Inspection on 16/11/06 for 225, London Road

This inspection was carried out on 16th November 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

225, London Road 14/06/07

225, London Road 29/06/06

225, London Road 26/01/06

225, London Road 20/05/05

225, London Road 02/12/04

225, London Road 30/07/04

225, London Road 16/01/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 225, London Road Twickenham Middlesex TW1 1ES Lead Inspector Simon Smith Unannounced Inspection 16th November 2006 2:00 225, London Road DS0000017380.V322226.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 225, London Road DS0000017380.V322226.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. 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 225, London Road Address Twickenham Middlesex TW1 1ES 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) 020 8892 6406 020 8892 6406 The Regard Partnership Limited Mr John Webster Patricia McKeown Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2006 Brief Description of the Service: 225 London Road is home to six young adults with learning disability. The home is owned and managed by the Regard Partnership, an established provider of residential care and specialist support to people with learning disabilities. The Statement of Purpose describes the home as a specialist service for young adults with learning disabilities, some complex needs and challenging behaviours. There is an emphasis on independent living and supporting individuals to develop their social and interpersonal skills. The home’s fees currently range from £1236.13 to £1975.43 per week. The home is situated within walking distance of Twickenham town centre, which provides a wide range of community facilities and good access to public transport networks. 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit started at 2pm and finished at 6.15pm. The inspector spoke to four residents, three staff and the acting manager. A sample of records was checked at the home, including staff and residents’ files. The inspector was made welcome and would like to thank all the people who gave their views about the home. The home met 20 of 25 National Minimum Standards assessed at this visit. Five Standards were almost met. The last two CSCI inspections identified many problems with the home. This visit found that good progress has been made towards putting these problems right. For example important information about residents has been updated. This means that staff have accurate and up to date information about the people they work with. Residents’ needs are now recorded in their care plans, although some still need to be finished, and risk assessments have been completed. Residents have also had recent health checks and reviews with healthcare professionals where necessary. The home was cleaner than at the last visit and the acting manager said that new furniture and flooring had been ordered. Some residents’ bedrooms have been redecorated, and new furniture bought, but some residents’ rooms still need attention. The registered manager has left the home since the last inspection and the Regard Partnership must apply to register a new manager. The acting manager said that the job would be advertised soon. An acting manager and six new staff have started work at the home in the last six months. New staff spoken to during the visit said that they had had a good induction when they started work and that they feel supported in their jobs. Two complaints about the home were being investigated by the Regard Partnership at the time of inspection. What the service does well: Promotes residents’ participation in their community. Provides opportunities for residents to access a range of social and leisure activities. Supports residents to maintain relationships with their friends and families. 225, London Road DS0000017380.V322226.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. 225, London Road DS0000017380.V322226.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 225, London Road DS0000017380.V322226.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): Standards 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ individual needs are appropriately assessed. Residents’ rights and responsibilities are set out in a written contract. EVIDENCE: There were concerns at the last inspection the home did not meet the needs of all residents and that residents’ needs were not effectively assessed. The sample of residents’ files examined at this visit demonstrated that this issue has been addressed by the home. The residents’ files checked contained thorough assessments, performed within the last four months, which addressed physical and mental health, communication, diet, medication and identified any specialist input needed. Residents’ files also contained contracts, dated within the last two months, that clarifies the rights and responsibilities of both parties. The contracts had been signed by the appropriate resident, keyworker and service manager. 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 9 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 10 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): Standards 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans have improved and more accurately reflect residents’ needs and strengths, although some residents’ plans have yet to be updated. Risk management plans have been put in place for some residents. Residents are encouraged to make choices about their lives and to contribute to the life of the home. EVIDENCE: Previous CSCI inspection reports identified that, “Much of the information held about residents was misfiled or out of date. Residents care plans and files need to be updated and reorganised to ensure that staff work with accurate, up-todate information. Old material should be archived and formats used for recording should be standardised”. Earlier inspections, and other professionals 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 11 involved in the home, also highlighted that risk assessments were poor and not reviewed frequently enough. The sample of residents’ files examined at this visit provided evidence that much work has been undertaken to address these issues. Two of the three files checked contained new and up to date care plans, including residents’ profiles and details of residents’ support networks. As a result the quality of information about residents has improved and care plans reflect residents’ needs and strengths accurately. Two of the three residents’ files also contained up to date ‘risk management plans’ and recently reviewed risk assessments. One resident’s file had not been fully updated and the home must ensure that these details are recorded for all residents. See Requirement 1. Observation confirmed that residents are able to choose the way in which they spend their time at the home. Staff demonstrated a good knowledge of residents’ individual needs and a commitment to supporting residents in making informed decisions about their lives (see the ‘Environment’ and ‘Staffing’ sections of this report). Residents spoken to during the visit said that staff provide support with decision making when they need it. 