Inspection on 15/11/05 for 52 Porthcawl Green

This inspection was carried out on 15th November 2005.

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

The inspector found 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

52 Porthcawl Green 25/03/09

52 Porthcawl Green 08/01/09

52 Porthcawl Green 22/10/08

52 Porthcawl Green 31/10/07

52 Porthcawl Green 28/12/06

52 Porthcawl Green 04/05/06

52 Porthcawl Green 05/07/05

52 Porthcawl Green 13/07/04

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Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Porthcawl Green (52) 52 Porthcawl Green Tattenhoe Milton Keynes Buckinghamshire MK4 3AL Lead Inspector Gill Gentles Announced Inspection 15th November 2005 09:30 Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 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 Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 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. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Porthcawl Green (52) Address 52 Porthcawl Green Tattenhoe Milton Keynes Buckinghamshire MK4 3AL 01908 506865 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) The Disabilities Trust Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th July 2005 Brief Description of the Service: Porthcawl Green is a home in the community managed by the Disability Trust. The home accommodates three males with Autistic Spectrum Disorders. The house is situated on an estate in Milton Keynes, close to the Westcroft centre where there are several shops and supermarkets. Local transport networks gives access to central Milton Keynes and Bletcheley. There is a main line train station in the city giving access to London and the North. The home has three bedrooms, one en-suite, an office/sleeping in room, a visitors room and a bathroom on the first floor. On the ground floor there is a large lounge, dining room, laundry and kitchen. The home also has a separate office for the Disability Trust for the homes in the area, which does not impact into the running of the home. There is a small garden, mainly laid to lawn with pretty floral boarders. There is ample communal parking at the front of the home for staff cars and visitors. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during the course of a day and was carried out by Mrs. Gill Gentles and Mrs. Nicky Cahill. The process involved interacting with the residents, reading documentation and talking to the staff and manager. A feed back meeting took place with the manager and service manager at the end of the day. What the service does well: Ensures the residents have copies of current documentation informing them about the home and the services available. A robust assessment process for prospective residents. Residents have contracts/terms of conditions Residents are supported and encouraged to make informed choices about their lives. Produces clear and concise Risk Assessments. All personal information is handled sensitively and in confidence. Support and encouragement is offered for personal development, to take part in appropriate activities, to become part of the local community and build relationships, ensuring individual independence and choice is maintained. Residents are supported to take control and manage their own healthcare. Clear written policies and procedures in relation to complaints and Protection of vulnerable adults. Stable and competent staff team. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 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. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 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 Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 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): 1, 2, 3, 5 Clear information is available, ensuring that residents have an informed choice about where they live. New and prospective residents are admitted on the basis of a full assessment to ensure that individual aspirations and needs are assessed. Each resident has an individual written contract/statement of terms and conditions to ensure that they receive the service they are paying for. EVIDENCE: The manager has produced an up-to-date Statement of Purpose, which clearly sets out the aims and objectives of the home, the services and facilities that are available to the residents living in the home. There is a Service Users Guide setting out clear information for all residents e.g. a summary of the purpose of the home, a description of the accommodation, the number of places provided and information relating to the experience and qualifications of staff team. There have been no new residents admitted to this home during the past 18 months to two years. Each resident living in the home at the time of the inspection has assessments and social history reports from the placing authority from which the care plans are developed. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 9 The home can demonstrate its capacity to meet individual needs by accessing the various specialist services required by each resident e.g. CPN’s and counsellors. All residents living in this home are able to communicate their wishes verbally. The manager has ensured that each resident has a written contract/terms and conditions for living in the home which clearly identifies details of the room to be occupied, terms and conditions of occupancy and period of notice, additional services, fees, personal support, facilities and services provided, including any specialist input and any policies or rules that may limit personal freedom and the rights and responsibilities of both parties. Each resident has their own copy of the Contract, Statement of Purpose and Service Users guide and these are maintained in individual bedrooms. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 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 Documentation in relation to care plans was found to be informative; however a shortfall was noted in recording individual resident’s dreams and aspirations, which could be interpreted as not meeting residents changing needs and personal goals. Records identified that residents are encouraged and supported to make decisions and participate in the running of the home giving individuals independence. Risk assessments are in place and individuals are supported to take risks as part of their independent lifestyle. All documentation relating to individuals is handled appropriately ensuring residents know their confidences are maintained. EVIDENCE: Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 11 Each • • • • • • resident has a personal file, which is an A4 double-sided file, containing:essential information, fact sheet and medical history, descriptive pen picture of the individual, contact details, a photograph of the individual, health information and current medication and procedures for ordering the medication. There is a section called this is me which is completed by the individual with support from staff if required. This document tells people • who I am, • where I was born, • it is vital to know, • there are things I like, • there are things I like to do, • there are things I have achieved, • the level of support I need indoors/outings, • the best way to get to know me, • things I do not like, • things I worry about or make me anxious, • the