Inspection on 30/11/06 for 29 Albion Hill [Normanlea Society]

This inspection was carried out on 30th 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

29 Albion Hill [Normanlea... 20/01/09

29 Albion Hill [Normanlea... 19/01/06

29 Albion Hill [Normanlea... 07/06/05

29 Albion Hill [Normanlea... 04/02/05

29 Albion Hill [Normanlea... 02/06/04

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2 Perhaver Park

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St George`s

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Credence House

Radfords

Honeybourne House

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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 29 Albion Hill [Normanlea Society] 29 Albion Hill Exmouth Devon EX8 1JS Lead Inspector Teresa Anderson Unannounced Inspection 30 November 2006 10:00 th 29 Albion Hill [Normanlea Society] DS0000021844.V316292.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 29 Albion Hill [Normanlea Society] DS0000021844.V316292.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. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 29 Albion Hill [Normanlea Society] Address 29 Albion Hill Exmouth Devon EX8 1JS 01395 276323 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) linda@normanlea.co.uk Normanlea Society Mrs Linda Williams Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th January 2006 Brief Description of the Service: 29 Albion Hill provides small, family type accommodation and personal care for up to 8 younger adults with learning disabilities who are physically able. The property is a four storey detached house with small gardens to the front and rear. It is situated in a residential area of Exmouth and is within easy walking distance of the town and the local facilities. Bedroom accommodation is in single rooms and all but one have washbasin facilities. There is an open lounge/dining/kitchen facility on the ground floor. There is also a staff sleeping in room/office, a small laundry room, and a further office all situated on the ground floor. On road parking is available. The current level of fees charged per week range from £377.00 to £486.00. Information about this home, including reports, is available direct from the home. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.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 as part of the normal programme of inspection. The site visit started at 09.30am and finished at 1.30pm. An additional visit was made to the home to view some records unavailable on the day of the site visit and to meet with some residents who were not at the home on the day of the site visit. During the inspection the inspector spoke with 6 of the 8 people whose home this is. All have varying degrees of communication difficulties. She looked in depth at the care and services offered to 2 residents (this helps us to understand the experiences of people who live here) and spent time observing the interactions between staff and residents. She spoke with the person on duty and with two other members of staff briefly, with the deputy manager and with the administrator. Records in relation to care planning, residents’ monies, staff recruitment and fire safety were inspected. Before the site visit ‘comment cards’ were sent to all the 8 people who live here and 5 were returned and to 11 staff and 8 were returned. Comments were received from one health and social care professional who has contact with the home. In addition to the above the project manager provided the commission with information in a ‘pre-inspection questionnaire’. What the service does well: People who live at this home really enjoy living here. Each person was assessed prior to moving in to ensure their needs could be met and to make sure that they would fit into the home and with the group of residents who live here. Staff know the residents well and treat them with respect. People are given lots of choices and support to make decisions about how they live their lives. Lots of activities happen at this home which residents choose and which they can take part in. They include discos, karaoke, local clubs, art classes, skittles and an exercise class. Some residents are very able and go into the town centre which is a very short walk away. Some residents choose to work. The home has a minibus which it shares with its sister home and it is often used for outings. There are good links with the local community of which this home is very much a part. Visitors can come and go and some residents are supported to visit their friends and relatives in their homes. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 6 People who live here can choose to help with planning meals, shopping, cooking, clearing away and washing up. Some residents are very active in doing this whilst others prefer not to. Meals are decided by the staff and residents together. These are well cooked and there is a good balance between healthy food and ‘fast’ foods. Fresh fruit is easily available, as are hot and cold drinks. People who live here are healthy because staff help them to see doctors and nurses and other healthcare professionals. Medicines are well managed by the staff who ensure that these are always available at the right time. Residents say that the staff are ‘nice’, ‘good’ and ‘lovely’ and that they listen and act on what they say. There is one member of staff on in the morning, two in the afternoon, one in the evening and a member of staff who sleeps in the home at night. Residents know who is going to be working because their photographs are put up on the notice board. Residents know how to make a complaint but say they have none to make. Staff receive training in how to safeguard residents and have recently undergone training to help residents to be safe. The home is well managed and is run in the best interests of the residents who live there. What has improved since the last inspection? What they could do better: Staff should continue with the work they have started to ensure that care planning is person centred, identifies short, mid and long term goals and incorporates good risk assessments. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 7 Risk assessments should be developed to ensure that risk is identified, managed and that, where possible, resident are supported to develop skills to overcome the risks identified. The home should continue to aim to have 50 of care staff trained to NVQ Level 2 or above. Quality assurance methods should be developed to include the views of all stakeholders. 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. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 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 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. People who come to live here can be assured that the staff will have a good understanding of them and what their needs and desires are. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who live at 29 Albion Hill have lived here for a long time. Therefore there were no new pre admission assessments for the inspector to look at. However, staff talked of what would happen if there were a new admission. This would include visits to the home by the prospective resident and an in depth assessment. This assessment would include information from the person, the family, the care manager and any other health and care professionals involved in their care. Staff report that one of the reasons that any new prospective resident would visit the home is to give current residents the opportunity to meet this person to see if they think they would fit into the home. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.