Inspection on 13/01/06 for 3-5 High Worple

This inspection was carried out on 13th January 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

3-5 High Worple 25/05/07

3-5 High Worple 22/07/05

3-5 High Worple 04/01/05

3-5 High Worple 02/06/04

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 3-5 High Worple Rayners Lane Harrow Middlesex HA2 9SJ Lead Inspector Clive Heidrich Unannounced Inspection 13th January 2006 3:30 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 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 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 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. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 3-5 High Worple Address Rayners Lane Harrow Middlesex HA2 9SJ 020 8866 2867 020 8866 2867 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) ASRA Greater London Housing Association Limited Ms Dina Devshi Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd July 2005 Brief Description of the Service: 3-5 High Worple is a care home providing personal care and accommodation for up to 5 people who have learning disabilities. The home specializes in the care of Asian people. There were no vacancies at the time of the inspection. The home is owned by ASRA Greater London Housing Association, a not-forprofit-making organization. The organisations head office, based in SE1, provides senior management support to the staff and manager of the home. The home was opened in 1998. It is a two-storey building that was not originally used for residential care but has been suitably adapted. The home is located within a residential area of Rayners Lane, within the London Borough of Harrow. It is around the corner from shops, pubs, and transport links including Rayners Lane tube station, and is close to a large park. The home has shareddriveway parking on each side. Parking restrictions apply on the road outside the home. All the homes bedrooms are single, all fully furnished and with built-in sinks. The home has two bathrooms, and two shower rooms, all of which have toilets. Access to the first floor is by stairs. The homes kitchen/diner and lounge afford it sufficient communal living space. The home has a reasonable-sized garden, with overlooking patio area that is easily accessible and well-maintained. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place across a cool evening in mid-January. It finished at 8:10pm. Its focus was both on compliance with previous requirements, and on assessing the core standards that were not inspected during the July 2005 inspection. Consequently, the inspector met with all service users and the staff present. An interpreter was hired to assist with this process. The inspection also included the consideration of the home’s environment, the records available, and the observations of the care being provided. Feedback was consequently discussed with the manager by phone a few days later, as the manager was not present during the visit. The inspector thanks all involved in the home for the patience and helpfulness during the inspection. What the service does well: What has improved since the last inspection? The standard of recording of medication has improved, as previously required. All four care staff are now reported to have almost completed the NVQ level 2 course in care. This gaining and reviewing of care knowledge should enable higher standards of care to be provided to service users. Good attention is provided to enabling service users to make a variety of different home-cooked meals that are nutritious and which reflect their culture. The support of service users’ physical and health needs has been improved through a combination of the staff and management diligence, and the acquisition of external professional input that includes specialist services where needed. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 6 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. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 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 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 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): None of them Please see the previous inspection report, which considers all of these standards. There have been no new service users moving into the home since the last inspection, and there are no vacancies. EVIDENCE: 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 The service users in this home generally have a good capacity for decisionmaking, but staff and the manager provide support where requested or where judged as appropriate. EVIDENCE: Staff were seen to respect service users’ decisions where appropriate, for instance in wanting support in the community or privacy in the home. Where staff could not provide immediate support, this was explained and a plan made. Records showed that service users make lifestyle choices, for instance in what to eat both at home and with packed lunches in the community. On one recent evening, the service users collectively discussed and chose to make homemade pizzas instead of what was on the menu, which involved their consequent shopping and baking. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15 and 17. Service users are greatly supported to develop skills and live as independently as possible. They are part of the local community through a variety of activities including appropriate and individual weekday occupations. Service users are supported where needed to pursue activities that interest them. The service supports service users to have appropriate relationships with family and friends. Good attention is provided to enabling service users to make a variety of different home-cooked meals that are nutritious and which reflect their culture. EVIDENCE: Service users fedback positively about the support they receive from staff to undertake household tasks and individual learning. Individual daily records of service users showed good attention to the provision of support from staff, including areas of ability such as with cooking and cleaning, and where unexpected support was needed such as with operating a heater. Staff spoke about the progress made with individual service users in terms of such things as shopping independently and using community transport instead of door-to3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 11 door transport services. There was also evidence of service users becoming more assertive. Staff were seen to support and encourage service users to negotiate, a skill that enables both personal development and better community-living within the home. Examples included for whether to go out shopping or not, and for involvement with meal preparation. Staff supported service users by providing consistent answers about, for instance, their need to undertake a handover from the previous shift, and about one service user’s desire to acquire a specific job application form. The manager also spoke about how she supports staff to set reasonable boundaries with service users, and it was clear from some service users’ feedback that they had awareness of these boundaries. The attitudes of staff in the interactions between staff and service users were seen to be friendly and supportive. One service user kindly showed the inspector the trophy they had recently won at an annual pool tournament. Another showed the ongoing gardening that they undertake. Service users also spoke about playing organised team football, going to the gym, playing badminton, going out to clubs, attending college, applying for work at a local supermarket that is about to open, and attending day centres. There was evidence of personal development of some service users in respect of now being able to undertake some of these