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 12 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): Standards 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have opportunities to take part in a wide range of activities. Some residents have tried new activities since the last inspection. Staff are aiming to increase residents’ involvement in their local community. Residents are supported to maintain relationships with their families and friends. Residents’ rights are maintained. Residents are consulted about the home’s menu. EVIDENCE: 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 13 The manager said that staff now aim to involve residents more in the communal tasks of the home, such as housework. Two residents said that they now do more of their own chores. Residents also make use of community facilities such as shops, pubs, cafes and swimming pools. The manager reported that staff aim to build on current levels of community participation and to increase opportunities for residents in this area. Regular activities in which residents take part include horse riding, cycling, swimming, trampolining, music therapy and aromatherapy. Residents also make use of a sensory room and hydropool. One resident attends college fulltime. Care plans provided evidence that new activities have been introduced for some residents, such as home-based education opportunities for residents currently unable to access community education resources. Residents receive support to maintain relationships with their families and friends. Most residents have regular contact with family members and some take holidays with their families. Interaction between staff and residents was positive during the inspection. Residents’ wishes and needs are now identified in their individual plans. The Regard Partnership has produced a range of information for residents about the services they use. Residents have access to all communal areas of the home, although access to the home is controlled by a keypad at the front door. Residents are consulted about the home’s menu and residents spoken to during the visit said they enjoyed the food provided by the home. Care staff have responsibility for cooking and preparing food, which is appropriate given the size of the home. Standards of food hygiene and storage at the time of inspection were adequate. 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 14 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): Standards 18, 19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Guidelines for staff in the delivery of individual care and support have improved since the last inspection. Residents are supported to attend regular health checks. The home seeks the input of appropriate healthcare professionals where necessary. A Health Action Plan should be developed for each resident, in a format accessible to the resident. The home must address the areas identified for improvement at the most recent pharmacy inspection. EVIDENCE: 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 15 Previous inspection reports identified that written guidelines for the delivery of individual care and support were poor. Healthcare professionals expressed concerns that guidelines were not implemented effectively and that appropriate professional boundaries were not consistently maintained. There are now guidelines in place for staff in their work with residents to ensure consistency of approach when delivering care and support. This appears to have realised benefits for staff and residents. For example, staff reported that incidences of challenging behaviour have fallen significantly in recent months. This was confirmed by the home’s incident records. Residents’ care plans provided evidence of psychology and psychiatry input where necessary (at three and six month intervals respectively) and contained ‘behaviour support plans’ developed drawn up by the community psychologist. The inspection also provided evidence that residents’ health care needs are met. The three files examined demonstrated that residents had attended health appointments in recent months, including the general practitioner, dentist and optician. Residents’ files also contained a ‘My Health’ document, similar to a Health Action Plan, which records and presents healthcare information in a format more accessible to residents. However these were incomplete and not dated. It is recommended that a Health Action Plan be developed for each resident, in a format accessible to the resident. There is an appropriate system for the storage and administration of medication. All medication coming into or leaving the home is recorded. Protocols governing the administration of medication have been updated and improved. The home has an agreement with a local pharmacist for the provision of advice relating to medication. As part of the agreement, the pharmacist performs regular inspections of medication at the home, the most recent of which had taken place in June 2006. The visit identified a number of areas for improvement, which must be addressed by the home. See Requirement 2. 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 16 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): Standards 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is an appropriate Complaints procedure. Appropriate guidance is provided for staff in the recognition, prevention and reporting of abuse. EVIDENCE: The Regard Partnership has an appropriate Complaints procedure. The organisation also has a Whistle-blowing procedure, which enables staff to report concerns about poor practice, and a ‘Speaking Up’ form for residents should they wish to register a complaint. The manager reported that two complaints about the home were under investigation by the Regard Partnership at the time of inspection. There is a commitment to ensuring that staff attend training in the Protection of Vulnerable Adults. All staff spoken to during the inspection confirmed that they had attended this training as part of their induction. 225, London Road DS0000017380.V322226.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): Standards 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The condition and cleanliness of the home had improved significantly since the last inspection although room for improvement remains. The home must address the issues identified by the Regard Partnership health and safety manager during his visit in November 2006. EVIDENCE: The communal rooms on the ground floor of the home comprise a living room with conservatory/dining area and kitchen. Residents’ bedrooms are situated on the ground and first floors of the home. Since the last inspection, the staff sleep-in room has been relocated to the ground floor and the office to the first floor. 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 18 The condition and cleanliness of the home had improved significantly since the last inspection although room for improvement remains. A number of shortcomings were identified by the Regard Partnership health and safety manager during his visit in November 2006, which must be addressed by the home. See Requirement 3. Recommendations arising from the report of the visit included redecorating in a number of areas, replacing the carpets in several residents’ bedrooms and improving kitchen hygiene. In addition to the issues identified in the report, the bathroom opposite the first floor office would benefit from redecoration. See Requirement 4. The manager advised that she had contacted the Reside housing association regarding the redecoration and replacement flooring and provided evidence to demonstrate this. The manager also stated that new furniture for the home had been ordered, including two sofas and a dining table. 