Inspection on 05/12/08 for 484 Halifax Road

This inspection was carried out on 5th December 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

484 Halifax Road 01/06/09

484 Halifax Road 06/12/06

484 Halifax Road 01/02/06

484 Halifax Road 22/02/05

484 Halifax Road 27/10/04

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: 484 Halifax Road 484 Halifax Road Bradford West Yorkshire BD6 2LH     The quality rating for this care home is:   one star adequate 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: Caroline Long     Date: 1 1 1 2 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 29 Information about the care home Name of care home: Address: 484 Halifax Road 484 Halifax Road Bradford West Yorkshire BD6 2LH 01274676466 F/P01274676466 susanramsden@bdct.nhs.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Brunel & Family Housing Association Limited 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: Date of last inspection Brief description of the care home Halifax Road is a Yorkshire Housing Association home situated on the outskirts of Bradford. The home is registered to provide long-term personal and nursing care for up to six adults with learning disabilities. Staff are employed by Bradford District Care Trust. The building is a large three storey terraced house. Accommodation is provided on two floors, with six single bedrooms, three bath/shower rooms and a domestic style kitchen, living and dining room. Halifax Road has a garden at the front of the house and a car parking area to the rear of the building. Local shops and bus routes are within easy access. 6 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 29 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: one star adequate 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 is what we used to write this report. We looked at information we have received about the home since the last key inspection. We asked for information to be sent to us before the inspection, this is called an annual quality assessment questionnaire. We sent surveys to people living in the home and to the staff, we received three surveys from people living in the home and four surveys from staff. Care Homes for Adults (18-65 years) Page 5 of 29 One inspector visited the home unannounced. This visit lasted over five hours and included talking to the staff and the registered manager about their work and the training they have completed, and checking some of the records, policies and procedures the home has to keep. We spent time with people living in the home and observing the staff supporting them. We looked at two peoples care records to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. We focused on the key standards and what the outcomes are for people living in the home, as well as matters, which were raised at the last inspection. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Information provided by the manager on 16th December 2008 indicated that the current weekly fee for the home is from four hundred and sixty pounds per week this is dependant upon personal care needs. Additional costs include the provision of extra support by staff, toiletries, hairdressing, holidays, leisure activities and clothes. What the care home does well: What has improved since the last inspection? What they could do better: To be sure only suitable staff are employed at Halifax Road. The provider must make all the necessary criminal record bureau and protection of vulnerable adult checks are made and appropriate references obtained before staff start work. To make sure people are safe. The registered provider must make sure any allegations of abuse are reported immediately to Bradford Adult Protection Unit. To provide people with a fuller and more active lifestyle of their choice. A review of every ones daily life and activities should be carried out to make sure any activities are tailored to reflect their individual needs. To keep people safe the registered provider should have a system in place to identify any decline in the service as indicated through the incident forms. To provide people with privacy all bathroom windows should have a curtains or a blind. Care Homes for Adults (18-65 years) Page 7 of 29 If you want to know what action the person responsible for this care home is taking 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 8 of 29 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 9 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People will be assessed before admission to the home to make sure Halifax Road is the right place for them to live. Evidence: There has not been any new admission to the home for over four years. The manager told us if anyone was interested in moving into the home information would be made available to them about the services provided. They will also visit them at their home and complete an assessment to make sure Halifax Road will be able to provide a service that will meet the their needs. As part of this process he will also gather information from any other agencies involved. Where possible the person is then encouraged to visit the home, for a day or overnight providing them with the opportunity to meet everyone and to get a feel for the home. This is to make sure the home has the necessary equipment and staff have the necessary skills to meet the persons needs. Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: The staff records showed and staff confirmed they are now having the necessary training; to enable them to look after people properly. At our last inspection we asked the home to make sure everyone has a contract which was signed and included any additional charges that were made such as the mini bus. When we visited we found peoples records contained a contract in normal size print which did contain additional costs such as the minibus and had been signed. There was also a copy of a contract which was in large print and had some photographs and pictures to help people understand its meaning. However this document did not have information about the additional cost of the mini bus in it, the manager told us he would look at ways of including this information in the future. The home has an up to date statement of purpose, setting out the aims, objectives and philosophy of the home. At present there is a guide to service available in large font and photograph format which includes a copy of the license agreement. Care Homes for Adults (18-65 years) Page 11 of 29 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. People are able to make some choices about their lifestyle and are able to have some control over their lives. Evidence: We observed the staff talking to people and displaying both warmth, kindness and understanding. Two peoples case records were looked at in order to check that a plan had been formulated which would help staff provide support to people according to their needs and wishes. At the previous inspection we asked for the support plans be reviewed regularly and be better organised. We found the support plans were up to date, were easy to follow and did have the necessary information to enable to the staff to support the person properly and safely. They contained some information about peoples personal Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: preferences. However when we compared two peoples plans, despite both people having different needs, we found the actions described for supporting them when they became upset were very similar. They also lacked information about the person aspirations, interests and social care and of the persons involvement in the plan. The