Inspection on 10/10/06 for 27 Arundel Road

This inspection was carried out on 10th October 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

27 Arundel Road 03/02/06

27 Arundel Road 28/07/05

27 Arundel Road 10/01/05

27 Arundel Road 13/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 27 Arundel Road 27 Arundel Road Eastbourne East Sussex BN21 2EG Lead Inspector Nigel Thompson Unannounced Inspection 10th October 2006 09:00 27 Arundel Road DS0000021000.V309610.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 27 Arundel Road DS0000021000.V309610.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. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 27 Arundel Road Address 27 Arundel Road Eastbourne East Sussex BN21 2EG 01323 431367 01323 417199 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) Eastbourne & District Mencap Mrs Frances Reed Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is eight (8). Service users must be aged between eighteen (18) and sixty five (65) years on admission. Service users with a learning disability only to be accommodated. Date of last inspection 3rd February 2006 Brief Description of the Service: 27 Arundel Road is a purpose built, single storey Care Home for adults with learning disabilities. There are two units, 27 A & 27 B, each with four single bedrooms, a kitchen area, dining room, lounge and two bathrooms and three WCs. There is a courtyard in the centre and a large lawn at the front of the building. The registered providers, Eastbourne and District Mencap, continue to offer a high standard of care and support for people using the service. Information about the service, including the recently updated Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The current fees at 27 Arundel Road, as of 10 October 2006 are £36,954.40 per annum (Block Contract). Additional charges are made for hairdressing, certain leisure activities, toiletries and holidays. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four and a half hours in October 2006. It found that the majority of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. On the day of the inspection there were eight service users living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the home’s records and discussion with five service users, three members of care staff and the Registered Manager. Responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. The focus of the inspection was on the quality of life for people who live at the home. What the service does well: Service users at 27 Arundel Road clearly benefit from having an experienced Manager and dedicated staff team who are committed to providing consistent and high quality care. Staff work closely with service users and have developed a sound understanding of their individual care and support needs. The relaxed, homely and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team and the open and inclusive management style. Despite evident difficulties with communication, service users are encouraged and supported to make decisions about their lives. They are involved and regularly consulted on many aspects of life in the home, including menu planning and activities. Communication and consultation with service users’ family members remains effective and ongoing. 27 Arundel Road DS0000021000.V309610.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. 27 Arundel Road DS0000021000.V309610.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 27 Arundel Road DS0000021000.V309610.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective service users have the opportunity to visit the home and know that it is able to meet their individual care and support needs. EVIDENCE: The comprehensive information brochure incorporating an easy to read statement of purpose makes effective use of photographs, pictures and diagrams. The manager confirmed that the booklet is made available to all prospective service users and their relatives, ensuring that they are able to make an informed choice about the home and the services provided. East Sussex County Council Social Services Department continues to provide block funding for eight persons. The manager confirmed that following a referral to the home, a member of a specialist assessment team will visit the prospective service user and carry out a comprehensive Social Care Assessment (SCA), including the reason for referral, any personal care needs, mobility issues, social and cultural needs and family involvement. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 9 The manager also undertakes a full assessment of the individual’s care and support needs and completes a comprehensive form, the ‘Resident’s Personal Assessment’. The manager confirmed that, prior to moving into the home, a prospective service user is invited to visit the home to ‘look around and get a feel for the place’. During these visits the individual would also have the opportunity to meet with members of staff and existing service users. On moving in, a flexible trial period is provided to establish whether the individual’s assessed needs are able to be met and decide on their suitability for the home and their compatibility with existing service users. A contract, including a full statement of terms and conditions of residency is provided to all new service users. It was noted that this document contains both the organisation and the service user’s ‘obligations’. This represents good practice and is a clear and concise agreement of what each party can expect of the other. 27 Arundel Road DS0000021000.V309610.