Inspection on 20/11/08 for 3 The Droveway

This inspection was carried out on 20th November 2008.

CSCI found this care home to be providing an Good service.

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

3 The Droveway 31/01/08

3 The Droveway 19/06/07

3 The Droveway 12/10/06

3 The Droveway 06/03/06

3 The Droveway 17/08/05

3 The Droveway 27/01/05

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Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 3 The Droveway 3 The Droveway Hove East Sussex BN3 6LF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Nigel Thompson     Date: 2 0 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: 3 The Droveway 3 The Droveway Hove East Sussex BN3 6LF 01273563935 01273563935 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Care Management Group Ltd Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD Date of last inspection Brief description of the care home 3 The Droveway is a care home, which provides personal care and accommodation for up to six people with profound physical and learning disabilities. The home is owned and run by Care Management Group (CMG) who are a large organisation that provides care for people with learning disabilities. The home is located on the outskirts of Brighton and Hove. There is nearby access to some local amenities and public transport. A small car parking area is available at the home, although on street parking is permitted in the surrounding areas. The home is a bungalow consisting of six single bedrooms, two bathrooms / shower rooms and a good-sized lounge. There is a Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 0 6 Brief description of the care home separate kitchen and dining area and garden to the rear and side of the property. The garden is accessible to wheelchair users. Prospective residents and their relatives are provided with written information regarding the services and facilities provided at the home prior to admission. The home?s most recent inspection report is available on request. The homes fees as of 5th February 2008 ranged from £1633.45 - £2398.41 per person per week dependent on needs. Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This key unannounced inspection took place over four hours in November 2008. It found that all of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. On the day of the inspection there were five service users living at the home. The inspection involved a tour of the premises, observation of care practices and examination of the homes records and other documentation. Part of the inspection process also included discussions with the recently appointed manager, the Regional Operations Director and consultation with three members of staff. Care Homes for Adults (18-65 years) Page 6 of 31 The focus of the inspection was on the quality of life for people who live at the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Adults (18-65 years) Page 8 of 31 following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 31 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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 know that the home is able to meet their individual care and support needs. Evidence: It was noted that the newly appointed manager is working hard to address identified shortfalls including reviewing and updating information about the home, made available to all prospective service users. The quality and accessibility of the Statement of Purpose and Service User Guide is further enhanced by the effective use of photographs and diagrams. Both documents are comprehensive and informative and although currently in draft form are clealrly work in progress and consequently no requirement will be made in respect of this standard. The appointed manager confirmed that the service continues to maintain a good working relationship with the local Community Learning Disability Team (CLDT), who Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: consequently have a sound understanding and awareness of the suitability of the home and the range and quality of the services provided. In line with other welcome organisational changes, the admission policy and procedures have recently been reviewed, ensuring that the manager is now directly involved in the pre admission assessment process. The appointed manager confirmed that, following a referral to the home, she persoanlly would visit the prospective service user and carry out a full and robust assessment, including any personal and emotional care and support needs, mobility issues, social and cultural needs and family involvement. In addition to establishing whether the individuals care and support needs can be met within the home, the manager also stressed the importance of ensuring compatibility with existing service users. This again is a welcome development, following concerns in the past regarding this important issue. As well as being invited to visit the home to look around and meet with existing residents and staff, prospective service users have the opportunity to stop overnight or occasionally for a weekend stay before moving in. The manager confirmed that new service users undergo a flexible trial period at the home, followed by a thorough placement review, during which time their suitability and compatibility are fully assessed and it is established whether their identified care and support needs are able to be met. It was noted that there have been no new admissions to the home since the previous inspection. Care Homes for Adults (18-65 years) Page 12 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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: Person Centred Plans, including a Health Action booklet and guidelines for staff in are in place for each service user and, as the manager confirmed, are currently being reviewed, updated and redesigned. It was noted that at present the care plans are too bulky and cumbersome and, following discussion with the manager, it is recommended that they should be condensed and made more user friendly to ensure that information is concise and more readily accessible. Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: Care plans that were examined contained comprehensive and informative sections, including All about me and Pen portrait containing details of the individuals family links, daily routine, likes and dislikes, communication and the recently revised seizure guidelines. The manager confirmed that service users and, where appropriate, a relative or representative continue to be directly involved in annual care plan reviews. On a monthly basis keyworkers review the plan and ensure that it accurately reflects the individuals current and changing needs. It was evident from plans that were examined that reviews are appropriately recorded and plans are amended as necessary to reflect changing needs or circumstances. Information recorded includes who was present at the review and details of issues discussed and agreed goals. It was noted that any amendments to the care plan are routinely signed and dated by the service user, or a relative or advocate on their behalf and a member of staff. Following such a review, in one care plan that was examined, a relative had commented positively about the service: ......benefits from an individualised care package, both within the home and at day service, from staff who know her needs extremely well. Any health concerns are acted upon immediately and ......also benefits from the support provided by CMGs therapists. As part of the routine personal assessment of service users, risk and the potential for risk is assessed, addressed and recorded. In accordance with the person centred approach to care planning, it was noted that risks are recorded in the first person and provide evidence of regular and effective consultation with service users. Individuals are clearly enabled and supported to make decisions about many aspects of their life and are made aware of and helped to understand the reasons for specific action being taken. Despite the evident complex needs of service users, independence and individuality continue to be encouraged and promoted within the home and are reflected in the personalising of service users rooms, the choice of bedclothes and colour schemes and individual preferences for menus and activities. Care Homes for Adults (18-65 years) Page 14 of 31 Care Homes for Adults (18-65 years) Page 15 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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. The appointed manager also confirmed that any limitations on an individuals choice and freedom of movement for health and safety reasons is clearly documented. Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: As previously documented, CMG owns a development centre, called the Brelade, which is open from Monday to Friday. This currently provides opportunities for the service users at 3 The Droveway to take part in informative and creative activities should they wish, including sensory stimulation, art, postural movement, hydrotherapy, physiotherapy, music, and IT. 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. A popular event in September was evidently a garden party held for service users family and friends, which according to the manager was very successful with most relatives attending. Menus are varied and balanced and are based on service users identified likes and preferences. An alternative to the main meal is always available. Care Homes for Adults (18-65 years) Page 17 of 31 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff demonstrate an awareness and sound understanding of service users individual care and support needs. Service users are protected by the homes medication policies and procedures and their physical and emotional needs are met in a structured and consistent manner and in a way they choose. Evidence: In accordance with their care plan, service users are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, staff were observed interacting with service users in a professional and respectful manner. Documentary evidence was in place to demonstrate that the health and emotional care needs are continuing to be met within the home. All service users are registered with local GPs and have access to other health care professionals, including district nurses and dentists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: professionals are recorded. A physiotherapist working for the organisation provides invaluable advice, guidance and staff training in mobility issues and posture management. 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. Care Homes for Adults (18-65 years) Page 19 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The open and inclusive atmosphere and effective communication systems within the home enable 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 copy of the homes complaints procedure is in place in the entrance hall for the benefit of service users relatives and other visitors to the home. It gives clear guidance with regards to how a complaint can be made and how the complainant can expect it to be dealt with. All complaints are recorded and include actions taken and outcomes achieved. Regular service user and staff meetings provide an opportunity for concerns to be raised and discussed before they become complaints. 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. Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: The organisation has produced detailed policies and procedures relating to adult protection and abuse, including a whistle blowing policy. In line with other policies in the home it is recommended that such policies be reviewed and updated. The manager confirmed that, since the last inspection as required, staff have undertaken specific adult protection training, in accordance with the recently revised multi agency guidelines for safeguarding vulnerable adults. This was supported through discussions with members of staff during the inspection and evidenced through individual training records. Care Homes for Adults (18-65 years) Page 21 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for its stated purpose. Service users benefit from specialist equipment provided and accommodation that is comfortable, generally well maintained and decorated to a satisfactory standard. Evidence: It is evident that there has been little change in the physical environment at 3 The Droveway since the previous inspection and standards remain satisfactory throughout. The premises, consisting of six single bedrooms, two bathrooms / shower rooms and a good sized lounge are accessible, safe and clearly meet their stated purpose. During my guided tour of the premises it was evident that the generally well maintained decor and adequate furniture and furnishings continue to provide a comfortable, pleasant and homely environment for service users. The manager 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 their personal tastes and interests. Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: It is evident that all necessary adaptations are made and any specialist equipment, including wheelcahirs, hoists and adjustable beds is provided as necessary to meet the assessed care and support needs of service users It was noted that infection control policies and procedures are in place and clearly adhered to. Levels of cleanliness remain satisfactory throughout. Care Homes for Adults (18-65 years) Page 23 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are protected and benefit from the homes recruitment policy and procedures and from sufficient trained, competent and appropriately supervised staff on duty at all times to meet their assessed care and support needs. Evidence: In addition to the comprehensive CMG induction programme, compatible with Skills for Care, 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: Theres plenty of training here now! The manager also confirmed that a registered nurse working for the company provides training in epilepsy awareness and general nursing procedures. The Speech and Language Therapists, SALT, have been invaluable providing stafff Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: guidance and support with service users specific issues, such as eating and drinking. Out of a full complement of fifteen, there are currently an impressive twelve members of staff who hold the National Vocational Qualification, NVQ, level 2 or above. The manager confirmed that two people are also currently studying for level 3. In accordance with company policy, formal supervision is being reinstated for all care staff on a regular basis. However, this has clearly not always been the case and the manager confirmed that up until recently the provision of individual supervision sessions had slipped. This evidently coincided with an unsettled period within the home when morale was low and staff felt unsupported and dictated to. However the manager is clearly aware of the importance and benefits of effective staff supervision, for helping people to feel listened to and included, and is therefore addressing this issue as a priority. Consequently no requirement will be made in respect of this standard. Members of staff, spoken with during the inspection, confirmed feeling valued and supported by the manager: Supervision is very useful and the manager is always very supportive. Ive been here seventeen years and she is the best manager Ive had. It is evident, from discussions with members of staff that the manager also operates an open door policy, with staff feeling confident and able to discuss any issues at anytime. 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. Members of staff and the manager spoke positively about how things had improved over recent months: People were leaving, just walking out. It was awful. Now people want to work here. Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: We havent got any vacancies. We are turning people away. A stable and structured pool of bank staff also ensures consistency during periods of sickness or annual leave. The manager explained that the home is now always covered by experienced staff who know the routines, know the service users and, more importantly the service users know them. Care Homes for Adults (18-65 years) Page 26 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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. She has worked at 3 The Droveway, in her current postition, since August this year. Prior to that she worked for the company as a Regional Operations Manager for four years. She has extensive experience in residential care settings and has been a registered manager in another service for adults with learning disabilities. She is currently studying for the NVQ in Management and Care, which she hopes to complete in early 2009. From direct observation and through discussions with service users and members of staff, it is evident that the manager demonstrates a clear sense of leadership and Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: direction. She is clearly motivated, positive and approachable and has evidently created a far more open and inclusive atmosphere within the home. The quality monitoring systems, including satisfaction questionnaires for both service users and their relatives, have been revised and improved. 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. 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 reported, as required. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 It is recommended that the updating and improvement of care plans continues and that they be condensed and user friendly, to ensure that information contained in them is concise and more readily accessible. It is recommended that, in line with other policies within the home, the policiy and procedures relating to safeguarding vulnerable adultsd be reviewed and updated. 2 23 Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 31 of 31 - 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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