manager told us since his arrival he had made changes to the plans and was continuing to work at improving them. We also asked for more people to be included in the service reviews, when we visited people were aware of their plans. The manager was able to show us how for one person relatives and staff from other appropriate agencies had been invited to attend the review. We saw people were able to make their preferences known verbally and staff told us how people are able to make choices. One person told us about the choices they had made and we saw one person choosing to get out of bed late. Staff also told us how individuals are encouraged to help around the home, and express their opinions. Peoples records contained a assessment of the persons mental capacity which evidenced whether or not they had the capacity to agree with parts of the support plan. The home has regular meetings where people can make their views known and the manager meets people monthly one to one to ask them their views. Care Homes for Adults (18-65 years) Page 13 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements need to be made to make sure everyone is leading a full and active life. Evidence: We found most people in the home go to a day centre at least one day a week, and the staff were able to tell us how people go out to the shops, for a ride in the mini bus and have had a holiday to Norfolk. Although when we looked at two peoples records and activities in detail we found the section of the care plans about day care, which told staff about peoples preferences about their social and life activities lacked detail. Following a review of the staff the manager explained there are now three staff working during the day, this enables one of them to be able to support people to go out. However two peoples records showed us that the offer of outings comprised of day centre, mini bus rides or shopping and did not demonstrate staff were considering Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: how people could take part in valued and fulfilling activities of their choice. The home were carrying out mental capacity assessment regarding whether people had the mental capacity to make decsiions about daily living. Staff were seen talking to people throughout the day and supporting them with various household tasks. We discussed the range of activities which was offered and the manager explained he was looking at ways of encouraging staff to offer a greater range and ones which would help maintain and increase peoples life skills. The support staff prepare the food for people and staff told us people do have a choice about what they want to eat. We looked at the menus these were varied and provided people with a lot of choices. We saw people were able to go into the kitchen to make drinks and snacks as they wanted them. Care Homes for Adults (18-65 years) Page 15 of 29 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. People can be confident that the health and personal care they receive is based on their needs. The principles of respect, dignity and privacy are generally followed. Evidence: We found staff were aware of peoples health and personal care needs and generally people were having their needs met. We saw people were well cared for and they were clean and well presented in matching and appropriate clothes. Three relative told us this was always the case. The records showed us that staff were promoting peoples health care needs and where a health care need had been identified there was evidence to show us that the appropriate health care professionals had been identified. Such as the general practitioner, the optician and the chiropodist. Two people who returned their surveys told us the staff always treated them well and one person stated they sometimes do. Also we saw three staff treating people with respect. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: The daily records provided evidence of the support people were given and would have helped the staff to track any changes to the persons health. However both the support plans and the daily records described people in a negative way, such as lazy or demanding. The manager needs to be aware the use of negative language does not promote peoples dignity and respect. At the previous inspection we asked that staff be provided with clear guidance about when to give as required or extra medication to people who were distressed. We found the records now had clear instruction of when this medication should be given. To reduce the risk of people receiving the wrong medication the home uses the normad system where medication is dispensed by the pharmacist into a box, with compartments for each time they have to be taken. A sample of medication was looked at to see if it is being given out correctly we found that people were generally receiving their medication, staff were recording this correctly and there was a system monitor the ordering of medication. Care Homes for Adults (18-65 years) Page 17 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Further improvements need to be made to be sure people are fully protected from abuse. Evidence: The manager told us all complaints about the service should go to Yorkshire Housing, and if there are complaints about staff the provider Yorkshire Housing shares this with the staffs employer Bradford District Care Trust. The manager also told us to help people understand how to complain the policy is now available from Yorkshire Housing in a DVD. There are weekly home meetings and the manager meets with people once a month so they can make their views known. Although two people who returned their surveys told us they would not know how to make a complaint, one told us they would. We have not received any complaints about the home. The manager told us there has been one complaint following the last inspection. When we looked at this we found it contained two safeguarding issues and both of these had been investigated by the management before they were referred to Bradford Adult Protection Unit. To make sure the home protect people and in a manner which promotes openness and accountability they must always inform Bradford Adult Protection Unit before commencing a full investigation. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: We found staff are completing incident forms, this is required so the staff can identify any patterns. These are now sent to Yorkshire Housing and Bradford District Care Trust who collate them to identify any possible patterns or possibilities of reoccurrence. However the manager had not been monitoring these to identify any patterns he agreed to commence doing this on a monthly basis. Two staff told us they were aware of who to alert should they suspect abuse. However the manager told us as part of the annual quality assessment questionnaire that some staff have yet to attend Adult Protection training and the records showed us only half of the staff have attended training. To make sure staff are aware of what constitutes abuse and when to alert they need to be provided with up to date training. When we looked at the incident forms and the support plans we found that staff were recording that restraint had been carried out but they were not recording the type of restraint. To protect everyone the detail of what restraint is used must be part of the support plan and documented on the incident form. People are now provided with a independent advocate or a IMCA if needed. The annual quality assessment questionnaire told us the provider organisation has very clear finance procedures which are audited internally