Inspection on 04/12/06 for Albany House

This inspection was carried out on 4th December 2006.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Albany House 28/09/07

Albany House 26/01/06

Albany House 28/09/05

Albany House 27/10/04

Albany House 25/05/04

Similar services:

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

The Lodge Nursing Home

Bracken House

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

CARE HOME ADULTS 18-65 Albany House 16/18 Albany Road Stratford On Avon Warwickshire CV37 6PG Lead Inspector Martin Brown Key Unannounced Inspection 4th December 2006 2pm Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Albany House Address 16/18 Albany Road Stratford On Avon Warwickshire CV37 6PG 01789 261191 01789 296359 albanyhouse@rethink.org www.rethink.org Rethink 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) Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 Brief Description of the Service: Albany House is a Home owned by Rethink (previously The National Schizophrenia Fellowship). It is an 8-bedded nursing home for people with mental health needs. It is situated within walking distance of Stratford town centre and local parks. The home aims to provide a supportive residence in which 8 people with enduring mental health needs can have a sense of belonging, be treated with respect and exercise choice in their daily lives. Each individual is encouraged to participate in activities suited to their own needs and wishes, to access local resources and facilities and to manage social and familial relationships beyond the home. Through the long term development of trust between residents and staff, the fostering of hope and focus on the strengths, the home endeavours to enable people to approach their potential and to achieve some recovery in the quality of their lives. Current fees per person per week range from £335.60 to £411. This does not cover clothing, toiletries, and personal holiday costs. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been made using evidence that has been accumulated by the Commission for Social Care Inspection. This includes information provided by the home, questionnaires returned by residents and relatives, and a visit to the home. Comment cards had been sent to the home, to enable residents at the home and relatives to give their confidential views on the home and the service it provides. None were received by the Commission prior to the inspection. A pre- inspection questionnaire was sent to the home, to be filled in and returned by the management. This was also not received prior to the inspection. Neither the acting manager nor the staff were able to identify the whereabouts of these documents. The inspection visit was unannounced, and took place on 4th December 2006, between 2pm and 7.30pm. A tour of the premises was made, relevant documentation was looked at, staff and residents spoken with, and observations of the home in action were made. ‘ Case tracking was used; that is, the records and experiences of a sample of two residents were looked at in detail. Staff, management and residents were welcoming, helpful, and friendly throughout. What the service does well: Staff showed a good knowledge of residents’ needs and of how to support them. Residents are able to make small and major choices about their lives. Residents were positive about the service provided, and about the support offered. The service appears to strike a good balance between allowing individual choice and freedom, and encouraging personal development. Residents are supported to be more independent in areas such as managing their own medication, and those residents spoken to about this expressed a degree of satisfaction with being able to exercise increasing amounts of independence. The service continues to manage health needs of residents well and has good contacts with and support from the relevant outside specialists. Residents continue to enjoy spacious, comfortable and ‘homely’ surroundings. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 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. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Given the length of time since the previous admission, which was deemed to have involved a satisfactory assessment, there is an expectation that the service will do a full assessment of how it can meet the aspirations of any new resident, alongside any assessment of how it can clinically meet their mental health needs. EVIDENCE: There has not been an admission to the home for over eighteen months. Previous inspection reports looked at this process of admission and found it to be satisfactory, with an assessment of needs by the home having taken place. Discussion with staff concerning the assessment process confirmed that this would be the case with future admissions. The statement of purpose details the limitations on the needs of people who can be accepted by the service. This precludes people with severe learning disabilities. It was not seen that there was anyone residing in the home whose level of learning disability was such as to require a specific service or a variation in registration. The statement of purpose, although a useful document, requires updating, so that details regarding the availability of a minibus, manager’s details, are up to date, and expectations of residents in doing chores and self-care tasks are explicit. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 9 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, 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ health needs and risks are reflected in individual care plans, and staff are aware of individual needs and wishes, but at present, residents’ development may be compromised because individual plans do not clearly reflect personal goals and how they are to be achieved, and in a manner that is ‘user friendly’. The full implementation of individual ‘recovery’ plans should rectify this. Residents are supported to make decisions and to take risks. EVIDENCE: A sample of three individual care files was looked at. Individual risks and needs were identified and actions for managing these were detailed in care plans identified by numbers – care plan one, two, three, etc. Particular medical needs were identified, such as weight monitoring, and blood pressure monitoring, and these were seen to be managed and recorded, and to be regularly reviewed. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 10 Individual care plans dealt less clearly with individual aspirations and how these were to be managed. Individual files looked at did not have clear, up-todate user-friendly guides to individual needs and wishes that would assist, for example, a new member of staff to become quickly familiar with a resident’s most pressing needs and aspirations, as well as providing a focus for that resident’s development. The team leader noted the dual nature of current care plans, with the emphasis on the ‘clinical’ care needs, which emphasised the management of identified mental health issues, and the ‘recovery’ plans, which work towards individual goals. Although staff were able to knowledgably discuss residents goals and progress, the ‘recovery’ plans are not yet fully complete. One resident discussed his long term goals; it was not clear on his care plan how far this had progressed, although other elements of his health and care needs were well-documented and regularly reviewed. His file included a couple of items that were important to him, namely a menu and a picture and writing about a dog, but did not give prominence to his expressed wish to move, and how this was to be achieved. One resident had just returned from a visit to another establishment, and was in the process of making a decision, with appropriate advice and support, about whether or not to commit to a move. Discussion with staff and examination of files showed individual risk, as part of moves towards independence, being allowed and managed. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 11 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): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to activities and to families and social contacts as wished. Residents are encouraged in a healthy diet, and enjoy choice and flexibility at mealtimes. EVIDENCE: On the day of the inspection two residents attended a day service, others had been out locally to shops, one had been to another home. Residents, when asked, said there was enough to do, staff advised that in many cases, the main issue was in being able to motivate residents to go out. No–one complained of a lack of opportunity to go out, the consensus was that they had routines that they found fulfilling and enjoyed low-key activities, such as music, DVDs and televised sport, in the house. The staff were positive about the progress individuals had made in terms of going out, and partaking in activities and chores around the house. Residents were observed to be active to varying degrees in self-catering, chores of individual and communal living, and in relaxing. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 12 Residents continue to have family and social contacts to varying degrees that they feel comfortable with. One resident was keen to move in order to live nearer, but not with, his family, and in an area he is more familiar and happier with. The service encourages and supports residents to self-cater, but provides meals for those not yet at that stage, for whatever reason. Mealtime was seen to be a relaxed, easy-going affair, in which people were tolerant of each other’s needs, with a ‘main’ meal being prepared, and several people being supported to preparing their own meals, with varying degrees of help. The fridge and cupboards have to be locked, because of one person’s tendency to take other people’s food, but other residents all have a key to access the food. This was cited by staff and residents as one of the drawbacks of communal living. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and health care support is provided to meet individual needs, with appropriate involvement of outside professionals where required. Residents are gaining confidence and skills in handling and managing their own medication. EVIDENCE: Evidence was seen on individual care plans of the involvement of outside professionals to advise on and monitor conditions and well-being. Staff were very positive concerning psychiatric input to the service. Residents were positive, in a low key way perhaps typical for this client group, concerning the care and support available, with “It’s OK” and “It’s pretty good” being representative of the remarks made. Residents are encouraged to self-medicate as a step towards independence. This is managed according to carefully laid-out guidelines that were explained in detail by staff. Residents spoken to on this subject said they were pleased at being able to self-administer medication, and felt secure knowing that their progress in this was monitored and checked by staff. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 14 Staff advised that ‘spot checks ‘ were done to an agreed protocol, which was seen, and that no anomalies had been noted. A ‘blister’ pack system, used in domiciliary care services, is used for the self-administration. All residents have lockable cabinets in their rooms for storing medication. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents may benefit from a greater awareness of how to complain. Residents are generally protected from abuse, but there is a slight risk of financial abuse under current operations, which have to balance residents’ rights and independence, in finances as in other areas, with the service’s duty to protect. EVIDENCE: A complaints log was seen, which was empty. Staff advised that complaints go to the head office, and copies were not kept in the home. This was the case with one complaint, because of its confidential nature. Records of residents’ meetings were looked at. These showed complaints, such as the kitchen door being shut, being raised and addressed in those meetings. During the inspection, residents also raised issues such as carpets being dirty, through what was viewed as one individual’s actions, and of having to have food locked up. Staff agreed that these may be suitable topics for the complaints log, and that they may be addressed more appropriately in that format. Some dissatisfaction was expressed by one resident concerning living in a group setting. Records of individual finances were seen. These were accurately recorded, with clear details of balances and how money was spent. Withdrawals via cash card were noted in a separate book; it was not clear how all this money was spent. The manager agreed that this was a potential weak point in the current finance system. She advised that monies are checked on a random basis during visits by the registered provider, but that there is no outside audit. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to have a safe, comfortable and homely place to live, with roomy, individualised bedrooms, and pleasant communal areas. Redecoration of the stairways and hallways would make this area more pleasant for residents. EVIDENCE: The downstairs communal areas continue to be homely and appreciated by residents. Two residents commented on the carpets in the dining room and upstairs as being dirty and in need of replacement. They both attributed this to the habits of one resident. Both areas show signs of wear and ingrained dirt. The hall and stairs and landing are oppressively green, with walls, ceiling, skirting boards, and window frames all being green. Paintwork on the banisters is worn. Staff and residents agreed that this area was in need of redecoration. One resident remarked, “I don’t like green”. Two bedrooms were shown to me by residents. Both rooms were spacious, well-decorated and individualised, and both occupants said they liked their rooms. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 17 The home was clean, and free from unpleasant odour. The conservatory is used as a smoking area. The bathrooms, showers and toilets were clean. One bathroom has a large clear window, covered by a yellow roller blind in a permanent shut position, which became detached when opening was attempted. The manager agreed that frosted glass or similar would be a better way to ensure privacy and dignity in this instance. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 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 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): 32, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to benefit from the attentions of a consistent staff team that is familiar with their needs. Staff consistency may be compromised by supervision not taking place regularly, and by all relevant staff not having confirmed their agreement with the management of the risks associated with lone working. EVIDENCE: There were two staff on the morning shift, and two staff on the afternoon shift, with a two hour overlap in the middle of the day where four staff are on duty. There is always one qualified nurse on duty, supported by a mental health worker. The service has just introduced lone night working. Previously there were two night workers on duty. Appropriate risk assessments and protocols were seen to be in place to cover eventualities. However, risk assessments for individual staff to see and sign had not been completed. Residents spoken to on this matter did not see any detrimental impact on their well-being because of the change. Staff spoken to also said that the new system had been working satisfactorily. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 19 Recruitment procedures are satisfactory, with the samples looked at including written references and confirmation of satisfactory Criminal Record Bureau checks. The manager advised that the home has benefited from a consistent staff team, and that bank staff, rather than agency staff, are used, if necessary. Staff spoken with showed a thorough knowledge of individual residents’ needs and the skills to help meet those needs. Individual discussion and an examination of individual training records demonstrated that the service continues to provide required training for staff. Staff showed a good awareness of issues such as abuse, and of basic safety procedures, and were committed to implementing ‘Recovery’ as a way of enabling residents to progress. Supervision records were looked at. Gaps in these showed that supervision is not taking place at least six times a year. Yearly appraisals were seen to be taking place. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. At present, the service does not benefit from having a permanent qualified manager. It is not clear that Quality Assurance fully reflects the views of those living at the home or of significant others. The wellbeing of those living in the home is compromised by the fact that not all yearly safety checks have taken place. EVIDENCE: The home currently has a recently appointed acting manager, who is qualified in Business and Finance but who does not have the Registered Manager’s Award. She advised that the organisation was advertising for a new manager in the New Year and that a qualified manager will be in place by February. The home has had three managers during the past year. The inconsistency in having a number of managers in a short while is evident in a number of areas, from the sporadic nature of staff supervisions, the apparent loss of service user and relatives’ comment cards and the pre-inspection questionnaire, the uncertainty of staff and management concerning the whereabouts of information, and the lack of clarity in aspects of individual care plans. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 21 Reports of the ‘Regulation 26’ visits by the registered provider were seen, as was a ‘Rethink’ audit done in February, and a self-assessment checklist done in October 2005. There was a lack of evidence available during the inspection to show that concerns of residents were elicited as part of any Quality Assurance process. The acting manager advised that some residents had difficulty coming to terms with ‘change’, in particular the notion that they took a bigger part in self-care and in chores in the house. It was not clear how much say residents had had in this change, commendable though it may be. In the absence of a completed pre-inspection questionnaire, safety records were looked at during the inspection. A gas safety check had not been done since April 2005, and a portable electrical appliance test had not been done Since October 2005. Hot water testing was seen to be done, as had legionella testing. Fire safety tests were up to date, and staff showed a good knowledge of fire safety procedures. Control Of Substances Hazardous to Health (COSHH) items were kept safely, but staff had some difficulty finding the information sheets regarding these. They were eventually found in a folder labelled ‘chemical information’, which a staff amended to a more suitable title. Discarded needles are kept, and disposed of, appropriately. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 2 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 X 3 X X 2 x Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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. 2. Standard YA1 YA6 Regulation 4 15 Requirement The statement of purpose must be updated The provider must ensure that the residents’ care plans clearly identify goals and aspirations, and how they are to be met, as well as meeting ‘clinical’ needs. Residents’ care plans must be sufficiently ‘user friendly’ to facilitate their informed involvement in them. The hallways, stairs and landing are to be redecorated. (This is outstanding from the previous inspection). A more suitable way of ensuring privacy in the upstairs bathroom is required. Recorded supervision must take place at least six times a year. The home must have a suitably qualified and registered manager. All risk assessments regarding lone working must be completed and signed by the relevant staff. All staff must be aware of the location of the ‘COSHH’ file Gas safety checks must take DS0000004382.V314856.R01.S.doc Timescale for action 05/03/07 05/02/07 3. YA6 15 05/02/07 4. YA24 23 05/03/07 5. 6. 7. 8. 9. 10. YA27 YA36 YA37 YA42 YA42 YA42 23 18(2) 8,9 13(4) 13(4) 13(4) 05/02/07 05/03/07 05/02/07 15/12/06 15/12/06 15/12/06 Page 24 Albany House Version 5.2 place yearly 11. YA42 23(2)(c) Portable appliance checks must take place yearly. 05/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard YA6 YA22 YA23 YA23 YA24 YA39 Good Practice Recommendations It is recommended that all care plans include a ‘user friendly’ ‘pen picture’ It is recommended that more consideration be given to raising residents’ awareness of the complaints protocol. It is recommended that the service has a protocol that enables residents to use cash cards whilst minimising the possibility of abuse. It is recommended that the handling of residents’ finances is subject to, at intervals, an independent auditor. The dining room floor would benefit from refurbishment. It is recommended that the service ensure that residents’ views are fully elicited as part of the Quality Assurance process. Albany House DS0000004382.V314856.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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. 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