 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4,5 (1)(2)(3) Requirement Timescale for action 28/04/06 2. YA5 3. YA22 4 YA29 5 6 YA30 YA33 7 YA34 A statement of purpose and service user guide must be made available for the home. This requirement has a previous timescale 31/07/05 not met. 5(1)(b)(c)Sch4 All service users must be given a contract. This requirement has a previous timescale 31/07/05 not met. 22(2) The complaints procedure must be accessible, accurate and available. This requirement has a previous timescale 31/07/05 not met. 23(2)(n) To enable people to maximise their independence, automatic door openers must be fitted to all relevant rooms that includes bedrooms and if necessary toilets. 23(2)(d) The dining areas must be kept clean 18(1)(a) The registered providers Voyage Limited must employ sufficient staff to keep the home clean. 19(5)(c) The registered provider DS0000060125.V271548.R01.S.doc 28/04/06 28/04/06 28/04/06 11/01/06 28/04/06 16/01/06 Page 26 198 Rossendale Road Version 5.0 8 YA34 19(5)(c) 9 YA40 12(5) 10 YA43 26 Voyage Limited must not employ people without a statement declaring physical and mental fitness. The manager must get a 16/01/06 written declaration of physical and mental fitness from the seven employees currently employed without this statement. The registered provider 28/04/06 Voyage Limited shall maintain good professional relationships by providing service users with relevant up to date policies and procedures. The registered provider 16/01/06 Voyage Limited must arrange for regular unannounced visits to the home RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA8 Good Practice Recommendations It is recommended service users receive up to date information they can understand about policies and procedures for everyday living such as ‘house rules’, special to the home, they have discussed and agreed with each other. This recommendation was made in the previous inspection. It is recommended service users have as part of the basic contract price the option of a minimum seven-day holiday they choose. It is recommended rules on smoking, alcohol and drugs be included in agreed ‘house rules This recommendation was made in the previous inspection. It is recommended advocacy services be included in the complaints procedure. DS0000060125.V271548.R01.S.doc Version 5.0 Page 27 2 3. YA14 YA16 4. YA22 198 Rossendale Road 5 6 7 8 9 YA22 YA24 YA24 YA38 YA43 This recommendation was made in the previous inspection. It is recommended pre paid envelopes are provided to put the contact cards available to service users who are ‘unhappy’. It is recommended the outdoor garden areas be upgraded. It is recommended the blocked grate causing regular problems from overflow be investigated and the problem resolved. It is recommended staff have formal staff meetings with records kept. It is recommended that the managers’ supervision be kept separate from regulation 26 visit. 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 198 Rossendale Road DS0000060125.V271548.R01.S.doc Version 5.0 Page 29 - 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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