kind of support I need to help me stay healthy. There is also the client profile which gives information about • communication • physical needs • choice • interaction • environment • therapeutic activities • relaxation • calming techniques • listening techniques • sensitivity There is an activity planner which clearly identifies individuals choices about their hobbies and interests such as • relaxation • College • reading papers • local shops • piano lessons • preparing meals • discussions Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 12 • • • • • playing cards Cinema Bowling arts and crafts and listening to music This information is then transferred into a weekly activity timetable developed with the residents and a member of the staff team. The care plan element of this file was lacking, there was plenty of information relating to each resident about their past and present interests however there was nothing written clearly identifying individual goals and aspirations. It was evident throughout the inspection from talking to residents that each one of them has a future plan. During the feedback meeting it was discussed with the manager and the service manager that the care plans needed to be developed further to encompass future plans and aspirations. The manager has ensured that each resident is enabled to take responsible risks based on the information they have been given. There are ample risk assessments completed for each individual in relation to • self-care • health • domestic • emergency situations • transport • personal relationships • gardening • personal hygiene washing bathing • radiators • Windows • self harming • cooking • electrical appliances • hot water etc A gentle reminder was given in relation to several which were found to be out of date as they were dated August 04. Staff appear to respect information given to them by residents in confidence and handle all information about individual residents in accordance with the homes policies and procedures and the data protection act 1998. All personal data is stored in a locked wardrobe within a lockable bedroom. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 13 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 Residents are supported and encouraged to have the opportunity for personal development, to take part in appropriate activities, to become part of the local community and build relationships, ensuring individual independence and choice is maintained. Residents are supported and encouraged to be involved in the daily routines of the home, promoting personal independence and growth. The home provides a supply of nutritious and balanced foods ensuring residents are supported and encouraged to maintain a healthy diet. EVIDENCE: As previously stated each individual resident has their own weekly activity planner which is developed by the individual with the support of a member of staff. There is evidently a range of education and, personal development, community links and leisure activities available. Planners identified: • food shopping Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 14 • • • • • • • • • • • • • cooking a meal College people first advocacy group visit to the thrift farm trip to Milton keynes the library Church practising keyboards house meeting piano lessons relaxation watching TV, listening to music playing games. Residents are encouraged to be involved in the daily routines of the home, staff support independence and promote individual choices. Entrance into resident bedrooms and bathrooms only occur with the individuals permission and normally in their presence maintaining privacy and dignity for all residents. All residents have unrestricted access to the home and grounds each having been offered a key to their own bedroom and the front door. Residents are encouraged to undertake some responsibility for cooking and cleaning of the home. The staff strive hard to promote a nutritious, balance and varied diet. However residents prefer to choose quick easy to make fast-food. Breakfast and lunch time meals are taken as and when required with a range of drinks and snacks being readily available throughout the day. The evening meal is prepared with one individual for everybody in the home. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 15 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, Residents receive personal support in the way they prefer ensuring sensitivity and flexibility to maximise privacy dignity and independence. Residents are supported to take control and manage their own healthcare ensuring their physical and emotional needs are being met. The home has a medication policy and procedures in place, ensuring residents are safe from harm. EVIDENCE: The three gentlemen living in this home are given all the support and encouragement to live their lives the way they prefer and require. All three men are very independent needing reassurance and guidance only and are able to choose times for getting up/going to bed, bathing, meals, activities, clothes and hair styles. The manager ensures that the health care needs of each individual resident are met. The three gentlemen living in the home have access and support from their GP and any other medical professional as and when required. Health is monitored with issues being dealt with by appropriate specialists. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 16 Medication is provided by “Boots” the chemist in blister packs on a monthly basis. It is stored securely in a locked cupboard in the kitchen. However medication must not be stored in a kitchen, and it is required that a locking cabinet is purchased and fitted in either the staff sleeping in room/office or in individual bedrooms. All medication administered complied with the guidelines in the home. All medication is witnessed when there are two staff on duty and both staff sign to say it has been administered. The home is reminded that controlled medication must be double locked and recorded appropriately. There were no gaps observed in the mar sheets and clearly staff were aware of the protocols of PRN medication. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 17 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 Clear written guidance and training is available to all staff in relation to complaints or abuse ensuring residents are protected from harm. EVIDENCE: The home has a policy in relation to complaints which is reviewed and dated June 2005. The policy was found to be clear and concise and incorporated CSCI information. The policy clearly identifies the timescales given in response to each complaint received, there is a complaints record form to be completed when any complaint is received by the home. No complaints were logged. The home has a good clear POVA policy which was found to be in-depth. Two policies dated April 03 and April 04 were located in the home in separate files, one had obviously been updated and amended. The manager is reminded to destroy outdated versions to avoid staff following incorrect procedures. The home has copies of Milton keynes interagency policy books 1, 2, 3 which are utilised to record and report any suspicions of abuse to the local authority. The manager has succeeded in ensuring that all seven permanent staff have now received current up-to-date POVA training, which was a requirement of the previous inspection. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 18 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): During the course of this inspection an environmental tour did not take place. EVIDENCE: This will be inspected closely at the next unannounced inspection. However the manager is requested to self audit the environment paying special attention to carpets/floorings, decoration and any maintenance issues and forward a copy to CSCI’s area office. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 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 The staff clearly understand their roles and responsibilities, ensuring that residents care and support needs are appropriately and effectively met. The home now operates a recruitment procedure, that ensures all staff are appropriately vetted to ensure residents are safe from abuse. Documentary evidence shows a high percentage of staff are adequately and appropriately trained to ensure residents are cared for by competent and qualified staff. EVIDENCE: The manager ensures that staff have clear job descriptions and understand their own roles and responsibilities. The manager has worked hard to ensure that all staff understand the home’s policies and procedures and knowhow to promote the main aims of the home. Staff appeared to have developed good relationships with residents, they support and are able to meet individual needs, with particular attention being paid to gender, age, cultural background and personal interests. Staff seem to respect service users and are approachable, good listeners, good communicators, reliable and honest. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 20 The pre-inspection questionnaire identifies that the care staff team have all achieved NVQ level 2. Training for care staff has improved since the previous inspection when a requirement was issued in relation to mandatory training. The majority of staff, with a couple of exceptions, have now all being trained in fire prevention, manual handling, food hygiene, first aid, POVA, Aspergers syndrome, medication and SCIP. There appears to be an effective staff team in sufficient numbers to support service users assessed needs. The number of staff on duty ensure uninterrupted work with individuals, the smooth running of the home and management of any emergencies that may arise. Five team meetings have been recorded since June 05 with issues such as NVQ’s, residents, key worker roles, staff roles and responsibilities, reviews, activities, medication, and budget being discussed. The last recorded meeting took place on the seventh of October 2005, during this meeting staff utilised their time to update all risk assessments. It is recommended that staff sign that they have read and agree the minutes of each meeting. In general recruitment files were greatly improved from the previous inspection. Personnel records were found to be stored methodically for each member of staff, information was easy to locate and stored in a lockable cabinet. However, it is acknowledged that the majority of staff, if not all, were employed by previous managers. Therefore the present manager is not entirely responsible for the missing documentation and errors in the recruitment procedure. The manager is reminded to ensure that all members of staff have a job description, terms and conditions of employment, a photograph, application form, two references with authenticity if required. All staff had current criminal record bureau checks at an enhanced level in place. The manager is reminded to ensure that she receives documents identified in the National Minimum Standards, Schedules 2 and 4 before commencing new staff. The records seen confirmed that staff receive the appropriate support and supervision they need to carry out their roles adequately. Staff have received a minimum of six formal supervision sessions this year, with annual appraisals taking place in the first quarter of each year. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 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): 40, 41, 42 All the appropriate policies and procedures are in place for the protection of residents. Health and safety procedures are carried out ensuring residents are free from harm. EVIDENCE: The home has written policies and procedures that appear to comply with the topics identified in Appendix 3 of the National Minimum Standards. However it is recommended that all in-house procedures be maintained separately making sure that they do not contradict the organisation’s policies and procedures. Records maintained for the protection of residents seem to be accurate and up-to-date. Individuals have access to their own records and any information held about them in the home. All data is stored in accordance with the Data Protection Act 1998. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 22 The Registered manager ensures that policies to safeguard the health, safety and welfare of residents and staff are adhered to. Good records are maintained and appropriate checks carried out in relation to fire, however the fire risk assessment needs to be reviewed and updated and to include what to do in the event of a fire at night. The home has a 79 page health and safety policy which lists expectations for all staff, external contractors, residents and carers, it also covers fire, water temperatures, RIDDOR, COSHH etc. The organisation used to hold health and safety meetings, however the last recorded meeting took place on the 26th of May 2004, it was unclear as to whether these meetings continue. The home carries out checks in relation to first-aid boxes, monthly health and safety risk assessments and identifies any risks and actions them. Gas safety and portable electrical appliance testing are carried out annually and certificates were available in the home. The manager has produced a very detailed, very good critical incident plan, which is in the process of being completed. This covers areas such as infection control, flood, power failure, fire, evacuation, emergency contact details and resident contact details including next of kin. Generic risk assessments are in place and cover areas such as the use of cleaning materials, manual handling, use of the lawnmower, hot water etc all reviewed in October 2005 and regularly before that. The accident and incident file identified there had been two accidents since February 2005 recorded appropriately with no follow-up action required. COSHH data was found to be in place and all staff were aware of it’s location. Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Porthcawl Green (52) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score X X X 3 3 3 X DS0000030990.V258066.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? No 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 YA7 Regulation 15 Requirement Timescale for action 15/02/06 2 YA20 13(2) To ensure that the care plans incorporate residents needs, wishes and aspirations for the future. Make arrangements for the safe 30/01/06 storage of medication as identified in the main body of the report. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 Porthcawl Green (52) DS0000030990.V258066.R01.S.doc Version 5.0 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. 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