225, London Road DS0000017380.V322226.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): Standards 32, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The supervision and support provided to staff has improved. Staff are appointed following an appropriate recruitment and selection procedure. The induction and training provided to new staff has improved. EVIDENCE: There has historically been a high turnover of staff at the home, which has caused concerns about the continuity of care provided to residents. Although six new staff have been appointed since last inspection, the staff team has been stable during recent months and the acting manager has clearly worked hard to develop a sense of teamwork amongst the staff group. This represents good progress towards the establishment of a settled team that provides consistent care and support and understand residents’ needs 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 20 well. Sustaining this progress should lead to a rating of ‘good’ at the next inspection. The inspector was able to speak to three members of staff who had joined the home in the last six months. All gave positive feedback regarding progress that had been achieved during this period. One member of staff said, “Things have improved dramatically since I started”. The member of staff identified supervision and teamwork as areas that had improved and stated that there are now clear guidelines for staff in their work. Another new member of staff said that senior staff are “very supportive” and that the acting manager is “very easy to talk to, very good”. In addition to the acting manager, there is an acting deputy manager in place and three acting senior support workers. The acting manager advised that all posts will be advertised following the appointment of a permanent manager. New staff reported that they had had a good induction when they joined the organisation, which included training in medication, risk assessment, moving and handling, the Protection of Vulnerable Adults, First Aid, fire, health and safety and CPI training. Staff confirmed that their recruitment had involved the submission of application form and formal interview. Some staff said that residents had been involved in their recruitment. Examination of three staff files provided evidence of an appropriate recruitment procedure and pre-employment checks, including Criminal Records Bureau disclosure. There are now three teams, each led by a senior support worker, who is the designated responsible person (DRP) on shift. A written shift plan is in place for each shift. Records demonstrated that team meetings are held regularly. Staff also receive individual supervision on a regular basis. 225, London Road DS0000017380.V322226.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): Standards 37, 39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management of the home has been stable since the last inspection and significant improvements have been achieved during this period. The Regard Partnership has a commitment to monitoring the quality of the services provided to residents and other stakeholders. The home must address the health and safety issues identified by the Regard Partnership during a visit in November 2006. EVIDENCE: 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 22 The registered manager has left the home since the last inspection and the Regard Partnership must apply to register a new manager once a permanent appointment has been made. The acting manager had been in post for five months at the time of inspection and has overseen significant improvements at the service since her appointment. In addition managers from other Regard Partnership services locally and the area and Quality Assurance managers have also contributed to the progress achieved at the home in the last six months. As highlighted in the previous section of this report, staff said that the acting manager is approachable and communicates well. Staff also said that the acting manager provides effective support to the team and has a ‘hands on’ approach. The Regard Partnership has a commitment to involving residents, staff and other stakeholders in the Quality Assurance process. As highlighted earlier in this report residents are supported to make choices about their lives and are consulted about issues that affect them in the home. A number of concerns relating to health and safety were identified by the Regard Partnership health and safety manager during his visit in November 2006, which must be addressed by the home. See Requirement 5. Action to be taken in response to these concerns includes a review of the home’s fire and COSHH risk assessments and more frequent fire and health and safety checks. The home has valid Employers Liability Insurance until March 2007. To achieve a ‘good’ rating the home needs to appoint (and register) a permanent manager and address the health and safety issues identified by the Regard Partnership health and safety manager. 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 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 2 X 3 X 3 X X 2 X 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 24 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 YA6 and YA9 YA20 Regulation 12(1), 17 Timescale for action Ensure that there is an up to 30/01/07 date care plan and risk management plan for all residents. 30/01/07 • Directions on medication administration records for PRN medication must be specific rather than “as directed”. • Entries on medication administration records must reflect the labels on medicines. • All creams must have the date of opening recorded on the label. • The disposal of medicines must comply with RPSGB guidelines. • Codes on medication administration records must accurately reflect the reason for nonadministration of medication. • Quantities of medication received must be accurately recorded. Address the issues identified by 30/01/07 the Regard Partnership at the DS0000017380.V322226.R01.S.doc Version 5.2 Page 25 Requirement 2 13(2) 3 YA24 23 225, London Road 4 5 YA24 YA42 23 13(4) November 2006 visit in relation to environmental improvements. Redecorate the bathroom opposite the first floor office. Address the issues identified by the Regard Partnership at the November 2006 visit in relation to health and safety. 30/01/07 30/01/07 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 YA19 Good Practice Recommendations Develop/draw up a Health Action Plan for each resident in an accessible format. 225, London Road DS0000017380.V322226.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 225, London Road DS0000017380.V322226.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. 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!