Inspection on 14/11/06 for Aldyn Care Home

This inspection was carried out on 14th November 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 no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Aldyn Care Home 08/12/05

Aldyn Care Home 15/07/05

Aldyn Care Home 04/11/04

Aldyn Care Home 12/05/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Aldyn Care Home 25-27 Canada Grove Bognor Regis West Sussex PO21 1DW Lead Inspector Mr E McLeod Unannounced Inspection 14th November 2006 09:30 Aldyn Care Home DS0000043596.V315653.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 Aldyn Care Home DS0000043596.V315653.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. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aldyn Care Home Address 25-27 Canada Grove Bognor Regis West Sussex PO21 1DW 020 7640 2816 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) Mr Babajide Folarin Ademujimi Mr Babajide Folarin Ademujimi Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only service users under 65 years of age are to be admitted Total number of persons accommodated must not exceed twelve. Date of last inspection 8th December 2005 Brief Description of the Service: Aldyn is a care home registered to accommodate up to 12 service users in the category of younger adults (18-65) with a mental illness, up to 3 of whom can be over the age of 65. The registered provider is Mr Babajide Folarin Ademujimi, who is also the registered manager. The premises are sited near Bognor Regis town centre, with access to bus and train services, shopping and other community facilities. At the time of this inspection, all residents accommodated were male. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection visit was arranged to follow up requirements made at the previous inspection, and to make an assessment of how the service is performing against key national minimum standards. Written information on the service received from the provider was taken into account in the planning of this visit, and some of that written information has been included in this report. The inspector interviewed two residents, two members of staff, and the registered manager. A partial tour of the premises was made, and three sets of care records and two sets of staff recruitment and training records were sampled. A number of policies and procedures, including those relating to adult protection and medication were sampled by the inspector. The inspector was accompanied by an expert by experience, who interviewed five residents, observed interactions between residents and staff, and did a partial tour of the premises. What the service does well: The inspector found there to be a good atmosphere in the home, which is being encouraged by the manager/ owner of the home. Care staff levels are ensuring a level of uninterrupted work with individual residents is maintained. Staff are providing sensitive and flexible personal support and care. Residents are being supported to enjoy their leisure time, make use of local community facilities, and maintain contact with friends and relatives. Residents are contributing to the day to day running of the home, and being supported to develop their independence skills. Residents are only admitted to the home after suitable assessment and a trial stay, to ensure their needs can be met. Aldyn Care Home DS0000043596.V315653.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. The summary of this inspection report can be made available in other formats on request. Aldyn Care Home DS0000043596.V315653.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 Aldyn Care Home DS0000043596.V315653.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. JUDGEMENT – we looked at outcomes for the following standard(s): YA1, YA2 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. Prospective residents have the information they need to make an informed choice about where to live. Residents are only admitted to the home after suitable assessment and a trial stay, to ensure their needs can be met. EVIDENCE: The statement of purpose and service user guide, which provide information on the service for residents and prospective residents, have been updated. The resident group is unchanged since the previous inspection, as no vacancies have become available. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 9 Written procedures and discussions with staff indicate that arrangements are in place for the pre-admission assessment of prospective residents, trial stays, visits, and overnight stays. The fees are £300 to £600 per week. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA6, YA7, YA9 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. Care plans are not fully reflecting how the resident will be assisted to meet his or her changing needs and aspirations and achieve goals, and the arrangements for supporting residents with their finances. Residents make decisions about their lives with assistance as needed. Residents are being supported to take responsible risks as part of an independent lifestyle. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 11 EVIDENCE: Three sets of care plans were sampled. It was evidenced from discussions with staff, residents, and the registered manager, and from residents’ questionnaires, that good one-to-one work is taking place with residents. Care plans seen had been updated within the past six months. Records seen indicated that Care Programme Approach reviews with the local community health teams were taking place once or twice a year for each resident, and that some residents were receiving placements reviews with their sponsoring authority. It was the view of the inspector that the care plans seen could be extended to better show how the resident will be assisted to meet his or her changing needs and aspirations and achieve goals. For example, one resident said they had been entering crossword competitions with the assistance of a member of staff, and was disappointed that this no longer happened. The inspector took the view that this activity could reasonably be included in the care plan. Residents interviewed by the expert by experience indicated that residents felt that their views were listened to at residents’ meetings and those facilities such as a new shower have been provided as a result of suggestions made at a residents’ meeting. Discussions with staff indicated that residents are receiving support with managing their own finances. The inspector was advised that some residents are receiving independent support with managing their finances. Care plans seen did not always indicate what the arrangements for supporting residents with their finances were. Residents take part in the day to day running of the home, such as some of the housework and shopping, and through the residents’ meetings they contribute to the planning for social occasions such as Halloween and Christmas and to menu planning. Attendance at college courses and local centres is also supporting residents to develop their independence skills. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA12, YA13, YA15, YA16, YA17 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. Residents are able to take part in age, peer and culturally appropriate activities. Residents are making use of facilities and services in the local community, and have the opportunity to contribute to the local community through voluntary work. Staff are supporting residents to attend work, education and training. Residents have appropriate personal, family and sexual relationships and are supported by staff to maintain contact with friends and relatives. Residents are offered a healthy diet and enjoy their meals and mealtimes. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 13 EVIDENCE: Recreation in the home is provided by board games, TV and videos/ DVDs. Facilities accessed by residents in the community include a leisure centre, bingo, library, work training, college and day centres. On the day of the inspection one resident was attending a computer skills course, and staff said they had attended college with him on his first day, and continue to support him with reminders to attend the courses. The resident had also been supported to try voluntary work in charity shop, but didn’t enjoy it and chose to stop doing it. Another resident who was case tracked does shopping for the house, and enjoys watching football on TV on Saturdays and Sundays, and enjoys the social aspect of sitting down with other residents to watch the games. One recent event which he said he had enjoyed had been a barbecue on the beach. Staff gave examples of how residents are being supported to maintain contact with family and friends. A visitor’s policy is in place. Residents said they got along well together, and one resident said “the company is good”. Residents have been meeting with staff to plan Christmas arrangements together, and records for this were seen. Staff advised that residents who’ve requested locks on their doors have had these done. Staff hold a master key in case of emergences. As an example of residents being supported towards more independence, one resident was noted to be managing his own finances, to do his own shopping, hold front door keys, and attend college and GP appointments/blood tests by himself. A lunch was observed. Residents were having lunch at the time of their choice, and residents were turning up at different times to eat. Residents were able to have an alternative if they did not want the main choice. One resident Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 14 said to the expert by experience that “you can ask for something else if you do not like a meal” and that “if you want something from the kitchen, staff will come straight away”. Residents spoken to generally thought the food was good. Registered manager Mr Ademujimi said that the kitchen was generally open until around 11 p.m. when the on call member of staff went to bed, and that residents could take flasks of drinks for after that. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): YA18, YA19, YA20 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. Residents receive personal support in the way they prefer and require. Residents’ physical and emotional health needs are met. Residents retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Interactions observed between staff and residents indicated that residents are being supported to maintain their independence and express their preferences. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 16 Questionnaire feedback from residents gathered by the home indicated that residents feel well supported by staff, and find staff, approachable and understanding. Interviews with residents undertaken by the expert by experience indicated that staff are seen as easygoing and intelligent. Residents interviewed advised the expert by experience that staff had been taking more time to listen to residents. It was the observation of the expert by experience that staff “treated residents politely and with respect”. Care records seen indicated that residents are being supported to access the health care services which they are in need of. Medication procedures for the home were sampled. Care staff in the home who administer medication are receiving an accredited training in this. Case tracking on three residents indicated that residents’ medication is being reviewed on a regular basis. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): YA22, YA23 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. Residents feel their views are listened to and acted on. Residents are protected from abuse, neglect and self-harm. EVIDENCE: Residents interviewed by the expert by experience felt that their views were being listened to. For example, after it was suggested in a residents’ meeting that a new shower would be helpful, a new shower was installed. A complaints procedure is in place, which residents are aware of. No recent complaints are recorded in the complaints book. Residents are being supported to manage their own financial affairs, although these arrangements were not always being recorded in care plans seen by the inspector. The home’s adult protection procedure has been updated – this now advises staff of the provider’s legal responsibility to refer staff found to have harmed Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 18 residents to the PoVA register. Staff are receiving training in adult protection issues, and staff interviewed had an understanding of adult protection issues. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): YA24, YA27, YA28, YA30 The quality of outcomes for residents in this section is adequate. The judgement has been made using available evidence, including a visit to the service. Key improvements have been made to make the premises more homely and comfortable, and these improvements need to continue. The garden needs to be made safer for residents. The home is clean and hygienic. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 20 EVIDENCE: Improvements to the premises since the previous inspection include the redecoration of the smoking lounge, and redecoration of 4 bedrooms. Two bathrooms have been refurbished, and a new shower has been installed. Most bedrooms have been changed from carpets to laminate flooring. The smoking lounge continues to be the main communal area in the home. This also has a TV with good reception and satellite channels, including the sports channels appreciated by several of the residents. The back garden was noted to have some safety risks for residents – the garden shed is dilapidated and collapsing to one side and inwards from the roof, and there were a number of sharply broken tiles leaned against the wall outside the kitchen. Rubbish collecting in the garden also included a mattress and some old flooring. It was noted by the expert by experience that the house is not specifically adapted for people with physical disabilities which might restrict some referrals. Some of the furniture seen in some bedrooms by the inspector and expert by experience was in need of replacing, and they also thought that the house interior could be further brightened up and made more homely. All parts of the home visited were clean and hygienic, and residents interviewed said the cleaner was very good. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): YA32, YA34, YA35 The quality of outcomes for residents in this section is good. The judgement has been made using available evidence, including a visit to the service. Residents are supported by competent and qualified staff, and value the work done by key workers with them. Residents are supported and protected by the home’s recruitment policies and practices. Residents’ individual and joint needs are being met by appropriately trained staff. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 22 EVIDENCE: There are 3 full time and 1 part time care staff, the registered manager, and one domestic who is contracted for 35 hours per week. One care worker has left since the previous inspection. Staff rotas sampled indicate that one or two care staff commence at 7am or 8 am, sometimes a further care staff commences at 11 am, one or two staff cover the afternoons, sometimes only one care staff covers after 3 pm, often only one care staff covers after 7 pm. Staffing levels have been improved with the employment of a full time domestic staff, which Mr Ademujimi felt allows care staff to get on with working with residents. On the day of the inspection, staffing numbers were adequate to allow staff to undertake some one to one work with residents. The expert by experience noted that to be good interaction between staff and residents. A key work system is in place, and staff interviewed gave examples of the one to one work they have been undertaking with residents to meet the aims and goals described in the individual’s care plan. Resident questionnaires seen indicate that residents value the job done by their allocated key worker, and see the key worker in a positive light. There has been recent adult protection training, and training in first aid, mental health care, and care planning are planned for early 2007. One member of staff interviewed said he had attained a certificate in the administration of medicines, and other recent training had included sessions on understanding psychosis, working with challenging behaviour, and mental health issues. He confirmed he receives regular 1-1 supervision which is recorded, which focuses on work and training issues, including what he feels he has learned during any recent training. Two sets of staff recruitment records were sampled. It was noted that there had been a delay in making one CRB application, which had subsequently been rectified. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): YA37, YA39, YA42 The quality of outcomes for residents in this section is adequate. The judgement has been made using available evidence, including a visit to the service. Residents’ benefit from a well run home. Service users cannot be confident that their views underpin all self-monitoring, review and development of the home. All policies and procedures need to be dated and signed by the registered manager. The registered manager must ensure that risk assessments are carried out for all safe working practice topics covered in standards 42.2 and 42.3, and that significant findings of the risk assessment are recorded. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 24 EVIDENCE: Mr Ademujimi has now gained the Registered Manager Award (for which the certificate was seen) – and said his main learning in the past year has been in budgeting skills, and how training affects client care. He believes that time for staff training is better managed than previously. He said there was more emphasis on one to one support with residents, and sitting down and talking with them. Residents interviewed confirmed this, and one resident said, “the manager really cares”. The inspector noted there to be a good atmosphere in the home, which is being encouraged by the management style of the registered manager. Completed questionnaires from around ten residents seen indicated general satisfaction with the service. For example, statements made residents about their relationship with their key worker included replies such as “happy”, “very good”. The views of relatives and friends of residents, and of stakeholders in the community are not presently being recorded in a systematic manner. A quality monitoring policy dated July 2006 does not indicate how the views of residents, their friends and relatives, and stakeholders in the community will be gathered, assessed and inform the home’s annual plan. The formal process for ensuring that the views of residents underpin the self-monitoring, review and development processes in the home is therefore not taking place. There have been recent fire equipment, fire alarm test, central heating and emergency lighting checks. Policies and procedures sampled by the inspector included aggression towards staff, bullying, and infection control. Not all policies and procedures seen had been dated or signed by the registered manager. A maintenance book was seen, but the entries were not dated, did not indicate what work had been carried out and when. Accident records were sampled. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 25 Regular environmental safety checks or risk assessments, such as might identify the environmental hazards noted by the inspector in the back garden, were not being undertaken in the home at the time of the inspection. Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 3 X 1 2 X 2 x Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 27 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 YA39 Regulation 24 Timescale for action It is a requirement that a system 02/03/07 for seeking the views of residents on the service be put in place. Views on the service of residents’ relatives and friends, and of stakeholders in the community, need to be sought, and the results of service user surveys need to be published and made available. (Previous timescale of 11.3.06 not met) 2. YA42 13.4 The registered manager must ensure that risk assessments are carried out for all safe working practice topics covered in standards 42.2 and 42.3, and that significant findings of the risk assessment are recorded. (previous timescale of 11.0.06 not met) 3. YA24 23 The garden needs to be made safer for residents and tidied up. 02/02/07 02/02/07 Requirement Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 28 4. YA6 15 5. YA40 17 Care plans should provide better advice for staff on the range of the resident’s care needs, and how these are to be met All policies, procedures, codes of practice and records should be signed by the registered manager and be dated, monitored, reviewed and amended as appropriate 02/02/07 02/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Aldyn Care Home DS0000043596.V315653.R01.S.doc Version 5.2 Page 30 - 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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