activities, and it was also clear that the service users undertake many activities that they enjoy. Feedback received from service users about how the service enables them to access family and friends was all positive. Service users noted that there were no restrictions on having visitors, and that staff allowed privacy. They noted that they can phone people using the house phones, with the support of staff where needed. Some service users however have their own mobile phone. Records confirmed the involvement of family and friends. Staff were seen to support service users with the preparation of their meals where needed. This included advice, prompting, and the sharing of tasks. Service users and staff spoke of the established routine of shopping locally before the preparation of the main meal in the evening, when final ingredients for meals are bought. Service users and staff kindly offered the inspector the opportunity to taste the main meal of the evening. Most service users partook of this meal together. The meal tasted fine, and service users reported being happy with it. Checks of the menu across the previous week, and of the actual meals eaten by one service user, showed that changes are made to the menu with consultation, and that the meals show a reasonable amount of variety. Fresh salad and vegetables were used in the meal preparation, and the manager noted that home-prepared meals are almost always cooked. The meals are almost entirely of Asian recipes. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 12 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 and 20. Service users have minimal personal support needs. Staff provide appropriate support in this area where needed. Service users’ physical and health needs are very well supported through a combination of the staff and management diligence, and the acquisition of external professional input that includes specialist services where needed. Service users are supported and protected through the service’s medication procedures. EVIDENCE: Most service users are fully independent with personal care and clothing tasks. Service users were individually and appropriately dressed during the visit. There was recorded evidence of staff prompting and supporting service users with presentation. Service users were asked about whether their personal needs are being supported by staff. Answers were all positive. There were no concerns from service users about times of getting up and of going to bed, with service users saying that they choose the times but that staff do remind them to get up if needed when they have weekday appointments to go to. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 13 The inspector discussed with one service user about their rehabilitation following an accident last year. Feedback and observations showed that support was provided, including for instance through the installation of a stairrail down one flight of stairs. The service has a good ability to acquire external professional support, such as from standard and specialist health professionals. There was verbal and written evidence of the acquisition of such support in appropriate circumstances. During the inspection, one service user was supported by a staff member to attend a GP appointment. Staff and the manager explained how they have motivated service users to take reasonable health precautions including attendance at such appointments. One service user was seen to undertake exercises on the stairs during the visit. The service user was seen to stay motivated to undertake this exercise for a good period of time. A staff member was seen to ask the service user about the progress of the exercise. The staff member’s handling of this appeared quite appropriate to the service user’s self-motivation. The manager later noted that the service has provided a lot of support where needed to service users in respect of diet and exercise. The standard of recording of medication has improved following requirements made under this standard at the last inspection. The home supports some service users with the taking of prescribed medications. There were clear and sufficient records on this occasion of the quantity of medication being received from the pharmacist on behalf of service users, and of all prescribed medications being offered to service users. There was a note about one medication being a tablet short, and that this was being followed-up with the pharmacist. Staff additionally reported that some service users manage their own over-the-counter medications, and that where there are concerns about service users effectively managing any medications, staff provide support at an appropriate level. One staff member stated that all staff had received medication training from the Boots pharmacy about a year ago. This was a one-day course that included about medication processes and side-effects of medications. The staff member showed good medication knowledge. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 14 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): Both of them. The home has appropriate complaints procedures and practices. Service users are protected from abuse in many respects, but one minor issue must be addressed. EVIDENCE: Staff noted that complaint records are kept securely and confidentially by the manager. The manager stated that there has been one complaint since the last inspection. The complaint was from a service user about services in the home, and the investigation was ongoing at the time of drafting this report. The manager was open about the process of receiving the complaint and the ensuing investigation process that involves her line manager. The accident and incident file was checked through for entries since the last inspection. It contained appropriate and detailed records but omitted the two notifications sent to the CSCI, about aggression from service users towards other people in the house. Records and feedback showed that incidents have been appropriately addressed, including through immediate staff responses, external professional support and planning within the home. It is recommended that the incident file also contain copies of the notifications. Staff were unable to locate the adult protection policy from within the policy file on this occasion. This could cause difficulties in the event of an allegation of abuse, and so must be addressed. The staff noted however that they had discussed the updated policy at a recent staff meeting, and provided minutes of this meeting in this respect. They also noted that the policy would be available on the computer in the office that they all have access to. The manager later confirmed that the policy has been re-printed into the policy file. