Inspection on 19/06/06 for 42a-b Lowther Park

This inspection was carried out on 19th June 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

42a-b Lowther Park 17/07/07

42a-b Lowther Park 14/09/05

42a-b Lowther Park 18/05/05

42a-b Lowther Park 06/12/04

42a-b Lowther Park 17/08/04

42a-b Lowther Park 09/03/04

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Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Parkside

Park Lodge

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

CARE HOME ADULTS 18-65 42a/42b Lowther Park Kendal Cumbria LA9 6RS Lead Inspector Ray Mowat Unannounced Inspection 19th June 2006 02:00 42a/42b Lowther Park DS0000022686.V295594.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 42a/42b Lowther Park DS0000022686.V295594.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. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 42a/42b Lowther Park Address Kendal Cumbria LA9 6RS 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) 01539 731159 www.oakleatrust.co.uk The Oaklea Trust Mr Martyn Strange Care Home 7 Category(ies) of Learning disability (7), Physical disability (1) registration, with number of places 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 7 service users to include; up to 7 service users in the category LD (Learning disabilities) up to 1 service user in the category PD (Physical disabilities) 14th September 2005 Date of last inspection Brief Description of the Service: 42A/42B Lowther park is situated on a residential housing estate on the outskirts of Kendal, Cumbria. The premises are two halves of a semi-detached property, which has been knocked through to create one dwelling. It s owned by Impact Housing Association and operated by the Oaklea Trust, a not for profit charitable organisation, specialising in providing services to people with learning disabilities. Currently it provides a home for seven people with a learning disability, including one person who also has a physical disability. It is approximately two miles from the amenities of Kendal town centre, with local shops and amenities within walking distance. There are two ground floor bedrooms and six upstairs rooms, one of which is a staff sleep-in room, which doubles as an office. There are adequate bathing and toilet facilities on both floors, including two toilets and a fully accessible walk-in shower on the ground floor and two traditional baths, with toilets on the first floor. The communal space is identical comprising a lounge, kitchen/diner and small laundry room. There is ramped access to the front door and accessible garden and patio areas to the front, side and rear of the home. At the 22nd May 06 the scale of charges recorded in the pre inspection questionnaire were £642. Inspection information was displayed in the home and made accessible to residents. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in the late afternoon and early evening to enable me to meet with residents after returning from day services. I met with all the residents, some on their own and others in small groups. I also received completed surveys from residents and their relatives/friends. I met with the senior member of staff on duty and three care staff during the course of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home needs to make sure residents get support from their representative when agreeing to contracts or making important decisions. The home needs to look at different ways of providing activities or stimulation to people with specialist needs. The policies of the home should be kept up to date. Please contact the provider for advice of actions taken in response to this 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4, 5. Quality in this outcome area is good. Information was supplied to residents and prospective residents in an accessible format. The policies and procedures in place ensure the admission process is effective and takes into account individual needs and preferences of the residents. This judgement has been made using all available evidence including a site visit. EVIDENCE: There has been one new resident who has moved into the home since the last inspection. The home worked closely with the Social Worker and the resident and their representatives during the admission process. Visits were arranged and needs and compatibility with existing residents was assessed. A threemonth review also took place to ensure the resident had settled in and there were no concerns before finalising the agreement. A contract of terms and conditions (customer agreement) had been issued and was signed by the resident and the organisation and a copy held on file. It has been produced in an accessible format using “Widgit” symbols to support the typed text. Widgit is a programme of signs and symbols that are used to make information more accessible to people with communication difficulties. Although it is good practice that the resident has signed the agreement it is evident they do not have a full understanding of the content of the contract and the use of an advocate is recommended when making major life decisions and agreeing to contracts of this nature. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 9 There was evidence on file of the home liaising with a range of other professionals to ensure needs have been assessed and appropriate services are in place. These included speech and language therapy, occupational therapy and the community health team. Comprehensive assessments have recently been completed to ensure information was up to date and changing needs were documented and responded to. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10. Quality in this outcome area is good. Through the detailed assessments and care plans staff are able to provide individualised packages of support to enable people to lead independent lifestyles. This judgement has been made using all available evidence including a site visit. EVIDENCE: The home has reviewed the content of existing care plan files and was in the process of developing person centred plans for all the residents. One resident shared with me the content of their person centred plan, which they were obviously proud of and had been given the autonomy to develop the plan in their own style. It was evident they felt empowered by this approach which is good practice. Care plans have been developed based on the homes own comprehensive needs assessments in addition to any specialist assessments by other professionals. These identify in detail the levels of support people require in all aspects of their lives including basic personal care, involvement in home life and lifestyle choices such as interests and hobbies and religious observance. Several people have had input from the speech and language therapist and the home has developed detailed “communication passports” for people with 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 11 limited verbal communication. These document how someone communicates and records what the meaning of common words and gestures mean to the individual. This is good practice and ensures a good continuity of care among the staff team in how they respond to people. All the residents attend the local day service, which provides a wide range of vocational, educational and leisure activities. Based on discussions with them the day service provides them with a fulfilling lifestyle outside the home, which they value. Care plans also document individual’s daily routines in detail, which are a valuable tool especially for new staff, so that residents are supported in a consistent manner that respects their individual needs and preferences. Risk assessments have been completed for hazardous activities identified both in the home and in community settings and are kept under review. In addition to regular resident’s meetings all the residents have an allocated key worker who takes a lead role in ensuring needs are recorded and responded to appropriately. During the inspection three residents in particular were getting involved in household chores, which was something they had expressed an interest in and was recorded in their care plan. Staff provided unobtrusive support taking on an enabling role to support people with specific tasks. Information held in the home was securely stored in locked filing cabinets in the sleep-in room/office. Staff were aware of the need to maintain confidentiality and their responsibilities in doing this. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17. Quality in this outcome area is adequate. Through attending day services and taking part in activities provided by the home the majority of residents are enjoying independent lifestyles. However for people with profound needs there is a need to look at alternative activities to provide mental and physical stimulation. This judgement has been made using all available evidence including a site visit. EVIDENCE: The home has developed detailed records about individual’s preferences, this included pen pictures and daily routines, which document likes and dislikes and what and who are important in a person’s life, both in the home and in the community. This is valuable information for staff to help them maintain a consistent level of service and ensure individual choices are respected. Care plans and person centred plans provide information about all aspects of someone’s life, in some cases this includes detailed strategies for staff to follow to ensure needs are responded to appropriately. A good example of this was an exercise plan that had been developed with input and guidance from the 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 13 physiotherapist. This had been produced in a pictorial format so it was easy for the resident and staff to follow. It is recommended the home researches current good practice in relation to providing both mental and physical stimulation, particularly for people with complex needs and with poor communication skills. The home has use of a vehicle that is shared between all the residents. Unfortunately the car is not big enough for all the staff and residents to use at the same time. However staff who have appropriate insurance can use their own cars in addition to the home’s vehicle, if all the residents and staff need to go to the same venue, or alternatively smaller groups will access the car at different times. These day trips are popular with the residents, one of them told me about a visit to a local wildlife park they had planned for the weekend, which they were looking forward to. Other recent activities included visits to the pub for a meal, shopping and picnics. Some residents told me about holidays they had planned including one group who had planned a trip abroad. Many of the residents have regular contact with their family either through visits to the home or residents going to visit them. Staff support residents to keep in touch with family and friends with relevant information recorded on the care plan such as next of kin, family contacts and important dates such as birthdays and anniversaries, which are important to them. Both sides of the home shop for and provide meals separately. Meals and mealtimes are very flexible and planned around the needs and preferences of residents. Residents are involved in the planning of and shopping for meals ensuring the choices are appropriate for them and reflect any specialist needs. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21. Quality in this outcome area is good. The home has good systems in place to record and monitor healthcare needs of residents and to support them in accessing appropriate services when required. This ensures their personal and healthcare needs are responded to in a timely manner. This judgement has been made using all available evidence including a site visit. EVIDENCE: Personal and healthcare needs are well documented within the care plan and also in the record of daily routines used by staff, to guide them in providing support to people. In addition the home are introducing “Health action plans” which are a ‘user friendly’ document used to record all aspects of an individual’s health needs/lifestyle and medical history. This ensures important information is recorded and a good continuity of care is maintained in relation to healthcare. This includes healthcare appointments and interventions including the reasons for the referral, any guidance or comments from professional’s and any actions arising from the visit. Records reflected a range of professionals being involved with the home on an ongoing basis including speech therapy, physiotherapy and occupational therapy services, who have had input in developing individual strategies and programmes for staff to follow ensuring a person centred approach. The home uses a monitored dosage system to manage the majority of the medication in the home. The contents of the cabinet were examined and found 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 15 to be stored appropriately and were in line with the medical records held. The medical record sheets were also examined and found to be up to date and accurate. Residents and family wishes regarding ageing and death are recorded within the care plan. Specific requests and instructions are noted with key staff working closely with individuals and their families to maintain a sensitive approach. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. Resident’s views are acknowledged and appropriately recorded and responded to. The home’s policies and procedures safeguard and protect residents and staff. This judgement has been made using all available evidence including a site visit. EVIDENCE: There have been no formal complaints since the last inspection on 14th September 05. Complaints recorded in the home are referred to senior management and the complaints process is overseen and monitored by senior managers. Previous complaints have been dealt with and investigated thoroughly. The home’s policies and procedures are sound and ensure resident’s voices are heard. Staff receive suitable training to guide their practice and are aware of their role and responsibilities in responding to complaints. The home provides an accessible version of their procedure, which is issued to all new residents on admission to the home. Policies and procedures in relation to the protection of vulnerable adults are also in place, which ensure residents are safeguarded. Staff also receive training to guide their practice and showed a good awareness of what constitutes abuse and how it should be responded to. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28, 29, 30. Quality in this outcome area is good. Planned work had taken place ensuring Lowther Park is a clean and comfortable living environment for the residents. An ongoing programme of repairs and renewals is in place to maintain this standard. This judgement has been made using all available evidence including a site visit. EVIDENCE: All communal areas of the home were inspected on this visit and some of the resident’s bedrooms. The planned maintenance and decoration had taken place creating a pleasant living environment. An ongoing plan of repairs and renewals is in place with further work planned to ensure a safe and comfortable environment is maintained for the residents. Residents were involved in choosing colour schemes and were proud of the finished result. The allocation of money the Trust will provide for replacement furniture and fittings is recorded in the contract of terms and conditions and there is a record of when furniture is replaced or due for replacement. It is recommended if a resident wishes to spend more than their allocation on furniture that they receive support from an advocate or representative to explain the process and agree the terms. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 18 Resident’s bedrooms have been personalised by them and reflected the interests and choices of the individual residents. All the rooms are lockable although not all the residents choose to or are not able to use a key. Suitable aids and adaptations are in place around the home with good access to the ground floor. These adaptations have been introduced after the involvement and advice of other professionals such as the occupational therapist. Some of the residents have taken an active interest in maintaining the gardens with support from staff. They have developed a vegetable plot growing plants from seed and had planted up pots and borders. Again residents had taken great pride in this activity and talked enthusiastically about it to me. This level of involvement is good practice and should be encouraged. One resident told me about a recent ‘bar b q’ they had in the garden that they particularly enjoyed. All areas of the home were clean and hygienic with residents involved in some aspects of the cleaning. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36. Quality in this outcome area is good. The home is operating with a full staff team who are suitably trained and experienced to provide a consistent and reliable service to meet the needs of residents. This judgement has been made using all available evidence including a site visit. EVIDENCE: Since the new manager has been in post and spending an appropriate amount of time in the home positive changes have taken place. Staff spoke of and the records confirmed that staff are receiving regular formal supervision, in addition to receiving ongoing support from the manager. The home has addressed the staffing issues and now has a full compliment of staff with all vacant posts now filled. Based on discussions with staff this has had a positive affect as they do not have to work a lot of overtime and they have clear roles and responsibilities when on shift. The home has moved to a two-week rota, which again appears to have been a positive move and appreciated by staff. Some staff felt the “continuity of care was improving and people were more focussed”. The organisation has robust recruitment and selection policies and procedures in place that safeguard residents and are in line with current good practice. The personnel department holds some records centrally so not all records and checks were examined on this inspection. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 20 A three-month training plan was displayed in the home, which is sent out by the organisation’s training department. This is planned based on feedback from staff through their supervision and appraisals and also ensuring refresher training is provided when required. Staff files were examined which contained appropriate training records. All staff have completed suitable induction training and the majority were either working toward or had completed their National Vocational Qualifications. Within the staff team there is a good skill mix and gender mix of staff to respond to the needs of the residents. Staff meetings are held on a regular basis and recorded to ensure actions are monitored and acted upon. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42. Quality in this outcome area is good. The day-to-day management of the home has improved with the manager providing sound support and leadership. Systems are in place to monitor key areas of performance ensuring the safety and welfare of residents is maintained. This judgement has been made using all available evidence including a site visit. EVIDENCE: As described previously the new manager is both suitably qualified and experienced to manage the home. Staff and residents confirmed that he is spending more time in the home, which has had a positive effect on the staff morale. This has also improved as a result of having a full staff team therefore people are working their contracted hours and not having to cover vacant positions. Senior carers also work closely with the manager and take a lead role in his absence providing support and guidance to staff. Regular supervision and team meetings also ensure the lines of communication are open and on the whole staff felt “they got good support”. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 22 The home has several systems in place that feed into an overall quality assurance assessment, these include staff and residents forums, resident’s meetings, 1-1 consultation, annual surveys, Trustee visits and monthly management visits and audits. This level of consultation and monitoring is good practice and provides people with opportunities to contribute to the running of the home and the organisation and to measure their success. Records examined during this inspection were up to date and accurate. There was evidence of regular reviews to incorporate any changes. Systems were in place to ensure monitoring takes place such as the safety checklist that is completed on a monthly basis. A household file is used to document records required by regulation for the protection of residents. These included water temperatures, fridge/freezer temperatures, Legionella checks and the fire log, which were all in order. It is recommended the homes policies and procedures are reviewed to ensure they are in line with current good practice and the requirements of the National Minimum Standards. 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 3 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 2 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 2 3 3 X 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA5 YA11 Good Practice Recommendations It is recommended residents are supported by family, friends or an advocate when drawing up and agreeing a contract. It is recommended the home researches current good practice in relation to providing both mental and physical stimulation, particularly for people with complex needs and poor communication skills. It is recommended if residents wish to spend more than their allocation on furniture and fittings that they receive support from an advocate or representative to explain the process and agree the terms. It is recommended the homes policies and procedures are reviewed to ensure they are in line with current good practice and the requirements of the National Minimum Standards. It is recommended the home maintain a record of all staff, their date of birth, CRB disclosure reference number and their date of issue in line with good practice guidelines. DS0000022686.V295594.R01.S.doc Version 5.2 Page 25 3 YA24 4 YA40 5 YA41 42a/42b Lowther Park Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 42a/42b Lowther Park DS0000022686.V295594.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!