Inspection on 22/02/06 for Aytun Care Home

This inspection was carried out on 22nd February 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 15 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Aytun Care Home 31/08/07

Aytun Care Home 27/06/06

Aytun Care Home 13/10/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Aytun Care Home 33 Strode Road Forest Gate London E7 0DU Lead Inspector Lea Alexander Unannounced Inspection 22nd February 2006 2:45 Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 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 Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 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. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Aytun Care Home Address 33 Strode Road Forest Gate London E7 0DU 020 8555 6097 020 8555 6133 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) FBP Ventures Ltd Mrs Yetunde Majekodunmi Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registration is for 3 adults with a mild/moderate learning disability, either sex, in the category of LD, 1 of whom may have both a learning And physical disability. 13th October 2005 Date of last inspection Brief Description of the Service: Aytun Care home is a three bed roomed house in a residential area of Forest Gate. It completed the registration procedure in January 2005. The home accommodates three adult service users with learning difficulties. The home is situated close to the local shopping facilities at Forest Gate and nearby Stratford. There is good access to public transport with train, tube and bus routes nearby. This was the homes second inspection under National Minimum Standards. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the Inspectors second visit to the home. The Inspection was carried out over the course of an afternoon, and the main focus was to establish progress with the 27 requirements and 1 recommendation made at a previous inspection on the 13th October 2005. The Inspector met with the Deputy Manager, sampled personnel records and service users personal files and other relevant documentation. The Inspector also toured the premises. What the service does well: What has improved since the last inspection? What they could do better: Twelve requirements made at an inspection on the 13th October 2005 were restated, and a further three requirements were restated. The home must improve its practise in assessing potential service users and obtaining relevant information from other professionals. Potential service users must also have the opportunity to test drive the home and when they move in they must enter into a contract with the home. Service users individual plans and risk assessments must address all areas of personal, social and healthcare need. Service users should be more involved Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 6 in the day to day running of the home and a quality assurance process should be implemented. A copy of the homes business and financial plan and insurance cover must be available for inspection. 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. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 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 Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 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, 4 & 5. The home has not evidenced that it comprehensively assesses the needs of service users prior to their admission. EVIDENCE: The previous inspection had required the home to revise its statement of purpose and service users guide. The Inspector sampled these documents and noted that these had been revised and that they comply with National Minimum Standards and accurately reflect the current situation within the home. Since the last inspection one service user has been discharged and two service users have been admitted. The previous inspection had required the home to develop its assessment processes as part of the admission procedure. The Inspector sampled the file for one recently admitted service user and noted that there was no comprehensive needs assessment available. The only information available from the Care Management Team consisted of minutes of a review meeting. This did not contain detailed information of the service users needs. The home had completed its own brief “Activities of Daily Living Assessment” but this was restricted to one-line answers. A waterlow assessment and nutrition assessment had been completed. There was no evidence that the service user had been given the opportunity to “test drive” the home prior to admission. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 9 The Inspector sampled two service users personal files but was unable to locate a copy of a contract between them and the home. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 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, 8, 9 & 10. The homes individual plans and risk assessments do not comprehensively address service users support needs. EVIDENCE: The Inspector sampled the homes individual care plans for a recently admitted service user. This contained information regarding their support needs with personal care, assistance with eating and attendance at medical appointments. The Inspector noted that information from the service users previous placement identified support needs with regard to challenging behaviour. No reference had been made to this in the current individual plan. The individual care plan did state that a separate continence management plan had been devised for this service user, but the Inspector was not able to locate this. The Inspector sampled the individual plan for a more established service user and noted that an original care plan had been developed in March 2005 and that this had been reviewed in September 2005. Two service users personal files were sampled with regard to the homes risk assessment and management practises. The home has developed its own risk assessment tool and this was completed for both service users. However, the Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 11 risk management section of the tool had not been completed for one service user. This had been a requirement of the previous inspection and is therefore restated. This risk assessment had been completed in February 2005 and it was not evidenced that it had been reviewed in the intervening period. Another service users personal files contained information that indicated the potential for challenging behaviour. A generic risk assessment addressing swearing was available on their personal file but there was no risk assessment to address other forms of challenging behaviour that may occur. One of the service users sampled is a wheelchair user and requires assistance with all transfers. No manual handling risk assessment was available to address this area. The Inspector asked to see the minutes of service users meetings and was advised that these are not currently occurring. The Inspector viewed the homes confidentiality policy and noted that this had been revised as required by the previous inspection. Key standard 7 was not inspected on this occasion. It was inspected on the 13th October 2005 and assessed as met. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12 & 14. Service users are supported to engage in occupational, leisure and communitybased activities. EVIDENCE: The Inspector sampled the personal file for a more established service user. This included an “Independent living skills summary”. This outlined how the service user should be supported with domestic tasks such as cooking and cleaning. The summary was not signed or dated. Sampling of two service users personal files evidenced that service users are supported to identify and participate in occupational, leisure and communityactivities. One service user attends a day service for five days each week and also has regular visits to their family. At weekends they are able to choose between spending time at the home and engaging in community leisure activities. This service user is also regularly supported to attend the church of their choice. The activities recording in the daily log sheet for another service user evidenced that they have been supported to go bowling, have a pub lunch, Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 13 visit the barbers and register with a new GP in the weeks since moving to the home. Key standards 13, 15, 16 and 17 were not inspected on this occasion. They were inspected on the 13th October 2005 and assessed as met. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 20. The homes medication administration, storage and recording practises safeguard service users well-being. EVIDENCE: The previous inspection had identified a series of shortfalls with regard to the homes medication storage, administration and recording practises. The Inspector noted that the majority of these requirements had been addressed. The Inspector sampled the Medication Administration Record (MAR) for two service users. This was fully completed. The Inspector checked the medication available for one service user against that listed on the MAR and found that the two correspond. Service users continue to have their own medications stored in a lockable cabinet in their room, however since the last inspection the cabinets have been replaced with ones more suitable for the purpose. All medications were found to be stored appropriately within these cabinets. The home has also revised its medication policy to include self-medication and a risk assessment framework to manage self-medication. However, a requirement to include the management of controlled drugs within the policy remains outstanding. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 15 The previous inspection had recommended that service users individual plans be developed to include information on how service users prefer to receive their personal care. Sampling of two service users individual plans did not evidence that this had been implemented and the recommendation is therefore restated. Key standards 18 and 19 were not inspected on this occasion. They were inspected on the 13th October 2005 and assessed as met. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. The homes adult protection policy and recent staff training protects service users from abuse. However the home must develop its complaints procedure and complaints recording practises. EVIDENCE: The Inspector was unable to locate the homes complaints policy, and noted that it was not listed in the policy and procedure file index. A summary of the policy was available in the service users guide and statement of purpose. The Inspector viewed the home complaints log. To date no complaints have been received. The Inspector noted that the log does not contain a reporting format. A format should be developed and transposed into the log that includes details of the complaint, the investigation and the outcome. Since the last inspection the home has developed an adult protection policy. This includes definitions of abuse and gives guidance to staff on the actions to be taken if abuse is suspected. The deputy manager advised the Inspector that a round of adult protection training has been held since the last inspection and that a number of staff have successfully completed this. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27 & 30. Service users benefit from a comfortable and generally well-maintained environment. EVIDENCE: The Inspector toured the communal and staff areas and one service users bedroom. The accommodation comprises of an entrance hall, communal lounge and dining area. The lounge has been decorated with photographs of service users since the last inspection. There is a large kitchen to the rear of the property with access via patio doors to a lawned garden. The communal lounge/dining area has a sofa and other comfortable seating and has a TV and stereo system. Also on the ground floor there is a large bathroom with bath, WC and washing machine and one service user bedroom. On the first floor there is a staff office, storage cupboard, small shower room with WC and a further two service users bedrooms. The homes premises provide sufficient private and shared space for service users and furnishings and equipment are of a domestic nature. Fire door returns have been installed to enable staff and service users to keep fire doors open without having to wedge them. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 18 The Inspector noted that the majority of maintenance and repairs identified at the previous inspection had been attended to. All cleaning materials were appropriately stored in a locked cupboard. Each service user has a bedroom that has been comfortably furnished and has a private wash hand basin. Service users have the opportunity to personalise their bedrooms if they wish. The Inspector found the premises to be clean, hygienic and free from offensive odours. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 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. Service users benefit from appropriately supervised staff with clearly defined roles. However, the home must improve its pre employment checks to ensure that service users are safeguarded. EVIDENCE: The Inspector viewed the homes recruitment policy. This requires revision to state that staff will only be employed upon receipt of two written references and an enhanced level Criminal Records Bureau check. The Inspector sampled two staff personnel files. These evidenced that since the last inspection the home has applied for and obtained “POVA first” checks and enhanced level Criminal Records Bureau checks for staff members. One personnel file contained two references; the other contained only one. The deputy manager advised that the missing reference had been returned to the referee for a company stamp, but that no copy had been retained. Photocopies of proofs of identity were found in both staff files. Completed induction programmes signed by both parties and copies of job descriptions were also found on both of the personnel files sampled. The Inspector examined the supervision records for a long-standing staff member. These evidenced that supervision had occurred on bi monthly basis Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 20 and that the home was on target to provide a minimum of six supervisions over the year. In addition to the registered manager and deputy manager a support worker is on duty during the day. At nighttime a singleton support worker provides cover at the home. Two staff members are currently undertaking NVQ level 3 studies and another staff member is undertaking NVQ level 2. The deputy manager advised that the home does not currently have a training and development programme for staff. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 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): 37, 39, 40, 41, 42 & 43. The home has improved its health and safety practises and records. However, it has yet to fully develop or implement a quality assurance process. EVIDENCE: The registered manager was not on duty at the time of this inspection. The deputy manager advised that the registered manager is currently studying NVQ level 4. The previous inspection had required the home to develop its quality assurance policy and procedure. The deputy manager advised the Inspector that a draft questionnaire for service users relatives and professionals had now been developed but had yet to be issued. They also advised that the home is considering the most appropriate means to obtain quality assurance feedback from service users and as yet has not made a decision. Since the last inspection the home has indexed it policy and procedure file. These are now readily accessible and those polices sampled generally meet the Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 22 requirements of regulation. Policies requiring revision have been identified in other sections of this report. The Inspector sampled a number of the homes health and safety records. A fire evacuation drill had been carried out in January and February and was recorded with evacuation times. Fridge and Freezer temperatures had been recorded on a daily basis and were found to be within acceptable limits. Since the last inspection an incident reporting procedure and an incident log has been developed, although no incidents are recorded as having occurred. An inspection of the homes refrigerator evidenced that some opened processed food stuffs had not been labelled with a start and finish date in accordance with manufacturers storage instructions. The previous inspection had required the home to develop a business and financial plan. This was not available at the time of this inspection and the requirement is therefore restated. The homes current registration certificate was prominently displayed in the homes hallway. The Inspector asked to view the homes current insurance certificate but staffs on duty were unable to produce this. A requirement to copy this certificate to the Commission for Social Care Inspection by the 31st March 2006 is therefore made. Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 1 3 X 4 2 5 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X 2 1 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X 3 X 2 3 3 2 2 Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 24 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. Standard YA2 Regulation 14(1)(a) Requirement New service users must only be admitted on the basis on a full assessment undertaken by the home by people competent to do so. The previous target of the 31/02/06 was not met. 2. YA4 12(2) & 14(c) The Registered Manager must ensure that prospective service users are given the opportunity to test drive the home. This is a restated requirement. The previous target of the 13/02/06 was not met. 3. YA5 14(1)(d) The Registered Manager must develop and agree with each service user a written and costed contract of the terms and conditions between the home and the service user. This is a restated requirement. The previous target of the 13/02/06 was not met. 4. YA6 15(1) Individual service users plans DS0000062024.V284205.R01.S.doc Timescale for action 01/07/06 01/07/06 01/07/06 01/07/06 Page 25 Aytun Care Home Version 5.1 must address all aspects of personal and social support. This is a restated requirement. The previous target of the 13/02/06 was not met. 5. YA8 12(3) The registered manager must ensure that service users are offered opportunities to participate in the day to day running of the home and to contribute to the development and review of policies, procedures and services. This is a restated requirement. The previous target of the 13/02/06 was not met. 6. YA9 13(4) The home must complete its risk assessment tool, identify management strategies and regularly review these as part of the individual plan. This is a restated requirement. The previous target of the 13/02/06 was not met. The home must ensure that a manual handling risk assessment is completed for each service user who requires assistance with transfers. 7. YA20 13(2) The home must develop its medication policy to guidance on controlled drugs. This is a restated requirement. The previous target of the 30/11/05 was not met. 8. YA22 22 & Sch 1 The home must develop a complaint log that records the details of the complaint, investigation and outcome as DS0000062024.V284205.R01.S.doc 01/07/06 01/07/06 01/07/06 30/11/05 Aytun Care Home Version 5.1 Page 26 required by regulation. This is a restated requirement. The previous target of the 30/11/05 was not met. The home must ensure that a copy of the complaints procedure is included in the policy and procedures file and is available for inspection. 9. YA24 13(2) & 23(4) The ground floor bathroom requires the following repairs: (i) (ii) The broken toilet seat must be secured. The floor covering around the WC must be properly fitted. 01/07/06 In the first floor bathroom the following maintenance issues must be addressed: (i) 10. 11. YA27 YA34 23(2) & 12(4) 19 & Sch 2 A leak must be repaired. 01/07/06 01/07/06 The first floor shower room must be lockable. The home must revise its recruitment policy to state that two satisfactory references and an enhanced level CRB check must be obtained by the home prior to the commencement of employment. The home must ensure that it obtains two written references for staff members and that these are available for inspection. 12. YA35 18(1)(c) The registered person must develop a staff training and development programme. DS0000062024.V284205.R01.S.doc 01/07/06 Aytun Care Home Version 5.1 Page 27 This is a restated requirement. The previous target of the 13/02/06 was not met. 13. YA39 24 The home must implement its quality assurance policy and procedure. This is a restated requirement. The previous target of the 13/02/06 was not met. 14. YA42 23 & 13 Processed and prepared foods stored in the fridge must be labelled with a start and use by date in accordance with the product instructions and food hygiene and safety practises. This is a restated requirement. The previous target of the 13/02/06 was not met. 15. YA43 25(2) (a) The registered person must ensure that a business and financial plan is available for inspection. This is a restated requirement. The previous target of the 13/02/06 was not met. A copy of the current insurance certificate for the home must be copied to the Commission for Social Care Inspection by the 31/03/06. 01/07/06 01/07/06 01/07/06 Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 28 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA18 Good Practice Recommendations The home should develop it individual planning to include information within this detailing how service users prefer to be supported. The home should ensure that the records it produces are signed and dated. 2. YA41 Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 Page 29 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Aytun Care Home DS0000062024.V284205.R01.S.doc Version 5.1 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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