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 15 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 The home generally provides service users with a homely, comfortable and safe environment. The kitchen however needs refurbishment due to ongoing wear and tear. One fire door closure issue must also be addressed. EVIDENCE: It remains or the kitchen to be refurbished, as previously required. The kitchen was on this occasion seen to be workable, but had a number of areas of wear and tear. There remained for instance evidence of warping of the laminate of the cupboard doors under the sink, and of doors themselves not being able to close fully. Staff noted that first quote for replacement has been obtained, and that the refurbishment will take place soon. Only a partial tour of the house otherwise took place. The building and décor was in a generally reasonable state of repair. The inspector observed that the fire door down the middle of the upstairs corridor was lodging on the carpet when fully open. Adjustments must be made so that the door will shut automatically when the fire alarm is activated, for the protection of everyone in the home. Three service users reported that their rooms can be too cold. Checks of the rooms found that they were cool in temperature in the inspector’s opinion, but 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 16 thermometers within them recorded temperatures at 19-20°C, a temperature that is above the minimum of 16°C necessary under health and safety legislation. The manager noted that the home’s temperature is thermostatically controlled and that radiators are controllable. She noted that a specialist checks boilers and radiators six-monthly, and that temperatures are checked weekly, for which records were seen. It is recommended that further discussions be held with service users about any concerns about temperatures within the home. There were no significant concerns about cleanliness of the home on this occasion. Service users are expected to fully contribute to the upkeep of the home with appropriate staff support. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 and 34. Service users are supported by a competent and established staff team. All four permanently-employed staff have almost completed appropriate NVQ qualifications. Staff are rostered in sufficient numbers so as to effectively meet service users’ ordinary support needs. The home’s recruitment practices support and protect service users. EVIDENCE: The service continues to offer a consistent staff team, as the four permanent staff, and the manager, have been employed for two years at minimum. The manager additional stated that all the agency staff used in the home, mainly for the ongoing temporary waking-night arrangement, are well-established in the home. This consistency enables stronger relationships to be developed with service users. All four care staff are reported to have almost completed the NVQ level 2 course in care. Staff stated that their completed coursework was with an external verifier and that they had updated on gaps that had recently been identified during the completion process. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 18 Service users spoke generally positively about the staff working in the home. They noted the support that staff provide good support and that staff treat them well. Some service users however noted that their views are not always acted on, which is discussed further under standard 39. The roster for the week was on display in a communal area of the home. Staffing levels were being upheld. This included through the use of established agency staff, and the manager, for some shifts that needed covering due to one permanent staff member being on leave. As there have been no new employees of the organisation working in the home for two years, the recruitment standard is judged only in terms of the recruitment of agency staff. The manager supplied a letter from the agency approved of by the organisation, which confirms that they undertake Criminal Record Bureau (CRB) checks of their staff. She also noted that she expects agency staff to supply her with a copy of their CRB before starting work in the home. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 19 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): 39, 40, 41 and 42. There are a number of processes in place to try to ensure that service users’ views are incorporated into the development of the home. Some reviewing is however recommended, based on some service users’ feedback. Staff and service users are protected by the home’s health and safety practices, and by good standards of policies and record-keeping. EVIDENCE: Service user meeting minutes for the autumn months were seen. They tended to be attended by all service users along with a couple of staff members. Each service user is assigned space in which to raise any issues and within which staff sometimes ask them for specific feedback. Discussions with service users however found that some of them felt that their views are not listened to within the meetings and that only staff speak within the meetings. The manager said that this was not the case, and noted that there are plans to use an external professional to run the meetings, which would be good practice. It is recommended that service users’ views in this respect are individually and 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 20 collectively discussed with an aim to making improvements that will help service users to collectively feel that their views are more valued. In terms of quality auditing, the manager noted that there is a service user survey being undertaken by ASRA at the moment. She is also planning on a meeting of service users, their carers, and externally-involved professionals in February, to gain positive and negative feedback about the services that the home provides. Monthly senior management visits reports are now being sent regularly to the CSCI. There is additionally a 3-yearly business plan for ASRA that makes specific reference to goals for this service. These plans are reviewed in supervision sessions between the manager and her line manager, and feedback is provided in this respect to service users, the manager reported. The standard of recording about service users was seen to be clear and detailed. A policy file is available. It is recommended that the policy file contain a clear index with which to easily access individual policies. There was evidence of appropriate health and safety seen during the inspection. Professional fire extinguisher checks had been recently updated, and portable electrical appliance checks were about to take place. The fire safety risk assessment had been updated, and was discreetly available within each room of the house. Entries in the communication book also referred to health and safety issues in some cases. 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 21 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 X 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 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 X 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X X X 3 3 3 3 X 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 22 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 YA23 Regulation 13(6) Requirement The manager must ensure that the revised protection from abuse policy is easily accessible to staff at all times. Timescale for action 01/02/06 2 YA24 16(2(j)), 23(2(b,c)) Timescale of 1/9/05 partially met. Due to the general wear and tear 31/03/06 of the area as a whole, the kitchen is judged as needing refurbishment. Timescale of 1/6/05 not met. Adjustments must be made so that the fire door in the middle of the upstairs corridor, when fully open, will shut automatically when the fire alarm is activated. 01/03/06 3 YA24 23(4) 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA23 YA24 YA39 Good Practice Recommendations It is recommended that the incident file also contain copies of any notifications to the CSCI. It is recommended that further discussions be held with service users about any concerns about temperatures within the home. It is recommended that service users’ views, in respect of some feedback about their opinions not being listened to within the home, are individually and collectively discussed with an aim of making improvements that will help service users to collectively feel that their views are more valued. It is recommended that the policy file contain a clear index with which to easily access individual policies. 4 YA40 3-5 High Worple DS0000017539.V277574.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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. 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