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): 6, 7 and 9. Quality in this outcome area is adequate. The systems in place to provide staff with the information they require to safely meet residents’ needs require further development. People are helped to make decisions about their lives and how they live them but the system in place for managing risks need improvement. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person living at 29 Albion Hill has a plan of care. Staff report they have recently been working on improving these. In addition the manager reports that five members of staff have or are to receive training in person centred care planning. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 11 The inspector looked at the care plans and associated risk assessments of two people living at the home. These had not been written in the new format developed by staff. However, the format developed was viewed at the sister home (Brimley) and comments are as follows. Each care plan is based on a comprehensive assessment and includes the staff’s extensive knowledge of each resident. One care plan includes a communication book between this service and another for one resident who has profound communication difficulties. This person also has a ‘My Life, My Story’ book. This includes this person’s preferences, likes and dislikes. It has clearly been developed with the involvement of the resident and has used methods that are appropriate to this persons communication skills. These efforts have resulted for example in staff knowing that this person likes a particular pop artiste and that they wanted to have a key to the house. In addition this person has expressed a wish to move to the sister home. Records show that assistance for this person to help them with their decision-making has been requested from the Learning Disability team. This care plan focuses on the development of skills and has included road safety, understanding transport, how to keep safe and healthy living. This person has visited a farm where they were supported to milk a cow and drove a tractor. This type of care planning and identification of aspirations is excellent. Another care plan gives staff good information about what indicates that a particular resident is becoming anxious and what to do to help this resident. More generally however, plans do not focus on the development of new skills, on managing risk or on the identification and achievement of aspirations. Risk assessments are not comprehensive and whilst identifying outcomes in relation to low, medium or high risk do not show how the decision in relation to the level of risk has been come to. Risk assessments lack information around how risk is to be managed and do not demonstrate that risk is balanced against the aspirations for independence, choice and achievement of the resident. At the second site visit the manager reports that some staff had attended person centred care planning (this had been arranged prior to the inspection) and the manager had made efforts to find examples of ‘good’ care planning. The staff are now further developing care plans along the lines of person centred care planning. Residents were seen to have freedom throughout the home and being encouraged to use their skills and to be independent. This included one person helping to prepare dinner, another tidying a cupboard and another tidying their 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 12 bedroom. Throughout the inspection the people who live here were offered choices by the staff on duty. The Administrator acts as appointee for handling resident’s finances. All monies are kept securely and safely, and in separate accounts. The home has an internal auditing system carried out by the Treasurer of the Normanlea Society. Two accounts were checked and found to be in order. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. People who live here experience a lifestyle that enhances their quality of life. The rights of people who have disabilities are protected and promoted by the staff and the ethos of the home. People who live here benefit from a diet that is varied, nutritious and which is much enjoyed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys two residents said that there are usually activities arranged by the home that they can join in with and two said there are sometimes. One person commented that they like to do their own things. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 14 Records show that residents are involved in activities such as discos, karaoke, ‘pig racing’, skittles, meals out, visits to the local theatres and art and craft sessions. Two residents work locally. Discussions with some residents indicate that the less than positive response around activities might be due to the closure of a much loved local facility called ‘The Doyle’. This provided a range of activities and ways of socialising for local people with a learning difficulty. Some residents told the inspector that they go out on their own into town and like mixing with the people they live with. Four residents were out when the inspector arrived and one went out to work mid morning. Links with the local community are good and there are a number of local clubs that residents belong to and local amenities that residents make use of. Residents are supported to maintain relationships with family and friends and there is no restriction (within reason) on visiting. Staff were seen to maintain residents’ privacy and dignity by knocking on bedroom doors before entering and one member of staff talked of the importance of not talking about residents in front of others. In surveys two residents said they always like the meals at the home, two said usually and one said sometimes. One person indicated what their favourite was and when the inspector checked, they have this frequently. Residents have some input into planning menus and shopping. During the inspection they were heard being offered choices for lunch and some residents helped to prepare this. The inspector joined staff and residents for lunch in the home. This was a very social occasion with everyone chatting and helping out. Fresh fruit is easily available. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. The people who live here are helped to stay healthy and the management of medications ensures their safety. Personal support is offered to the people who live here in a way that offers choice and promotes independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys residents said that they always or usually get the medical support they need. Each resident is registered with a GP and records indicate that regular visits are made to the dentist and opticians and for preventative health checks. Additional medical support is obtained as and when it is required. Details are contained in care plans of how residents prefer to receive personal care. For example one said that the person ‘is a very private person and 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 16 prefers to carry out intimate care without supervision. When needed female staff are preferred’. The home uses a monitored dosage system of medication issued by the local pharmacy. Staff manage the residents medication as they report that none of the current residents are able or want to manage their own medication. Records were seen and they indicate that medication is being administered appropriately and that records are kept up to date. In the pre-inspection questionnaire the manager reports that all staff who handle medication receive training. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. People who live here are protected from harm and can be sure any grievances will be listened to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaints have been received about this home. In surveys residents said that staff listen and act on what they say and that they know how to make a complaint. Two residents indicated that they ‘never’ know how to make a complaint. However, discussion with residents and the results of this inspection lead the inspector to believe that the residents meant to say they never make a complaint. The complaints procedure was seen in a care plan looked at. This was not in ‘easy read’ format which would suit this resident. However, staff report that it is in this format elsewhere and would have been explained to the resident. Residents were observed being relaxed, playful and confident in their interactions with staff. Staff receive training in safeguarding adults and demonstrate an excellent understanding of what abuse is and a zero tolerance to it. They watch a video produced by the Department of Health and some have attended training 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 18 sessions organised by the local authority. On the day of inspection some staff had attended training directly related to supporting residents to know about their right to be protected and not be harmed in any way. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. The people who live here enjoy an attractive, clean, safe and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Albion Hill is a four-story house. Bedrooms are situated on all four floors and are accessed via stairs (there are no stair lifts or lifts). The kitchen, dining room and lounge are on the first floor. The home is furnished in a homely style. In surveys residents say the home is always, usually or sometimes fresh and clean. During the site visit the home was clean and tidy. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 20 Laundry is cared for in the home by staff and some residents and is kept away from where food preparation is taking place. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 21 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): 32, 34 and 35. Quality in this outcome area is good. Recruitment and training of staff ensures that the people who live here are well supported and are safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Normal staffing levels at 29 Albion Hill are one member of staff in the morning, two in the afternoon, one in the evening and one member of staff sleeping at night. During this inspection there were two members of staff at the home. The home has it’s own bank of relief staff who work to help cover sickness and holidays and who work flexibly and with the permanent staff group to help the home respond to residents needs. For example, ‘coming in early on a nice day so that the residents can go out for lunch’. Residents say that staff respond to their needs and are ‘lovely’ and ‘great’. Some staff members have been given nicknames by the residents. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 22 In surveys staff say they know who to contact in an emergency and that they get the support they need. During discussions with the inspector staff demonstrated an excellent understanding of the client group, their right to equality and a real commitment to best practice and care. The project manager reports in the preinspection questionnaire that staff receive a variety of training including care planning, safeguarding adults, introduction to autism, age discrimination and supervision skills for line managers. About 30 of staff hold NVQ certificates to level 2. Two staff recruitment files were inspected and contained all the checks necessary to ensure the protection of residents. This includes police checks and two references. As part of the recruitment processes staff are interviewed by two members of staff and are asked questions by a resident. During the site visit a prospective member of staff was being shown around, meeting with residents and staff. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 23 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): Quality in this outcome area is good. People live in a home that is well managed, is safe and is run in their best interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A ‘Project Manager’ manages this and its sister home (29 Albion Hill). She has successfully completed the Registered Managers Award and has many years experience working in social care with people with a learning disability. In the pre-inspection questionnaire the manager reports that appropriate maintenance checks and contracts are in place for systems such as heating and electrics. Appropriate fire checks take place and staff demonstrate a good understanding of this. They also demonstrate a good understanding of the 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 24 residents’ lack of understanding around fire drills and they know what to do to compensate for this. Fire drills take place and residents who could told the inspector they would leave the home if the fire alarm sounded but that some residents need help. All staff receive mandatory training including 1st Aid, food hygiene and health and safety. The manager reports that formal questionnaires are not sent out to supporters, relatives or allied professionals who visit the home. She feels that the staff create an atmosphere which encourages visitors to make suggestions or to air their views. Frequent meetings, open days and events are organised, which families are encouraged to attend. 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 25 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 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 x 34 3 35 3 36 x 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 3 x 3 x 2 x x 3 x 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 26 No 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 YA6 Regulation 15 (3) Requirement You must, after consultation with the service user, prepare a written plan as to how the service user’s needs in respect of their health and welfare are to be met. (This needs to specify the needs of the resident and how these are to be met). Timescale for action 30/04/07 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 YA6 Good Practice Recommendations You should ensure that each service user’s plan of care describes how services will meet the service user’s current and changing needs and aspirations and how identified goals will be achieved. You should ensure that each plan sets out how current and anticipated specialist needs will be met (for example through positive planned interventions; development of language and communication; structured environments; one-to-one communication support). You should ensure that the plan is drawn up with the involvement of the service user and/or family/advocate as DS0000021844.V316292.R01.S.doc Version 5.2 Page 27 2. YA6 3. YA6 29 Albion Hill [Normanlea Society] 4. YA9 5. YA9 6. 7. YA32 YA39 appropriate and is in a format that the service user can understand. You should ensure that staff enable service users to take responsible risks, ensuring they have good information on which to base decisions, within the context of the service users individual care plan and of the home’s risk assessment and risk management strategies. You should ensure that action is taken to minimise risks and hazards, and service user are given training about their personal safety to avoid limiting the service user’s preferred activity or choice. You should continue working towards ensuring that 50 of staff are trained to NVQ Level 2 or above. You should ensure that effective quality monitoring systems are in place. These should include obtaining the views of family, friends, advocates and of stakeholders in the community (e.g. GP’s, nurses, learning disability team, care managers). 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 29 Albion Hill [Normanlea Society] DS0000021844.V316292.R01.S.doc Version 5.2 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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