Inspection on 23/06/05 for 5 Grosvenor Crescent

This inspection was carried out on 23rd June 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

5 Grosvenor Crescent 13/07/06

5 Grosvenor Crescent 07/12/05

5 Grosvenor Crescent 15/02/05

5 Grosvenor Crescent 03/08/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 5 Grosvenor Crescent Dorchester Dorset DT1 2BA Lead Inspector Marion Hurley Unannounced 23 June 2005 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 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 Stationary 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. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 5 Grosvenor Crescent Address Dorchester Dorset DT1 2BA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01305 262046 01305 250138 Leonard Cheshire Dorchester Homes Mrs Glynis Elizabeth Baker CRH PC - Care Home Only 3 Category(ies) of LD Learning disability (3) registration, with number PD Physical disability (3) of places 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mrs Baker to undertake an adult protection managers course (agreed suitable by the Commission) by September 2005. Date of last inspection 15th February 2005 Brief Description of the Service: 5 Grosvenor Crescent is a registered care home that can accommodate up to three adults who have a learning disability, and additional physical disability. The home is one of seven similar services in Dorchester that are owned by the Leonard Cheshire Foundation, a ‘not for profit’ organisation providing services to people with disabilities. The house is a ‘dormer’ bungalow, located on a residential estate, within walking distance of Dorchester town centre and the local facilities. It is a family style home with domestic furniture and fittings. There is a large back garden, with summer house. The downstairs bedroom has been adapted and equipped for a wheelchair user. Residents living at Grosvenor Crescent are supported by staff on a 24-hour basis. The service provided includes the provision of accommodation, day services, personal care, meals and laundry services. Residents are expected to pay for personal items, such as clothing and toiletries, and also make contributions to certain activities that are provided outside of the day service programme. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. Grosvenor Crescent was assessed according to the Care Home for Adults (1865) National Minimum Standards. The overall time spent to complete the inspection process was a total of five hours, one of which was spent at the Home. In the course of this inspection both the Registered Manager and Responsible Individual were available and one member of the staff team. One resident was at home but did not participate in the process of the inspection. All records, documents and files were easily accessible on the day. The premises and garden are suitable to meet the needs of the three residents. From discussions with staff it is clear there is positive job satisfaction and they genuinely enjoy the company of the residents. This was a positive inspection of a service that continues to develop and aim for high standards of practise working side by side with residents with varying abilities and complex needs. The inspection process was assisted by the openness of the staff and management and the inspector was grateful for their time and commitment to the inspection. What the service does well: Each resident participates in a range of day services and leisure activities, which encourage and contribute to the resident’s personal development and confidence to achieve a community presence. Residents are supported to live a normal pattern of life and are encouraged through participation and or observation to contribute to the daily decisions. Some residents behaviour is challenging and complex yet staff remain very positive and determined that no resident should be excluded from participating in activities or social events. Records indicated that staff monitor the health needs of all the residents. Grosvenor Crescent offers a needs-led service through flexible routines and good staff relationships. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 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 standard(s) 2,4,& 5 • • • • The needs of prospective residents are assessed prior to a placement being offered. This ensures a resident is not offered a place unless their identified needs can be met through the staffing and facilities available. Prospective residents and or their representatives are provided with opportunities to visit Grosvenor Crescent. The number of visits and or over night stays is planned round the needs of the prospective resident. A Statement of Terms & Conditions is individually written for each resident and reflects any special services/facilities the resident may require. None of the existing group of residents are able to understand the concept of Terms and Conditions/Contracts and therefore all have been signed on their behalf by their representatives. EVIDENCE: Some of the residents have lived in Leonard Cheshire Homes for over twenty years and some of these residents have basic contracts however, all residents who have moved in more recently have contracts containing all the essential information ensuring the “ purchasers” are clear about the services and facilities included in the contractual price and those services and facilities which may be classified as “extra”. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 9 The records of the most recently admitted resident were read and discussed with the Registered Manager and staff. The records gave a detailed account of the resident’s current abilities and needs. The Leonard Cheshire pre-admission assessment is in the form of a checklist. This information together with the Social & Health Care Assessments and Care Plan provide detailed information to inform staff of the resident’s needs and how to appropriately meet them. Discussion with staff confirmed their knowledge and understanding of the preadmission process, which is based on the individual’s ability to cope with the move. All new residents are only admitted on a trail basis and it is during this time that staff observe and carefully consider the reactions of the new resident and those already living in the Home before the placement is finalised. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 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 standard(s) 6,8 & 9 • • • Care Assessments and Plans are in use for each of the residents, which specify the services and facilities available to them. Residents are encouraged to participate and make decisions in all aspects of their daily lives to enable them to retain as much independence as possible All risk assessments were in the process of being reviewed and updated. It is important these include risks identified in the resident’s assessment and Plans and specify the appropriate action must be taken to safeguard each resident. The level of participation is very personal to each resident’s abilities and interests • EVIDENCE: Each resident has a support plan, which is a combination of care assessments, and care planning. These documents contain a lot of relevant information but do not give the reader a feel of the person and this is partly due to some of the terminology used which refers to people as “ clients”. The care/support plans set out how residents current needs should be met but do not clearly identify short /long term goals for each person. Some care and risk assessments had been reviewed whilst others had not. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 11 The risk assessments were generic and not specific to the individual person (in name only) and because they had not all been reviewed there was no evidence to indicate how that person’s behaviour may have changed and developed since the assessment was originally completed. All assessments/plans should be reviewed every six months to reflect any changing needs/abilities. The Registered Manager and staff need to consider ways to develop and produce a simple plan for each resident which through graphics and symbols may be recognisable to them and reflect their different activities. Discussions with the member of staff clearly indicated their knowledge and understanding of the residents in the Home and did reflect the practise of working with residents for both short and long term achievements. All resident have an annual review and staff advised this is generally conducted with the funding authorities and forms the basis of the annual contract. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 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 standard(s) 12, 13,&14, • Some residents attend day services, which provide stimulating and age appropriate activities with their peers. Others residents are given appropriate opportunities to learn and develop through participating and experiencing a wide range of leisure and daily living activities both at home and in the local vicinity. Residents with staff support and supervision access local amenities and resources, which enhance the residents’ local network and understanding of the community in which they live. • EVIDENCE: All the residents have varied weekly routines that include many activities away from the Home. These include attendance at Day Services, in addition to a wide range of leisure activities. Evidence for these standards was obtained from reading the individual diaries kept for each person, care plans and through discussion with members of staff. Continuity is considered to be very important for the residents who seem to benefit in part from the familiarity of their routines and it was good to note that the recently admitted resident has been able to maintain their place at the 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 13 local Day Services where they previously attended. One resident has a weekly trip out providing essential one to one time and this often includes a visit for a massage and lunch out. The member of staff described the work and time involved with this resident which has eventually enabled them to relax and really gain the benefit from the whole day’s activity. One resident has recently started music therapy. This resulted from keen observations by staff noting that when the resident “slapped” the table it was being done rhythmically and the staff took the positives out of this behaviour and turned it into a positive activity. One resident likes loud noises so weekly goes and does the Home’s recycling and thrives on the noise of the bottles crashing into the bins. At the time of this inspection one resident was at home enjoying his own company and that of the member of staff. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 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 standard(s) 18,&20. • • Staff provide flexible support and personal care for each resident ensuring their health and general well-being is carefully monitored and maintained. Medicines in the custody of the home must be handled according to the requirements of the Medicines Act 1968. EVIDENCE: Residents are not able to take control of their own healthcare needs, however there were clear records which indicated staff ensure residents health and well being is carefully monitored. Each resident has a written support plan which incorporates aspects relating to their health and general well being but there was not sufficient evidence in the records to indicate the moving and handling assessments were regularly reviewed to meet the resident’s changing needs. A record of appointments and outcomes with health and other related professionals were available in the resident’s files. All residents are registered with local GP’s who staff stated were extremely helpful and understanding in their management of the residents’ complex health and emotional needs. Behavioural and emotional changes are carefully monitored and staff work closely with Specialist nurses and Consultants to establish realistic methods of supporting residents to encourage their potential and life experiences. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 15 The outcomes for these standards were evidenced through discussion with staff and reading the records for one of the residents living at Grosvenor Crescent. All the residents rely on staff to totally manage, store, and administer their medication it is therefore essential that those staff completing any tasks relating to the residents medication must complete an accredited course in The Safe Handling of Medication. It is understood that Leonard Cheshire Homes, Dorchester have recently agreed a contract with Boots The Chemist and the first training course has been scheduled for July 2005. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 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 standard(s) 22 • The current group of residents would have great difficulty in understanding the concept of a complaint or information on the subject. However, from observations it was evident staff listen and watch the resident’s different patterns of behaviour to ascertain and understand the wishes and views of each resident. EVIDENCE: Evidence to support this standard was obtained through discussion with both staff and the Registered Manager and from observing staff interact with the residents seen on the day of this inspection. The three residents all have different levels of comprehension and each has developed their own method of indicating their pleasure or apprehension. On occasions this behaviour may become quite extreme with the resident becoming aggressive either to themselves or directed at others. Both the Registered Manager and member of staff explained their methods to ensure the behaviour is handled carefully without denying the resident any personal liberties. Staff have considerable intuitive knowledge and it would be advantageous for this to be recorded in the residents support plan. The plans contain some information about communication but when talking with the support staff their sensitivity and detail surpassed the written documents. No complaints or concerns have been raised since the last inspection. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 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 standard(s) 24 &30 • • Grosvenor Crescent is a family style home and is suitable for the needs of the people living there. On the day of the inspection the premises were clean, creating a safe and comfortable environment for both residents and staff. EVIDENCE: A partial tour of the premises and garden was completed. No aids or adaptations are required by any of the residents and all areas are accessible throughout the home. The communal areas are small and generally in need of redecoration/ refurbishment. It is understood the kitchen area is due for refurbishment in the near future. Staff spoke of the difficulties of maintaining the home, as some residents do not understand the need to respect the furnishings or the fabric of the property. The home has a domestic style washing machine and tumble drier. The washing machine has a cycle, which will wash, to temperatures of 95 degrees centigrade. Any foul laundry is washed in dissolvable sealed “ red bags”. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 &36 • All staff receive regular supervision and the support they need to carry out their jobs. This contributes to maintaining a quality staff team working for the benefit of all the residents. EVIDENCE: One member of staff, a support worker, was met at the time of this inspection. They said they felt well supported by the management team and the newly created supervision rota was working well with a regular commitment from staff and management to ensure supervision was completed. A file containing supervision notes was read and contained a useful “template” for standing items for the agenda, objectives, action. Records indicated the supervision was being conducted within the recommended timescales. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,&42 • Residents benefit from the Registered Manager’s experience and ability to run a relaxed but efficient home. The member of staff on duty at the time of this inspection confirmed the Manager’s approach and skills. Both the member of staff and the resident were observed to be happy and confident in the Manager’s presence during this inspection visit The Registered Manager is competent and experienced to run the home and is currently studying for NVQ level 4 in both management and care. At the time of this unannounced inspection safe-working practices appeared to be satisfactory ensuring a safe environment for both residents and staff. • • EVIDENCE: Fortnightly “house meetings” are held with the staff team and Registered Manager. Both the Manager and support worker said they felt the meetings were productive ensuring information between all staff was kept up to date and the needs of the residents were continually under review with the resident’s behaviour and response to any changes being discussed. The support worker described the meetings “as