and externally. People have control of their own finances in that withdrawals cannot be made without them being present and making a signature or mark. In the records we saw a record of expenditure was maintained and receipts were kept. Care Homes for Adults (18-65 years) Page 19 of 29 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. People live in a clean, comfortable and safe environment. Evidence: Halifax Road has six bedrooms, all are single with a communal kitchen, spacious dining room and a communal lounges. We saw the home is very clean and well maintained and decorated to a very good standard. Peoples bedrooms are decorated, to reflect personal taste and furnished to meet individual needs. People also have the necessary aids and adaptations to meet their needs. Three people in their surveys told us the home was always fresh and clean and spotless. The manager told us since the last inspection they have employed a cleaner for ten hours per week. The manager told us the home had carried out everything we had asked them to do at the previous inspection, these included decorating, replacing stair carpets and ensuring bedroom doors had a lock which meets health and safety standards. However there Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: was no blind at the upstairs bathroom window. The staff training records show us many of the staff have recently completed their infection control training. The annual quality assessment questionnaire the manager also told us they looking to introducing the essential steps to infection control and having a nominated nurse to act as a infection control link nurse. Care Homes for Adults (18-65 years) Page 21 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Inadequate recruitment practices may put people at risk. Evidence: The home normally has one nurse and two support workers on duty, these are supported by a cleaner for ten hours a week. We saw during our visit that staff did have time to sit and talk to people. At the previous inspection we asked for the provider to review staffing levels to make sure peoples needs were met. This has been carried out and the numbers of staff during the day has been increased from two to three. Staff told us that when there were three staff on duty there were enough to enable people to participate in activities of their choice. At two previous inspection we have asked that the registered person must make available for inspection all recruitment documentation. We found staff are generally employed by Bradford District Care Trust, the collection of the necessary paperwork is carried out centrally and copies are provided to the home. When we looked at these records we found they were generally incomplete. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: Also for staff who had been transferred from another homes, whilst investigations were being carried out, there was no documentation about why this move had occurred or what the investigations were about. For one member of staff who had worked at Yorkshire Housing for over two years the manager was unable to provide us with evidence a criminal record or protection of vulnerable adults check had been carried out. This lack of information means people are not fully protected by the homes recruitment procedures. Following our visit we have sent the provider a letter to explain to them why we have serious concerns about the recruitment procedures at the home and have asked for the provider to put into place arrangements that will make sure people are safe. Staff told us and the records confirmed that staff have recently started to up date their training, the manager told us the updating of peoples training was to continue. Five staff who returned their surveys told us they have received regular supervision and do feel supported by the management. The records also confirmed supervision was carried out. Staff confirmed they have regular meetings and the registered manager explained these are used as a opportunity to recap policies and to make sure staff are kept up to date and able to carry out their roles properly. The annual quality assessment questionnaire states over fifty per cent of staff have their National Vocational Qualification level two or above in care, this qualification helps to make sure staff are properly trained to carry out the work. Care Homes for Adults (18-65 years) Page 23 of 29 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. People benefit from a home that is generally managed in their best interests. Evidence: Following our last inspection the home has not had a permanent manager, however a manager has recently been appointed who had twenty four years experience working with people with learning disabilities and is at present registering with us. During the our visit we saw people were comfortable when approaching him to discuss the home, he always listened and responded with warmth and respect. Two staff told us they felt extremely well supported by the new manager. The new manager is supported in his role by a District Manager. The manager has completed an annual quality assurance assessment which contains, clear, relevant information this supported by a range of evidence. The AQAA lets us know about changes they have made and where they still need to make Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: improvements. It shows clearly how they are going to do this. The data section of the AQAA is fully completed. The registered manager discussed with us the importance of person centered care and effective outcomes for people who use the service, he told us how about the improvements he has made and how he is working towards making sure the home is run in the best interests of the people who live there. Quality assurance systems consisted of an annual survey for people in the home to complete, care reviews, and service meetings etc. Regular visits are made to the home by the provider to monitor the services provided. This information is used to produce a development plan which identifies what needs to be carried out in the next six months to improve the service. The annual quality assessment questionnaire states the maintenance and service records are in order and the manager told us these were all up to date. Care Homes for Adults (18-65 years) Page 25 of 29 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 26 of 29 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 1 23 13 The registered provider must make sure any allegations of abuse are reported immediately to Bradford Adult Protection Unit. This is to make sure people are protected from abuse. 01/01/2009 2 34 19 The provider must make sure all the necessary criminal record bureau and protection of vulnerable adult checks are made and appropriate references obtained before staff start work. This is to make sure only suitable people are employed. 01/01/2009 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 Care Homes for Adults (18-65 years) Page 27 of 29 1 12 You should carry out a review of everyones daily life and activities to make sure any activities are tailored to reflect peoples individual needs. This will provide people with a fuller and more active lifestyle of their choice. To keep people safe the registered provider should have a system in place to identify any decline in the service as indicated through incident forms. To protect peoples privacy a blind should be installed in the upstairs bathroom. 2 23 3 24 Care Homes for Adults (18-65 years) Page 28 of 29 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 © (2008) 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!