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Comprehensive care plans enable staff to meet the assessed support needs of service users in a structured and consistent manner. Systems for consultation and participation are effective. Service users are treated with respect and encouraged and enabled to make decisions about their day-to-day living. EVIDENCE: Service users’ care plans are in place and are clearly and directly linked to the individual’s assessed needs. Plans examined contained comprehensive details of their personal, psychological and emotional support needs and were found to be accurate and generally well maintained. The plans are currently being upgraded and improved by the newly appointed ‘Development Officer’ in consultation with the individual service user, their key worker and where appropriate their relatives. . However it was noted in certain individual care plans that were examined that there was not always sufficient clear evidence of them having been regularly 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 11 reviewed and of service users and family members’ involvement in the process. As discussed with the manager and Development Officer’ it is recommended that the recording system for care planning reviews be improved and amended to include details of who was present, issues discussed and agreed plans for the future. Despite the limited verbal communication of some service users, effective and regular interaction and consultation takes place constantly throughout the home. The key worker system evidently continues to operate effectively and service users are encouraged and supported to make decisions regarding many aspects of their daily living, including choosing colour schemes for their own room and communal areas, social and leisure activities, personalising and cleaning their bedroom, menu planning and meal preparation. This was supported through discussions with service users and members of staff, spoken with during the inspection. Any limitations on choice and freedom of movement for health and safety reasons continue to be clearly documented in individual care plans. 27 Arundel Road DS0000021000.V309610.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Service users benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: The recreational and leisure interests of service users are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. Within the home, a structured programme of events and activities is in place and there are also popular social evenings, including music and karaoke, held on a regular basis. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 13 The Development Officer confirmed that recreational activities continue to be based on the assessed interests and preferences of service users and include rambling, swimming, bowling and horse riding. Visiting to the home remains largely unrestricted and relatives and friends are made welcome at any reasonable time. The manager confirmed that, where appropriate, service users’ family links are encouraged and supported, however not all service users have regular family contact. Menus are varied and balanced and are based on service users’ identified likes and preferences. An alternative to the main meal is always available and a copy of the menu is displayed in the kitchen. A member of staff confirmed that service users are not generally involved in meal preparation. Staff and service users continue to eat their evening meal together. Service users’ weight and dietary needs, including gluten free diets, continue to be monitored regularly and the menu choice adapted accordingly. Since the previous inspection, following an increase in the weight of a number of service users, the manager confirmed that a review of the nutritional value of menus has been carried out and a ‘Healthy Eating Plan’ had been introduced in the home. 27 Arundel Road DS0000021000.V309610.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Staff have developed close and positive relationships with service users and demonstrate an awareness and sound understanding of their individual care and support needs. Service users are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. EVIDENCE: As previously documented, despite the limited and variable communication skills of service users, staff clearly work closely and sensitively with individuals to develop and maintain effective levels of communication and consultation. This was supported through discussions during the inspection and from direct observation of staff interacting with service users in a professional, sensitive and respectful manner. All service users are registered with local GPs and have access to other health care professionals, including psychiatric nurses, speech therapists, consultants, physiotherapists and dentists, as required. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 15 The manger confirmed that the home continues to maintain a close professional relationship with the locally based Community Learning Disability Team who are able to provide relevant guidance and help with appropriate staff training, including epilepsy awareness. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Up to date, detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. All staff responsible for administering medication have received training and are individually assessed and authorised to do so. The manager confirmed that, following risk assessments, no service user currently self-administers their own medication. 27 Arundel Road DS0000021000.V309610.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through relevant staff training and robust policies and procedures. EVIDENCE: A clear, accessible and recently amended copy of the home’s complaints procedure is in place in the entrance hall for the benefit of service users’ relatives and other visitors to the home. All complaints are recorded and include actions taken and outcomes achieved. Close working relationships, effective and ongoing communication and consultation and regular service users’ meetings provide adequate opportunities for any concerns to be raised and discussed, before they become complaints. Service users and members of staff, spoken with during the inspection, confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. It was noted that there have been no concerns or complaints recorded by the home since the last inspection. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 17 The organisation has produced detailed policies and procedures relating to adult protection and abuse, including a whistle blowing policy. The manager confirmed that staff have undertaken specific adult protection training, in accordance with the multi agency guidelines for the protection of vulnerable adults. This was supported through discussions with members of staff during the inspection and evidenced through individual training records. A recent investigation under Adult Protection procedures was carried out in a thorough and professional manner. However it did highlight the importance of adhering to relevant procedures, effective communication and the need for formal notification of significant incidents. CSCI is satisfied that Eastbourne Mencap has acknowledged previous shortfalls in this area and that the organisation, in consultation with individual service managers, has now effectively addressed these issues. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for it’s stated purpose. Service users benefit from pleasant accommodation that is comfortable, well maintained and decorated to a satisfactory standard. EVIDENCE: Other than routine redecoration and refurbishment, it is evident that there has been little change in the physical environment of the home since the previous inspection and standards remain satisfactory throughout. During my ‘guided tour’ of the premises, including ground floor service user accommodation and spacious communal areas, it was evident that the well maintained décor and adequate furniture and furnishings continue to provide a comfortable, pleasant and homely environment for service users. The Development Officer confirmed that independence and individuality continue to be promoted within the home and this is evident from the personalising of service users’ individual rooms, which clearly reflects individual tastes and interests. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 19 Since the previous inspection, an overhead hoist has been installed in one of the bathrooms and it is evident that several areas of the home have been redecorated, including hallways, lounges, dining rooms and toilets. New blinds have been fitted around the home and new furniture provided for the lounges and kitchen. It was noted that new carpets have also been fitted in the hallways. Infection control policies and procedures are in place and clearly adhered to and levels of cleanliness remain satisfactory throughout. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 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, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are protected from the home’s thorough recruitment policy and procedures and benefit from sufficient trained, competent and supervised staff on duty at all times to meet their assessed care and support needs. EVIDENCE: In addition to the comprehensive induction programme undertaken by all newly appointed staff, the manager confirmed that appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and supported by training records examined: ‘There is always plenty of training here’. The manger confirmed that there are currently nine members of staff who hold the National Vocational Qualification (NVQ) level 2. This represents 45 of all care staff in the home. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 21 In accordance with company policy, the manager confirmed that formal supervision continues to be provided for all care staff on a regular basis. This was evidenced by supervision records examined and through discussions with staff, spoken with during the inspection, who acknowledged the benefits of effective supervision and confirmed feeling valued and supported by the manager. The manager is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 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, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from effective management, comprehensive quality monitoring systems and are protected by thorough health and safety checks and guidelines and generally efficient record keeping. EVIDENCE: The experienced manager is clearly competent to run the home and has been in her current post for three years. She is studying for the NVQ level 4 in Management and Care, which she hopes to complete in February next year. From direct observation and through discussions with service users and members of staff, it is evident that the manager continues to demonstrate a clear sense of leadership and direction. She is clearly motivated, positive and approachable and continues to create an open and inclusive atmosphere within the home. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 23 The home continues to operate effective quality monitoring systems, including regular satisfaction questionnaires for both service users and their relatives. Collated responses from the most recent survey indicate a high level of satisfaction with the home and the care and support provided: ‘…..seems to be very happy at Arundel Road and well cared for, so we have complete peace of mind about his welfare’. ‘We continue to appreciate the quality of care and support extended at Arundel Road’. The manager confirmed that the health, safety and welfare of service users and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. It was noted that all policies and procedures, including those relating to Health and Safety are now more readily accessible, in files with an index and usefully divided individual sections. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and generally reported, as required. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 3 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 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations It is recommended that the current system of recording reviews and changes to service users’ individual care plans be improved and amended to include details of who was present, issues discussed and agreed plans for the future. 27 Arundel Road DS0000021000.V309610.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 27 Arundel Road DS0000021000.V309610.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!