a time to reflect and brain storm ideas for working 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 20 with the residents”. All minutes and notes from these meetings are kept and were noted. These meetings contribute to the on going self-monitoring however; no residents contribute to this evaluation. Despite the complex needs and behaviour of some of the resident both the Manager and staff had a very positive approach and sense of loyalty to all residents “ want to do the best for the residents” and “ have a go at most things” There is a comprehensive training matrix which indicates when staff have received training and when refresher training for mandatory courses is due. This validated previous information received during the course of this inspection. The Training Co-ordinator who is based in the Leonard Cheshire Administrative Office in Dorchester ensures information is kept up to date; this is then passed to the Regional Office to be included in the Regional Training Matrix. The house is fitted with smoke and heat detectors in addition to fire extinguishers and blankets. All staff have completed basic first aid training and all members of the management team are Approved first aiders and available on a 24 hour call out basis. From discussions with the Manager it was evident they are fully aware of their responsibilities for the practical day-to-day health and safety issues for both residents and staff. However overall management responsibility for fire prevention, risk assessments and safe working practises is the responsibility of the designated “ Health & Safety” employee who is based at the Dorchester Administrative offices. This person has completed a range of risk assessments. These assessments are generic and do not specifically relate to the individual residents and their different abilities and understanding of risk and personal safety. It is important these risk assessments are completed and regularly reviewed with or by staff that live and work side by side with the residents and who therefore have a good practical understanding of the residents abilities and needs. All electrical testing has been completed. Certificates and records verifying this information were readily available and checked. The designated responsible person, on behalf of Leonard Cheshire Homes, completes monthly visits. The reports are detailed and regularly provided to the CSCI offices. The last report in April 2005 indicated there were no areas of concern. Not all staff have received fire training within the required timescale. Both the Registered Manager and Training Co-ordinator are aware of this and ensuring all staff will now receive Fire Prevention Training at three monthly intervals. 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x x x Standard No 31 32 33 34 35 36 Score x x x x 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 5 Grosvenor Crescent Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score 3 2 2 x x 2 x D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 22 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 23 Regulation 13 Timescale for action All staff must receive appropriate 31st training in physical intervention October, and restraint. At the time of this 2005 inspection 50 of staff have completed training. Incidents of physical intervention/restraint must be recorded in detail and in a format which can be easily monitored by Management. Staff must be aware of the correct procedures to follow to protect residents from harm and abuse. The homes policy must inform staff of the correct procedures to be taken if they witness or suspect abuse. All staff must receive regular refresher training in the Protection of Vulnerable Adults. The home must establish and 31st mainatin a system for reviewing October, and monitoring the quality of 2005 care provided by the home and where possible invovling residents or their representatives. The Registered Manager must Immediate make arrangements for reveiwing fire precautions.All staff must receive three monthly fire prevention training . At the Version 1.30 Page 23 Requirement 2. 39 24 3. 42 23 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc time of this inspection this requirement was being addresed but not completed. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 6 Good Practice Recommendations The individual care/service user plans need to be written based on the principles of Person Centred Planning and should include a record of the residents short and long term goals and acheivements. Risk assessments should be reviewed regularly and provide details of who has been involved /consulted with during the assessment process. Risk assessments must reflect the individual residents abilties/needs and the hazards applicable to them and the plan of actions to minimize the hazards and risks. All staff adminstering and handling medication must receive accredited training in basic knowledge of how medicines are used, how to recognise and deal with problems and the principles behind all aspects of the Homes policy on medicines. At the time of this inspection aspects of tis recommendation were actively being addressed.Each member of staff should have an individual training and devlopment assessment. Each member of staff should have an individual training and devlopment assessment. 2. 9 3. 20 4. 35 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Unit 4 New Fields Business Park Stinsford Road Poole, Dorset BH17 0NF 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 5 Grosvenor Crescent D55 S26751 Grosvenor Crescent V223212 230605 Stage 4.doc Version 1.30 Page 25 - 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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